Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non-excessive exercisers
Article first published online: 16 OCT 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 3, pages 266–273, April 2010
How to Cite
Bratland-Sanda, S., Sundgot-Borgen, J., Rø, Ø., Rosenvinge, J. H., Hoffart, A. and Martinsen, E. W. (2010), Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non-excessive exercisers. Int. J. Eat. Disord., 43: 266–273. doi: 10.1002/eat.20769
- Issue published online: 8 MAR 2010
- Article first published online: 16 OCT 2009
- Manuscript Accepted: 25 AUG 2009
To describe changes in physical activity (PA) and exercise dependence score during treatment of eating disorders (ED), and to explore correlations among changes in PA, exercise motivation, exercise dependence score and ED psychopathology in excessive and non-excessive exercisers.
Thirty-eight adult females receiving inpatient treatment for anorexia nervosa, bulimia nervosa or ED not otherwise specified participated in this prospective study. Assessments included accelerometer assessed PA, Exercise Dependence Scale, Reasons for Exercise Inventory, ED Examination, and ED Inventory.
Amount of PA was significantly reduced in non-excessive exercisers during treatment, in excessive exercisers there was a trend towards reduced amount of PA from admission to discharge. In excessive exercisers, reduced ED psychopathology was correlated with reduction in exercise dependence score and perceived importance of exercise to regulate negative affects, but not with importance of exercise for weight/appearance. These associations were not found in non-excessive exercisers.
Excessive exercise is an important issue in longstanding ED, and the excessive exercising patients need help to develop alternative strategies to regulate negative affects. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010