The Prevalence of Excessive Exercise in Eating Disorders: A Systematic Review and Meta-Analysis

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-04-19 DOI:10.1002/erv.3194

Connor Campbell, Xander Greig, Jessica Griffiths, Devon Hashman, Thomas Sottile, Masanori Isobe, Anees Bahji, Gina Dimitropoulos, Dan Devoe

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引用次数: 0

Abstract

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

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过度运动在饮食失调中的流行：系统回顾和荟萃分析。

目的：饮食失调（EDs）患者通常表现为过度运动（EE）等适应不良行为。情感表达的后果包括身体伤害，增加焦虑和抑郁的风险，以及社会功能受损。目前还没有对急症患者的情感表达率进行系统评价。本研究旨在评估ED和ED类型中情感表达的流行程度。方法：检索成立至2024年10月同行评议文献的电子数据库。审查资格仅限于报告被诊断为ed的个体的情感表达患病率数据的研究。结果：56项研究符合纳入标准(n = 21,518；平均年龄：22.34岁)。目前所有急诊科中情感表达的患病率为48%。目前AN患病率最高（48%），其次是BN（45%）、OSFED（38%）和BED（11%）。所有急诊科患者的EE终生患病率为63%。AN的终生患病率最高（72%），其次是BN（57%）和OSFED（21%）。结论：近一半的ED患者参与情感表达。纳入研究的高异质性可能影响了本研究中发现的患病率。数据表明，对急症患者进行临床筛查和情感表达的纵向监测。建议对ed患者的情感表达进行早期干预和治疗。试验注册：PROSPERO: CRD42023464148；开放科学框架：https://doi.org/10.17605/OSF.IO/MYVXW。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.