“…This lack of objective measurement provides weak evidence for the prevalence of excessive exercise in eating disorder patients (Solenberger, 2001). In comparison, studies using objective measures of exercise fail to find elevated exercise levels in eating disordered groups compared to control groups (Bouten, van Marken Lichtenbelt, & Westerderp, 1996;Einerson, Ward, & Hanson, 1988;Kotler, Devlin, Matthews, & Walsh, 2001). Finally, studies have found low aerobic fitness levels (using maximal exercise testing) in anorexia nervosa patients (Rowland, Koenigs, & Miller, 2003), which suggests that they may not be exercising to excess.…”