ArticleEating behaviors2021
Characterizing reasons for exercise in binge-spectrum eating disorders.
Article in Eating behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- 2025 Update to the Female Athlete Triad Coalition Consensus Statement Part 1: State of the Science and Introduction of a New Adolescent Model.Sports medicine (Auckland, N.Z.) · 2026Review
- Maladaptive Exercise in People With a Lifetime History of Eating Disorders: A Multicountry Observational Study.The International journal of eating disorders · 2026Observational
- Feeling Better Before, Not After: An Ecological Momentary Assessment of Affect Around Exercise in Women with Eating Disorders.medRxiv : the preprint server for health sciences · 2025Article
- A naturalistic examination of feeling fat: Characteristics, predictors, and the relationship with eating disorder behaviors.The International journal of eating disorders · 2024Article
- The Impact of High Levels of Compensatory Exercise on Treatment Outcomes in Threshold and Subthreshold Bulimia Nervosa.Nutrients · 2024Article
- Subtypes of exercise are differentially associated with baseline eating disorder pathology and treatment outcome among individuals with bulimia nervosa.The International journal of eating disorders · 2024Article
- 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
- Divergent trajectories of positive affect following maladaptive and non-maladaptive exercise among individuals with binge-spectrum eating disorders.The International journal of eating disorders · 2023Article
- Weight status and weight-control exercise in adolescents: A longitudinal population-based study.Eating behaviors · 2023Article
- An examination of daily sleep characteristics and subsequent eating disorder behavior among individuals with binge-spectrum eating disorders.Eating and weight disorders : EWD · 2022Article
- Understanding momentary associations between body dissatisfaction and exercise in binge-spectrum eating disorders.Eating and weight disorders : EWD · 2022Article
- Associations between fear of weight gain and exercise in binge-spectrum eating disorders.Eating and weight disorders : EWD · 2022Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Although 40-60% of individuals with eating disorders (EDs) report engaging in maladaptive exercise, self-reported reasons for engaging in exercise vary. Further, no studies have examined momentary reasons for exercise and whether reasons for exercising could be both adaptive and maladaptive for any episode. Examining reasons for exercise can inform interventions which more effectively target maladaptive exercise. The current study recruited adults with binge-spectrum EDs (N = 58, 89.2% Female) and assessed self-reported reasons for exercise using ecological momentary assessment over 7-14 days. Exercise episodes were categorized as maladaptive if the participant endorsed exercising to compensate for eating or feeling driven to exercise. On average, participants reported exercising 8 times (SD = 8) over the 7-14 days. On average, 73% of exercise episodes were maladaptive. Participants most frequently stated exercising to control shape or weight (67.2% of episodes), feeling driven (62.9%), and exercising as part of a routine (52.9%). Participants least endorsed exercising so that they could eat more later (9.8%). Participants reported a mean of 3.6 reasons for exercising at each episode (SD = 1.85, mode = 1.0). As hypothesized, individuals with EDs were exercising for several reasons at each exercise episode. Further, the extent to which each exercise episode is maladaptive varied between participants and even within a single participant's exercise episodes. These findings underscore the importance of research evaluating when, and for whom, exercise becomes maladaptive, as well as research examining other characteristic features of maladaptive and adaptive exercise in EDs.
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