Correlation between levels of physical activity and anxiety and in patients with binge-eating disorder

Authors

DOI: https://doi.org/10.6018/cpd.418551
Keywords: anxiety, binge eating, exercise, physical activity

Abstract

Binge-eating disorder (BED) is linked to several psychiatric disorders, such as anxiety disorders. Approximately 50-60% of BED patients are resistant to the traditional treatments available, and thus, strategies supporting the treatment of BED are needed, such as physical activity (PA). It seems to be an interesting strategy to reduce BED and anxiety symptoms. Thus, since PA has a role in reducing BED episodes and improving anxiety symptoms, then more research is needed to clarify the role of PA on BED, as correlations between anxiety-BED and anxiety-PA are established. Therefore, our aim is to examine the relationship between PA and anxiety in patients with BED. Thirty two patients we submitted to psychological and PA questionnaires. A Pearson's correlation coefficient and a multiple linear regression analysis were performed to relate eating disorder behaviour, anxiety and PA. The correlation coefficients between the dimensions of BED and anxiety were almost all significant (except restriction), positive and moderate (p<0.001). Thus, the higher the eating disorder values, the higher the anxiety levels (p<0.01). In conclusion, our findings support that PA correlates with anxiety in patients with BED, suggesting that PA may decrease symptoms, such as the appetite, weight and body shape concerns.

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Author Biography

Sergio Machado, Universidade Salgado de Oliveira

Sergio Machado es licenciado en Educación Física por la Universidad Estácio de Sá (2005). Máster, Doctorado y Postdoctorado en Salud Mental por el Instituto de Psiquiatría (IPUB) de la Universidad Federal de Río de Janeiro (UFRJ) en 2008, 2012 y 2013-2014. Post-doctorado en Neurofilosofía por la Universidad Federal de Uberlândia (UFU) en 2012-2013 y en Neurociencia de la Actividad Física por el Instituto Nacional de Ciencia y Tecnología Traslacional en Medicina (INCT-TM) en 2014. Doctorado en curso en Ciencias del Deporte por Universidad de Beira Interior (UBI - Portugal). Licenciando en Psicología en la Universidad Estácio de Sá, interrumpido en 2018.1. Tiene experiencia en las áreas de salud mental, psicofisiología, neuropsicología, fisiología del ejercicio clínico y neurociencia de la actividad física. Es investigador en el Laboratorio de Pánico y Respiración (UFRJ) y Profesor Permanente del Programa de Posgrado en Ciencias de la Actividad Física de la Universidad Salgado de Oliveira, coordinando el Laboratorio de Neurociencia de la Actividad Física. Sus intereses de investigación son los aspectos biológicos de la actividad física y el ejercicio físico en las dimensiones de prevención, rehabilitación y prescripción de ejercicios, en la perspectiva de la promoción de la salud y el rendimiento humano. Más específicamente, investiga los efectos agudos y crónicos del entrenamiento de fuerza, aeróbico, flexibilidad y neuromotor en la actividad cerebral, aspectos conductuales, psicofisiológicos, neuropsicológicos y de calidad de vida en sujetos sanos (niños/adolescentes, adultos y ancianos) y en pacientes con enfermedades neurológicas y trastornos psiquiátricos. Es investigador invitado de instituciones internacionales, como Universidad de Cagliari (Italia), Universidad Regensburg (Alemania) y Universidad Anahuac Mayab (México). Es editor asociado de revistas internacionales (Frontiers in Psychology, Frontiers in Psychiatry, Cuadernos de Psicologia del Deporte, The Open Sports Science Journal, CNS Neurological Disorders Drug Targets y Clinical Practice and Epidemioloy in Mental Health) y revisor de varias revistas nacionales e internacionales. Actualmente es un joven científico de la Fundación para el Apoyo a la Investigación del Estado de Río de Janeiro (FAPERJ) – Brasil.

References

Agh, T., Kovács, G., Supina, D., Pawaskar, M., Herman, B. K., Vokó, Z., & Sheehan, D. V. (2016). A systematic review of the health-related quality of life and economic burdens of anorexia nervosa, bulimia nervosa, and binge eating disorder. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 21(3), 353-364.

ACSM. ACSM’s guidelines for exercise testing and prescription. 9th ed. Lippincott Williams & Wilkins: Philadelphia; 2013.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.

Arnow, B., Kenardy, J., & Agras, W. S. (1992). Binge eating among the obese: A descriptive study. Journal of behavioral medicine, 15(2), 155-170.

Bartley, C. A., Hay, M., & Bloch, M. H. (2013). Meta-analysis: aerobic exercise for the treatment of anxiety disorders. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 45, 34-39.

Bakalar, J. L., Shank, L. M., Vannucci, A., Radin, R. M., & Tanofsky-Kraff, M. (2015). Recent advances in developmental and risk factor research on eating disorders. Current Psychiatry Reports, 17(6), 42.

