饮食失调中过度运动的患病率：一项系统评价和荟萃分析。
The Prevalence of Excessive Exercise in Eating Disorders: A Systematic Review and Meta-Analysis.
作者信息
Campbell Connor, Greig Xander, Griffiths Jessica, Hashman Devon, Sottile Thomas, Isobe Masanori, Bahji Anees, Dimitropoulos Gina, Devoe Dan
机构信息
Department of Psychology, Mount Royal University, Calgary, Canada.
Department of Psychiatry, Kyoto University, Kyoto, Japan.
出版信息
Eur Eat Disord Rev. 2025 Sep;33(5):1005-1016. doi: 10.1002/erv.3194. Epub 2025 Apr 19.
OBJECTIVE
Individuals with eating disorders (EDs) often present with maladaptive behaviours such as excessive exercise (EE). The consequences of EE include physical injuries, increased risk of anxiety and depression, and impaired social functioning. No systematic reviews have been conducted on the prevalence of EE in EDs. This study aimed to assess the prevalence of EE in EDs and by ED type.
METHOD
An electronic database search of the peer-reviewed literature was conducted from inception to October 2024. Review eligibility was restricted to research studies reporting prevalence data for EE in individuals diagnosed with EDs.
RESULTS
Fifty-six studies met the inclusion criteria (n = 21,518; mean age: 22.34 years). The current prevalence of EE in all EDs was 48%. Current prevalence was highest in AN (48%), followed by BN (45%), OSFED (38%), and BED (11%). The lifetime prevalence of EE in all EDs was 63%. Lifetime prevalence was highest in AN (72%), followed by BN (57%) and OSFED (21%).
CONCLUSIONS
Nearly half of individuals with an ED engage in EE. High heterogeneity across the included studies likely influenced the prevalence found in this study. Data suggest clinical screening and longitudinal monitoring of EE in those with EDs. Future research into early intervention and treatment for EE in those with EDs is recommended.
TRIAL REGISTRATION
PROSPERO: CRD42023464148; Open Science Framework: https://doi.org/10.17605/OSF.IO/MYVXW.
目的
饮食失调（ED）患者常表现出如过度运动（EE）等适应不良行为。过度运动的后果包括身体损伤、焦虑和抑郁风险增加以及社交功能受损。目前尚未对饮食失调中过度运动的患病率进行系统综述。本研究旨在评估饮食失调中过度运动的患病率及按饮食失调类型的患病率情况。
方法
对截至2024年10月的同行评审文献进行电子数据库检索。纳入标准仅限于报告被诊断为饮食失调个体中过度运动患病率数据的研究。
结果
56项研究符合纳入标准（n = 21518；平均年龄：22.34岁）。所有饮食失调类型中过度运动的当前患病率为48%。神经性厌食症（AN）中当前患病率最高（48%），其次是神经性贪食症（BN）（45%）、其他特定的喂养或饮食失调（OSFED）（38%）和暴食障碍（BED）（11%）。所有饮食失调类型中过度运动的终生患病率为63%。终生患病率在神经性厌食症中最高（72%），其次是神经性贪食症（57%）和其他特定的喂养或饮食失调（21%）。
结论
近一半的饮食失调患者存在过度运动行为。纳入研究之间的高度异质性可能影响了本研究中发现的患病率。数据表明应对饮食失调患者进行过度运动的临床筛查和纵向监测。建议对饮食失调患者的过度运动进行早期干预和治疗的未来研究。
试验注册
国际前瞻性系统评价注册库（PROSPERO）：CRD42023464148；开放科学框架：https://doi.org/10.17605/OSF.IO/MYVXW 。
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