神经性厌食症体重恢复前后的体能状况

Physical fitness before and after weight restoration in anorexia nervosa.

作者信息

Alberti M, Galvani C, Capelli C, Lanza M, El Ghoch M, Calugi S, Dalle Grave R

机构信息

Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy -

出版信息

J Sports Med Phys Fitness. 2013 Aug;53(4):396-402.

PMID:23828287

Abstract

AIM

The aims of this paper were: 1) to evaluate the feasibility of test for evaluating physical fitness (PF) in patients with anorexia nervosa (AN); 2) to investigate the effects of nutritional rehabilitation in this population of patients; and 3) to compare their level of fitness scores (at baseline and after weight restoration) with an age-matched healthy control group.

METHODS

PF was assessed with an adapted version of the Eurofit Physical Fitness Test Battery (EPFTB) administered to 37 consecutive female AN patients, at baseline and after weight restoration, and to 57 healthy age-matched females.

RESULTS

The inpatient treatment, based on cognitive behavior therapy, was associated with a significant improvement in BMI (from 14.5±1.5 to 18.8±1.1, P<0.001) and in 5 out of 6 EPFTB tests (P<0.05) in the AN group. However, both in pre and post, AN patients showed significant lower EPFTB than the control group (all P<0.001) with the exception of the Sit-Up score.

CONCLUSION

Results indicated that PF is lower in AN patients than in controls both at baseline and after weight restoration. Future studies should evaluate if the inclusion of an individualized health-enhancing physical activity program might improve the restoration of physical fitness.

摘要

目的

本文的目的是：1）评估在神经性厌食症（AN）患者中进行体能测试的可行性；2）调查该患者群体中营养康复的效果；3）将他们（在基线时和体重恢复后）的体能得分水平与年龄匹配的健康对照组进行比较。

方法

采用经过改编的欧洲体能测试组合（EPFTB）对37名连续的女性AN患者在基线时和体重恢复后进行体能评估，并对57名年龄匹配的健康女性进行评估。

结果

基于认知行为疗法的住院治疗使AN组的体重指数（BMI）显著改善（从14.5±1.5增至18.8±1.1，P<0.001），并且在EPFTB的6项测试中的5项中也有显著改善（P<0.05）。然而，无论在治疗前还是治疗后，AN患者的EPFTB得分均显著低于对照组（所有P<0.001），仰卧起坐得分除外。