Bakland, M., Rosenvinge, J. H., Wynn, R., Sundgot-Borgen, J., Fostervold Mathisen, T., Liabo, K., ... & Pettersen, G. (2019). Patients’ views on a new treatment for Bulimia nervosa and binge eating disorder combining physical exercise and dietary therapy (the PED-t). A qualitative study. Eating disorders, 1-18

Blanchet, C., Mathieu, M. È., St-Laurent, A., Fecteau, S., St-Amour, N., & Drapeau, V. (2018). A systematic review of physical activity interventions in individuals with binge eating disorders. Current obesity reports, 7(1), 76-88.

Blumenthal, J. A., Babyak, M. A., Moore, K. A., Craighead, W. E., Herman, S., Khatri, P., ... & Doraiswamy, P. M. (1999). Effects of exercise training on older patients with major depression. Archives of internal medicine, 159(19), 2349-2356.

Blundell JE, Gibbons C, Caudwell P, Finlayson G, Hopkins M. Appetite control and energy balance: impact of exercise. Obes Rev. 2015;16:67–76.

Broocks, A., Bandelow, B., Pekrun, G., George, A., Meyer, T., Bartmann, U., ... & Rüther, E. (1998). Comparison of aerobic exercise, clomipramine, and placebo in the treatment of panic disorder. American Journal of Psychiatry, 155(5), 603-609.

Campana, A.O., Padovani, C.R., Iaria, C.T., Freitas, C.B.D., De Paiva, S.A.R., Hossne, W.S. Investigação científica na área médica. 1st ed. Sao Paulo: Manole; 2001.

Davis, C. (2015). The epidemiology and genetics of binge eating disorder (BED). CNS spectrums, 20(6), 522-529.

Dahlgren, C. L., Wisting, L., & Rø, Ø. (2017). Feeding and eating disorders in the DSM-5 era: a systematic review of prevalence rates in non-clinical male and female samples. Journal of eating disorders, 5(1), 56.

DeBoer, L. B., Tart, C. D., Presnell, K. E., Powers, M. B., Baldwin, A. S., & Smits, J. A. (2012). Physical activity as a moderator of the association between anxiety sensitivity and binge eating. Eating behaviors, 13(3), 194-201.

Dingemans, A., Danner, U., & Parks, M. (2017). Emotion regulation in binge eating disorder: A review. Nutrients, 9(11), 1274.

Fletcher, R.H., Fletcher, S.W., Wagner, E.H. Epidemiologia clínica: elementos essenciais. 3rd ed. Porto Alegre: Artmed; 2003.

Haddad, N. Metodologia de estudos em ciências da saúde. 1st ed. Sao Paulo: Roca; 2004.

Hilbert A. Binge-Eating Disorder. Psychiatr Clin North Am. 2019;42(1):33-43.

Hiles, S. A., Lamers, F., Milaneschi, Y., & Penninx, B. W. J. H. (2017). Sit, step, sweat: longitudinal associations between physical activity patterns, anxiety and depression. Psychological medicine, 47(8), 1466-1477.

Hrabosky, J. I., White, M. A., Masheb, R. M., & Grilo, C. M. (2007). Physical activity and its correlates in treatment‐seeking obese patients with binge eating disorder. International Journal of Eating Disorders, 40(1), 72-76.

IPAQ Research Committee. (2005). Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)-short and long forms. http://www. ipaq. ki. se/scoring. pdf.

Keski-Rahkonen, A., & Mustelin, L. (2016). Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Current opinion in psychiatry, 29(6), 340-345.

Kittel, R., Brauhardt, A., & Hilbert, A. (2015). Cognitive and emotional functioning in binge‐eating disorder: A systematic review. International Journal of Eating Disorders, 48(6), 535-554.

Lavagnino, L., Arnone, D., Cao, B., Soares, J. C., & Selvaraj, S. (2016). Inhibitory control in obesity and binge eating disorder: A systematic review and meta-analysis of neurocognitive and neuroimaging studies. Neuroscience & Biobehavioral Reviews, 68, 714-726.

Leslie, M., Turton, R., Burgess, E., Nazar, B. P., & Treasure, J. (2018). Testing the addictive appetite model of binge eating: The importance of craving, coping, and reward enhancement. European Eating Disorders Review, 26(6), 541-550.

Levine MD, Marcus MD, Moulton P. Exercise in the treatment of binge eating disorder. Int J Eat Disord. 1996;19(2):171–7.

Lewer, M., Bauer, A., Hartmann, A., & Vocks, S. (2017). Different facets of body image disturbance in binge eating disorder: a review. Nutrients, 9(12), 1294.

Karssemeijer, E. E., Aaronson, J. J., Bossers, W. W., Smits, T. T., & Kessels, R. R. (2017). Positive effects of combined cognitive and physical exercise training on cognitive function in older adults with mild cognitive impairment or dementia: A meta-analysis. Ageing Research Reviews, 40, 75-83.

