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A comparative meta-analysis of the prevalence of exercise addiction in adults with and without indicated eating disorders

Trott, M; Jackson, SE; Firth, J; Jacob, L; Grabovac, I; Mistry, A; Stubbs, B; (2020) A comparative meta-analysis of the prevalence of exercise addiction in adults with and without indicated eating disorders. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 10.1007/s40519-019-00842-1. Green open access

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Abstract

BACKGROUND: Exercise addiction is associated with multiple adverse outcomes and can be classified as co-occurring with an eating disorder, or a primary condition with no indication of eating disorders. We conducted a meta-analysis exploring the prevalence of exercise addiction in adults with and without indicated eating disorders. METHODS: A systematic review of major databases and grey literature was undertaken from inception to 30/04/2019. Studies reporting prevalence of exercise addiction with and without indicated eating disorders in adults were identified. A random effect meta-analysis was undertaken, calculating odds ratios for exercise addiction with versus without indicated eating disorders. RESULTS: Nine studies with a total sample of 2140 participants (mean age = 25.06; 70.6% female) were included. Within these, 1732 participants did not show indicated eating disorders (mean age = 26.4; 63.0% female) and 408 had indicated eating disorders (mean age = 23.46; 79.2% female). The odds ratio for exercise addiction in populations with versus without indicated eating disorders was 3.71 (95% CI 2.00–6.89; I2 = 81; p ≤ 0.001). Exercise addiction prevalence in both populations differed according to the measurement instrument used. DISCUSSION: Exercise addiction occurs more than three and a half times as often as a comorbidity to an eating disorder than in people without an indicated eating disorder. The creation of a measurement tool able to identify exercise addiction risk in both populations would benefit researchers and practitioners by easily classifying samples.

Type: Article
Title: A comparative meta-analysis of the prevalence of exercise addiction in adults with and without indicated eating disorders
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s40519-019-00842-1
Publisher version: http://dx.doi.org/10.1007/s40519-019-00842-1
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Exercise addiction, Exercise dependence, Addiction, Pathological exercise, Eating disorders, Disordered eating
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10090048
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