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

  • S. Bratland-Sanda
  • J. H. Rosenvinge
  • K. A. R. Vrabel
  • C. Norring
  • J. Sundgot-Borgen
  • Ø. Rø
  • E. W. Martinsen
Original Research Paper

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.

Key words

Eating disorders physical activity exercise treatment clinical practice 

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Copyright information

© Editrice Kurtis 2009

Authors and Affiliations

  • S. Bratland-Sanda
    • 1
    • 2
  • J. H. Rosenvinge
    • 3
  • K. A. R. Vrabel
    • 1
  • C. Norring
    • 4
    • 7
  • J. Sundgot-Borgen
    • 2
  • Ø. Rø
    • 1
  • E. W. Martinsen
    • 5
    • 6
  1. 1.Research InstituteModum Bad Psychiatric CentreVikersundNorway
  2. 2.Department of Sports MedicineNorwegian School of Sports SciencesOsloNorway
  3. 3.Department of PsychologyUniversity of TromsøTromsøNorway
  4. 4.Department of Behavioural, Social and Legal Sciences (Psychology)Örebro UniversityStokholmSweden
  5. 5.Institute of PsychiatryUniversity of OsloNorway
  6. 6.Clinic and Mental HealthAker University HospitalOsloNorway
  7. 7.Stockholm Centre for Eating DisordersStokholmSweden

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