title: The functional exercise capacity and its correlates in obese treatment-seeking people with binge eating disorder: an exploratory study.
abstract: OBJECTIVE
  The primary aim was to compare the functional exercise capacity between obese treatment-seeking people with and without binge eating disorder (BED) and non-obese controls. The secondary aim was to identify clinical variables including eating and physical activity behaviour, physical complaints, psychopathology and physical self-perception variables in obese people with BED that could explain the variability in functional exercise capacity.
  
  
  METHODS
  Forty people with BED were compared with 20 age-, gender- and body mass index (BMI)-matched obese persons without BED and 40 age and gender matched non-obese volunteers. A 6-minute walk test (6MWT), the Baecke physical activity questionnaire, the Symptom Checklist-90, the Physical Self-Perception Profile and the Eating Disorder Inventory were administered. Physical complaints before and after the 6MWT were also documented.
  
  
  RESULTS
  The distance achieved on the 6MWT was significantly lower in obese participants with BED (512.1 ± 75.8 m versus 682.7 ± 98.4, p < 0.05) compared to non-obese controls. No significant differences were found between obese participants with and without BED. Participants with BED reported significantly (p < 0.05) more musculoskeletal pain and fatigue after the walk test than obese and non-obese controls. A forward stepwise regression analysis demonstrated that sports participation and perceived physical strength explained 41.7% of the variance on the 6MWT in obese participants with BED.
  
  
  CONCLUSIONS
  Physical activity participation, physical self-perception and perceived physical discomfort during walking should be considered when developing rehabilitation programs for obese people with BED.
  
  
  CONCLUSIONS
  Rehabilitation programmes in people with binge eating disorder should incorporate a functional exercise capacity assessment. Clinicians involved in the rehabilitation of people with binge eating disorder should consider depression and lower self-esteem as potential barriers. Clinicians should take into account the frequently observed physical discomfort when developing rehabilitation programmes for people with binge eating disorder.
authors.affiliation: KU Leuven Department of Neurosciences, University Psychiatric Centre KU Leuven, Campus Kortenberg , Kortenberg , Belgium .
authors.forename: Davy
authors.initials: D
authors.lastname: Vancampfort
authors.forename: Amber
authors.initials: A
authors.lastname: De Herdt
authors.forename: Johan
authors.initials: J
authors.lastname: Vanderlinden
authors.forename: Matthias
authors.initials: M
authors.lastname: Lannoo
authors.forename: An
authors.initials: A
authors.lastname: Adriaens
authors.forename: Marc
authors.initials: M
authors.lastname: De Hert
authors.forename: Brendon
authors.initials: B
authors.lastname: Stubbs
authors.forename: Andrew
authors.initials: A
authors.lastname: Soundy
authors.forename: Michel
authors.initials: M
authors.lastname: Probst
mesh_terms: D000328:Adult; D056912:Binge-Eating Disorder / Q000523:psychology* / Q000534:rehabilitation*; D015992:Body Mass Index; D003863:Depression; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009765:Obesity / Q000150:complications*; D010809:Physical Fitness; D012044:Regression Analysis; D012649:Self Concept; D011795:Surveys and Questionnaires; D016138:Walking
keywords: Binge eating; obesity; physical activity; self-concept; walking