VITENSKAPELIG ARTIKKEL 46 FYSIOTERAPEUTEN 5/24 Konklusjon P tross av heterogenitet og begrensninger s kan resultatene bidra til økt kunnskap og forst else for menn med SF. V re funn indikerer felles tanker og holdninger til tvangspreget trening p tvers av tre diagnosegrupper (AN, BN og OSFED) m lt med spørreskjemaet EED, og at selvrapportert mengde trening ikke skiller mellom diagnosegruppene. Kjernesymptom i SF m lt med EDE-Q og selvrapportert mengde av trening viser statistisk signifikant sammenheng med tvangspreget trening. For redusere tvangspreget trening blant menn med SF er det viktig ha behandlingstiltak rettet mot tanker og holdninger til egen trening, men resultatene viser at tiltak rettet mot SF symptom og mengde trening m inkluderes. Takk Vi vil takke spiseforstyrrelsesenhetene i Norge hjelp til rekrutteringen av deltagere til studien, og for de mennene som har bidratt med data til studien. Statistiker Turid Follestad ved Klinisk forskningsenhet Midt-Norge), (NTNU), har bidratt i arbeidet med dataanalysene og tolkning av resultatene. Vi er takknemlige for hennes verdifulle bidrag. Referanser 1. Monell E, Levallius J, Forsen Mantilla E, Birgegard A. Running on empty - a nationwide large-scale examination of compulsive exercise in eating disorders. J Eat Disord. 2018;6:11. https://doi.org/10.1186/s40337-018-0197-z 2. Noetel M, Dawson L, Hay P, Touyz S. The assessment and treatment of unhealthy exercise in adolescents with anorexia nervosa: A Delphi study to synthesize clinical knowledge. Int J Eat Disord. 2017. https://doi.org/10.1002/eat.22657 3. Hallward L, Di Marino A, Duncan LR. A systematic review of treatment approaches for compulsive exercise among individuals with eating disorders. Eat Disord. 2022;30(4):411-36. https://doi.org/10.1080/10640266.2021.1895509 4. Adkins EC, Keel PK. Does «excessive» or «compulsive» best describe exercise as a symptom of bulimia nervosa? International Journal of Eating Disorders. 2005;38(1):24-9. https://doi.org/10.1002/eat.20140 5. Meyer C, Taranis L. Exercise in the eating disorders: terms and definitions. Eu rEat Disord Rev. 2011;19(3):169-73. https://doi.org/10.1002/erv.1121 6. Meyer C, Taranis L, Goodwin H, Haycraft E. Compulsive exercise and eating disorders. Eur Eat Disord Rev. 2011;19(3):174-89. https://doi.org/10.1002/erv.1122 7. Ganson KT, Murray SB, Nagata JM. Last word: A call to develop specific medical treatment guidelines for adolescent males with eating disorders. Eat Disord. 2021;29(4):344-50. https://doi.org/10.1080/10640266.2019.1652474 8. Nagata JM, Ganson KT, Murray SB. Eating disorders in adolescent boys and young men: an update. Curr Opin Pediatr. 2020;32(4):476-81. https://doi. org/10.1097/MOP.0000000000000911 9. Furnham A, Badmin N, Sneade I. Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol. 2002;136(6):581-96. https://doi.org/10.1080/00223980209604820 10. Stanford SC, Lemberg R. A clinical comparison of men and women on the eating disorder inventory-3 (EDI-3) and the eating disorder assessment for men (EDAM). Eat Disord. 2012;20(5):379-94. https://doi.org/10.1080/10640266.201 2.715516 11. Danielsen M, Bjornelv S, Bratberg GH, Ro O. Validation of the exercise and eating disorder questionnaire in males with and without eating disorders. Int J Eat Disord. 2018. https://doi.org/10.1002/eat.22855 12. Danielsen M, Bjornelv S, Ro O. Validation of the exercise and eating disorders questionnaire. Int J Eat Disord. 2015;48(7):983-93. https://doi.org/10.1002/ eat.22393 13. American Psychiatric A. Diagnostic and statistical manual of mental disorders DSM-5. 5th ed. Washington, DC: American Psychiatric Association; 2014. 14. Kurtze N, Rangul V, Hustvedt BE, Flanders WD. Reliability and validity of selfreported physical activity in the Nord-Trondelag Health Study: HUNT 1. ScandJPublic Health. 2008;36(1):52-61. https://doi.org/10.1177/1403494807085373 15. Fairburn CG, Beglin SJ. The Eating Disorder Examination Questionnaire (EDE-Q 6.0). In: Fairburn CG, editor. Cognitive behavior therapy and eating disorders: New York Guilford Press; 2008. 16. Dahlgren CL, Stedal K, Ro O. Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment (CIA): clinical norms and functional impairment in male and female adults with eating disorders. Nord J Psychiatry. 2017;71(4):256-61. https://doi.org/10.1080/08039488.2016.1271452 17. Reas DL, Overas M, Ro O. Norms for the Eating Disorder Examination Questionnaire (EDE-Q) among high school and university men. Eat Disord. 2012;20(5):43743. https://doi.org/10.1080/10640266.2012.715523 Abstract Males with eating disorders and compulsive exercise: A survey Objective: In the absence of much research on the importance of different eating disorder (ED) symptoms in males, increased awareness of unique concerns regarding males is needed. The study aimed to investigate attitudes towards exercise, self-reported exercise amount, and factors associated with compulsive exercise in diagnostic groups in a sample of male clinical ED patients. Method: The sample consisted of 82 male ED patients (inpatients and outpatients). The diagnostic distribution was 58.0% (n = 47) AN, 29.6% (n = 24) BN, and 12.4% (n = 10) OSFED. The mean age was 30.4 years (SD = 10.7), and the mean body mass index (BMI) was 23.1 (SD = 10.0). Group differences and regression models were investigated. Measures: The Exercise and Eating Disorder questionnaire, The Eating Disorders Examination Questionnaire. Results: No significant differences were found between diagnostic groups for the EED global score, subscales, or self-reported amount of exercise. The regression models showed a significant association with compulsive exercise for the EDE-Q global score, frequency and intensity of exercise (p < 0.001) and duration of exercise (p < 0.01). Conclusion: The findings indicate shared attitudes and thoughts regarding exercise (measured by the EED questionnaire), across diagnostic groups in males with ED. To reduce compulsive exercise in males with EDs, it is important to target thoughts and attitudes towards exercise, and the results highlight the importance of targeting core ED symptoms and amount of exercise. Keywords: Men with eating disorders; compulsive physical activity; anorexia nervosa; bulimia nervosa; unspecified eating disorder; self-report form. VITENSKAPELIG ARTIKKEL Følg Fysioterapeuten på Facebook!
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