Excessive exercise in eating disorder patients and in healthy women.
Excessive exercise in eating disorder patients and in healthy women.
复制标题
饮食失调患者和健康女性的过度运动。
DOI：
10.1080/00048670802653323
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Mond JM
中科院分区：
文献类型：
--
作者：
Mond JM
目的：为了阐明饮食失调患者过度运动的本质，比较专科治疗饮食失调患者与健康女性以及患者亚组之间的运动行为。方法：对进食障碍患者（n=102）和健康女性（n=184）进行强制性运动、运动动机和因体重或体型原因进行高强度运动的次数自述测量。结果：当错过锻炼和仅仅或主要因为体重、体型或身体吸引力而锻炼时的强烈内疚感，是饮食失调女性和健康女性之间最明显的运动行为区别。排泻型神经性厌食症患者（n=13）和神经性贪食症患者（n=41）在这些行为测量上的得分往往高于限制性神经性厌食症患者（n=15）。结论：研究饮食失调患者过度运动的普遍性和相关性，将受益于对运动行为进行更广泛的评估，而不是之前的研究中通常使用的评估。此外，研究结果可能为过度运动的临床管理以及社区健康促进倡议提供具体目标。
Objective: In order to elucidate the nature of excessive exercise among individuals with eating disorders, exercise behaviours were compared between eating disorder patients receiving specialist treatment and healthy women, and between subgroups of patients.Methods: Self-report measures of obligatory exercise, motivation for exercise and frequency of hard exercise for weight or shape reasons were completed by eating disorder patients (n=102) and healthy women (n=184).Results: The experience of intense guilt when exercise is missed and exercising solely or primarily for reasons of weight, shape or physical attractiveness, were the exercise behaviours that most clearly differentiated between women with eating disorders and healthy women. Patients with the purging form of anorexia nervosa (n=13) and those with bulimia nervosa (n=41) tended to have higher scores on measures of these behaviours than those with the restricting form of anorexia nervosa (n=15).Conclusions: Research addressing the prevalence and correlates of excessive exercise in eating disorder patients would benefit from a broader assessment of exercise behaviour than has typically been used in previous studies. In addition, the findings may indicate specific targets for the clinical management of excessive exercise as well as for community-based health promotion initiatives.