Physical activity behaviors and attitudes among women with an eating disorder: a qualitative study

Brunet, Jennifer; Duchetto, Francis Del; Wurz, Amanda

doi:10.1186/s40337-021-00377-w

Cited by 14 publications

(16 citation statements)

References 61 publications

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“…This means that the authors were actively involved in the research process, and that results are not entirely free from potential bias associated with researcher input [ 38 , 43 ]. In line with previous studies using a similar approach [ 44 , 45 ], it is then acknowledged that as authors of this work, we have a general interest in assisting the development of successful and sustainable dietary alternatives to animal-based proteins that may contribute to our interpretation of themes and focus group discussions.…”

Section: Methodssupporting

confidence: 63%

Consumer Knowledge and Acceptance of “Algae” as a Protein Alternative: A UK-Based Qualitative Study

Mellor

Embling

Neilson³

et al. 2022

Foods

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Overconsumption of meat has been recognised as a key contributing factor to the climate emergency. Algae (including macroalgae and microalgae) are a nutritious and sustainable food source that may be utilised as an alternative to animal-based proteins. However, little is known about the consumer awareness and acceptance of algae as a protein alternative. The aim of this qualitative study was to develop a rich and contextualised understanding of consumer beliefs about the use of algae in novel and innovative food products. A total of 34 participants from the UK assisted with our study. Each participant engaged in one focus group, with six focus groups conducted in total. Existing consumer knowledge of algae was discussed before participants explored the idea of algae-based food products. Reflexive (inductive) thematic analysis was used to analyse these data. Results showed that consumers have limited pre-existing knowledge of algae as a food source; however, participants were open to the idea of trying to consume algae. This anticipated acceptance of algae was influenced by several product attributes, including perceived novelty, edibility, healthiness, sustainability, and affordability. These findings highlight algae as a promising protein alternative to support plant-forward diets in the UK and identify key attributes to consider in future product development and marketing strategies.

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Section: Methodssupporting

confidence: 63%

Consumer Knowledge and Acceptance of “Algae” as a Protein Alternative: A UK-Based Qualitative Study

Mellor

Embling

Neilson³

et al. 2022

Foods

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“…There was also no significance observed with respect to gender. In this case, we did not obtain results similar to those of previous studies that showed a higher prevalence in females [33,35,36]. In our case, this is likely due to the fact that we analyzed runners in which both genders were required to have low-fat body mass and low weight.…”

Section: Physical and Demographic Characteristics Nra And Edcontrasting

confidence: 82%

“…Numerous recent studies support the idea that the predominance of compulsive exercise in patients with AN and BN is used as a means of weight control [32][33][34]. These data may support the idea that people with a tendency to suffer from an ED prefer athletics as a means of justifying their thinness and exercising control over their weight.…”

Section: Relationship Between the Predominance Of Ed And Nramentioning

confidence: 84%

Relationship between Negative Running Addiction and Eating Disorder Patterns in Runners

et al. 2021

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Current studies show an increase in the risk of eating disorders in runners. Since it is known that abusive exercise can be both a cause and a consequence of such developments, the main objective of the present study was to examine the risk and possible relationships between negative running addiction (NRA), as measured by the reduced and validated SAS-40 scale, and the tendency to be a compulsive eater (measured by YFAS 2.0), anorexia nervosa (AN), and/or bulimia nervosa (BN) (measured by EAT-40). This study highlights the novelty of researching the level of influence of NRA on each defined eating disorder. Method: A total of 167 Spanish-speaking federated runners in cross-country and track running (42% women and 58% men), with an average age of 24 years and an average BMI of 21 kg/m2, responded to an online questionnaire that asked about sociodemographic data and the Spanish versions of the SAS-40, YFAS 2, YFAS 3, and YFAS 4. Through a quantitative methodology using logistic regressions—the coefficient of determination and Pearson’s correlation coefficient—we created a sample analysis that related the significant items of the DSM-V to the results of the questionnaires administered, as well as their relationship with the practice of the sport in question and various variables of the environment. Results: The rates of CE, AN, and BN were 65, 11.4, and 16.2%, respectively. The tendency towards CE increased with a lower weight (r = 0.156, p < 0.05), not having been overweight in childhood (r = 0.151, p < 0.05), and being a long-distance runner (r = 0.123 p < 0.05). The risk of AN increased with the absence of menstruation for more than 3 months (r = 0.271 p < 0.01), having suffered from childhood obesity (r = 0.213 p < 0.05), and being underweight (r = 0.064 p < 0.05). The risk of BN increased with having suffered from childhood obesity (r = 0.194 p < 0.05), having a higher weight (r = 0.140, p < 0.05), and practicing athletics, especially the relay modality (r = 0.044 p < 0.05). Conclusions: A considerable number of runners are at risk of suffering from some type of eating disorder. A significant relationship was observed between long-distance runners and the risk of eating disorders (AN, BN, and CE), and the association is stronger for CE than for AN and BN. Lastly, childhood experiences (such as being obese/a healthy weight) were notorious for increasing the risk of eating disorders. Further studies are needed to research each particular parameter and the relationships between the possible levels of dependence on exercise. Level of evidence: Level III, cohort analytic study.

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“…Both Poland and Italy are classified as individualistic cultures based on Hofstede’s cultural dimensions theory (Poland with a score of 60 and Italy with a score of 76 [ 57 ]. In addition, the effect of globalization on eating behaviors [ 58 ] and on the increased health burden associated with eating disorders pathology [ 59 ] seems to be similar in these Western countries, especially among young people.…”

Section: Discussionmentioning

confidence: 99%

“…There are indications that focusing on healthy eating, as well as regular and adequate physical activity is socially acceptable and has a positive impact on health. However, abnormally high levels of physical activity may have a negative impact on health, especially among women with an eating disorder [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

Orthorexia Nervosa and Disordered Eating Attitudes, Self-Esteem and Physical Activity among Young Adults

et al. 2022

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A relation between Orthorexia Nervosa (ON) and increased frequency of physical activity has been put in evidence by recent studies. It is well known that intense physical exercises are typically related to eating disorders, but its relationship with ON is still a subject of debate. Other transdiagnostic features could be necessary to conceptualize and understand ON; in this way, low self-esteem is related to eating behavior but is not still extensively investigated in ON, and, to date, data are so heterogeneous that they do not allow us to understand if this is a psychological feature somehow associated with ON. The current study aimed to assess whether disordered eating attitudes, self-esteem, and physical activity are associated with ON in young adults from Poland and Italy. Moreover, we investigated the differences by comparing lower and higher ON levels related to disordered eating attitudes, self-esteem, and physical activity. Our results indicated that a great concern about dieting significantly predicted problems associated with healthy eating, knowledge about healthy eating, and feeling positive about healthy eating. In addition, young adults with a high level of ON demonstrated higher levels of disordered eating attitudes and vigorous-intensity physical activity than young adults with a low level of ON. Future studies are needed to assess the direct effect of physical activity and self-esteem on ON.

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Physical activity behaviors and attitudes among women with an eating disorder: a qualitative study

Cited by 14 publications

References 61 publications

Consumer Knowledge and Acceptance of “Algae” as a Protein Alternative: A UK-Based Qualitative Study

Consumer Knowledge and Acceptance of “Algae” as a Protein Alternative: A UK-Based Qualitative Study

Relationship between Negative Running Addiction and Eating Disorder Patterns in Runners

Orthorexia Nervosa and Disordered Eating Attitudes, Self-Esteem and Physical Activity among Young Adults

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