Child and Adolescent Psychopathology Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, 249 Boulevard Sainte‑Marguerite, 13009, Marseille, France.
Institute of Neuroscience Timone, CNRS, Aix-Marseille University, Marseille, France.
Eat Weight Disord. 2022 Feb;27(1):119-129. doi: 10.1007/s40519-021-01159-8. Epub 2021 Mar 6.
Problematic physical activity (PPA) is a symptom commonly present in patients suffering from anorexia nervosa (AN). This study aims to refine the clinical description of children with early-onset AN and adolescents with standard-onset AN and associated PPA, in order to better understand their associated features, and to offer them adapted care and physical activity programs.
107 participants treated at the Salvator University Hospital Centre of Marseille for AN were retrospectively evaluated by the Exercise Dependence Scale Revised concerning PPA. Other self-report questionnaires were used to evaluate eating disorder, anxiety and depressive symptoms, quality of life, emotions, sleep, and attention deficit disorder with or without hyperactivity.
In the entire sample, the presence of PPA was associated with significantly higher levels of eating disorder (EDI-2: p = 0.001) and body image concerns (p = 0.002), anxiety (STAI-Y-trait: p = 0.013) and depression (p = 0.006), as well as significantly lower psychological well-being (p < 0.001) and quality of life (p < 0.001) and impaired sleep (PSQI: p = 0.008). The early-onset group showed a lower prevalence of PPA than the standard-onset group (p < 0.05) but their clinical symptomatology, when this symptom was present, was significantly more severe (EDI-2: p < 0.01; BSQ: p < 0.05; CDI: p < 0.05; STAI-Y-trait: p < 0.05).
PPA appears to be associated with more severe features in patients with early-onset AN, which seems to differ from standard-onset. It seems necessary to refine our knowledge on the involvement of PPA in the severity of AN, especially in patients with early-onset AN who remain little studied so far.
Level V, descriptive study (evaluation data retrospectively studied).
问题性身体活动（PPA）是厌食症（AN）患者常见的症状。本研究旨在细化早发性 AN 患儿和标准发病期 AN 青少年患者与 PPA 相关的临床描述，以便更好地了解其相关特征，并为他们提供适应的护理和身体活动方案。
马赛萨尔瓦特大学医院中心回顾性评估了 107 名接受 AN 治疗的参与者，使用修订后的运动依赖量表评估 PPA。还使用其他自我报告问卷评估饮食障碍、焦虑和抑郁症状、生活质量、情绪、睡眠和注意力缺陷障碍伴或不伴多动。
在整个样本中，PPA 的存在与更高水平的饮食障碍（EDI-2：p=0.001）和身体意象问题（p=0.002）、焦虑（STAI-Y-trait：p=0.013）和抑郁（p=0.006）显著相关，以及显著较低的心理幸福感（p<0.001）和生活质量（p<0.001）和睡眠受损（PSQI：p=0.008）。早发性组的 PPA 患病率低于标准发病组（p<0.05），但当出现这种症状时，其临床症状明显更严重（EDI-2：p<0.01；BSQ：p<0.05；CDI：p<0.05；STAI-Y-trait：p<0.05）。
PPA 似乎与早发性 AN 患者更严重的特征相关，这似乎与标准发病期不同。似乎有必要细化我们对 PPA 参与 AN 严重程度的认识，特别是在迄今为止研究较少的早发性 AN 患者中。
五级，描述性研究（回顾性研究评估数据）。
