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Cited by 22

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How to address physical activity and exercise during treatment from eating disorders: a scoping review

Mathisen, Therese Fostervold, Hay, Phillipa, Bratland-Sanda, Solfrid·2023·Current Opinion in Psychiatry
DOI 10.1097/yco.0000000000000892
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Abstract

Purpose of review: This scoping review aimed to provide a recent update on how to address dysfunctional physical activity and exercise (DEx), and on effects and experiences from including supervised and adapted physical activity or exercise (PAE), during treatment of eating disorders. Recent findings: A systematic search for peer-reviewed publications in the period 2021–2023 generated 10 original studies and 6 reviews, including one meta-analysis (reporting according to PRISMA and SWiM). Findings showed that DEx was effectively managed by use of psychoeducation and/or PAE. Inclusion of PAE as part of treatment showed low-to-moderate impact on health and positive or neutral effects on eating disorder psychopathology. There were no reports of adverse events. For individuals with anorexia nervosa, PAE improved physical fitness with no influence on body weight or body composition unless progressive resistance training was conducted. For individuals with bulimia nervosa, DEx was reduced simultaneously with increased functional exercise and successful implementation of physical activity recommendations during treatment. Experiences by individuals with eating disorders and clinicians, including accredited exercise physiologists, pointed to positive benefits by including PAE in treatment. Summary: Lack of consensus about DEx and of recommendations for PAE in official treatment guidelines hinder adequate approaches to these issues in eating disorder treatment.

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Cited by

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Metadata

Authors
Mathisen, T. F., Hay, P., & Bratland-Sanda, S.
Affiliations
  • Faculty of Health, Welfare, and Organization, Østfold University College, Fredrikstad, Norway
  • Translational Health Research Institute (THRI), School of Medicine, Western Sydney University
  • Department of Outdoor Studies, Sports and Physical Education, University of South-Eastern Norway, Bø, Norway
Venue
Current Opinion in Psychiatry
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2023-07-12
Volume
36
Issue
6
Pages
427-437
ISSN
  • 0951-7367
  • 1473-6578
DOI
10.1097/yco.0000000000000892
Cited by
22
References
11
Language
en
Licence
creativecommons.org/licenses/by-nc-nd/4.0 (unspecified)

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