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Change in adaptive and maladaptive exercise and objective physical activity throughout CBT for individuals with eating disorders
Journal article   Open access   Peer reviewed

Change in adaptive and maladaptive exercise and objective physical activity throughout CBT for individuals with eating disorders

Olivia Wons, Elizabeth Lampe, Anna Gabrielle Patarinski, Katherine Schaumberg and Adrienne Juarascio
Eating and weight disorders, v 28(1), 40
20 Apr 2023
DOI: https://doi.org/10.1007/s40519-023-01566-z
PMID: 37079117
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1007/s40519-023-01566-zView
Published, Version of Record (VoR)CC BY V4.0,  Open

Abstract

Adult Binge-Eating Disorder - therapy Bulimia Cognitive Behavioral Therapy - methods Feeding and Eating Disorders - therapy Humans Exercise
Maladaptive exercise (i.e., exercise that compensates for binge eating or is used to avoid negative consequences of not exercising-like weight gain) is a common eating disorder (ED) behavior, yet, some individuals with EDs only engage in adaptive exercise. CBT for EDs targets reducing maladaptive exercise but does not address adaptive exercise. Thus, research is limited on how adaptive and maladaptive exercise are impacted during CBT for EDs. The current study examined how assessor-rated adaptive and maladaptive exercise and objectively measured physical activity changed over a 12-week CBT treatment among adults with transdiagnostic binge eating and restrictive eating that did and did not engage in maladaptive exercise at the start of treatment (n = 13 non-maladaptive exercise group, n = 17 maladaptive exercise group). The overall amount of adaptive and maladaptive exercise was measured via the Eating Disorder Examination Interview and objectively measured physical activity (e.g., step count, minutes of moderate-to-vigorous physical activity [MVPA]) was measured via a wrist-worn fitness tracker. Throughout treatment, the overall amount of adaptive exercise did not significantly change for both groups, but the overall amount of maladaptive exercise significantly decreased in the maladaptive exercise group. Step count did not significantly change for both groups, but minutes of MVPA significantly increased over treatment for the non-maladaptive exercise group. Increases in step count and minutes of MVPA were not associated with ED symptom changes in either group. These results enhance an understanding of exercise changes during transdiagnostic CBT-based ED treatment for individuals with varying baseline exercise profiles.Level of evidence: Level 1, randomized controlled trial.

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6 Record Views
6 citations in Web of Science
4 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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