Psychological and nutritional correlates of objectively assessed physical activity in patients with anorexia nervosa.
adolescents and adults
anorexia nervosa
body fat
food intake
physical activity
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
04
02
2020
revised:
05
06
2020
accepted:
06
06
2020
pubmed:
3
7
2020
medline:
26
11
2020
entrez:
3
7
2020
Statut:
ppublish
Résumé
Physical activity (PA) plays a role in the course of anorexia nervosa (AN). To assess the association between PA, nutritional status and psychological parameters in patients with AN. Using a wearable activity monitor, PA was assessed in 60 female AN inpatients, by step count and time spent in 4 metabolic equivalent (MET)-intensity levels: sedentary behaviour, light, moderate and vigorous PA. In addition, BMI, psychological (patient-reported outcome questionnaires) and nutritional parameters (body fat, energy and macronutrient intake) were assessed. The study population spent little time in vigorous PA. BMI on admission and discharge was higher when more time was spent in sedentary behaviour, and lower with more time spent in light PA. Relationships between PA and patient-reported outcomes were weak and limited to an association between vigorous PA and compulsiveness. Low fat mass was associated with more time spent in light PA, while subjects with higher step counts showed less intake of energy, carbohydrates and fat. The relationship between inadequate food intake and increased PA in patients with AN requires further investigation.
Sections du résumé
BACKGROUND
Physical activity (PA) plays a role in the course of anorexia nervosa (AN).
OBJECTIVE
To assess the association between PA, nutritional status and psychological parameters in patients with AN.
METHOD
Using a wearable activity monitor, PA was assessed in 60 female AN inpatients, by step count and time spent in 4 metabolic equivalent (MET)-intensity levels: sedentary behaviour, light, moderate and vigorous PA. In addition, BMI, psychological (patient-reported outcome questionnaires) and nutritional parameters (body fat, energy and macronutrient intake) were assessed.
RESULTS
The study population spent little time in vigorous PA. BMI on admission and discharge was higher when more time was spent in sedentary behaviour, and lower with more time spent in light PA. Relationships between PA and patient-reported outcomes were weak and limited to an association between vigorous PA and compulsiveness. Low fat mass was associated with more time spent in light PA, while subjects with higher step counts showed less intake of energy, carbohydrates and fat.
CONCLUSION
The relationship between inadequate food intake and increased PA in patients with AN requires further investigation.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
559-570Informations de copyright
© 2020 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.
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