Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa
Objective To characterize exercise behaviors among adolescents with anorexia nervosa (AN), atypical AN, or bulimia nervosa (BN), and determine associations between exercise and medical risk. Study design Cross‐sectional electronic medical records of all patients evaluated by the Eating Disorder Prog...
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| Veröffentlicht in: | The International journal of eating disorders 2017-12, Vol.50 (12), p.1394-1403 |
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| container_title | The International journal of eating disorders |
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| creator | Nagata, Jason M. Carlson, Jennifer L. Kao, Jessica M. Golden, Neville H. Murray, Stuart B. Peebles, Rebecka |
| description | Objective
To characterize exercise behaviors among adolescents with anorexia nervosa (AN), atypical AN, or bulimia nervosa (BN), and determine associations between exercise and medical risk.
Study design
Cross‐sectional electronic medical records of all patients evaluated by the Eating Disorder Program at Stanford between January 1997 and February 2011 were retrospectively reviewed.
Results
1,083 subjects (961 females, 122 males; mean age 15.6) met eligibility criteria. Most patients (89.7%) reported exercise (mean 7.0 h per week over mean 5.4 days per week) prior to presentation. Running (49.9%), calisthenics (40.7%), walking (23.4%), soccer (20.9%), and swimming (18.2%) were the most common exercises; a majority (60.6%) reported team sport participation. Males were less likely to report team exercise (p = .005). Bradycardia (heart rate |
| doi_str_mv | 10.1002/eat.22796 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5761671</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1961645471</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4436-ef902d07d64cedc78c1add3b9494248529bc86855a69c59ad007293df06ffc3e3</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpabZpD_0DxdBLe3AykmXZuhTCkqSFQC8p9CZmpfGugm2lkp2P_voou2mSFnoa0Dx6eIeXsfccDjiAOCScDoRotHrBFhx0W3Jof75kCxCNKivZtHvsTUoXAKAqqF-zPaE5F6KFBVsvNxjRThT9b5x8GAscXWFDjNTjRKkIXUE3FK1PVOAQxnWBLvSULI1TKq79tMk_QqQbj8VI8Sok3CpWc--Hp7e37FWHfaJ3D3Of_Tg5Pl9-Lc--n35bHp2VVspKldRpEA4ap6QlZ5vWcnSuWmmppZBtLfTKtqqta1Ta1hodQCN05TpQXWcrqvbZl533cl4N2ZBTRuzNZfQDxlsT0Ju_N6PfmHW4MnWjuGp4Fnx6EMTwa6Y0mcHnY_seRwpzMlxnTtZyi378B70IcxzzeZnKsVoNSmXq846yMaQUqXsMw8Hc12dyfWZbX2Y_PE__SP7pKwOHO-Da93T7f5M5PjrfKe8ASK-m2w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1972989066</pqid></control><display><type>article</type><title>Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Nagata, Jason M. ; Carlson, Jennifer L. ; Kao, Jessica M. ; Golden, Neville H. ; Murray, Stuart B. ; Peebles, Rebecka</creator><creatorcontrib>Nagata, Jason M. ; Carlson, Jennifer L. ; Kao, Jessica M. ; Golden, Neville H. ; Murray, Stuart B. ; Peebles, Rebecka</creatorcontrib><description>Objective
To characterize exercise behaviors among adolescents with anorexia nervosa (AN), atypical AN, or bulimia nervosa (BN), and determine associations between exercise and medical risk.
Study design
Cross‐sectional electronic medical records of all patients evaluated by the Eating Disorder Program at Stanford between January 1997 and February 2011 were retrospectively reviewed.
Results
1,083 subjects (961 females, 122 males; mean age 15.6) met eligibility criteria. Most patients (89.7%) reported exercise (mean 7.0 h per week over mean 5.4 days per week) prior to presentation. Running (49.9%), calisthenics (40.7%), walking (23.4%), soccer (20.9%), and swimming (18.2%) were the most common exercises; a majority (60.6%) reported team sport participation. Males were less likely to report team exercise (p = .005). Bradycardia (heart rate <50) at presentation was associated with team sport participation (adjusted odds ratio [AOR] 1.66, 95% confidence interval [CI] 1.02–2.72) and hours of exercise per week (AOR 1.05, 95% CI 1.02–1.09), controlling for diagnosis, sex, age, duration of illness, rate of weight loss, and percent median body mass index (%mBMI).
