Physical activity in anorexia nervosa

Objective: Elevated physical activity has been observed in some patients with anorexia nervosa (AN) despite their emaciated condition. However, its effects on treatment outcome remain unclear. This study aimed to examine objectively measured physical activity in this clinical population and how it m...

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Autores: Sauchelli, S., Arcelus, J., Sánchez Díaz, Isabel María|||0000-0001-5874-8204, Riesco, Nadine|||0000-0002-6336-4907, Jiménez Murcia, Susana|||0000-0002-3596-8033, Granero, Roser|||0000-0001-6308-3198, Gunnard, K., Baños, R., Botella, C., Torre, Rafael de la|||0000-0002-6765-1866, Fernández-García, J. C., Fernández-Real, J. M., Frühbeck, G., Gómez-Ambrosi, Javier|||0000-0001-5601-1604, Tinahones, Francisco J.|||0000-0001-6871-4403, Casanueva, F. F., Menchón Magriñá, José Manuel|||0000-0002-6231-6524, Fernández Aranda, Fernando|||0000-0002-2968-9898
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:319886
Acceso en línea:https://ddd.uab.cat/record/319886
https://dx.doi.org/urn:doi:10.1016/j.eurpsy.2015.09.008
Access Level:acceso abierto
Palabra clave:Anorexia nervosa
Depression
Partial hospitalization
Physical activity
Treatment outcome
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spelling Physical activity in anorexia nervosaHow relevant is it to therapy response?Sauchelli, S.Arcelus, J.Sánchez Díaz, Isabel María|||0000-0001-5874-8204Riesco, Nadine|||0000-0002-6336-4907Jiménez Murcia, Susana|||0000-0002-3596-8033Granero, Roser|||0000-0001-6308-3198Gunnard, K.Baños, R.Botella, C.Torre, Rafael de la|||0000-0002-6765-1866Fernández-García, J. C.Fernández-Real, J. M.Frühbeck, G.Gómez-Ambrosi, Javier|||0000-0001-5601-1604Tinahones, Francisco J.|||0000-0001-6871-4403Casanueva, F. F.Menchón Magriñá, José Manuel|||0000-0002-6231-6524Fernández Aranda, Fernando|||0000-0002-2968-9898Anorexia nervosaDepressionPartial hospitalizationPhysical activityTreatment outcomeObjective: Elevated physical activity has been observed in some patients with anorexia nervosa (AN) despite their emaciated condition. However, its effects on treatment outcome remain unclear. This study aimed to examine objectively measured physical activity in this clinical population and how it might be related to a partial hospitalization therapy response, after considering potential confounders. Method: The sample comprised 88 AN patients consecutively enrolled in a day hospital treatment program, and 116 healthy-weight controls. All participants were female and a baseline assessment took place using an accelerometer (Actiwatch AW7) to measure physical activity, the Eating Disorders Inventory-2 and the Depression subscale of the Symptom Checklist-Revised. Outcome was evaluated upon the termination of the treatment program by expert clinicians. Results: Although AN patients and controls did not differ in the average time spent in moderate-to-vigorous physical activity (MVPA) (P = .21), nor daytime physical activity (P =.34), fewer AN patients presented a high physical activity profile compared to the controls (37% vs. 61%, respectively; P = .014). Both lower levels of MVPA and greater eating disorder severity had a direct effect on a poor treatment outcome. Depression symptoms in the patients were associated with lower MVPA, as well as with an older age, a shorter duration of the disorder and greater eating disorder psychopathology. Conclusions: There is a notable variation in the physical activity profile of AN patients, characterized by either low or very high patterns. Physical activity is a highly relevant issue in AN that must be taken into account during the treatment process. 22015-01-0120152015-01-01Articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/319886https://dx.doi.org/urn:doi:10.1016/j.eurpsy.2015.09.008reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.https://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3198862026-06-06T12:50:31Z
dc.title.none.fl_str_mv Physical activity in anorexia nervosa
How relevant is it to therapy response?
title Physical activity in anorexia nervosa
spellingShingle Physical activity in anorexia nervosa
Sauchelli, S.
Anorexia nervosa
Depression
Partial hospitalization
Physical activity
Treatment outcome
title_short Physical activity in anorexia nervosa
title_full Physical activity in anorexia nervosa
title_fullStr Physical activity in anorexia nervosa
title_full_unstemmed Physical activity in anorexia nervosa
title_sort Physical activity in anorexia nervosa
dc.creator.none.fl_str_mv Sauchelli, S.
