Resistance training enhances muscular performance in patients with anorexia nervosa: A randomized controlled trial

Fernández-del-Valle, María; Larumbe-Zabala, Eneko; Villaseñor-Montarroso, Angel; González, Claudia Cardona; Diez-Vega, Ingnacio; Mojares, Luis Miguel López; Ruiz, Margarita Pérez

doi:10.1002/eat.22251

Cited by 33 publications

(56 citation statements)

References 40 publications

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“…Patients with AN also demonstrated improved number of push-ups and hand grip strength upon treatment discharge, despite significant increases in BMI. Increased strength in AN is well supported by previous research (del Valle et al, 2010;Fernandez-del-Valle et al, 2014), but the concurrent increase in BMI while improving strength in AN is a relatively new finding. This is especially noteworthy given that complications of AN, such as endocrine and cardiorespiratory issues, gastrointestinal problems, and physical weakness can contribute to the deterioration of power and strength (Academy of Eating Disorders, n.d.).…”

Section: Discussionsupporting

confidence: 70%

“…Furthermore, Moola, Gairdner, and Amara (2013) found that nutritionally supported exercise lessens food preoccupation, enhances treatment compliance, increases bone density, and improves quality of life in medically stable inpatients with AN. Exercise has also been shown to increase muscle strength in patients with AN, though no significant increases in BMI were found in these studies (del Valle et al, 2010;Fernandez-del-Valle et al, 2014). Additional measures of strength and BMI are needed to investigate the effectiveness of exercise within intensive ED treatment centers for all patients, particularly athlete patients.…”

Section: Exercise In Intensive Ed Treatment Centersmentioning

confidence: 85%

See 1 more Smart Citation

Strength and Power Improvements in Athlete and Non-Athletes During Intensive Eating Disorder Treatment

Fewell

Nickols²,

Tierney³

et al. 2018

Journal of Clinical Sport Psychology

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Understanding the unique needs of athletes who undergo eating disorder (ED) treatment is sorely needed. This study explores changes of strength and power in athlete (n = 21) and non-athlete (n = 36) patients from intake to discharge. Maximal oxygen consumption, vertical jump, push-ups, hand grip strength, and body mass index (in anorexia nervosa; AN) were measured among treatment center patients. The number of push-ups and hand grip strength were significantly improved upon discharge in the full sample (ps < .005) and in AN only (ps < .001). Body mass index was also significantly higher in AN (p < .001). Maximal oxygen consumption and vertical jump did not significantly improve between admission and discharge in either group (ps > .40). This study is the first to investigate measures of strength in athletes engaged in intensive eating disorder treatment and indicates the need to address the psychological mindset around physical activity using exercise education as part of a comprehensive program. Recommendations for incorporating exercise into an intensive ED treatment center are also provided.

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Section: Discussionsupporting

confidence: 70%

Section: Exercise In Intensive Ed Treatment Centersmentioning

confidence: 85%

Strength and Power Improvements in Athlete and Non-Athletes During Intensive Eating Disorder Treatment

Fewell

Nickols²,

Tierney³

et al. 2018

Journal of Clinical Sport Psychology

View full text Add to dashboard Cite

show abstract

“…Indeed, the positive association between exercising at high intensity and a better nutritional status (higher BMI and FFMI values) is in line with the idea of including adapted physical activity sessions in AN treatment (Ng et al, ). Moderated under the appropriate conditions (adapted to the food intake and energy expenditure of the patient and taking into account bone mineral density and cardiac function (American Psychiatric Association, ), supervised exercise interventions integrated in AN inpatient treatment appeared to be safe (Fernandez‐del‐Valle et al, ; Hausenblas et al, ; Ng et al, ; Vancampfort et al, ; Zunker et al, ), preserved bone mineral density (Achamrah et al, ), helped manage mood and anxiety (Achamrah et al, ), and were associated with a positive outcome and a significant decrease in patients' concerns about body weight and shape (Zunker et al, ). These interventions may also increase the compliance with outpatient treatment (Thien, Thomas, Markin, & Birmingham, ).…”

