scholarly journals THE THERAPEUTIC EFFECT OF PHYSICAL ACTIVITY IN A DAY-HOSPITAL PATIENT WITH ANOREXIA NERVOSA

2019 ◽  
Vol 31 (2) ◽  
pp. 201-203 ◽  
Author(s):  
Kathryn Hughes ◽  
◽  
David Woodgate ◽  
Sarah J. Halford ◽  
Mary Cowan ◽  
...  
2020 ◽  
Vol 17 (4) ◽  
pp. 366-373
Author(s):  
Sofía M Martínez-Sánchez ◽  
Tomás E Martínez-García ◽  
Diego Munguía-Izquierdo

Objective To analyze the clinical, psychopathological, physical, and sleep-related evolution of adolescents with restricting-type of anorexia nervosa (AN-R) after 10 weeks of a daytime hospital program.Methods Body composition, physical activity and sleep were measured objectively before and after 10 weeks of treatment. In addition, psychopathology and body image disturbances were measured with a self-report questionnaire.Results Fourteen female adolescents with AN-R (14.3±1.6 years old) participated in the study. A significant increase was found in eight of the ten variables for body composition (p<0.05). There were no significant changes in psychopathology, body image disturbances or physical activity. Concerning sleep, a significant, moderately standardized and substantial increase in night latency was found (p=0.002), and there was a significant, small standardized and substantial decrease in night efficiency (p=0.035).Conclusion After 10 weeks of follow-up with adolescent patients with AN-R who attended a day hospital program, there was a positive evolution of body composition. However, with regard to sleep patterns, there was a worsening of latency and night efficiency. Therefore, sleep care should be addressed in acute treatment programs for adolescents with AN-R.


Author(s):  
U Elbelt ◽  
V Haas ◽  
T Hofmann ◽  
S Jeran ◽  
H Pietz ◽  
...  

2010 ◽  
Vol 18 (2) ◽  
pp. 171-184 ◽  
Author(s):  
P. Margaret Grant ◽  
Malcolm H. Granat ◽  
Morag K. Thow ◽  
William M. Maclaren

This study measured objectively the postural physical activity of 4 groups of older adults (≥65 yr). The participants (N= 70) comprised 3 patient groups—2 from rehabilitation wards (cityn= 20, 81.8 ± 6.7 yr; ruraln= 10, 79.4 ± 4.7 yr) and the third from a city day hospital (n= 20, 74.7 ± 7.9 yr)—and a healthy group to provide context (n= 20, 73.7 ± 5.5 yr). The participants wore an activity monitor (activPAL) for a week. A restricted maximum-likelihood-estimation analysis of hourly upright time (standing and walking) revealed significant differences between day, hour, and location and the interaction between location and hour (p< .001). Differences in the manner in which groups accumulated upright and sedentary time (sitting and lying) were found, with the ward-based groups sedentary for prolonged periods and upright for short episodes. This information may be used by clinicians to design appropriate rehabilitation interventions and monitor patient progress.


2020 ◽  
Vol 9 (9) ◽  
pp. 2782 ◽  
Author(s):  
Philibert Duriez ◽  
Lauralee Robichon ◽  
Roland Dardennes ◽  
Guillaume Lavoisy ◽  
Dominique Grouselle ◽  
...  

Anorexia nervosa (AN) is a severe metabopsychiatric disorder characterised by caloric intake restriction and often excessive physical exercise. Our aim is to assess in female AN patients and in a rodent model, the co-evolution of physical activity and potential dysregulation of acyl—(AG) and desacyl—(DAG) ghrelin plasma concentrations during denutrition and weight recovery. AN inpatients were evaluated at inclusion (T0, n = 29), half—(T1) and total (T2) weight recovery, and one month after discharge (T3, n = 13). C57/Bl6 mice with access to a running wheel, were fed ad libitum or submitted to short—(15 days) or long—(50 days) term quantitative food restriction, followed by refeeding (20 days). In AN patients, AG and DAG rapidly decreased during weight recovery (T0 to T2), AG increased significantly one-month post discharge (T3), but only DAG plasma concentrations at T3 correlated negatively with BMI and positively with physical activity. In mice, AG and DAG both increased during short- and long-term food restriction. After 20 days of ad libitum feeding, DAG was associated to persistence of exercise alteration. The positive association of DAG with physical activity during caloric restriction and after weight recovery questions its role in the adaptation mechanisms to energy deprivation that need to be considered in recovery process in AN.


Sensors ◽  
2019 ◽  
Vol 19 (12) ◽  
pp. 2820 ◽  
Author(s):  
Lucia Billeci ◽  
Alessandro Tonacci ◽  
Elena Brunori ◽  
Rossella Raso ◽  
Sara Calderoni ◽  
...  

Anorexia nervosa (AN) is associated with a wide range of disturbances of the autonomic nervous system. The aim of the present study was to monitor the heart rate (HR) and the heart rate variability (HRV) during light physical activity in a group of adolescent girls with AN and in age-matched controls using a wearable, minimally obtrusive device. For the study, we enrolled a sample of 23 adolescents with AN and 17 controls. After performing a 12-lead electrocardiogram and echocardiography, we used a wearable device to record a one-lead electrocardiogram for 5 min at baseline for 5 min during light physical exercise (Task) and for 5 min during recovery. From the recording, we extracted HR and HRV indices. Among subjects with AN, the HR increased at task and decreased at recovery, whereas among controls it did not change between the test phases. HRV features showed a different trend between the two groups, with an increased low-to-high frequency ratio (LF/HF) in the AN group due to increased LF and decreased HF, differently from controls that, otherwise, slightly increased their standard deviation of NN intervals (SDNN) and the root mean square of successive differences (RMSSD). The response in the AN group during the task as compared to that of healthy adolescents suggests a possible sympathetic activation or parasympathetic withdrawal, differently from controls. This result could be related to the low energy availability associated to the excessive loss of fat and lean mass in subjects with AN, that could drive to autonomic imbalance even during light physical activity.


2008 ◽  
Vol 16 (5) ◽  
pp. 334-340 ◽  
Author(s):  
Sarah Davies ◽  
Komal Parekh ◽  
Kaisa Etelapaa ◽  
David Wood ◽  
Tony Jaffa

2013 ◽  
Vol 45 (9) ◽  
pp. 1643-1648 ◽  
Author(s):  
MARTA ALBERTI ◽  
CHRISTEL GALVANI ◽  
MARWAN EL GHOCH ◽  
CARLO CAPELLI ◽  
MASSIMO LANZA ◽  
...  

2020 ◽  
Vol 28 (6) ◽  
pp. 687-700
Author(s):  
Laurence Kern ◽  
Yannick Morvan ◽  
Lama Mattar ◽  
Estelle Molina ◽  
Laura Tailhardat ◽  
...  

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