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Compulsive exercise to control shape or weight in eating disorders: prevalence, associated features, and treatment outcome.
Compr Psychiatry. 2008 Jul-Aug; 49(4):346-52.CP

Abstract

OBJECTIVE

The study was aimed at assessing the prevalence of compulsive exercising to control shape and weight in eating disorders (EDs) and its relationship with treatment outcome.

METHOD

Compulsive exercising to control shape and weight, defined according to a modified version of the Intense Exercising to Control Shape or Weight section of the Eating Disorder Examination (EDE), was assessed in 165 consecutive ED inpatients entering a protocol based on the transdiagnostic cognitive behavior theory and treatment of EDs. Baseline assessment also included anthropometry, the global EDE interview, the Beck Depression Inventory, the State-Trait Anxiety Inventory (STAI), the Eating Disorders Inventory-Perfectionism Scale, and the Temperament and Character Inventory.

RESULTS

Of the patients, 45.5% were classified as compulsive exercisers, the prevalence being highest (80%) in restricting-type anorexia nervosa (AN), lowest in EDs not otherwise specified (31.9%), and intermediate in binge/purging AN (43.3%) and in purging-type bulimia nervosa (39.3%). Compulsive exercising to control shape and weight was independently predicted by the EDE restraint score (odds ratio, 1.32; 95% confidence interval, 1.06-1.64; P = .014) after adjustment for ED; the total amount of exercise was associated with EDE restraint, as well as with the Temperament and Character Inventory reward dependence. At follow-up, an improved EDE global score was predicted by lower baseline values, higher baseline STAI and STAI improvement, and lower amount of exercise in the last 4 weeks. Voluntary treatment discontinuation was not predicted by baseline exercise.

DISCUSSION

Compulsive exercising to control shape and weight is a behavioral feature of restricting-type AN, associated with restraint and temperament dimensions, with influence on treatment outcome.

Authors+Show Affiliations

Department of Eating Disorder and Obesity, Villa Garda Hospital, 37016 Garda (Vr), Italy. rdalleg@tin.itNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18555054

Citation

Dalle Grave, Riccardo, et al. "Compulsive Exercise to Control Shape or Weight in Eating Disorders: Prevalence, Associated Features, and Treatment Outcome." Comprehensive Psychiatry, vol. 49, no. 4, 2008, pp. 346-52.
Dalle Grave R, Calugi S, Marchesini G. Compulsive exercise to control shape or weight in eating disorders: prevalence, associated features, and treatment outcome. Compr Psychiatry. 2008;49(4):346-52.
Dalle Grave, R., Calugi, S., & Marchesini, G. (2008). Compulsive exercise to control shape or weight in eating disorders: prevalence, associated features, and treatment outcome. Comprehensive Psychiatry, 49(4), 346-52. https://doi.org/10.1016/j.comppsych.2007.12.007
Dalle Grave R, Calugi S, Marchesini G. Compulsive Exercise to Control Shape or Weight in Eating Disorders: Prevalence, Associated Features, and Treatment Outcome. Compr Psychiatry. 2008 Jul-Aug;49(4):346-52. PubMed PMID: 18555054.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Compulsive exercise to control shape or weight in eating disorders: prevalence, associated features, and treatment outcome. AU - Dalle Grave,Riccardo, AU - Calugi,Simona, AU - Marchesini,Giulio, Y1 - 2008/03/19/ PY - 2007/09/03/received PY - 2007/12/13/revised PY - 2007/12/20/accepted PY - 2008/6/17/pubmed PY - 2008/8/16/medline PY - 2008/6/17/entrez SP - 346 EP - 52 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 49 IS - 4 N2 - OBJECTIVE: The study was aimed at assessing the prevalence of compulsive exercising to control shape and weight in eating disorders (EDs) and its relationship with treatment outcome. METHOD: Compulsive exercising to control shape and weight, defined according to a modified version of the Intense Exercising to Control Shape or Weight section of the Eating Disorder Examination (EDE), was assessed in 165 consecutive ED inpatients entering a protocol based on the transdiagnostic cognitive behavior theory and treatment of EDs. Baseline assessment also included anthropometry, the global EDE interview, the Beck Depression Inventory, the State-Trait Anxiety Inventory (STAI), the Eating Disorders Inventory-Perfectionism Scale, and the Temperament and Character Inventory. RESULTS: Of the patients, 45.5% were classified as compulsive exercisers, the prevalence being highest (80%) in restricting-type anorexia nervosa (AN), lowest in EDs not otherwise specified (31.9%), and intermediate in binge/purging AN (43.3%) and in purging-type bulimia nervosa (39.3%). Compulsive exercising to control shape and weight was independently predicted by the EDE restraint score (odds ratio, 1.32; 95% confidence interval, 1.06-1.64; P = .014) after adjustment for ED; the total amount of exercise was associated with EDE restraint, as well as with the Temperament and Character Inventory reward dependence. At follow-up, an improved EDE global score was predicted by lower baseline values, higher baseline STAI and STAI improvement, and lower amount of exercise in the last 4 weeks. Voluntary treatment discontinuation was not predicted by baseline exercise. DISCUSSION: Compulsive exercising to control shape and weight is a behavioral feature of restricting-type AN, associated with restraint and temperament dimensions, with influence on treatment outcome. SN - 1532-8384 UR - https://www.unboundmedicine.com/medline/citation/18555054/Compulsive_exercise_to_control_shape_or_weight_in_eating_disorders:_prevalence_associated_features_and_treatment_outcome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(08)00002-3 DB - PRIME DP - Unbound Medicine ER -