Exercise therapy in the treatment of anorexia nervosa: Its effects depending on the type of physical exercise-A systematic review.
anorexia nervosa
eating disorders
exercise therapy
mental Health
physical exercise
psychiatry
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2022
2022
Historique:
received:
09
05
2022
accepted:
12
09
2022
entrez:
7
11
2022
pubmed:
8
11
2022
medline:
8
11
2022
Statut:
epublish
Résumé
Clinical 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. The 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. A 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. The 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.
Sections du résumé
Background and purpose
UNASSIGNED
Clinical 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.
Methods
UNASSIGNED
The 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.
Results
UNASSIGNED
A 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.
Conclusion
UNASSIGNED
The 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.
Identifiants
pubmed: 36339831
doi: 10.3389/fpsyt.2022.939856
pmc: PMC9627498
doi:
Types de publication
Systematic Review
Langues
eng
Pagination
939856Informations de copyright
Copyright © 2022 Toutain, Gauthier and Leconte.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Int J Eat Disord. 2021 Oct;54(10):1766-1770
pubmed: 34259338
Psychoneuroendocrinology. 2007 Jun;32(5):539-47
pubmed: 17462830
Braz J Phys Ther. 2020 Sep - Oct;24(5):384-391
pubmed: 31813695
J Eat Disord. 2020 May 11;8:22
pubmed: 32426135
Eur Eat Disord Rev. 2011 May-Jun;19(3):256-68
pubmed: 21584918
J Adolesc Health. 2017 Jan;60(1):33-37
pubmed: 27836532
J Clin Psychiatry. 2017 Feb;78(2):184-189
pubmed: 28002660
J Adolesc Health. 2010 Apr;46(4):346-51
pubmed: 20307823
Eat Weight Disord. 2009 Jun-Sep;14(2-3):e106-12
pubmed: 19934623
Int J Eat Disord. 2014 Sep;47(6):601-9
pubmed: 24810684
Eur Eat Disord Rev. 2016 Sep;24(5):425-9
pubmed: 27349363
J Eat Disord. 2020 Jul 07;8:31
pubmed: 32647573
Compr Psychiatry. 1997 Nov-Dec;38(6):321-6
pubmed: 9406737
Eat Disord. 2004 Winter;12(4):273-91
pubmed: 16864521
Exerc Sport Sci Rev. 2008 Jan;36(1):43-7
pubmed: 18156953
Eat Disord. 2017 Jan-Feb;25(1):37-51
pubmed: 27723416
Psychol Med. 1979 May;9(2):273-9
pubmed: 472072
J Eat Disord. 2018 Jul 01;6:17
pubmed: 30002829
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Complement Ther Clin Pract. 2020 May;39:101161
pubmed: 32379690
Int J Eat Disord. 2000 Jul;28(1):101-6
pubmed: 10800019
Eat Weight Disord. 2019 Oct;24(5):953-958
pubmed: 30288723
Indian J Psychiatry. 2010 Apr;52(2):174-86
pubmed: 20838508
Psychiatry Res. 2006 Jun 15;142(2-3):209-17
pubmed: 16697469
Eur Eat Disord Rev. 2020 Nov;28(6):687-700
pubmed: 32969104
Curr Opin Psychiatry. 2013 Nov;26(6):549-55
pubmed: 24060917
Eat Weight Disord. 2015 Sep;20(3):311-7
pubmed: 25663281
Eur Eat Disord Rev. 2008 Sep;16(5):334-40
pubmed: 18059074
Eat Behav. 2016 Apr;21:179-88
pubmed: 26970732
Disabil Rehabil. 2016;38(4):346-53
pubmed: 26084569
Int J Eat Disord. 2010 Apr;43(3):266-73
pubmed: 19839057
PLoS One. 2015 Nov 30;10(11):e0143352
pubmed: 26618359
Psychol Med. 1982 Nov;12(4):871-8
pubmed: 6961471
Arch Pediatr. 2010 Feb;17(2):112-7
pubmed: 19945832
Int J Sports Med. 2006 Aug;27(8):660-5
pubmed: 16874594
Sports Med. 2020 Jan;50(1):151-170
pubmed: 31541410
Eat Weight Disord. 2021 Jun;26(5):1427-1435
pubmed: 32613441
Front Psychiatry. 2020 Oct 30;11:503274
pubmed: 33192640
J Eat Disord. 2016 Dec 9;4:38
pubmed: 27980773
Eat Weight Disord. 2015 Sep;20(3):319-27
pubmed: 25694219
Int J Eat Disord. 2010 Jan;43(1):88-92
pubmed: 19728373
Front Physiol. 2018 Jul 26;9:1007
pubmed: 30140237
Can J Hosp Pharm. 2015 Mar-Apr;68(2):144-8
pubmed: 25964686
Psychother Psychosom. 2020;89(3):161-173
pubmed: 32036375
Arch Gen Psychiatry. 2011 Jul;68(7):724-31
pubmed: 21727255
Eat Weight Disord. 2002 Dec;7(4):293-7
pubmed: 12588057
Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
J Eat Disord. 2018 Sep 11;6:27
pubmed: 30214803
Eat Disord. 2020 Jul-Aug;28(4):400-437
pubmed: 32964814
J Eat Disord. 2019 Apr 4;7:8
pubmed: 30988952
Eur J Pediatr. 2003 Jun;162(6):430-1
pubmed: 12707771
Curr Opin Psychiatry. 2021 Nov 1;34(6):515-524
pubmed: 34419970
J Bodyw Mov Ther. 2017 Jul;21(3):481-494
pubmed: 28750954
Nutr Rev. 2016 May;74(5):301-11
pubmed: 27052638
Complement Ther Med. 2019 Apr;43:176-180
pubmed: 30935527
Clin Rehabil. 2011 Jul;25(7):617-26
pubmed: 21402650
Eat Disord. 2020 Jul-Aug;28(4):476-493
pubmed: 32421457
PLoS One. 2014 Feb 04;9(2):e87987
pubmed: 24505342
Clin Nutr. 2012 Dec;31(6):911-6
pubmed: 22513184
J Pers Med. 2022 May 20;12(5):
pubmed: 35629258
Complement Ther Med. 2019 Oct;46:73-80
pubmed: 31519291
Int J Eat Disord. 2011 Nov;44(7):579-84
pubmed: 21997420
J Adolesc Health. 2010 Apr;46(4):352-8
pubmed: 20307824
Disabil Rehabil. 2014;36(8):628-34
pubmed: 23826882
CNS Neurosci Ther. 2020 Sep;26(9):885-895
pubmed: 32491278