Laurence Kern1,2, Yannick Morvan2,3,4, Lama Mattar5, Estelle Molina2, Laura Tailhardat1, Amandine Peguet1, Renaud De Tournemire6, France Hirot7, Melissa Rizk8,9,10, Natalie Godart7,11,12, Lilian Fautrelle13,14. 1. EA 2931, LINP2-APSA, Université Paris Nanterre, Nanterre, France. 2. EA 4430 CLIPSYD Clinique Psychanalyse Développement, Université Paris Nanterre, Nanterre, France. 3. IPNP-INSERM UMR 1266, LPMP, Université de Paris, Paris, France. 4. SHU-C3RP, GHU Paris Psychiatrie et Neurosciences, Paris, France. 5. Nutrition Program, Department of Natural Sciences, Lebanese American University, Beirut, Lebanon. 6. CHI Poissy Saint Germain, France. 7. Service hospitalo-universitaire de santé mentale de l'adolescent et du jeune adulte de la FSEF Paris, Paris, France. 8. INSERM U1178, Maison de Solenn, Paris, France. 9. Université Paris-Sud and Université Paris Descartes, Ecole Doctorale des 3C (Cerveau, Cognition, Comportement), UMR-S0669, Paris, France. 10. Psychiatry Unit, Institut Mutualiste Montsouris 42, Paris, France. 11. CESP, INSERM, UVSQ, Université Paris-Saclay, Villejuif, France. 12. UFR sciences de la santé Simone Veil UVSQ, Montigny le Bretonneux, France. 13. Institut National Universitaire Champollion, STAPS, Équipe Interdisciplinaire en Activités Physiques, Rodez, France. 14. Laboratoire ToNIC, Toulouse NeuroImaging Center, UMR 1214, INSERM, CHU Purpan, UPS, Toulouse, France.
Abstract
BACKGROUND AND CONTEXT: Problematic use of physical activity is frequent in subjects with anorexia nervosa (AN). Although it increases resistance to therapeutic treatment, paradoxically, physical activity in AN can also improve mental and physical health. Based on the literature review we hypothesized that adding an adapted physical activity (APA) program to treatment programs could be more beneficial than a total suppression of physical activities. We designed this open study to evaluate the outcome of AN inpatients after an APA program implementation as well as the perceived effect of APA. METHOD: Forty-one women with AN (17.2 (±2.5) years old, BMI of 16.86 (±2.0)) were included. An eight-session (1 h30/session/week) standardized APA program was delivered and evaluated by structured questionnaires assessing exercise dependence, perceived physical activity, eating disorder (ED) symptoms, body mass index (BMI), along with an interview before and after the APA program. RESULTS: Twenty-nine women complete the PA program and evaluation. BMI and perceived PA score significantly increased, ED and exercise dependence scores significantly decreased (p < .01). Participants appreciated the program. DISCUSSION/ CONCLUSION: The inpatient program which included APA program helped AN inpatients in decreasing their ED symptoms and their dependence to PA, without any deleterious effect on BMI. Furthermore, APA was appreciated by participants.
BACKGROUND AND CONTEXT: Problematic use of physical activity is frequent in subjects with anorexia nervosa (AN). Although it increases resistance to therapeutic treatment, paradoxically, physical activity in AN can also improve mental and physical health. Based on the literature review we hypothesized that adding an adapted physical activity (APA) program to treatment programs could be more beneficial than a total suppression of physical activities. We designed this open study to evaluate the outcome of AN inpatients after an APA program implementation as well as the perceived effect of APA. METHOD: Forty-one women with AN (17.2 (±2.5) years old, BMI of 16.86 (±2.0)) were included. An eight-session (1 h30/session/week) standardized APA program was delivered and evaluated by structured questionnaires assessing exercise dependence, perceived physical activity, eating disorder (ED) symptoms, body mass index (BMI), along with an interview before and after the APA program. RESULTS: Twenty-nine women complete the PA program and evaluation. BMI and perceived PA score significantly increased, ED and exercise dependence scores significantly decreased (p < .01). Participants appreciated the program. DISCUSSION/ CONCLUSION: The inpatient program which included APA program helped AN inpatients in decreasing their ED symptoms and their dependence to PA, without any deleterious effect on BMI. Furthermore, APA was appreciated by participants.
Authors: Marc Dauty; Pierre Menu; Baptiste Jolly; Sylvain Lambert; Bruno Rocher; Maëlle Le Bras; Adam Jirka; Pascale Guillot; Stéphane Pretagut; Alban Fouasson-Chailloux Journal: Nutrients Date: 2022-07-19 Impact factor: 6.706