Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain
(1) Background: Altered physical activity (PA) affects weight recovery in anorexia nervosa (AN) patients. The study aimed to objectively characterize PA patterns and their effect on weight trajectory in adolescent AN patients. (2) Methods: PA was assessed in 47 patients on admission to inpatient tre...
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doaj-b5ca9c6b86964189b8746c6a7fe4b9412020-11-25T02:57:37ZengMDPI AGJournal of Clinical Medicine2077-03832020-03-019372710.3390/jcm9030727jcm9030727Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight GainMiriam Kemmer0Christoph U. Correll1Tobias Hofmann2Andreas Stengel3Julia Grosser4Verena Haas5Department of Child and Adolescent Psychiatry, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Child and Adolescent Psychiatry, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyCenter for Internal Medicine and Dermatology, Department for Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health Berlin, 12200 Berlin, GermanyCenter for Internal Medicine and Dermatology, Department for Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health Berlin, 12200 Berlin, GermanyDepartment of Child and Adolescent Psychiatry, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, GermanyDepartment of Child and Adolescent Psychiatry, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany(1) Background: Altered physical activity (PA) affects weight recovery in anorexia nervosa (AN) patients. The study aimed to objectively characterize PA patterns and their effect on weight trajectory in adolescent AN patients. (2) Methods: PA was assessed in 47 patients on admission to inpatient treatment, in <i>n</i> = 25 of these patients again 4 weeks after discharge (follow-up, FU), as well as in 20 adolescent healthy controls using the Sense Wear™ armband. The following PA categories were defined by metabolic equivalent (MET) ranges: sedentary behavior (SB), light (LPA), moderate (MPA), vigorous (VPA), and high-level PA (HLPA= MPA + VPA). (3) Results: LPA on admission was significantly higher in AN patients than in controls (103 vs. 55 min/d, <i>p</i> < 0.001), and LPA in AN decreased over time to 90 min/d (<i>p</i> = 0.006). Patients with higher admission LPA (<i>n</i> = 12) still had elevated LPA at FU (<i>p</i> = 0.003). High admission LPA was associated with a higher inpatient BMI percentage gain (ΔBMI%; 18.2% ± 10.0% vs. 12.0% ± 9.7%, <i>p</i> = 0.037) but with a loss of ΔBMI% at FU (−2.3% ± 3.6% vs. 0.8% ± 3.6%, <i>p</i> = 0.045). HLPA at baseline was associated with a lower inpatient ΔBMI% (<i>p</i> = 0.045). (4) Conclusion: Elevated LPA in AN patients decreased after inpatient treatment, and PA patterns had an impact on weight trajectory.https://www.mdpi.com/2077-0383/9/3/727anorexia nervosaphysical activityaccelerometryweight gain |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Miriam Kemmer Christoph U. Correll Tobias Hofmann Andreas Stengel Julia Grosser Verena Haas |
spellingShingle |
Miriam Kemmer Christoph U. Correll Tobias Hofmann Andreas Stengel Julia Grosser Verena Haas Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain Journal of Clinical Medicine anorexia nervosa physical activity accelerometry weight gain |
author_facet |
Miriam Kemmer Christoph U. Correll Tobias Hofmann Andreas Stengel Julia Grosser Verena Haas |
author_sort |
Miriam Kemmer |
title |
Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain |
title_short |
Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain |
title_full |
Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain |
title_fullStr |
Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain |
title_full_unstemmed |
Assessment of Physical Activity Patterns in Adolescent Patients with Anorexia Nervosa and Their Effect on Weight Gain |
title_sort |
assessment of physical activity patterns in adolescent patients with anorexia nervosa and their effect on weight gain |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-03-01 |
description |
(1) Background: Altered physical activity (PA) affects weight recovery in anorexia nervosa (AN) patients. The study aimed to objectively characterize PA patterns and their effect on weight trajectory in adolescent AN patients. (2) Methods: PA was assessed in 47 patients on admission to inpatient treatment, in <i>n</i> = 25 of these patients again 4 weeks after discharge (follow-up, FU), as well as in 20 adolescent healthy controls using the Sense Wear™ armband. The following PA categories were defined by metabolic equivalent (MET) ranges: sedentary behavior (SB), light (LPA), moderate (MPA), vigorous (VPA), and high-level PA (HLPA= MPA + VPA). (3) Results: LPA on admission was significantly higher in AN patients than in controls (103 vs. 55 min/d, <i>p</i> < 0.001), and LPA in AN decreased over time to 90 min/d (<i>p</i> = 0.006). Patients with higher admission LPA (<i>n</i> = 12) still had elevated LPA at FU (<i>p</i> = 0.003). High admission LPA was associated with a higher inpatient BMI percentage gain (ΔBMI%; 18.2% ± 10.0% vs. 12.0% ± 9.7%, <i>p</i> = 0.037) but with a loss of ΔBMI% at FU (−2.3% ± 3.6% vs. 0.8% ± 3.6%, <i>p</i> = 0.045). HLPA at baseline was associated with a lower inpatient ΔBMI% (<i>p</i> = 0.045). (4) Conclusion: Elevated LPA in AN patients decreased after inpatient treatment, and PA patterns had an impact on weight trajectory. |
topic |
anorexia nervosa physical activity accelerometry weight gain |
url |
https://www.mdpi.com/2077-0383/9/3/727 |
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