Discussion
Adolescents with AN, atypical AN, and BN reported high levels of exercise. Females reported more team sport participation. Greater exercise frequency and team sport participation were associated with bradycardia. Further studies assessing the relationship between exercise and bradycardia may help inform the medical management of adolescents with these eating disorders who are more physically active.</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.22796</identifier><identifier>PMID: 29112280</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Anorexia ; anorexia nervosa ; Anorexia Nervosa - therapy ; atypical anorexia nervosa ; bradycardia ; Bulimia ; bulimia nervosa ; Bulimia Nervosa - therapy ; cardiovascular ; Cross-Sectional Studies ; Eating disorders ; exercise ; Exercise Therapy - methods ; Female ; Humans ; Male ; physical activity ; QTc ; team sport ; Teenagers</subject><ispartof>The International journal of eating disorders, 2017-12, Vol.50 (12), p.1394-1403</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4436-ef902d07d64cedc78c1add3b9494248529bc86855a69c59ad007293df06ffc3e3</citedby><cites>FETCH-LOGICAL-c4436-ef902d07d64cedc78c1add3b9494248529bc86855a69c59ad007293df06ffc3e3</cites><orcidid>0000-0002-5588-2915 ; 0000-0002-6541-0604</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Feat.22796$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Feat.22796$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29112280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagata, Jason M.</creatorcontrib><creatorcontrib>Carlson, Jennifer L.</creatorcontrib><creatorcontrib>Kao, Jessica M.</creatorcontrib><creatorcontrib>Golden, Neville H.</creatorcontrib><creatorcontrib>Murray, Stuart B.</creatorcontrib><creatorcontrib>Peebles, Rebecka</creatorcontrib><title>Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa</title><title>The International journal of eating disorders</title><addtitle>Int J Eat Disord</addtitle><description>Objective
To characterize exercise behaviors among adolescents with anorexia nervosa (AN), atypical AN, or bulimia nervosa (BN), and determine associations between exercise and medical risk.
Study design
Cross‐sectional electronic medical records of all patients evaluated by the Eating Disorder Program at Stanford between January 1997 and February 2011 were retrospectively reviewed.
Results
1,083 subjects (961 females, 122 males; mean age 15.6) met eligibility criteria. Most patients (89.7%) reported exercise (mean 7.0 h per week over mean 5.4 days per week) prior to presentation. Running (49.9%), calisthenics (40.7%), walking (23.4%), soccer (20.9%), and swimming (18.2%) were the most common exercises; a majority (60.6%) reported team sport participation. Males were less likely to report team exercise (p = .005). Bradycardia (heart rate <50) at presentation was associated with team sport participation (adjusted odds ratio [AOR] 1.66, 95% confidence interval [CI] 1.02–2.72) and hours of exercise per week (AOR 1.05, 95% CI 1.02–1.09), controlling for diagnosis, sex, age, duration of illness, rate of weight loss, and percent median body mass index (%mBMI).
Discussion
Adolescents with AN, atypical AN, and BN reported high levels of exercise. Females reported more team sport participation. Greater exercise frequency and team sport participation were associated with bradycardia. Further studies assessing the relationship between exercise and bradycardia may help inform the medical management of adolescents with these eating disorders who are more physically active.</description><subject>Adolescent</subject><subject>Anorexia</subject><subject>anorexia nervosa</subject><subject>Anorexia Nervosa - therapy</subject><subject>atypical anorexia nervosa</subject><subject>bradycardia</subject><subject>Bulimia</subject><subject>bulimia nervosa</subject><subject>Bulimia Nervosa - therapy</subject><subject>cardiovascular</subject><subject>Cross-Sectional Studies</subject><subject>Eating disorders</subject><subject>exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>physical activity</subject><subject>QTc</subject><subject>team sport</subject><subject>Teenagers</subject><issn>0276-3478</issn><issn>1098-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1r3DAQhkVpabZpD_0DxdBLe3AykmXZuhTCkqSFQC8p9CZmpfGugm2lkp2P_voou2mSFnoa0Dx6eIeXsfccDjiAOCScDoRotHrBFhx0W3Jof75kCxCNKivZtHvsTUoXAKAqqF-zPaE5F6KFBVsvNxjRThT9b5x8GAscXWFDjNTjRKkIXUE3FK1PVOAQxnWBLvSULI1TKq79tMk_QqQbj8VI8Sok3CpWc--Hp7e37FWHfaJ3D3Of_Tg5Pl9-Lc--n35bHp2VVspKldRpEA4ap6QlZ5vWcnSuWmmppZBtLfTKtqqta1Ta1hodQCN05TpQXWcrqvbZl533cl4N2ZBTRuzNZfQDxlsT0Ju_N6PfmHW4MnWjuGp4Fnx6EMTwa6Y0mcHnY_seRwpzMlxnTtZyi378B70IcxzzeZnKsVoNSmXq846yMaQUqXsMw8Hc12dyfWZbX2Y_PE__SP7pKwOHO-Da93T7f5M5PjrfKe8ASK-m2w</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Nagata, Jason M.