Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review
Abstract Background Compulsive exercise is a core feature of both eating disorders and muscle dysmorphia. Earlier models of treatment recommended complete abstinence from exercise in eating disorder populations, but recent guidelines advocate for the gradual inclusion of healthier forms of exercise...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-021-00375-y |
| _version_ | 1811174040918818816 |
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| author | Jordan Andre Martenstyn Stephen Touyz Sarah Maguire |
| author_facet | Jordan Andre Martenstyn Stephen Touyz Sarah Maguire |
| author_sort | Jordan Andre Martenstyn |
| collection | DOAJ |
| description | Abstract Background Compulsive exercise is a core feature of both eating disorders and muscle dysmorphia. Earlier models of treatment recommended complete abstinence from exercise in eating disorder populations, but recent guidelines advocate for the gradual inclusion of healthier forms of exercise into an overall treatment plan where appropriate. Given the association between problematic exercise behaviour and poorer prognosis, there has been a recent upsurge in the number of treatment interventions for compulsive exercise in eating disorders. However, no systematic review has been published summarising this existing treatment literature. The aim of this review is to determine the efficacy of existing treatments for compulsive exercise in eating disorders and muscle dysmorphia. Methods A systematic review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five electronic databases (PsycInfo, MEDLINE, Embase, Web of Science, and Scopus) will be searched from database inception until November 2020. We will include studies that: (a) sampled adolescents and/or adults with either an eating disorder or muscle dysmorphia; (b) assessed changes in compulsive exercise from pre- to post-intervention; and (c) used a standardised instrument to measure compulsive exercise or related constructs. We will include studies with a comparison group (e.g., randomised controlled trials) and without a comparison group (e.g., pilot studies and case studies) to provide a comprehensive overview of the literature. One reviewer will screen all titles and abstracts against eligibility criteria, with 20% of excluded articles cross-referenced by another reviewer. Full texts will be obtained for articles deemed relevant or where inclusion was uncertain, and will be screened by both reviewers. We will also evaluate the quality of the included studies using a modified Downs and Black (J Epidemiol Community Health 52:377–384, 1998) assessment checklist. Discussion Results from this review will help to determine the most efficacious treatment components for compulsive exercise in eating disorders and muscle dysmorphia. We hope that our results will help inform clinical practice guidelines in recommending targeted interventions for the treatment of compulsive exercise. |
| first_indexed | 2024-04-10T17:57:44Z |
| format | Article |
| id | doaj.art-d35bf5f6861a449081e056018b99c04e |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T17:57:44Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-d35bf5f6861a449081e056018b99c04e2023-02-02T17:42:34ZengBMCJournal of Eating Disorders2050-29742021-02-01911710.1186/s40337-021-00375-yTreatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic reviewJordan Andre Martenstyn0Stephen Touyz1Sarah Maguire2Clinical Psychology Unit, School of Psychology, The University of SydneyInsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneyInsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneyAbstract Background Compulsive exercise is a core feature of both eating disorders and muscle dysmorphia. Earlier models of treatment recommended complete abstinence from exercise in eating disorder populations, but recent guidelines advocate for the gradual inclusion of healthier forms of exercise into an overall treatment plan where appropriate. Given the association between problematic exercise behaviour and poorer prognosis, there has been a recent upsurge in the number of treatment interventions for compulsive exercise in eating disorders. However, no systematic review has been published summarising this existing treatment literature. The aim of this review is to determine the efficacy of existing treatments for compulsive exercise in eating disorders and muscle dysmorphia. Methods A systematic review will be conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five electronic databases (PsycInfo, MEDLINE, Embase, Web of Science, and Scopus) will be searched from database inception until November 2020. We will include studies that: (a) sampled adolescents and/or adults with either an eating disorder or muscle dysmorphia; (b) assessed changes in compulsive exercise from pre- to post-intervention; and (c) used a standardised instrument to measure compulsive exercise or related constructs. We will include studies with a comparison group (e.g., randomised controlled trials) and without a comparison group (e.g., pilot studies and case studies) to provide a comprehensive overview of the literature. One reviewer will screen all titles and abstracts against eligibility criteria, with 20% of excluded articles cross-referenced by another reviewer. Full texts will be obtained for articles deemed relevant or where inclusion was uncertain, and will be screened by both reviewers. We will also evaluate the quality of the included studies using a modified Downs and Black (J Epidemiol Community Health 52:377–384, 1998) assessment checklist. Discussion Results from this review will help to determine the most efficacious treatment components for compulsive exercise in eating disorders and muscle dysmorphia. We hope that our results will help inform clinical practice guidelines in recommending targeted interventions for the treatment of compulsive exercise.https://doi.org/10.1186/s40337-021-00375-yCompulsive exerciseExercise addictionEating disordersMuscle dysmorphiaBigorexiaTreatment |
| spellingShingle | Jordan Andre Martenstyn Stephen Touyz Sarah Maguire Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review Journal of Eating Disorders Compulsive exercise Exercise addiction Eating disorders Muscle dysmorphia Bigorexia Treatment |
| title | Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review |
| title_full | Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review |
| title_fullStr | Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review |
| title_full_unstemmed | Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review |
| title_short | Treatment of compulsive exercise in eating disorders and muscle dysmorphia: protocol for a systematic review |
| title_sort | treatment of compulsive exercise in eating disorders and muscle dysmorphia protocol for a systematic review |
| topic | Compulsive exercise Exercise addiction Eating disorders Muscle dysmorphia Bigorexia Treatment |
| url | https://doi.org/10.1186/s40337-021-00375-y |
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