Département des Sciences de l'activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
Département de kinésiologie, Université de Montréal, Montréal, QC, Canada.
Curr Obes Rep. 2018 Mar;7(1):76-88. doi: 10.1007/s13679-018-0295-x.
Our systematic review aims to assess the overall evidence available in the literature regarding the role of physical activity (PA) in individuals with binge eating disorder (BED) and better understand the potential underlying mechanisms of action.
Currently, the most effective and well-established psychological treatment for BED is cognitive behavioral therapy (CBT) with a remission rate around 80%. CBT is sometimes combined with pharmacotherapy targeting comorbidities associated with BED, such as obesity and depression. Another avenue of treatment that has been less studied is PA. It has been suggested that PA addresses the underlying mechanisms of BED and, thus, increases treatment efficiency. This systematic review provides additional knowledge concerning the benefits of PA in the treatment of individuals with BED including reduction of binge eating (BE) episodes and improvement in other associated comorbidities. Potential mechanisms of action of PA include neurochemical alterations affecting the reward system, reduction of negative affect, and its anorexigenic effects.
本系统综述旨在评估有关暴食障碍（BED）患者身体活动（PA）作用的现有文献中的总体证据，并更好地理解其潜在的作用机制。
目前，BED 最有效和最成熟的心理治疗方法是认知行为疗法（CBT），其缓解率约为 80%。CBT 有时与针对 BED 相关共病的药物治疗相结合，例如肥胖和抑郁。另一种治疗方法研究较少，即 PA。有人认为 PA 可以解决 BED 的潜在机制，从而提高治疗效率。本系统综述提供了有关 PA 在治疗 BED 患者中的益处的更多知识，包括减少暴食发作（BE）和改善其他相关共病。PA 的潜在作用机制包括影响奖励系统的神经化学变化、减轻负面情绪及其抑制食欲的作用。
