Evidence map›Paper›PMID 40252210›Full record

SynthesisEuropean eating disorders review : the journal of the Eating Disorders Association2025

The Prevalence of Excessive Exercise in Eating Disorders: A Systematic Review and Meta-Analysis.

Connor Campbell, Xander Greig, Jessica Griffiths, Devon Hashman, Thomas Sottile, Masanori Isobe, Anees Bahji, Gina Dimitropoulos, Dan Devoe

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European eating disorders review : the journal of the Eating Disorders Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Connor CampbellDepartment of Psychology, Mount Royal University, Calgary, Canada.ORCID 0009-0007-2727-0245
Xander GreigDepartment of Psychology, Mount Royal University, Calgary, Canada.
Jessica GriffithsDepartment of Psychology, Mount Royal University, Calgary, Canada.
Devon HashmanDepartment of Psychology, Mount Royal University, Calgary, Canada.
Thomas SottileDepartment of Psychology, Mount Royal University, Calgary, Canada.
Masanori IsobeDepartment of Psychiatry, Kyoto University, Kyoto, Japan.
Anees BahjiDepartment of Psychiatry, Mathison Centre for Mental Health Research & Education, University of Calgary, Calgary, Canada.
Gina DimitropoulosFaculty of Social Work, University of Calgary, Calgary, Canada.ORCID 0000-0001-9487-0290
Dan DevoeDepartment of Psychology, Mount Royal University, Calgary, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIndividuals with eating disorders (EDs) often present with maladaptive behaviours such as excessive exercise (EE). The consequences of EE include physical injuries, increased risk of anxiety and depression, and impaired social functioning. No systematic reviews have been conducted on the prevalence of EE in EDs. This study aimed to assess the prevalence of EE in EDs and by ED type.

methodAn electronic database search of the peer-reviewed literature was conducted from inception to October 2024. Review eligibility was restricted to research studies reporting prevalence data for EE in individuals diagnosed with EDs.

resultsFifty-six studies met the inclusion criteria (n = 21,518; mean age: 22.34 years). The current prevalence of EE in all EDs was 48%. Current prevalence was highest in AN (48%), followed by BN (45%), OSFED (38%), and BED (11%). The lifetime prevalence of EE in all EDs was 63%. Lifetime prevalence was highest in AN (72%), followed by BN (57%) and OSFED (21%).

conclusionsNearly half of individuals with an ED engage in EE. High heterogeneity across the included studies likely influenced the prevalence found in this study. Data suggest clinical screening and longitudinal monitoring of EE in those with EDs. Future research into early intervention and treatment for EE in those with EDs is recommended.

trial registrationPROSPERO: CRD42023464148; Open Science Framework: https://doi.org/10.17605/OSF.IO/MYVXW.

Indexed as

ExerciseFeeding and Eating DisordersAdultHumansPrevalenceeating disordersexcessive exercisemental healthmeta‐analysis

Identifiers

PMID40252210
PMCPMC12319126

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.