Evidence map›Paper›PMID 39912824›Full record

SynthesisJournal of behavioral addictions2025

Body image and risk of exercise addiction in adults: A systematic review and meta-analysis.

Shuai Guo, Agata Kamionka, Qinbo Xue, Bernadetta Izydorczyk, Małgorzata Lipowska, Mariusz Lipowski

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of behavioral addictions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

6 authors.

Shuai Guo1Faculty of Sport and Leisure, Guangdong Ocean University, Zhanjiang, China.ORCID 0000-0002-6476-3651
Agata Kamionka3Department of Psychology, Gdansk University of Physical Education and Sport, Gdansk, Poland.ORCID 0000-0002-6479-3471
Qinbo Xue1Faculty of Sport and Leisure, Guangdong Ocean University, Zhanjiang, China.ORCID 0000-0003-2934-300X
Bernadetta Izydorczyk4Institute of Psychology, Jagiellonian University, Krakow, Poland.ORCID 0000-0001-5808-2211
Małgorzata Lipowska5Institute of Psychology, University of Gdansk, Gdansk, Poland.ORCID 0000-0002-7422-159X
Mariusz Lipowski6Faculty of Social and Humanities, WSB University in Gdansk, Gdansk, Poland.ORCID 0000-0002-8389-7006

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Exercise addiction in adults is increasingly recognized as a public health concern, carrying potentially harmful physical, psychological, and social consequences. Body image-encompassing cognitive, behavioral, affective, and perceptual elements-may be a key factor in this risk, yet comprehensive evidence remains scarce. This systematic review and meta-analysis aimed to (1) evaluate the overall relationship between multidimensional body image and the risk of exercise addiction in adults, and (2) identify key moderators (e.g., different elements of body image, gender, region). Methods: A systematic search was conducted in PsycINFO, Medline, SPORT Discus, Web of Science, and Embase up to October 22, 2024. A three-level meta-analysis model was employed, and univariate and multivariate meta-regressions were used to explore potential moderating factors. Results: A total of 38 eligible studies were identified, contributing 65 effect sizes. The meta-analysis revealed a moderate correlation (r = 0.26) between body image and risk of exercise addiction in adults. Moreover, the cognitive component of body image and the use of compulsive exercise measures in addiction assessments emerged as unique moderators, each further strengthening the observed relationship. Discussion and conclusions: These findings underscore the central role of body image-particularly its cognitive dimension-in shaping the risk of exercise addiction in adults, especially when assessed via compulsive exercise measures. Incorporating these insights into research and practice may guide more effective interventions and improve public health strategies aimed at mitigating harmful exercise behaviors.

Indexed as

Behavior, AddictiveBody ImageExerciseAdultHumansadultsbody imagecognitive componentexercise addictionmeta-analysis

Identifiers

PMID39912824
PMCPMC11974424

What OpenQuestion holds

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Registered trials

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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.