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. 2022 Feb;27(1):119-129.
doi: 10.1007/s40519-021-01159-8. Epub 2021 Mar 6.

Clinical features of children and adolescents with anorexia nervosa and problematic physical activity

Laureline Carpine  1 , Isabelle Charvin  1 , David Da Fonseca  1   2 , Flora Bat-Pitault  3   4
Affiliations

Clinical features of children and adolescents with anorexia nervosa and problematic physical activity

Laureline Carpine et al. Eat Weight Disord. 2022 Feb.

Abstract

Purpose: Problematic physical activity (PPA) is a symptom commonly present in patients suffering from anorexia nervosa (AN). This study aims to refine the clinical description of children with early-onset AN and adolescents with standard-onset AN and associated PPA, in order to better understand their associated features, and to offer them adapted care and physical activity programs.

Methods: 107 participants treated at the Salvator University Hospital Centre of Marseille for AN were retrospectively evaluated by the Exercise Dependence Scale Revised concerning PPA. Other self-report questionnaires were used to evaluate eating disorder, anxiety and depressive symptoms, quality of life, emotions, sleep, and attention deficit disorder with or without hyperactivity.

Results: In the entire sample, the presence of PPA was associated with significantly higher levels of eating disorder (EDI-2: p = 0.001) and body image concerns (p = 0.002), anxiety (STAI-Y-trait: p = 0.013) and depression (p = 0.006), as well as significantly lower psychological well-being (p < 0.001) and quality of life (p < 0.001) and impaired sleep (PSQI: p = 0.008). The early-onset group showed a lower prevalence of PPA than the standard-onset group (p < 0.05) but their clinical symptomatology, when this symptom was present, was significantly more severe (EDI-2: p < 0.01; BSQ: p < 0.05; CDI: p < 0.05; STAI-Y-trait: p < 0.05).

Conclusion: PPA appears to be associated with more severe features in patients with early-onset AN, which seems to differ from standard-onset. It seems necessary to refine our knowledge on the involvement of PPA in the severity of AN, especially in patients with early-onset AN who remain little studied so far.

Level of evidence: Level V, descriptive study (evaluation data retrospectively studied).

Keywords: Adolescents; Anorexia nervosa; Associated features; Children; Early-onset anorexia nervosa; Problematic physical activity; Standard-onset anorexia nervosa.

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References

    1. Smink FRE, van Hoeken D, Hoek HW (2012) Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep 14(4):406–414. https://doi.org/10.1007/s11920-012-0282-y - DOI - PubMed - PMC
    1. Swanson SA (2011) Prevalence and correlates of eating disorders in adolescents: results from the national comorbidity survey replication adolescent supplement. Arch Gen Psychiatry 68(7):714. https://doi.org/10.1001/archgenpsychiatry.2011.22 - DOI - PubMed - PMC
    1. Zipfel S, Löwe B, Reas DL, Deter H-C, Herzog W (2000) Long-term prognosis in anorexia nervosa: Lessons from a 21-year follow-up study. The Lancet 355(9205):721–722. https://doi.org/10.1016/S0140-6736(99)05363-5 - DOI
    1. Godart N, Perdereau F, Jeammet P (2004) Données épidémiologiques: Anorexie chez l’adolescent. Journal de Pédiatrie et de Puériculture 17(6):327–330. https://doi.org/10.1016/j.jpp.2004.06.006 - DOI
    1. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596 - DOI

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