Evidence map›Paper›PMID 39820893›Full record

SynthesisEating and weight disorders : EWD2025

Perfectionism and compulsive exercise: a systematic review and preliminary meta-analysis.

Elizabeth Bills, Shannon R Muir, Rose Stackpole, Sarah J Egan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Eating and weight disorders : EWD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elizabeth BillsSchool of Arts and Humanities, Edith Cowan University, Perth, Australia.ORCID http://orcid.org/0000-0003-3018-5192
Shannon R MuirSchool of Arts and Humanities, Edith Cowan University, Perth, Australia.ORCID http://orcid.org/0000-0001-8733-9004
Rose StackpoleSchool of Population Health, Curtin University, Perth, Australia.ORCID http://orcid.org/0000-0001-7247-4334
Sarah J EganSchool of Population Health, Curtin University, Perth, Australia. s.egan@curtin.edu.au.ORCID http://orcid.org/0000-0002-3715-4009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a consistent link between perfectionism and compulsive exercise, and both are implicated in the maintenance of eating disorders, however no meta-analysis to date has quantified this relationship. We hypothesised that there would be significant, small-moderate pooled correlations between perfectionism dimensions and compulsive exercise.

methodsPublished, peer-reviewed articles with standardised measures of perfectionism and the Compulsive Exercise Test were included. There were 7 studies included (N = 3117 participants, M age = 21.78 years, 49% female).

resultsTotal perfectionism (r = 0.37), perfectionistic strivings (r = 0.33), and perfectionistic concerns (r = 0.32) had significant pooled positive associations with compulsive exercise. Most studies (67%) were rated as fair or good quality as an indication of risk of bias. Limitations included the low number of available studies, the inclusion of only one clinical sample, and predominately cross-sectional studies which precluded causal inference.

conclusionHigher perfectionism was associated with higher compulsive exercise. More research is needed on compulsive exercise to determine the best intervention approach given its relationship to perfectionism and relevance in the context of eating disorders. LEVEL OF EVIDENCE: Level I: Evidence obtained from a systematic review and meta-analysis.

Indexed as

Compulsive BehaviorExercisePerfectionismFeeding and Eating DisordersHumansCompulsive exerciseEating disorderMeta-analysisPerfectionism

Identifiers

PMID39820893
PMCPMC11739188

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.