This article examines the nature of exercise addiction. It presents a broad, congruent and discerning narrative literature review with the aim of providing a deeper understanding of the condition ‘exercise addiction’, including symptoms and options for treatment. In addition, guidelines are provided with respect to ‘healthy’ levels of exercise. Criteria used for determining the eligibility of studies evaluated in the review included the provision of relevant information in studies identified using pertinent search terms. The review highlights some of the key distinctions between healthy levels of exercise and exercise addiction. The findings suggest that an individual who is addicted to exercise will continue exercising regardless of physical injury, personal inconvenience or disruption to other areas of life including marital strain, interference with work and lack of time for other activities. ‘Addicted’ exercisers are more likely to exercise for intrinsic rewards and experience disturbing deprivation sensations when unable to exercise. In contrast, ‘committed’ exercisers engage in physical activity for extrinsic rewards and do not suffer severe withdrawal symptoms when they cannot exercise. Exercisers must acquire a sense of life-balance while embracing an attitude conducive to sustainable long-term physical, psychological and social health outcomes. Implementation of recommendations by the Canadian Society for Exercise Physiology, which states that all apparently healthy adults between 18 and 64 years of age should accumulate at least 150 minutes of moderate (5 or 6 on a scale of 0–10) to vigorous (7 or 8 on a scale of 0–10) intensity aerobic physical activity per week in bouts of 10 minutes or more, also expressed as 30 minutes per day distributed over 5 days per week, would be a good start.
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McArdle WD, Katch FI, Katch VL. Exercise physiology: energy, nutrition, and human performance. Philadelphia (PA): Lippincott Williams & Wilkins, 2001.
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. Can Med Assoc J. 2006;174(6):801–9.
Warburton DER, Nicol CW, Bredin SSD. Prescribing exercise as preventive therapy. Can Med Assoc J. 2006;174(7):961–74.
Fahey TD, Insel PM, Roth WY, et al. Fit & well: core concepts and labs in physical fitness and wellness. Toronto (ON): McGraw-Hill Ryerson, 2010.
Donatelle RJ, Thompson AM. Health: the basics. Toronto (ON): Pearson Education Canada, 2011.
Kriska A. Physical activity and the prevention of type 2 diabetes mellitus: how much for how long? Sports Med. 2000;29(3):147–51.
Blair SN, Kohl HW, Paffenbarger RS, et al. Physical fitness and all-cause mortality: a prospective study of healthy men and women. J Am Med Assoc. 1989;262(17):2395–401.
Corbin CB, Lindsey R. Concepts of fitness and wellness. Boston (MA): McGraw Hill, 1997.
Yates A. Compulsive exercise and eating disorders: toward an integrated theory of activity. New York: Brunner/Mazel, 1991.
Szabo A. The impact of exercise deprivation on well-being of habitual exercisers. Aust J Sci Med Sport. 1995;27:68–75.
Szabo A. Studying the psychological impact of exercise deprivation: are experimental studies hopeless? J Sport Behav. 1998;21:139–47.
Szabo A. Physical activity and psychological dysfunction. In: Biddle S, Fox K, Boutcher S, editors. Physical activity and psychological well-being. London: Routledge, 2000. p. 130–53.
Smith LL. Overtraining, excessive exercise, and altered immunity. Sports Med. 2003;33(5):347–64.
Baekeland F. Exercise deprivation: sleep and psychological reactions. Arch Gen Psychiatry. 1970;22:365–9.
Allegre B, Souville M, Therme P, et al. Definitions and measures of exercise dependence. Addict Res Theory. 2006;14(6):631–46.
Lauer H. The new Americans: defining ourselves through sports and fitness participation. Boston (MA): American Sports Data Inc., 2006.
Jones A. “… And God laughs:” an autobiography by Arthur Jones. Sudbury: Bodyworx Publishing, 1994.
Cox R, Oxford J. A qualitative study of the meaning of exercise for people who could be labelled as ‘addicted’ to exercise: can ‘addiction’ be applied to high frequency exercising? Addict Res Theory. 2004;12(2):167–88.
Saul R. How to avoid the disaster of overtraining. Iron Man. 1982;41(6):15, 74.
Draeger J. The obligatory exerciser. Phys Sportsmed. 2005;33(6):13–23.
Szabo A, Griffiths MD. Exercise addiction in British sport science students. Int J Ment Health Addict. 2007;5(1):25–8.
Greenberg JS, Dintiman GB, Myers Oakes B, et al. Physical fitness & wellness. Toronto (ON): Pearson Education, 2004.
Griffiths MD. Exercise addiction: a case study. Addict Res. 1997;5:161–8.
Villella C, Martinotti G, Di Nicla M, et al. Behavioural addictions in adolescents and young adults: results from a prevalence study. J Gambl Stud. 2011;27:203–14.
