Contextualising Physical Activity Levels in Patients With Anorexia Nervosa: A Systematic Review and Meta-Analysis.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-05-24 DOI:10.1002/erv.3205

Álex V Pagador, Hugo Olmedillas, Danika A Quesnel, Iván Cavero-Redondo, María Fernandez-Del-Valle

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引用次数: 0

Abstract

Background and objective: Anorexia nervosa (AN) is a mental disorder most prevalent among adolescent females, with rising cases in younger and more culturally diverse populations. Unhealthy activity patterns are common and have been linked to increased relapse rates; however, data on objectively measured physical activity levels (PALs) in this population is scarce. This study aimed to examine PALs and sedentary time (ST) in patients with AN.

Methods: Following PRISMA guidelines, 16 studies met inclusion criteria (PICO strategy). Sensitivity and subgroup analyses by age and treatment phase were performed.

Results: Patients' mean age ranged from 12.6 to 36.2 years. Pooled mean ST was high (617.49 min/day). Light physical activity (LPA), moderate physical activity (MPA) and moderate-to-vigorous physical activity (MVPA) were higher in adult studies, while vigorous physical activity (VPA) was higher in adolescents. Steps were reported only in adult samples.

Conclusion: This is the first systematic review and meta-analysis assessing objectively measured PALs in AN patients. Findings reveal different PALs patterns by age-group, and insufficient data by treatment stage. These results identified a critical research gap essential for future development of targeted interventions and informed strategies to support recovery.

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神经性厌食症患者的身体活动水平：一项系统综述和荟萃分析

背景与目的：神经性厌食症（Anorexia neurovosa， AN）是一种常见于青春期女性的精神障碍，在年轻和文化多样化的人群中发病率呈上升趋势。不健康的活动模式很常见，与复发率增加有关；然而，这一人群中客观测量的身体活动水平（PALs）的数据很少。本研究旨在研究AN患者的PALs和久坐时间（ST）。方法：遵循PRISMA指南，16项研究符合纳入标准（PICO策略）。按年龄和治疗阶段进行敏感性和亚组分析。结果：患者平均年龄12.6 ~ 36.2岁。合并平均ST较高（617.49 min/day）。轻度体力活动（LPA）、中度体力活动（MPA）和中度至剧烈体力活动（MVPA）在成人研究中较高，而剧烈体力活动（VPA）在青少年研究中较高。仅在成人样本中报告了步骤。结论：这是第一个客观评估AN患者PALs的系统综述和荟萃分析。研究结果显示，不同年龄组的PALs模式不同，不同治疗阶段的数据不足。这些结果确定了一个关键的研究缺口，这对未来制定有针对性的干预措施和支持复苏的知情战略至关重要。

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.