Research Institute, Modum Bad Psychiatric Centre, Vikersund, Norway.
Eat Weight Disord. 2009 Jun-Sep;14(2-3):e106-12. doi: 10.1007/BF03327807.
Physical activity (PA) in eating disorders (ED) may be harmful, but in a therapeutic setting also beneficial. The purpose of this survey was to examine these contradictory aspects of PA in ED specialist treatment settings. We examined whether 1) PA is assessed by the unit, 2) the units have guidelines for managing excessive PA, 3) the units have staff with higher education and special competence in PA and exercise science, 4) how units regard PA in ED, 5) whether regular PA is integrated in the treatment programs, and 6) how the units rate the role of PA in the treatment of ED compared with other mental disorders.
Of the 49 units located in Scandinavia and the United Kingdom, 41 (84%) responded to a questionnaire.
In 28 units (68%) PA was assessed regularly. Excessive PA was considered a harmful symptom in ED, and most units reported guidelines to manage excessive PA. Thirty-two units included PA in their treatment programmes. Clinicians found PA most relevant in the treatment of obesity and, except for binge eating, less for ED.
PA was more commonly integrated in treatment compared to previous studies. Future research should address how to manage excessive PA, and the potential beneficial role of PA in the treatment of ED.
饮食失调（ED）中的体力活动（PA）可能有害，但在治疗环境中也有益。本调查的目的是检查 ED 专科治疗环境中 PA 的这些矛盾方面。我们考察了以下几个方面：1）该单位是否评估 PA；2）该单位是否有管理过度 PA 的指南；3）该单位是否有具有更高教育水平和 PA 及运动科学专业能力的员工；4）该单位如何看待 ED 中的 PA；5）定期 PA 是否纳入治疗计划；6）该单位如何评估 PA 在 ED 治疗中的作用，与其他精神障碍相比。
在位于斯堪的纳维亚和英国的 49 个单位中，有 41 个（84%）对问卷做出了回应。
在 28 个单位（68%）中，定期评估 PA。过度 PA 被认为是 ED 的有害症状，大多数单位都报告了管理过度 PA 的指南。32 个单位将 PA 纳入其治疗计划。临床医生发现 PA 在治疗肥胖症方面最相关，除了暴食症外，对 ED 的相关性较小。
与之前的研究相比，PA 更常被纳入治疗中。未来的研究应解决如何管理过度 PA 以及 PA 在 ED 治疗中的潜在有益作用。