Arcelus, J.
Sánchez Díaz, Isabel María|||0000-0001-5874-8204
Riesco, Nadine|||0000-0002-6336-4907
Jiménez Murcia, Susana|||0000-0002-3596-8033
Granero, Roser|||0000-0001-6308-3198
Gunnard, K.
Baños, R.
Botella, C.
Torre, Rafael de la|||0000-0002-6765-1866
Fernández-García, J. C.
Fernández-Real, J. M.
Frühbeck, G.
Gómez-Ambrosi, Javier|||0000-0001-5601-1604
Tinahones, Francisco J.|||0000-0001-6871-4403
Casanueva, F. F.
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
Fernández Aranda, Fernando|||0000-0002-2968-9898
author Sauchelli, S.
author_facet Sauchelli, S.
Arcelus, J.
Sánchez Díaz, Isabel María|||0000-0001-5874-8204
Riesco, Nadine|||0000-0002-6336-4907
Jiménez Murcia, Susana|||0000-0002-3596-8033
Granero, Roser|||0000-0001-6308-3198
Gunnard, K.
Baños, R.
Botella, C.
Torre, Rafael de la|||0000-0002-6765-1866
Fernández-García, J. C.
Fernández-Real, J. M.
Frühbeck, G.
Gómez-Ambrosi, Javier|||0000-0001-5601-1604
Tinahones, Francisco J.|||0000-0001-6871-4403
Casanueva, F. F.
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
Fernández Aranda, Fernando|||0000-0002-2968-9898
author_role author
author2 Arcelus, J.
Sánchez Díaz, Isabel María|||0000-0001-5874-8204
Riesco, Nadine|||0000-0002-6336-4907
Jiménez Murcia, Susana|||0000-0002-3596-8033
Granero, Roser|||0000-0001-6308-3198
Gunnard, K.
Baños, R.
Botella, C.
Torre, Rafael de la|||0000-0002-6765-1866
Fernández-García, J. C.
Fernández-Real, J. M.
Frühbeck, G.
Gómez-Ambrosi, Javier|||0000-0001-5601-1604
Tinahones, Francisco J.|||0000-0001-6871-4403
Casanueva, F. F.
Menchón Magriñá, José Manuel|||0000-0002-6231-6524
Fernández Aranda, Fernando|||0000-0002-2968-9898
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Anorexia nervosa
Depression
Partial hospitalization
Physical activity
Treatment outcome
topic Anorexia nervosa
Depression
Partial hospitalization
Physical activity
Treatment outcome
description Objective: Elevated physical activity has been observed in some patients with anorexia nervosa (AN) despite their emaciated condition. However, its effects on treatment outcome remain unclear. This study aimed to examine objectively measured physical activity in this clinical population and how it might be related to a partial hospitalization therapy response, after considering potential confounders. Method: The sample comprised 88 AN patients consecutively enrolled in a day hospital treatment program, and 116 healthy-weight controls. All participants were female and a baseline assessment took place using an accelerometer (Actiwatch AW7) to measure physical activity, the Eating Disorders Inventory-2 and the Depression subscale of the Symptom Checklist-Revised. Outcome was evaluated upon the termination of the treatment program by expert clinicians. Results: Although AN patients and controls did not differ in the average time spent in moderate-to-vigorous physical activity (MVPA) (P = .21), nor daytime physical activity (P =.34), fewer AN patients presented a high physical activity profile compared to the controls (37% vs. 61%, respectively; P = .014). Both lower levels of MVPA and greater eating disorder severity had a direct effect on a poor treatment outcome. Depression symptoms in the patients were associated with lower MVPA, as well as with an older age, a shorter duration of the disorder and greater eating disorder psychopathology. Conclusions: There is a notable variation in the physical activity profile of AN patients, characterized by either low or very high patterns. Physical activity is a highly relevant issue in AN that must be taken into account during the treatment process.
publishDate 2015
dc.date.none.fl_str_mv 2
2015-01-01
2015
2015-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/319886
https://dx.doi.org/urn:doi:10.1016/j.eurpsy.2015.09.008
url https://ddd.uab.cat/record/319886
https://dx.doi.org/urn:doi:10.1016/j.eurpsy.2015.09.008
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
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https://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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