[The importance of movement-directed interventions in the multidisciplinary treatment of binge eating disorder: an overview].
BACKGROUND
More than three out of four persons with binge eating disorder do not get enough physical exercise.


OBJECTIVE
To collect scientific evidence of the effects and benefits that movement and physical exercise can have on persons with a binge eating disorder.


METHODS
PubMed, PsychInfo, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Physiotherapy Evidence Database, the Dutch Journal of Psychiatry (Tijdschrift voor Psychiatrie), het Tijdschrift voor Vaktherapie and Actual Themata derived from psychomotor therapy were screened for the period January 1994 to August 2011. The methodological quality of the studies was determined on the basis of a checklist. Evidence for the effectiveness of the interventions was summarised by best-evidence synthesis.


RESULTS
Eight studies met the inclusion and exclusion criteria. Strong evidence was found for: 1) significant weight-loss after movement interventions; 2) fewer symptoms of depression after a combination of both movement and cognitive behavioural therapy (CBT) than after CBT on its own. There was only limited evidence for 1) the fact that the combination of movement and CBT leads to less eating disorder pathology than does CBT alone; 2) the beneficial effects of yoga on weight-loss as well as on the reduction of eating disorder pathology.There are indications that walking can be helpful in reducing of eating disorder pathology.


CONCLUSIONS
Activities involving movement and physical exercise deserve to play an important role in the multidisciplinary treatment of binge eating disorders.
Universitair Psychiatriatrisch Centrum KU Leuven, Campus Kottenberg en Wetenwchappelijk Medewerker, Department Revalidatiewentenschappen, KU Leuven. davy.cancampfort@uc-kottenberg.be
D
D
Vancampfort
J
J
Vanderlinden
G
G
Pieters
A
A
De Herdt
A
A
Schueremans
A
A
Adriaens
W
W
Van Der Borght
M
M
De Hert
M
M
Probst
D056912:Binge-Eating Disorder / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005081:Exercise Therapy; D006801:Humans; D016896:Treatment Outcome; D015431:Weight Loss; D015013:Yoga