Change in adaptive and maladaptive exercise and objective physical activity throughout CBT for individuals with eating disorders.
Change in adaptive and maladaptive exercise and objective physical activity throughout CBT for individuals with eating disorders.
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DOI：
10.1007/s40519-023-01566-z
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发表时间：
2023-04-20
影响因子：
2.9
通讯作者：
Juarascio, Adrienne
中科院分区：
文献类型：
--
作者：
Wons, Olivia;Lampe, Elizabeth;Patarinski, Anna Gabrielle;Schaumberg, Katherine;Juarascio, Adrienne
关键词：
不适应运动（即通过运动来补偿暴饮暴食或避免不运动导致体重增加的负面后果）是一种常见的饮食失调（ED）行为，然而，一些患有ED的人只进行适应性运动。CBT治疗ed的目标是减少适应性不良运动，但不涉及适应性运动。因此，对适应性和非适应性运动在认知行为治疗过程中的影响的研究是有限的。目前的研究调查了评估者评估的适应性和适应性不良运动以及客观测量的身体活动在12周的CBT治疗中是如何在治疗开始时进行和不进行适应性不良运动的跨诊断性暴食和限制性饮食的成年人中发生变化的（n = 13非适应性不良运动组，n = 17适应性不良运动组）。通过饮食失调检查访谈测量适应性和非适应性运动的总量，并通过佩戴在手腕上的健身追踪器测量客观测量的身体活动（例如，步数，中高强度身体活动的分钟数[MVPA]）。在整个治疗过程中，两组的适应性运动总量没有显著变化，但适应性运动不良组的适应性运动总量显著减少。两组的步数没有明显变化，但非适应不良运动组的MVPA分钟明显增加。在两组中，步数和MVPA分钟的增加与ED症状的改变无关。这些结果增强了对具有不同基线运动概况的个体在基于cbt的ED跨诊断治疗期间运动变化的理解。证据等级：一级，随机对照试验
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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影响因子：
1.5
作者：
Hoeger, Werner W. K.;Bond, Laura;Merugu, Sunitha
通讯作者：
Merugu, Sunitha
DOI：
10.3390/ijerph19031593
发表时间：
2022-01-30
影响因子：
--
作者：
de la Casa Pérez A;Latorre Román PÁ;Muñoz Jiménez M;Lucena Zurita M;Laredo Aguilera JA;Párraga Montilla JA;Cabrera Linares JC
通讯作者：
Cabrera Linares JC
影响因子：
3.5
作者：
Alomari MA;Khabour OF;Alzoubi KH
通讯作者：
Alzoubi KH
影响因子：
2.9
作者：
通讯作者：
--
影响因子：
5.5
作者：
Adkins, EC;Keel, PK
通讯作者：
Keel, PK