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Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions

“Hyperactivity” has a wide prevalence range of 31% to 80% in the anorexia nervosa literature that could be partly due to the plethora of definitions provided by researchers in this field. The purpose of this study was two-fold: 1) To assess the variance across prevalence rates of problematic exercis...

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Autores principales: Rizk, Melissa, Lalanne, Christophe, Berthoz, Sylvie, Kern, Laurence, Godart, Nathalie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664470/
https://www.ncbi.nlm.nih.gov/pubmed/26618359
http://dx.doi.org/10.1371/journal.pone.0143352
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author Rizk, Melissa
Lalanne, Christophe
Berthoz, Sylvie
Kern, Laurence
Godart, Nathalie
author_facet Rizk, Melissa
Lalanne, Christophe
Berthoz, Sylvie
Kern, Laurence
Godart, Nathalie
author_sort Rizk, Melissa
collection PubMed
description “Hyperactivity” has a wide prevalence range of 31% to 80% in the anorexia nervosa literature that could be partly due to the plethora of definitions provided by researchers in this field. The purpose of this study was two-fold: 1) To assess the variance across prevalence rates of problematic exercise encountered in patients with anorexia nervosa, in relation to seven different definitions found in the literature. 2) To examine how core eating disorder symptoms and the dimensions of emotional profile are associated with these different definitions and the impact of these definitions on the assessment of patients’ quality of life. Exercise was evaluated in terms of duration, intensity, type and compulsion using a semi-structured questionnaire administered to 180 women suffering from severe anorexia nervosa. Seven different definitions of problematic exercise were identified in the literature: three entailing a single dimension of problematic exercise (duration, compulsion or intensity) and four combining these different dimensions. Emotional profile scores, obsessive-compulsive symptoms, eating disorder symptomatology, worries and concerns about body shape, self-esteem and quality of life were assessed using several established questionnaires. The prevalence of problematic exercise varied considerably from, 5% to 54%, depending on the number of criteria used for its definition. The type and level of eating disorder symptomatology was found to be associated with several definitions of problematic exercise. Surprisingly, a better self-reported quality of life was found among problematic exercisers compared to non-problematic exercisers in three of the definitions. The different definitions of problematic exercise explain the broad prevalence ranges and the conflicting associations generally reported in the literature between problematic exercise and eating disorder-related psychological parameters. There is an urgent need for a valid consensus on the definition of problematic exercise in anorexia nervosa. This will support the development of further research on the etiology and treatment of problematic exercise.
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spelling pubmed-46644702015-12-10 Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions Rizk, Melissa Lalanne, Christophe Berthoz, Sylvie Kern, Laurence Godart, Nathalie PLoS One Research Article “Hyperactivity” has a wide prevalence range of 31% to 80% in the anorexia nervosa literature that could be partly due to the plethora of definitions provided by researchers in this field. The purpose of this study was two-fold: 1) To assess the variance across prevalence rates of problematic exercise encountered in patients with anorexia nervosa, in relation to seven different definitions found in the literature. 2) To examine how core eating disorder symptoms and the dimensions of emotional profile are associated with these different definitions and the impact of these definitions on the assessment of patients’ quality of life. Exercise was evaluated in terms of duration, intensity, type and compulsion using a semi-structured questionnaire administered to 180 women suffering from severe anorexia nervosa. Seven different definitions of problematic exercise were identified in the literature: three entailing a single dimension of problematic exercise (duration, compulsion or intensity) and four combining these different dimensions. Emotional profile scores, obsessive-compulsive symptoms, eating disorder symptomatology, worries and concerns about body shape, self-esteem and quality of life were assessed using several established questionnaires. The prevalence of problematic exercise varied considerably from, 5% to 54%, depending on the number of criteria used for its definition. The type and level of eating disorder symptomatology was found to be associated with several definitions of problematic exercise. Surprisingly, a better self-reported quality of life was found among problematic exercisers compared to non-problematic exercisers in three of the definitions. The different definitions of problematic exercise explain the broad prevalence ranges and the conflicting associations generally reported in the literature between problematic exercise and eating disorder-related psychological parameters. There is an urgent need for a valid consensus on the definition of problematic exercise in anorexia nervosa. This will support the development of further research on the etiology and treatment of problematic exercise. Public Library of Science 2015-11-30 /pmc/articles/PMC4664470/ /pubmed/26618359 http://dx.doi.org/10.1371/journal.pone.0143352 Text en © 2015 Rizk et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Rizk, Melissa
Lalanne, Christophe
Berthoz, Sylvie
Kern, Laurence
Godart, Nathalie
Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions
title Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions
title_full Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions
title_fullStr Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions
title_full_unstemmed Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions
title_short Problematic Exercise in Anorexia Nervosa: Testing Potential Risk Factors against Different Definitions
title_sort problematic exercise in anorexia nervosa: testing potential risk factors against different definitions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664470/
https://www.ncbi.nlm.nih.gov/pubmed/26618359
http://dx.doi.org/10.1371/journal.pone.0143352
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