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神经性厌食症中的身体活动测量:特征和治疗结果。

Measured physical activity in anorexia nervosa: features and treatment outcome.

机构信息

Department of Eating Disorders and Obesity, Villa Garda Hospital, 37016, Garda (Verona), Italy.

出版信息

Int J Eat Disord. 2013 Nov;46(7):709-12. doi: 10.1002/eat.22140. Epub 2013 May 25.

DOI:10.1002/eat.22140
PMID:23712420
Abstract

OBJECTIVE

To assess the role of measured physical activity (PA) in anorexia nervosa treatment outcome, and to compare the PA of patients with anorexia nervosa with age-matched controls.

METHOD

PA was assessed by means of Sense Wear Armband before and after a cognitive-behavioral inpatient treatment in 53 consecutive females with anorexia nervosa, and in 53 healthy age-matched controls.

RESULTS

At baseline, patients with anorexia nervosa exhibited a higher duration of moderate-vigorous PA (MVPA≥3 Metabolic Equivalent Tasks (METs)) than controls (t = 2.91; p = .004). Dropouts had higher duration (sec) and expenditure (kcal·day(-1)) of MVPA than completers. At the end of treatment, completers had a higher number of daily steps, MVPA duration, and expenditure than controls. However, PA was not correlated to eating disorder psychopathology either before or after treatment.

DISCUSSION

PA is higher in patients with anorexia nervosa than age-matched controls both before and after treatment, and is associated with treatment dropout.

摘要

目的

评估测量体力活动(PA)在神经性厌食症治疗结果中的作用,并比较神经性厌食症患者与年龄匹配对照者的 PA。

方法

采用 SenseWear Armband 在 53 例连续的神经性厌食症女性患者和 53 例健康年龄匹配的对照者入院认知行为治疗前后评估 PA。

结果

基线时,神经性厌食症患者的中-高强度体力活动(MVPA≥3 代谢当量任务(METs))时间长于对照组(t = 2.91;p =.004)。脱落者的 MVPA 时间(秒)和支出(千卡·天(-1))均高于完成者。治疗结束时,完成者的每日步数、MVPA 时间和支出均高于对照组。然而,PA 与治疗前后的饮食障碍心理病理学均无关。

讨论

治疗前后,神经性厌食症患者的 PA 高于年龄匹配的对照者,且与治疗脱落有关。

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