Prevalence of Risk for Exercise Dependence: A Systematic Review
Exercise dependence (EXD) can be considered an addictive behaviour because it presents signs typical of other addictive behaviours. Despite possible health problems related to EXD, the prevalence of risk for EXD has never been systematically reviewed.
This article aimed to systematically review the prevalence of risk for EXD.
Studies were identified from searches in the ERIC, PsycINFO, PubMed, Scopus, SPORTDiscus, and Web of Science electronic databases up to June 2018. Empirical studies were selected if (1) they included the outcomes of the prevalence of EXD; (2) participants were regular exercisers; and (3) they were published in either the English, French, Portuguese, or Spanish languages. A total of 34 articles met the inclusion criteria.
The prevalence of risk for EXD was estimated to be between 3 and 7% of regular exercisers and the university student population, and between 6 and 9% of the athlete population.
The results of this review indicated that the prevalence of risk for EXD varies with the characteristics of the exerciser, but an overall prevalence of 3–9% is estimated. Risk for EXD is a cause for concern and, from a public health point of view, is a problem that has to be addressed.
The authors thank Professor Bruce Jones for revising the document.
Compliance with Ethical Standards
No sources of funding were used to assist in the preparation of this article.
Conflict of interest
Adilson Marques, Miguel Peralta, Hugo Sarmento, Vânia Loureiro, Élvio Rúbio Gouveia and Margarida Gaspar de Matos declare they have no conflicts of interest relevant to the content of this review.
- 11.Szabo A. Addiction to exercise: a symptom or a disorder?. New York: Nova Science Publishers; 2010.Google Scholar
- 31.National Collaborating Centre for Methods and Tools. Quality assessment tool for quantitative studies method. Hamilton: McMaster University; 2008. http://www.nccmt.ca/resources/search/14. Accessed 1 July 2016.
- 37.Latorre Román PÁ, Obra AJ, Montilla JP, Pinillos FG. Dependency on physical exercise and body dissatisfaction in various endurance sports and their relation with the motivation to do sports. Rev Psicol Deporte. 2016;25(1):113–20.Google Scholar
- 41.Menczel Z, Kovács E, Eisinger A, Magi A, Vingender I, Demetrovics Z, et al. Exercise dependence among hungariane fitness center users: preliminary results. New Med. 2014;2014(3):103–8.Google Scholar
- 55.Sicilia A, Bracht V, Penha V, Almeida UR, Ferriz R, Alcaraz-Ibanez M. Psychometric properties of the Exercise Addiction Inventory (EAI) in a sample of Brazilian university students. Univ Psychol. 2017;16(2).Google Scholar
- 64.Szabo A, Griffiths DM, Demetrovics Z. Neuropathology of drug addictions and substance misuse. In: Preedy VR, editor. Neuropathology of drug addictions and substance misuse. General processes and mechanisms, prescription medications, caffeine and areca, polydrug misuse, emerging addictions and non-drug addictions. London: Academic Press; 2016. p. 984–92.Google Scholar
- 65.Fisher J, Sales A, Carlson L, Steele J. A comparison of the motivational factors between CrossFit participants and other resistance exercise modalities: a pilot study. J Sports Med Phys Fitness. 2017;59(9):1227–34.Google Scholar