Leuenberger A. Endorphins, exercise, and addictions: a review of exercise dependence. Impulse. 2006;1–9.
Le Grange D, Eisler I. The link between anorexia nervosa and excessive exercise: a review. Eur Eat Dis Rev. 1993;1:100–9.
Hausenblas HA, Symons Downs D. Exercise dependence: a systematic review. Psychol Sport Exerc. 2002;3:89–123.
Mónok K, Berczik K, Urbán R, et al. Psychometric properties and concurrent validity of two exercise addiction measures: a population wide study. Psychol Sport Exerc. 2012;13(6):739–46.
Freimuth M, Moniz S, Kim SR. Clarifying exercise addiction: differential diagnosis, co-occurring disorders, and phases of addiction. Int J Environ Res Public Health. 2011;8:4069–81.
Yates A, Leehey K, Shisslak C. Running an analogue of anorexia. N Engl J Med. 1983;308:251–5.
Veale D. Exercise dependence. Br J Addict. 1987;82:735–40.
Terry A, Szabo A, Griffiths M. The exercise addiction inventory: a new brief screening tool. Addict Res Theory. 2004;12(5):489–99.
Glasser W. Positive addictions. New York: Harper and Row, 1976.
Szabo A, Frenkl R, Caputo A. Relationships between addiction to running, commitment to running, and deprivation from running: a study on the internet. Eur J Sport Psychol. 1997;1:130–47.
Rozin P, Stoess C. Is there a general tendency to become addicted? Addict Behav. 1993;18:81–7.
Adams J, Kirby R. Exercise dependence: a problem for sports physiotherapists. Aust Phys Ther. 1997;43(1):53–8.
Polivy J, Clendenen V. Exercise and compulsive behavior. Paper presented at the proceedings of The Annual Convention of the American Psychological Association, Aug 20–24 1993. Toronto (ON): APA, 1993.
Sachs ML. Running addiction. In: Sacks M, Sachs M, editors. Psychology of running. Champaign (IL): Human Kinetics, 1981. p. 116–26.
Waldstreicher J. Anorexia nervosa presenting as morbid exercising. Lancet. 1985;325:987.
Morgan WP. Negative addiction in runners. Phys Sportsmed. 1979;7:57–70.
Veale DMW. Psychological-aspects of staleness and dependence on exercise. Int J Sports Med. 1991;12:S19–22.
Veale DMW. Does primary exercise dependence really exist? In: Annet J, Cripps B, Steinberg H, editors. Exercise addiction: motivation for participation in sport and exercise. Leicester: The British Psychological Society, 1995. p. 1–5.
Berczik K, Szabo A, Griffiths MD, et al. Exercise addiction: symptoms, diagnosis, epidemiology, and etiology. Subst Use Misuse. 2012;47(4):403–17.
Goldfarb AH, Jamurtas AZ. Beta-endorphin response to exercise: an update. Sports Med. 1997;24(1):8–16.
Kjaer M, Dela F. Endocrine response to exercise. In: Hoffman-Goetz L, editor. Exercise and immune function. Boca Raton (FL): CRC Press, 1996. p. 6–8.
Grant E. The exercise fix. Psychol Today. 1988;22:24–8.
Zalewska-Kaszubska J, Czarnecka E. Deficit in beta-endorphin peptide and tendency to alcohol abuse. Peptides. 2005;26:701–5.
Bird PJ. Exercise addiction: keeping fit (online). http://www.hhp.ufl.edu/faculty/pbird/keepingfit/ARTICLE/EXADDICT.HTM. Accessed 18 July 2011.
Sachs ML. Compliance and addiction to exercise. In: Cantu CR, editor. The exercising adult. Boston (MA): Collamore Press, 1992. p. 19–27.
Chapman CL, De Castro JM. Running addiction: measurement and associated psychological characteristics. J Sport Med Phys Fit. 1990;30:283–90.
Anshel MH. A psychobehavioral analysis of addicted versus non-addicted male and female exercisers. J Sport Behav. 1991;14:145–54.
Loumidis KS, Roxborough H. A cognitive-behavioral approach to excessive exercise. In: Annett J, Cripps B, Steinberg H, editors. Exercise addiction: motivation for performance in sport and exercise. An occasional paper for the Sport and Exercise Psychology Section of The British Psychological Society based on proceedings of a one-day workshop at Warwick University. Leicester: British Psychological Society; 1995. p. 45–53.
Cockerill IM, Riddington ME. Exercise dependence and associated disorders: a review. Couns Psychol Q. 1996;9:119–29.
Adams JM, Miller TW, Kraus RF. Exercise dependence: diagnostic and therapeutic issues for patients in psychotherapy. J Contemp Psychother. 2003;33(2):93–107.
