Anthropometric changes in adolescents with anorexia nervosa in response to resistance training

Fernández-del-Valle, María; Larumbe-Zabala, Eneko; Graell-Berna, Montserrat; Pérez‐Ruiz, Margarita

doi:10.1007/s40519-015-0181-4

Cited by 12 publications

(18 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Practice guidelines suggest that 'for severely underweight patient, exercise should be restricted and always carefully supervised and monitored' [9]; however, these authors state that further research is needed [36]. Rapid weight restoration is essential [4e9]; however, too quick weight gain at the beginning of treatment is considered to be unfavorable for later weight maintenance and long-term recovery [7,13,20]. Fast weight gain is often associated with abdominal fat accumulation [3,27,28,31], which can have negative metabolic effects [27].…”

Section: Consequences For the Therapeutic Approachmentioning

confidence: 99%

See 1 more Smart Citation

Novel approaches for the assessment of relative body weight and body fat in diagnosis and treatment of anorexia nervosa: A cross-sectional study

et al. 2019

View full text Add to dashboard Cite

Background & aims: Anorexia nervosa (AN) is a severe psychosomatic disease that seriously affects nutritional status. Therapeutic approaches primarily aim for rapid weight restoration by high caloric diets and activity restriction. This often promotes abdominal body fat gain, which potentially negatively influences the patient's compliance and increases the risk of relapse. This study focused on the evaluation of body weight and subcutaneous adipose tissue (SAT) in AN patients by novel approaches. Methods: The SAT of AN patients (n ¼ 18, body mass index (BMI) 15.3 ± 1.3 kg/m 2 ) was determined by a highly accurate and reliable ultrasound method. The sum of SAT thicknesses of eight sites (D INCL ) was calculated. Individual metabolic profiles were analyzed. The mass index (MI), which considers body proportions, was used in addition to BMI. Additional to the standard laboratory diagnostics, dermal carotenoids measured by resonance Raman spectroscopy, leptin, and oxidative stress indicators were determined. Results: The mean MI was 15.7 ± 1.4 kg/m 2 . The D INCL considerably differed between individuals with the same BMI. Half of the patients (Group 1) had low D INCL : 1.3e28.4 mm, and Group 2 showed values up to 58.2 mm (corresponding to approximately 6 kg SAT mass). The two group means differed by more than 300% (P < 0.001). Accordingly, leptin levels significantly differed (P < 0.001). Mean SAT thicknesses were significantly higher in Group 2 at all eight sites. The groups also significantly differed in two oxidative stress parameters: total antioxidative capacity, malondialdehyde-modified low density lipoprotein immunoglobulin M (MDA-LDL IgM), and in the carotenoid level. Conclusion: Half of the patients had sufficiently high fat mass, despite very low BMI. Consequently, their muscle (and other organ) masses must have been extremely low. Diagnostic criteria and treatment protocols for AN should consider each patient's body composition. In addition to dietary treatments, muscle training at low energy turnover rates may be essential for avoiding unnecessary body fat gain, better treatment results, and long-term recovery.

show abstract

Section: Consequences For the Therapeutic Approachmentioning

confidence: 99%

“…Most commonly, body mass index (BMI) and the speed of weight gain are used for assessing nutritional status and therapy progress [20,24,25]. Thus, the patient's body composition remains unconsidered, which is a substantial health criterion.…”

Section: Introductionmentioning

confidence: 99%

Novel approaches for the assessment of relative body weight and body fat in diagnosis and treatment of anorexia nervosa: A cross-sectional study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Among the 28 selected reports, we found seven reports corresponding to three studies (i.e., same sample, same trial number, same authors, same hospital): the two reports of Szabo & Green ( 49 ) and Chantler et al ( 50 ) were from the same study; the three reports of Fernandez-del-Valle et al ( 51 ), Fernandez-del-Valle et al ( 52 ) and Fernandez-del-Valle et al ( 53 ) were from the same study; and the two reports of Martinez-Sanchez et al ( 54 ) & Martinez-Sanchez et al ( 55 ) were from the same study.…”

Section: Resultsmentioning

confidence: 99%

“…These studies were conducted between 2002 and 2017. The resistance exercise programs were carried out two (Szabo and Green, ( 49 ); Chantler et al, ( 50 ); Fernandez-del-Valle et al, ( 56 )), three (Fernandez-del-Valle et al, ( 51 ); ( 52 ); ( 53 )) or fourteen times per week (Martin et al, ( 57 )), with a session duration of 60 minutes, except for Martin et al’s program ( 57 ) which included 5-minute sessions. Only one report did not mention the duration of sessions (Szabo and Green, ( 49 )).…”

Section: Resultsmentioning

confidence: 99%

Exercise therapy in the treatment of anorexia nervosa: Its effects depending on the type of physical exercise—A systematic review

2022

View full text Add to dashboard Cite

Background and purposeClinical research focusing on the effectiveness of exercise therapy (ET) in patients with anorexia nervosa (AN) shows increasing interest in the last decade. The aim of this systematic review was to provide an overview of quantitative studies that have examined the impact of ET in AN patients and to examine its specific effects on physical and mental health according to the type of physical exercise (PE) practiced.MethodsThe review was carried out based on the PRISMA 2020. Electronic databases PubMed, Web of Science, Embase, and Wiley were searched from inception to December 2021. Quantitative studies assessing the effects of ET interventions on AN patients were included and study quality was assessed using the PEDro scale.ResultsA total of 27 studies were selected, including 13 randomized controlled trials. Regarding outcomes measured, results showed that aerobic and resistance exercise improved muscle strength, that mind-body PE decreased main symptoms of AN and mental health, and that combined PE reduced dysfunctional exercise and improved weight gain.ConclusionThe findings suggest that ET intervention can induce benefits and has no deleterious effects on patients. In addition, specific effects on anorexia symptoms and physical and mental health have been observed according to the type of PE. However, this review reported several methodological weaknesses, including a lack of control group or randomization and statistical misconduct. Finally, ET intervention parameters were heterogeneous, and ET intervention generally lacked details, making reproducibility and comparability difficult. All these limitations underscore the need for a more rigorous methodology for further research.

show abstract

“…anthropometric measurements could be useful for assessing muscle status in those patients. 87 repetitive transcranial magnetic stimulation techniques were also tested for potential applications in the field of ED, with non-conclusive evidence so far. 88 it is well-established that the persistence of body dissatisfaction at the end of treatment is a reliable predictor of relapse in both an and Bn: two studies addressed this issue augmenting cBt one with a virtual reality-based intervention 89 and the second with a manualized group treatment.…”

confidence: 99%

An update on current clinical management of eating disorders

Spattini¹,

Rioli²,

Longo³

et al. 2017

Minerva Psychiatry

View full text Add to dashboard Cite

show abstract

Anthropometric changes in adolescents with anorexia nervosa in response to resistance training

Abstract: Anthropometric measurements could be useful for assessing muscle status in AN-R patients during the treatment process. However, exact standard deviation scores should be used instead of percentile categories to increase the sensitivity to changes in TSF, MTSF, MUAC, MTC or AMA.

Cited by 12 publications

References 25 publications

Novel approaches for the assessment of relative body weight and body fat in diagnosis and treatment of anorexia nervosa: A cross-sectional study

Novel approaches for the assessment of relative body weight and body fat in diagnosis and treatment of anorexia nervosa: A cross-sectional study

Exercise therapy in the treatment of anorexia nervosa: Its effects depending on the type of physical exercise—A systematic review

An update on current clinical management of eating disorders

Contact Info

Product

Resources

About