Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review

Journal of Eating Disorders

Review

Alanah Reilly¹  Maria Fernandez-del-Valle²  Marita Cooper³  Danika A. Quesnel⁴  Rachel M. Calogero⁵ 

[1] Alanah Reilly Exercise Physiologist, Brisbane, Australia;Department of Functional Biology, University of Oviedo, Oviedo, Spain;Health Research Institute of the Principality of Asturias (ISPA), Oviedo, Spain;Department of Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;Department of Psychological Clinical Science, University of Toronto, 320 Huron Street, M5S 3J7, Toronto, ON, Canada;Psychology Department, Western University, London, ON, Canada;

关键词: Eating disorders;    Dysfunctional exercise;    Physical activity;    Exercise;    Incidental activity;    Exercise physiology;    Treatment;   

DOI  :  10.1186/s40337-022-00685-9

 received in 2022-03-07, accepted in 2022-11-01,  发布年份 2022

来源: Springer

【 摘 要 】

Individuals with eating disorders (ED) experience prolonged malnutrition, binge episodes, and compensatory behaviours that affect every organ system. Psychological and physiological symptoms are worsened with comorbid dysfunctional exercise, seen in up to 80% of those with an ED. Although return to exercise is an important component of treatment and recovery, little is known about the contraindications and risks of exercise engagement specific to those with an ED. This paper provides a comprehensive narrative review of the medical and physiological complications of engaging in exercise during ED treatment and outlines when exercise may be contraindicated or used in modified or cautionary ways. We conducted a literature search on MEDLINE, PubMed, and PsychArticles to identify relevant articles, which yielded six categories of medical and physiological complications of ED that may be exacerbated by exercise: energy availability, cardiovascular health, electrolyte abnormalities, biomedical function markers, sex hormones, and body composition. We summarize the evidence for these complications for readers and offer an initial set of recommendations for incorporating exercise during ED treatment based on our findings. This review may serve as a resource for members of ED treatment teams to help evaluate more readily and confidently whether exercise is safe for individual patients and when modifications and caution may be warranted.

【 授权许可】

CC BY   
© Crown 2022