ArticleJournal of eating disorders2018
Treatment effects on compulsive exercise and physical activity in eating disorders.
Article in Journal of eating disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02079935 (Treatment of Eating Disorders - a Randomised, Controlled, Prospective Study), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Treatment of Eating Disorders - a Randomised, Controlled, Prospective Study
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- The Prevalence of Excessive Exercise in Eating Disorders: A Systematic Review and Meta-Analysis.European eating disorders review : the journal of the Eating Disorders Association · 2025Pooled it
- Metabolic profile in women with bulimia nervosa or binge-eating disorder before and after treatment: secondary analysis from the randomized PED-t trial.Eating and weight disorders : EWD · 2023Trial
- Is physical exercise and dietary therapy a feasible alternative to cognitive behavior therapy in treatment of eating disorders? A randomized controlled trial of two group therapies.The International journal of eating disorders · 2020Trial
- Managing Risk of Non-Communicable Diseases in Women with Bulimia Nervosa or Binge Eating Disorders: A Randomized Trial with 12 Months Follow-Up.Nutrients · 2018Trial
- Lower Extremity Injuries and Revision Surgery Rates are Increased in Patients With Anorexia Nervosa and Bulimia Nervosa Compared With Controls.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- The effects of waiting time for outpatient psychotherapeutic interventions on patient-reported outcomes in adolescents and adults with eating disorders: a systematic review and meta-analysis.Journal of eating disorders · 2026Review
- Prevalence and factors associated with disordered eating behaviors, food addiction, and compulsive exercise among females studying clinical nutrition in Saudi Arabia.Journal of eating disorders · 2026Article
- Scoping review of therapeutic approaches among individuals with secondary exercise addiction.Frontiers in psychiatry · 2026Review
- Maladaptive Exercise in People With a Lifetime History of Eating Disorders: A Multicountry Observational Study.The International journal of eating disorders · 2026Observational
- Athlete-focused eating disorder programming in higher levels of care: feasibility and clinical outcomes from a naturalistic setting.Frontiers in nutrition · 2026Article
- More than a symptom: qualitative exploration of embodied control and restlessness in compulsive movement in eating disorders.Journal of eating disorders · 2025Article
- New understandings meet old treatments: putting a contemporary face on established protocols.Journal of eating disorders · 2024Article
- Adaptive and Maladaptive Exercise in Eating Disorders.Current topics in behavioral neurosciences · 2024Review
- Affective profiles of exercise episodes are associated with maladaptive and adaptive motivations for exercise.European eating disorders review : the journal of the Eating Disorders Association · 2023Article
- Change in adaptive and maladaptive exercise and objective physical activity throughout CBT for individuals with eating disorders.Eating and weight disorders : EWD · 2023Article
- Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review.Journal of eating disorders · 2023Review
- Measuring exercise in eating disorder patients: a Delphi study to aggregate clinical and research knowledge.Journal of eating disorders · 2022Article
- Management of eating disorders for people with higher weight: clinical practice guideline.Journal of eating disorders · 2022Article
- Feasibility, Acceptability, and Preliminary Target Engagement of a Healthy Physical Activity Promotion Intervention for Bulimia Nervosa: Development and Evaluation via Case Series Design.Cognitive and behavioral practice · 2022Article
- Treatment Considerations for Compulsive Exercise in High-Performance Athletes with an Eating Disorder.Sports medicine - open · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDysfunctional thoughts- and use of physical activity (PA) are core symptoms of the eating disorders (ED) bulimia nervosa (BN) and binge eating disorder (BED). The compulsive desire for PA complicates a favourable treatment outcome; hence, regular, adapted PA led by personnel with competence in exercise science is rarely part of treatment of BN and BED. The present study compared cognitive behaviour therapy (CBT) with a new treatment combining physical exercise and dietary therapy (PED-t) with respect to the short- and long-term changes in the level of compulsive exercise and actual level of PA in women with BN or BED.
methodsWe enrolled 187 women with BN or BED, aged 18-40 years, with BMI 17.5-35, in an outpatient randomised controlled therapy trial. Participants were randomised to PED-t or CBT, while waitlist participants served as a control group during the treatment period. The treatment covered 16 weeks, with 6- and 12 months follow-up, and outcomes included self-reported compulsive exercise (CE) and objectively measured PA, analysed by linear mixed regression models.
resultsBoth CBT and PED-t reduced CE from baseline (
conclusionBoth therapies resulted in significant improvements in compulsive exercise, a change not found in the control group, however there were no between-group differences. The findings are tempered by the low statistical power due to a small control group size. The number of participants complying with the recommendation for PA were stable throughout the study, and no change in total PA was found. Presence and intensity of CE decline with treatment, but a need to increase PA towards healthy levels remains unsolved.
trial registrationApproved by the Norwegian Regional Committee for Medical and Health Research Ethics (ID: 2013/1871, 16th of December 2013); registered in Clinical Trials (ID: NCT02079935, 17th of February 2014).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.