Martenstyn Jordan Andre, Touyz Stephen, Maguire Sarah
Clinical Psychology Unit, School of Psychology, The University of Sydney, Sydney, Australia.
InsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, Sydney, Australia.
J Eat Disord. 2021 Feb 10;9(1):19. doi: 10.1186/s40337-021-00375-y.
Compulsive exercise is a core feature of both eating disorders and muscle dysmorphia. Earlier models of treatment recommended complete abstinence from exercise in eating disorder populations, but recent guidelines advocate for the gradual inclusion of healthier forms of exercise into an overall treatment plan where appropriate. Given the association between problematic exercise behaviour and poorer prognosis, there has been a recent upsurge in the number of treatment interventions for compulsive exercise in eating disorders. However, no systematic review has been published summarising this existing treatment literature. The aim of this review is to determine the efficacy of existing treatments for compulsive exercise in eating disorders and muscle dysmorphia.
A systematic review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five electronic databases (PsycInfo, MEDLINE, Embase, Web of Science, and Scopus) will be searched from database inception until November 2020. We will include studies that: (a) sampled adolescents and/or adults with either an eating disorder or muscle dysmorphia; (b) assessed changes in compulsive exercise from pre- to post-intervention; and (c) used a standardised instrument to measure compulsive exercise or related constructs. We will include studies with a comparison group (e.g., randomised controlled trials) and without a comparison group (e.g., pilot studies and case studies) to provide a comprehensive overview of the literature. One reviewer will screen all titles and abstracts against eligibility criteria, with 20% of excluded articles cross-referenced by another reviewer. Full texts will be obtained for articles deemed relevant or where inclusion was uncertain, and will be screened by both reviewers. We will also evaluate the quality of the included studies using a modified Downs and Black (J Epidemiol Community Health 52:377-384, 1998) assessment checklist.
Results from this review will help to determine the most efficacious treatment components for compulsive exercise in eating disorders and muscle dysmorphia. We hope that our results will help inform clinical practice guidelines in recommending targeted interventions for the treatment of compulsive exercise.
强迫性运动是饮食失调和肌肉畸形症的核心特征。早期的治疗模式建议饮食失调人群完全停止运动，但最近的指南主张在适当情况下，将更健康的运动形式逐步纳入整体治疗计划。鉴于有问题的运动行为与较差的预后之间存在关联，近期针对饮食失调中强迫性运动的治疗干预措施数量激增。然而，尚未发表系统综述来总结这一现有的治疗文献。本综述的目的是确定饮食失调和肌肉畸形症中强迫性运动现有治疗方法的疗效。
将根据系统评价和Meta分析的首选报告项目（PRISMA）指南进行系统综述。将检索五个电子数据库（PsycInfo、MEDLINE、Embase、科学网和Scopus），从数据库建立至2020年11月。我们将纳入以下研究：（a）对患有饮食失调或肌肉畸形症的青少年和/或成年人进行抽样；（b）评估干预前后强迫性运动的变化；（c）使用标准化工具测量强迫性运动或相关结构。我们将纳入有对照组（如随机对照试验）和无对照组（如试点研究和案例研究）的研究，以全面概述文献。一名评审员将根据纳入标准筛选所有标题和摘要，20%被排除的文章将由另一名评审员交叉核对。对于被认为相关或纳入情况不确定的文章，将获取全文，并由两名评审员进行筛选。我们还将使用经过修改的唐斯和布莱克（《流行病学与社区健康杂志》52:377 - 384，1998）评估清单来评估纳入研究的质量。
本综述的结果将有助于确定饮食失调和肌肉畸形症中强迫性运动最有效的治疗成分。我们希望我们的结果将有助于为临床实践指南提供信息，以推荐针对强迫性运动治疗的靶向干预措施。
