Sharp Increase in Exercise Predicts Inpatient Treatment for AnorexiaMay 20, 2013 • By A GoodTherapy.org News Summary
Anorexia nervosa (AN) is an eating issue that has been shown to be especially hard to treat. Even when clients are admitted for inpatient treatment, diet and nutrition remain significant obstacles for improving outcomes. One reason for this could be inconsistency in diet among hospitals. There is no specific diet regimen designed to improve body mass index, vitamin deficiency, or overall caloric intake for people with AN. But other factors also contribute to the maintenance of AN, including excessive exercising. Janine Higgins of the School of Medicine at the Department of Pediatrics at the University of Colorado wanted to find out if diet or exercise, or both, predicted inpatient treatment for AN in a group of young women.
Reduction of calories directly affects energy and can impact how much exercise a person performs. Higgins theorized that women at risk for inpatient treatment would be those who consume the fewest calories and expend the most energy through physical activity. To test this theory, Higgins reviewed surveys from 20 women ranging in age from 11 to 19. The women reported their exercise and caloric intake during the six months prior to being admitted.
Higgins found that in general, the women did not decrease their caloric consumption in the week prior to entering the facility. However, they did increase their exercise by almost four times prior to being hospitalized. Higgins also discovered that macronutrient deficiency was evident in most of the women. In particular, the women had decreased their supplement intake over the six months preceding hospitalization, but had extremely low levels of Vitamin A and Vitamin D consumption the week prior to being admitted.
In sum, these findings show that women at risk for hospitalization for AN may be those who focus most on burning calories, rather than restricting them. Even though caloric intake was low for all the women, those who did get hospitalized were most likely to have no drastic changes in caloric intake, but significant changes in exercise prior to needing inpatient care.
Perhaps the low levels of macronutrient absorption also put these women at heightened risk for intensive treatment. Higgins added, “Physical activity and Vitamin A and D intake should be carefully monitored following initial AN diagnosis, as markers of disease progression as to potentially minimize the risk of medical instability.”
Higgins, J., Hagman, J., Pan, Z., MacLean, P. (2013). Increased Physical Activity Not Decreased Energy Intake Is Associated with Inpatient Medical Treatment for Anorexia Nervosa in Adolescent Females. PLoS ONE 8(4): e61559. doi:10.1371/journal.pone.0061559
© Copyright 2013 GoodTherapy.org. All rights reserved.
The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the preceding article can be directed to the author or posted as a comment below.
wilmaMay 20th, 2013 at 11:31 PM
gives us fitness freaks a bad name!there is nothing wrong with exercising,even when done a lot.but when that changes rapidly in quick time with no supervision it may mean the person is trying to achieve too much in too little time.and just as always,there are no shortcuts when it comes to health.exercise is good but when it is done sensibly,people!
CaleMay 21st, 2013 at 3:57 AM
But wouldn’t you rather see more increases in exercise instead of more restriction of food?
Leave a Comment
By commenting you acknowledge acceptance of GoodTherapy.org's Terms and Conditions of Use.
Search Our Blog
- selma: I more often think about what the price to pay would be if I am NOT perfect, not so much the price I pay for actually doing the perfect work.
- trey: while i do not see marriage as just this list of critical things to be able to check off a list, you look at these and you automatically know...
- brody: When something was working for you three weeks ago but really doesn’t seem to be working anymore,a re you going to keep doing the same...
- Bonnie: Even kids form a very early age, if they have athletic talent, they have an enormous amount of pressure put on them. Pressure to be the...
- lena: Sometimes it is not the label that matters, just whether this person is a good person for you to have in your life and if they are helping...