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Physical activity in treatment units for eating disorders: Clinical practice and attitudes

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Objective: Physical activity (PA) in eating disorders (ED) may be harmful, but in a therapeutic setting also beneficial. The purpose of this survey was to examine these contradictory aspects of PA in ED specialist treatment settings. We examined whether 1) PA is assessed by the unit, 2) the units have guidelines for managing excessive PA, 3) the units have staff with higher education and special competence in PA and exercise science, 4) how units regard PA in ED, 5) whether regular PA is integrated in the treatment programs, and 6) how the units rate the role of PA in the treatment of ED compared with other mental disorders. Methods: Of the 49 units located in Scandinavia and the United Kingdom, 41 (84%) responded to a questionnaire. Results: In 28 units (68%) PA was assessed regularly. Excessive PA was considered a harmful symptom in ED, and most units reported guidelines to manage excessive PA. Thirty-two units included PA in their treatment programmes. Clinicians found PA most relevant in the treatment of obesity and, except for binge eating, less for ED. Conclusion: PA was more commonly integrated in treatment compared to previous studies. Future research should address how to manage excessive PA, and the potential beneficial role of PA in the treatment of ED.

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Authors and Affiliations

  1. Research Institute, Modum Bad Psychiatric Centre, Vikersund, Norway

    S. Bratland-Sanda, K. A. R. Vrabel & Ø. Rø

  2. Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway

    S. Bratland-Sanda & J. Sundgot-Borgen

  3. Department of Psychology, University of Tromsø, Huginbakken 32, N-9037, Tromsø, Norway

    J. H. Rosenvinge PhD

  4. Department of Behavioural, Social and Legal Sciences (Psychology), Örebro University, Stokholm, Sweden

    C. Norring

  5. Institute of Psychiatry, University of Oslo, Norway

    E. W. Martinsen

  6. Clinic and Mental Health, Aker University Hospital, Oslo, Norway

    E. W. Martinsen

  7. Stockholm Centre for Eating Disorders, Stokholm, Sweden

    C. Norring

Authors
  1. S. Bratland-Sanda
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  2. J. H. Rosenvinge PhD
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  3. K. A. R. Vrabel
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  4. C. Norring
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  5. J. Sundgot-Borgen
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  6. Ø. Rø
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  7. E. W. Martinsen
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Correspondence to J. H. Rosenvinge PhD.

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Bratland-Sanda, S., Rosenvinge, J.H., Vrabel, K.A.R. et al. Physical activity in treatment units for eating disorders: Clinical practice and attitudes. Eat Weight Disord 14, e106–e112 (2009). https://doi.org/10.1007/BF03327807

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  • DOI: https://doi.org/10.1007/BF03327807

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