King NA, Horner K, Hills AP, Byrne NM, Wood RE, Bryant E, et al. Exercise, appetite and weight management: understanding the compensatory responses in eating behaviour and how they contribute to variability in exercise-induced weight loss. Br J Sports Med. 2012;46(5):315–22.

Levine MD, Marcus MD, Moulton P. Exercise in the treatment of binge eating disorder. Int J Eat Disord. 1996;19(2):171–7.

Machado, P. P., Martins, C., Vaz, A. R., Conceição, E., Bastos, A. P., & Gonçalves, S. (2014). Eating disorder examination questionnaire: psychometric properties and norms for the Portuguese population. European eating disorders review, 22(6), 448-453.

Mayhew, A. J., Pigeyre, M., Couturier, J., & Meyre, D. (2018). An evolutionary genetic perspective of eating disorders. Neuroendocrinology, 106(3), 292-306.

Mitchell, J. E. (2016). Medical comorbidity and medical complications associated with binge‐eating disorder. International Journal of Eating Disorders, 49(3), 319-323.

Morillo Baro, J. P., Reigal Garrido, R.E. y Hernández-Mendo (2016). Relaciones entre el perfil psicológico deportivo y la ansiedad competitiva en jugadores de balonmano playa. Revista de Psicología del Deporte, 25(1), 31-39.

Olguin, P., Fuentes, M., Gabler, G., Guerdjikova, A. I., Keck, P. E., & McElroy, S. L. (2017). Medical comorbidity of binge eating disorder. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(1), 13-26. ;22(1):13-26.

Pais-Ribeiro, J., Silva, I., Ferreira, T., Martins, A., Meneses, R., & Baltar, M. (2007). Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychology, health & medicine, 12(2), 225-237.

Pettersen, G., Sørdal, S., Rosenvinge, J. H., Skomakerstuen, T., Mathisen, T. F., & Sundgot-Borgen, J. (2017). How do women with eating disorders experience a new treatment combining guided physical exercise and dietary therapy? An interview study of women participating in a randomised controlled trial at the Norwegian School of Sport Sciences. BMJ open, 7(12), e018588.

Reigal Garrido, R. E., Delgado-Giralt, J., López-Cazorla, R., Hernández-Mendo, A. (2018). Perfil psicológico deportivo y ansiedad estado competitiva en triatletas. Revista de Psicología del Deporte, 27(2), 125–132.

Rosenbaum, D. L., & White, K. S. (2013). The role of anxiety in binge eating behavior: A critical examination of theory and empirical literature. Health psychology research, 1(2).

Stubbs, B., Koyanagi, A., Hallgren, M., Firth, J., Richards, J., Schuch, F., ... & Vancampfort, D. (2017). Physical activity and anxiety: a perspective from the World Health Survey. Journal of Affective Disorders, 208, 545-552.

Tajik, E., Abd Latiff, L., Adznam, S. N., Awang, H., Yit Siew, C., & Abu Bakar, A. S. (2017). A study on level of physical activity, depression, anxiety and stress symptoms among adolescents. J Sports Med Phys Fitness, 57(10), 1382-1387.

Tanaka, O. M., Vitral, R. W. F., Tanaka, G. Y., Guerrero, A. P., & Camargo, E. S. (2008). Nailbiting, or onychophagia: a special habit. American Journal of Orthodontics and Dentofacial Orthopedics, 134(2), 305-308.

Taylor, S. (1995). Anxiety sensitivity: Theoretical perspectives and recent findings. Behaviour research and therapy, 33(3), 243-258.

Truglia, E., Mannucci, E., Lassi, S., Rotella, C. M., Faravelli, C., & Ricca, V. (2006). Aggressiveness, anger and eating disorders: a review. Psychopathology, 39(2), 55-68.

Vancampfort, D., De Herdt, A., Vanderlinden, J., Lannoo, M., Soundy, A., Pieters, G., ... & Probst, M. (2014). Health related quality of life, physical fitness and physical activity participation in treatment-seeking obese persons with and without binge eating disorder. Psychiatry research, 216(1), 97-102.

Wedekind, D., Broocks, A., Weiss, N., Engel, K., Neubert, K., & Bandelow, B. (2010). A randomized, controlled trial of aerobic exercise in combination with paroxetine in the treatment of panic disorder. The World Journal of Biological Psychiatry, 11(7), 904-913.

Wegner, M., Helmich, I., Machado, S., E Nardi, A., Arias-Carrión, O., & Budde, H. (2014). Effects of exercise on anxiety and depression disorders: review of meta-analyses and neurobiological mechanisms. CNS & Neurological Disorders-Drug Targets, 13(6), 1002-1014.

Published
22-07-2020
How to Cite
da Silva Freire, A., dos Santos, D., Vaz, A., Lima, J. L., Axt, G., Murillo-Rodriguez, E., … Telles-Correia, D. (2020). Correlation between levels of physical activity and anxiety and in patients with binge-eating disorder. Sport Psychology Notebooks, 20(3), 55–64. https://doi.org/10.6018/cpd.418551
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Section
Psicología del Deporte

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