Vancampfort, Davy, De Herdt, Amber, Vanderlinden, Johan, Lannoo, Matthias, Adriaens, An, De Hert, Marc, Stubbs, Brendon, Soundy, Andrew and Probst, Michel (2015) The functional exercise capacity and its correlates in obese treatment-seeking people with binge eating disorder: an exploratory study. Disability and Rehabilitation, 37 (9). pp. 777-782. ISSN 0963-8288 (Print), 1464-5165 (Online) (doi:https://doi.org/10.3109/09638288.2014.942000)

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Abstract

Purpose: The primary aim was to compare the functional exercise capacity between obese treatment-seeking people with and without binge eating disorder (BED) and non-obese controls. The secondary aim was to identify clinical variables including eating and physical activity behaviour, physical complaints, psychopathology and physical self-perception variables in obese people with BED that could explain the variability in functional exercise capacity.

Methods: Forty people with BED were compared with 20 age-, gender- and body mass index (BMI)-matched obese persons without BED and 40 age and gender matched non-obese volunteers. A 6-minute walk test (6MWT), the Baecke physical activity questionnaire, the Symptom Checklist-90, the Physical Self-Perception Profile and the Eating Disorder Inventory were administered. Physical complaints before and after the 6MWT were also documented.

Results: The distance achieved on the 6MWT was significantly lower in obese participants with BED (512.1 ± 75.8 m versus 682.7 ± 98.4, p < 0.05) compared to non-obese controls. No significant differences were found between obese participants with and without BED. Participants with BED reported significantly (p < 0.05) more musculoskeletal pain and fatigue after the walk test than obese and non-obese controls. A forward stepwise regression analysis demonstrated that sports participation and perceived physical strength explained 41.7% of the variance on the 6MWT in obese participants with BED.

Conclusion: Physical activity participation, physical self-perception and perceived physical discomfort during walking should be considered when developing rehabilitation programs for obese people with BED.

Implications for Rehabilitation:

• Rehabilitation programmes in people with binge eating disorder should incorporate a functional exercise capacity assessment.

• Clinicians involved in the rehabilitation of people with binge eating disorder should consider depression and lower self-esteem as potential barriers.

• Clinicians should take into account the frequently observed physical discomfort when developing rehabilitation programmes for people with binge eating disorder.

Item Type:	Article
Uncontrolled Keywords:	binge eating, obesity, physical activity, self-concept, walking
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Last Modified:	05 Oct 2016 10:33
URI:	http://gala.gre.ac.uk/id/eprint/11984

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