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


CONCLUSIONS
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.
Bratland-Sanda
S
S
Research Institute, Modum Bad Psychiatric Centre, Vikersund, Norway.
Rosenvinge
J H
JH
Vrabel
K A R
KA
Norring
C
C
Sundgot-Borgen
J
J
Rø
Ø
Ø
Martinsen
E W
EW
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D015444:Exercise; D001068:Feeding and Eating Disorders / Q000628:therapy*; D019538:Health Care Surveys; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D015999:Multivariate Analysis; D010346:Patient Care Management; D012537:Scandinavian and Nordic Countries; D006113:United Kingdom