</creator><creator>Carlson, Jennifer L.</creator><creator>Kao, Jessica M.</creator><creator>Golden, Neville H.</creator><creator>Murray, Stuart B.</creator><creator>Peebles, Rebecka</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5588-2915</orcidid><orcidid>https://orcid.org/0000-0002-6541-0604</orcidid></search><sort><creationdate>201712</creationdate><title>Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa</title><author>Nagata, Jason M. ; Carlson, Jennifer L. ; Kao, Jessica M. ; Golden, Neville H. ; Murray, Stuart B. ; Peebles, Rebecka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4436-ef902d07d64cedc78c1add3b9494248529bc86855a69c59ad007293df06ffc3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Anorexia</topic><topic>anorexia nervosa</topic><topic>Anorexia Nervosa - therapy</topic><topic>atypical anorexia nervosa</topic><topic>bradycardia</topic><topic>Bulimia</topic><topic>bulimia nervosa</topic><topic>Bulimia Nervosa - therapy</topic><topic>cardiovascular</topic><topic>Cross-Sectional Studies</topic><topic>Eating disorders</topic><topic>exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>physical activity</topic><topic>QTc</topic><topic>team sport</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagata, Jason M.</creatorcontrib><creatorcontrib>Carlson, Jennifer L.</creatorcontrib><creatorcontrib>Kao, Jessica M.</creatorcontrib><creatorcontrib>Golden, Neville H.</creatorcontrib><creatorcontrib>Murray, Stuart B.</creatorcontrib><creatorcontrib>Peebles, Rebecka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The International journal of eating disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagata, Jason M.</au><au>Carlson, Jennifer L.</au><au>Kao, Jessica M.</au><au>Golden, Neville H.</au><au>Murray, Stuart B.</au><au>Peebles, Rebecka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa</atitle><jtitle>The International journal of eating disorders</jtitle><addtitle>Int J Eat Disord</addtitle><date>2017-12</date><risdate>2017</risdate><volume>50</volume><issue>12</issue><spage>1394</spage><epage>1403</epage><pages>1394-1403</pages><issn>0276-3478</issn><eissn>1098-108X</eissn><abstract>Objective
To characterize exercise behaviors among adolescents with anorexia nervosa (AN), atypical AN, or bulimia nervosa (BN), and determine associations between exercise and medical risk.
Study design
Cross‐sectional electronic medical records of all patients evaluated by the Eating Disorder Program at Stanford between January 1997 and February 2011 were retrospectively reviewed.
Results
1,083 subjects (961 females, 122 males; mean age 15.6) met eligibility criteria. Most patients (89.7%) reported exercise (mean 7.0 h per week over mean 5.4 days per week) prior to presentation. Running (49.9%), calisthenics (40.7%), walking (23.4%), soccer (20.9%), and swimming (18.2%) were the most common exercises; a majority (60.6%) reported team sport participation. Males were less likely to report team exercise (p = .005). Bradycardia (heart rate <50) at presentation was associated with team sport participation (adjusted odds ratio [AOR] 1.66, 95% confidence interval [CI] 1.02–2.72) and hours of exercise per week (AOR 1.05, 95% CI 1.02–1.09), controlling for diagnosis, sex, age, duration of illness, rate of weight loss, and percent median body mass index (%mBMI).
Discussion
Adolescents with AN, atypical AN, and BN reported high levels of exercise. Females reported more team sport participation. Greater exercise frequency and team sport participation were associated with bradycardia. Further studies assessing the relationship between exercise and bradycardia may help inform the medical management of adolescents with these eating disorders who are more physically active.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29112280</pmid><doi>10.1002/eat.22796</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5588-2915</orcidid><orcidid>https://orcid.org/0000-0002-6541-0604</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0276-3478 |
| ispartof | The International journal of eating disorders, 2017-12, Vol.50 (12), p.1394-1403 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Anorexia anorexia nervosa Anorexia Nervosa - therapy atypical anorexia nervosa bradycardia Bulimia bulimia nervosa Bulimia Nervosa - therapy cardiovascular Cross-Sectional Studies Eating disorders exercise Exercise Therapy - methods Female Humans Male physical activity QTc team sport Teenagers |
| title | Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa |
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