Activity Measures in Anorexia Nervosa

Falk, James R.; Halmi, Katherine A.; Tryon, Warren W.

doi:10.1001/archpsyc.1985.01790310073010

Cited by 44 publications

(39 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Blinder 15 reported an increase in weekly duration of PA parallel with weight restoration in patients with anorexia nervosa, and this increase did not interfere with the weight restoration. Similar studies have confirmed this finding 16,17 Rø et al 18 reported no change in reported number of days with vigorous PA from admission to discharge in patients with bulimia nervosa. However, the previous studies have used self reported PA only.…”

Section: Introductionmentioning

confidence: 62%

“…The increase in amount of PA from midway through treatment and to discharge observed in the excessive exercisers fits well with previous studies of anorexia nervosa. 15,16 A possible explanation is fear of weight gain, as the BMI also increased significantly in these patients. Also, normalization in energy intake during the inpatient treatment could enhance the physical fitness and therefore make PA easier to perform.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Bratland‐Sanda

Sundgot‐Borgen

Rø

et al. 2009

Intl J Eating Disorders

109

104

View full text Add to dashboard Cite

Objective: 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 nonexcessive exercisers.Method: 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.Results: 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.Discussion: Excessive exercise is an important issue in longstanding ED, and the excessive exercising patients need help to develop alternative strategies to regulate negative affects. V

show abstract

Section: Introductionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 95%

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Bratland‐Sanda

Sundgot‐Borgen

Rø

et al. 2009

Intl J Eating Disorders

109

104

View full text Add to dashboard Cite

show abstract

“…It is evident that a wide variability in the tissue recovered exists in anorexia nervosa, that depends by several factors such as subjects characteristics (for example age and gender), the refeeding protocol etc. Also moderate exercise during the latter part of rehabilitation speeds the restoration of lean tissue (Goldeberg et al, 1977;Halmi et al, 1979;Falk et al, 1985).…”

Section: Introductionmentioning

confidence: 99%

Body composition changes in anorexia nervosa

Polito¹,

Cuzzolaro

Raguzzini³

et al. 1998

Eur J Clin Nutr

View full text Add to dashboard Cite

Objective: To assess the body composition changes in anorexia nervosa and after medium term recovery. Design: A descriptive study. Setting: Rome, Italy. Subjects: Twenty women affected by anorexia nervosa (AN) with a BMI [weight (kg)aheight (m 2 )] below 17 kgam 2 and weight-stable for at least three months, were compared with 10 well nourished control women (CO) and nine rehabilitated subjects (R-AN), who had a BMI above 18.5 kgam 2 stable for at least the last six months. Interventions: Body fat was assessed by underwater weighing, muscle mass by urinary creatinine, total body water (TBW) by impedance parameters (50 kHz and 800 mA), skeletal mass by anthropometry and radius bone mineral density by dual photon absorptiometry in ultra-distal (UD-BMD) and medio-distal (MD-BMD) sites. Results: The AN group, as compared to the control group, had a signi®cantly lower weight, body mass index (BMI kgam 2 ) and percent body fat (P`0.0000). Creatinine urinary excretion was lowest in absolute term and when expressed as creatinine height index or per kg fat free mass (FFM) (P`0.0000); muscle mass per kg body weight was 13% lower (P`0.01). Ultra distal bone mineral density (UD-BMD) was 6% lower (not signi®cant). TBW as percent of body weight was signi®cant higher (P`0.001): however TBWaFFM % was not statistically different with large inter-individual variability. An altered distribution of extra and intra-cellular water was suggested by the phase angle (AN: 4.4 AE 0.8 ; CO: 6.1 AE 0.4 ; (P`0.0000). In rehabilitated anorexic patients (R-AN) the fat mass represented 53% of the weight gain. Their creatinine excretion remained still below the mean value of the controls (P`0.001). The impedance parameters were not signi®cantly different between the R-AN and the CO groups, however, the phase angle of the R-AN (5.0 AE 0.7 ) remained lower than in the CO group, indicating that the water distribution was still altered. Conclusions: This study shows that AN is a condition of reduced body fat as well as of muscle mass, with a slightly reduced bone mass. In the course of rehabilitation, most of the weight regained is represented by fat, while the muscle mass appears to lag behind, at least in the medium term.

show abstract

“…This fear of giving up thinness, reified as fear of fatness, is a powerful counterforce to recovery. Patients dread the feeling of heaviness associated with renutrition, even if refeeding and weight gain increase endurance (Falk, Halmi, & Tryon, 1985). Treatment by its very nature undermines denial, leading sometimes to a catastrophic realization of an emotional impasse by unmasking depressive feelings.…”

Section: Starvation-induced Behavioral Activation May Constitute An Omentioning

confidence: 99%

Behavioral activation and lack of concern, core symptoms of anorexia nervosa?

Casper

1998

Int. J. Eat. Disord.

View full text Add to dashboard Cite

Activity Measures in Anorexia Nervosa

Cited by 44 publications

References 4 publications

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Body composition changes in anorexia nervosa

Behavioral activation and lack of concern, core symptoms of anorexia nervosa?

Contact Info

Product

Resources

About