Section: Discussionmentioning

confidence: 99%

High‐intensity exercise is associated with a better nutritional status in anorexia nervosa

Rizk

Kern

Lalanne

et al. 2018

Euro Eating Disorders Rev

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Objective Our aim is to investigate the links between duration and intensity of exercise and the nutritional status in terms of body composition in acute anorexia nervosa (AN) patients. Method One hundred ninety‐one hospitalized women suffering from AN were included. Exercise duration and intensity were assessed using a semistructured questionnaire. Body composition was measured using bioelectrical impedance. Linear multiple regression analyses were carried out using body mass index, fat‐free mass index, and fat mass index as dependent variables and including systematically exercise duration, exercise intensity, and other confounding variables described in the literature that were significantly associated with each dependent variable in univariate analysis. Results A lower BMI was linked to lower exercise intensity, AN restrictive type, and presence of amenorrhea. A lower FFMI was linked to lower exercise intensity, older age, AN restrictive type, and premenarchal AN. Duration of exercise was not linked to the nutritional status. Conclusions Exercising at higher intensity in AN is associated with a better nutritional status, thus, a better resistance to starvation. The impact of therapeutic physical activity sessions, adapted in terms of exercise intensity and patient's clinical status, should be evaluated during nutrition rehabilitation.

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“…However, there is a growing body of evidence suggesting that closely monitored, nutritionally supported exercise is safe and may convey multiple benefits in individuals with ED. For example, previous research has demonstrated an effect for exercise to decrease obligatory exercise attitudes and behaviors (7), reduce drive for thinness, bulimic symptoms, decrease body dissatisfaction (10,41), facilitate weight gain in anorexia nervosa(AN) (7,8), increase strength (17), reverse cardiac abnormalities in severe AN(26), and improve quality of life (9,11,14,15). This area of research suggests substantial help may be possible from delivering an appropriate exercise treatment protocol as part of an ED treatment.…”

Section: Introductionmentioning

confidence: 99%

Exercise in Eating Disorders Treatment

Cook

Wonderlich

Mitchell

et al. 2016

Medicine &Amp; Science in Sports &Amp; Exercise

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Introduction Although exercise is an effective intervention for many psychological health issues, it has often been overlooked as a potential adjunct to ED treatment. Thus, our objective was to summarize the literature by synthesizing themes identified in clinical studies and explicit guidelines or recommendations for the use or management of exercise in ED interventions into a proposed set of guidelines for the use of exercise in ED treatment. Method A literature search in exercise science, health psychology, and the ED literatures was conducted. The focus was to obtain articles that reported on therapeutic effects and/or guidelines for the therapeutic use of exercise in individuals with ED. Results Our review identified 11 core themes describing techniques that have been successful in using exercise therapeutically in ED treatment. These 11 guidelines are: employ a team of relevant experts, monitor medical status, screen for exercise related psychopathology, create a written contract of how therapeutic exercise will be used, include a psych-educational component, focus on positive reinforcement, create a graded exercise program, begin with mild intensity exercise, tailor the mode of exercise to the needs of the individual, include a nutritional component, and debrief after exercise sessions. Conclusion Our review identifies specific guidelines that may enhance ED treatment outcomes. It is the first to summarize divergent literatures and synthesizes previous successes that may guide the use of therapeutic exercise in some, but not all ED patients. This review provides a practical set of guidelines for the clinical management and therapeutic use of exercise in ED treatment by focusing on empowering individuals with exercise as a tool for healthy living.

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Resistance training enhances muscular performance in patients with anorexia nervosa: A randomized controlled trial

Cited by 33 publications

References 40 publications

Strength and Power Improvements in Athlete and Non-Athletes During Intensive Eating Disorder Treatment

Strength and Power Improvements in Athlete and Non-Athletes During Intensive Eating Disorder Treatment

High‐intensity exercise is associated with a better nutritional status in anorexia nervosa

Exercise in Eating Disorders Treatment

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