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A systematic review of physical therapy interventions for patients with anorexia and bulemia nervosa

Vancampfort, Davy; Vanderlinden, Johan; De Hert, Marc; Soundy, Andrew; Adamkova, Milena; Skjaerven, Liv Helvik; Catalan-Matamoros, Daniel; Lundvik Gyllensten, Amanda LU ; Gomez-Conesa, Antonia and Probst, Michel (2014) In Disability and Rehabilitation 36(8). p.628-634
Abstract
Purpose: The purpose of this systematic review was to summarise the evidence from randomised controlled trials examining the effectiveness of physical therapy compared with care as usual or a wait-list condition on eating pathology and on physiological and psychological parameters in patients with anorexia and bulimia nervosa. Method: EMBASE, PsycINFO, PubMed, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database and The Cochrane Library were searched from their inception until February, 2013. Articles were eligible if they utilised a randomised controlled trial design, compared physical therapy with a placebo condition, control intervention, or standard care and included patients with anorexia and... (More)
Purpose: The purpose of this systematic review was to summarise the evidence from randomised controlled trials examining the effectiveness of physical therapy compared with care as usual or a wait-list condition on eating pathology and on physiological and psychological parameters in patients with anorexia and bulimia nervosa. Method: EMBASE, PsycINFO, PubMed, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database and The Cochrane Library were searched from their inception until February, 2013. Articles were eligible if they utilised a randomised controlled trial design, compared physical therapy with a placebo condition, control intervention, or standard care and included patients with anorexia and bulimia nervosa. The methodological quality was assessed with the Jadad scale. Results: Eight randomised controlled trials involving 213 patients (age range: 16-36 years) met all selection criteria. Three of the 8 included studies were of strong methodological quality (Jadad score >= 3). Major methodological weaknesses were attrition and selection bias. The main results demonstrate that aerobic and resistance training result in significantly increased muscle strength, body mass index and body fat percentage in anorexia patients. In addition, aerobic exercise, yoga, massage and basic body awareness therapy significantly lowered scores of eating pathology and depressive symptoms in both anorexia and bulimia nervosa patients. No adverse effects were reported. Conclusions: The paucity and heterogeneity of available studies limits overall conclusions and highlights the need for further research. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anorexia nervosa, bulimia nervosa, exercise, physical activity, physical, therapy
in
Disability and Rehabilitation
volume
36
issue
8
pages
628 - 634
publisher
Taylor & Francis
external identifiers
  • wos:000334738900002
  • scopus:84898641760
ISSN
0963-8288
DOI
10.3109/09638288.2013.808271
language
English
LU publication?
yes
id
b53bab13-2199-4077-ba3c-5d239a4373a3 (old id 4496143)
date added to LUP
2014-06-23 12:25:57
date last changed
2017-11-05 03:12:23
@article{b53bab13-2199-4077-ba3c-5d239a4373a3,
  abstract     = {Purpose: The purpose of this systematic review was to summarise the evidence from randomised controlled trials examining the effectiveness of physical therapy compared with care as usual or a wait-list condition on eating pathology and on physiological and psychological parameters in patients with anorexia and bulimia nervosa. Method: EMBASE, PsycINFO, PubMed, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database and The Cochrane Library were searched from their inception until February, 2013. Articles were eligible if they utilised a randomised controlled trial design, compared physical therapy with a placebo condition, control intervention, or standard care and included patients with anorexia and bulimia nervosa. The methodological quality was assessed with the Jadad scale. Results: Eight randomised controlled trials involving 213 patients (age range: 16-36 years) met all selection criteria. Three of the 8 included studies were of strong methodological quality (Jadad score >= 3). Major methodological weaknesses were attrition and selection bias. The main results demonstrate that aerobic and resistance training result in significantly increased muscle strength, body mass index and body fat percentage in anorexia patients. In addition, aerobic exercise, yoga, massage and basic body awareness therapy significantly lowered scores of eating pathology and depressive symptoms in both anorexia and bulimia nervosa patients. No adverse effects were reported. Conclusions: The paucity and heterogeneity of available studies limits overall conclusions and highlights the need for further research.},
  author       = {Vancampfort, Davy and Vanderlinden, Johan and De Hert, Marc and Soundy, Andrew and Adamkova, Milena and Skjaerven, Liv Helvik and Catalan-Matamoros, Daniel and Lundvik Gyllensten, Amanda and Gomez-Conesa, Antonia and Probst, Michel},
  issn         = {0963-8288},
  keyword      = {Anorexia nervosa,bulimia nervosa,exercise,physical activity,physical,therapy},
  language     = {eng},
  number       = {8},
  pages        = {628--634},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {A systematic review of physical therapy interventions for patients with anorexia and bulemia nervosa},
  url          = {http://dx.doi.org/10.3109/09638288.2013.808271},
  volume       = {36},
  year         = {2014},
}