The neurostructural and neurocognitive effects of physical activity: A potential benefit to promote eating disorder recovery

Mathisen, Therese Fostervold; Sundgot‐Borgen, Jorunn; Bulik, Cynthia M.; Bratland‐Sanda, Solfrid

doi:10.1002/eat.23582

Cited by 15 publications

(17 citation statements)

References 30 publications

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“…walking, running, cycling, swimming or shadow boxing) ( 32 , 34 ). Regarding the symptomatology and comorbidities of AN, this type of PE has been shown to have positive effects on physical and socio-psychological health (e.g., mood, depression, well-being, anxiety, and group relations) ( 32 , 34 – 36 ). Resistance exercise involves exerting effort against resistance that is induced either with equipment (e.g., dumbbells, elastic bands, or machines) or without equipment (i.e., body weight) to increase muscular strength or endurance.…”

Section: Introductionmentioning

confidence: 99%

“…Resistance exercise involves exerting effort against resistance that is induced either with equipment (e.g., dumbbells, elastic bands, or machines) or without equipment (i.e., body weight) to increase muscular strength or endurance. Particularly for patients with AN, this type of PE has been revealed to elicit positive effects on muscle mass and body weight, as well as on other parameters such as metabolic adaptations, neuroplasticity, mental health (e.g., anxiety, depression, and behavioral changes), and bone density ( 32 , 36 – 38 ). MBPE, such as yoga, Pilates, stretching, tai chi, and qigong, has also been implemented in the care of AN ( 17 , 32 , 33 , 36 ).…”

Section: Introductionmentioning

confidence: 99%

“…Particularly for patients with AN, this type of PE has been revealed to elicit positive effects on muscle mass and body weight, as well as on other parameters such as metabolic adaptations, neuroplasticity, mental health (e.g., anxiety, depression, and behavioral changes), and bone density ( 32 , 36 – 38 ). MBPE, such as yoga, Pilates, stretching, tai chi, and qigong, has also been implemented in the care of AN ( 17 , 32 , 33 , 36 ). This type of PE combines body movement, mental focus and controlled breathing which can improve strength, flexibility and balance, as well as relax the body and release psychological tension to achieve a state of well-being ( 32 , 39 ).…”

Section: Introductionmentioning

confidence: 99%

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

2022

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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.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

2022

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“…Among individuals with eating disorders (EDs), although the primary motive of compulsive exercise is to control shape and weight (Dalle Grave et al, 2008), individuals often report using exercise to regulate mood , and evidence supports pre-to post-exercise decreases in negative emotion in individuals with EDs (Engel et al, 2013;Noetel et al, 2016). Thus, the mood regulating effects of exercise can be understood as one of its bene ts; however, exercise behavior as it occurs among individuals with EDs has been the subject of scrutiny for its possible role as a problematic behavior targeted for reduction in treatment (e.g., Martenstyn et al, 2021; see also Cook & Leininger, 2017;Mathisen et al, 2021;Quesnel et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a scale for the tendency to exercise in response to mood, eating, and body image cues: the Reactive Exercise Scale (RES)

et al. 2022

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Purpose: Earlier work on engaging in physical exercise when experiencing negative affect demonstrated robust associations with eating disorder (ED) behaviors and attitudes; however, measurement of the behavior was primitive. We report on the development of a self-report measure, the Reactive Exercise Scale (RES), that disentangles the tendency to engage in exercise in response to negative mood cues from the tendency to engage in exercise in response to eating and body image cues, which themselves may be associated with negative mood. The measure also assesses exercising in response to positive mood cues.Method: Exploratory factor analysis (FA) guided item and factor selection. Con rmatory FA in an independent sample supported a 3-factor solution -exercising in response to negative mood cues, eating and body image cues, and positive mood cues.Results: Results supported the construct validity of the RES subscales and indicated that exercising in response to negative mood cues may not uniquely relate to most aspects of ED psychopathology when accounting for eating and body image cues, which themselves are associated with negative mood. Conclusion:The RES allows for testing the unique relation of exercise to regulate negative emotion with ED constructs independent from the appearance-related motives for which exercise may also be used. What Is Already Known On This Subject?Exercise behavior is often disrupted in individuals with EDs and itself may be an important ED behavior. The aspects of exercise that explain its relation to ED features, and what differentiates exercise as it occurs within and outside EDs, remains an important topic of study. What This Study Adds?This study contributes a novel measure of the tendency to engage in exercise in response to speci c cues: negative emotion, eating/body image, and positive emotion. Together, these subscales may aid in identifying the speci c components of exercise that relate to ED features from those that may occur both within and outside of EDs.

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“…Given the impact of exercise on the presentation of eating disorders, implications for treatment, and limited research (Mathisen, Sundgot-Borgen, Bulik, & Bratland-Sanda, 2021), a recent review called for more conceptualizations of exercise in the context of eating disorders (Murray, 2020)…”

Section: Introductionmentioning

confidence: 99%

Exercise Satiation: A novel theoretical conceptualization for problematic exercise observed in eating disorders

Barker

Kolar

Lazzer³

et al. 2021

Intl J Eating Disorders

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Exercise Satiation is a novel theoretical conceptualization for problematic exercise often observed in eating disorders. Problematic exercise is present across the spectrum of eating disorder presentations and is a cardinal symptom of eating disorders that has been difficult to treat historically. Conceptualizing exercise in the context of Reward Satiation similar to other biological drives such as eating could provide new insights into the etiology, maintenance, and treatment of problematic exercise in eating disorders. Through this understanding, we may be able to provide and increase adherence to interventions that target these mechanisms and as such, reduce impairment associated with problematic exercise for those with eating disorders. Using the Research Domain Criteria (RDoC) framework, we propose and discuss potential research avenues to explore Exercise Satiation in the context of eating disorders.

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The neurostructural and neurocognitive effects of physical activity: A potential benefit to promote eating disorder recovery

Cited by 15 publications

References 30 publications

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

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

Development and validation of a scale for the tendency to exercise in response to mood, eating, and body image cues: the Reactive Exercise Scale (RES)

Exercise Satiation: A novel theoretical conceptualization for problematic exercise observed in eating disorders

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