Thornton EW, Scott SE. Motivation in the committed runner: correlation between self-report scales and behavior. Health Promot Int. 1995;10:177–84.
Freimuth M. Addicted? Recognizing destructive behavior before it’s too late. Lanham: Rowman & Littlefield Publishers, 2008.
Klein DA, Bennett AS, Schebendach J, et al. Exercise “addiction” in anorexia nervosa: model development and pilot data. Cent Nerv Syst Spectr. 2004;97(7):531–7.
Stoliaroff S. Know the signs of unhealthy exercise addiction. Running Fit News. 2003;18(6):4–5.
Asp K. Addicted to exercise. Am Fit. 1999;64–6.
Empfield D. How much is too much (online). http://www.slowtwitch.com/mainheadings/coachcorn/overtraining.html. Accessed 3 Aug 2009.
Fisher LA, Wrisberg CA. Recognizing and dealing with exercise addiction. Athl Ther Today. 2004;9(1):36–7.
Cumella EJ. The heavy weight of exercise addiction: treating this often-overlooked disorder can save patients’ lives. Behav Health Manage. 2005;25(5):26–31.
Jenkins M. Overtraining syndrome (online). http://www.rice.edu/~jenky/sports/overtraining.html. Accessed 11 Aug 2001.
McGough S. Exercise addiction and eating disorders (online). http://www.mclean.harvard.edu/pdf/news/fitnessmanage0704.pdf. Accessed 6 Aug 2004.
Chalmers J, Catalan J, Day A, et al. Anorexia nervosa presenting as morbid exercising. Lancet. 1985;1:286–7.
Coen SP, Ogles BM. Psychological characteristics of the obligatory runner: a critical examination of the anorexia analogue hypothesis. J Sport Exerc Psychol. 1993;15:338–54.
Despres R. Burn baby burn. Womens Sport Fit. 1997;19(4):38–43.
Katz JL. Long-distance running, anorexia nervosa, and bulimia; a report of two cases. Compr Psychiatry. 1986;2:74–8.
Dishman RK. Medical psychology in exercise and sport. Med Clin N Am. 1985;69:123–43.
Little JK. The athlete’s neurosis: a deprivation crisis. Acta Psychiatrica Scandinavica. 1969;45:187–97.
Little JC. Psychological effect of chronic physical activity. Med Sci Sport Exerc. 1970;2:213–7.
Adkins EC, Keel PK. Does ‘excessive’ or ‘compulsive’ best describe exercise as a symptom of bulimia nervosa? Int J Eat Disorder. 2005;38:24–9.
Biddle S, Cavill N, Sallis J. Policy framework for young people and health-enhancing physical activity. In: Biddle S, Sallis J, Cavill N, editors. Young and active? Young people and health-enhancing physical activity: evidence and implications. London: Health Education Authority; 1998. p. 3–16.
Thompson WR, editor. ACSM’s guidelines for exercise testing and prescription. 8th ed. Philadelphia (PA): Lippincott Williams & Wilkins, 2010.
Canadian Society for Exercise Physiology. Canadian physical activity guidelines (online). http://www.csep.ca/guidelines. Accessed 17 July 2011.
Sachs ML, Pargman D. Running addiction: a depth interview examination. J Sport Behav. 1979;2:143–55.
De Moor MHM, Beem AL, Stubbe JH, et al. Regular exercise, anxiety, depression and personality: a population based study. Prev Med. 2006;42:273–9.
Landolfi E. Girls’ underachievement in highs school science: a study examining attitudes and achievement in single-sex vs. coed schools (thesis). Toronto (ON): University of Toronto, 1997.
Spieker MR. Exercise dependence in a pregnant runner. J Am Board Fam Pract. 1996;9:188–221.
Blaydon MJ, Linder KJ, Kerr JH. Metamotivational characteristics of exercise dependence and eating disorders in highly active amateur sports participants. Pers Individ Differ. 2004;36(6):1419–32.
Adams J. Understanding exercise addiction. J Contemp Psychother. 2009;39:231–40.
Wichmann S, Martin DR. Exercise excess: treating patients addicted to fitness. Phys Sportsmed. 1992;20:193–200.
The author would like to acknowledge the University of the Fraser Valley’s Scholarly Activity Program for providing a section course release, as well as the University Research Office for providing a student researcher (Ms. Ashley Hoogendoorn) to assist with the literature search and article reviews for this work. The author also reports no conflicts of interest, and he alone is responsible for the content and writing of this article.
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Landolfi, E. Exercise Addiction. Sports Med 43, 111–119 (2013). https://doi.org/10.1007/s40279-012-0013-x
- Physical Activity
- Anorexia Nervosa
- Eating Disorder
- Withdrawal Symptom
- Exercise Dependence