Abstract
Objective
Although eating disorder (ED) symptoms result in reduced quality of life (QOL), research is needed to examine variables that influence this relationship. The purpose of our study was to conceptually examine the relationship among ED-specific QOL, ED symptoms, and exercise behavior.
Method
Female university students (N = 387) completed ED-specific QOL, exercise behavior, ED symptoms, and exercise dependence symptoms measures.
Results
We found support for the beneficial association of psychological QOL on ED symptoms as well as the detrimental association of exercise dependence on ED symptoms.
Discussion
Our results suggest that improvements in psychological aspects of QOL resulting from exercise may mediate ED symptoms when exercise motivations are not pathological. We discuss further research and intervention implications of our findings.
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References
Hay, P. J., & Mond, J. (2005). How to count the cost and measure burden? A review of health-related quality of life in eating disorders. Journal of Mental Health, 14, 539–552.
Stice, E., Marti, C. N., Shaw, H., & Jaconis, M. (2009). An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents. Journal of Abnormal Psychology, 118, 587–597.
Engel, S. C., Adair, C. E., Las Hayas, C., & Abraham, S. (2009). Health-related quality of life and eating disorders: A review and update. International Journal of Eating Disorders, 42, 179–187.
Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2009). Comparing the health burden of eating disordered behavior and overweight women. Journal of Women’s health, 18, 1081–1089.
Brown, D. W., Brown, D. R., Health, G. W., Balluz, L., Giles, H., Ford, S., et al. (2004). Associations between physical activity dose and health-related quality of life. Medicine and Science in Sports and Exercise, 36, 890–896.
Martin, C. K., Church, T. S., Thompson, A. M., Earnest, C. P., & Blair, S. N. (2009). Exercise dose and quality of life. Archives of Internal Medicine, 169, 269–278.
USDHHS (2008). 2008 Physical activity guidelines for Americans. http://www.health.gov/paguidelines/guidelines/default.aspx.
Shroff, H., Reba, L., Thornton, L. M., Tozzi, F., Klump, K., Berrettini, W. H., et al. (2006). Features associated with excessive exercise in women with eating disorders. International Journal of Eating Disorders, 39, 454–461.
Holm-Denoma, J. M., Scaringi, V., Gordon, K. H., Van Orden, K. A., & Joiner, T. E. (2009). Eating disorder symptoms among undergraduate varsity athletes, club athletes, independent exercisers, and non-exercisers. International Journal of Eating Disorders, 42, 47–53.
Levitt, D. H. (2008). Participation in athletic activities and eating disordered behavior. Eating Disorders, 16, 393–404.
Cook, B., & Hausenblas, H. (2010). Gender differences in exercise dependence’s affect on quality of life. Annals of Behavioral Medicine, 39S, S101.
Cook, B. J., & Hausenblas, H. A. (2008). The role of exercise dependence for the relationship between exercise behavior and eating pathology: Mediator or moderator? Journal of Health Psychology, 13, 495–502.
Jansen, A. (2001). Toward effective treatment of eating disorders: Nothing is as practical as a good theory. Behavior Research and Therapy, 39, 1007–1022.
Thome, J. L., & Espelage, D. L. (2007). Obligatory exercise and eating pathology in college females: Replication and development of a structural model. Eating Behaviors, 8, 334–349.
Hausenblas, H. A., Cook, B. J., & Chittester, N. I. (2008). Can exercise treat eating disorders? Exercise and Sport Sciences Reviews, 36, 43–47.
Cook, B., Hausenblas, H., Tuccitto, D., & Giacobbi, P. (in press). Eating disorders and exercise: A structural equation modeling analysis of a conceptual model. European Eating Disorders Review.
Abraham, S. F., Brown, T., Boyd, C., Luscombe, G., & Russell, J. (2006). Quality of life: Eating disorders. Australian and New Zealand Journal of Psychiatry, 40, 150–155.
Adair, C. E., Marcoux, G. C., Cram, B., Ewashen, C. J., Chafe, J., Cassin, S. E., et al. (2007). Development and multi-site validation of a new condition-specific quality of life measure for eating disorders. Health and Quality of Life Outcomes, 5, 23.
Engel, S. C., Wittrock, D. A., Crosby, R. D., Wonderlich, S. A., Mitchell, J. E., & Kolotkin, R. L. (2006). Development and psychometric validation of an eating disorder-specific health-related quality of life instrument. International Journal of Eating Disorders, 39, 62–71.
Las Hayas, C., Quintana, J. M., Padierna, A., Bilboa, A., Muñoz, P., Madrazo, A., et al. (2006). The new questionnaire health-related quality of life for eating disorders showed good validity and reliability. Journal of Clinical Epidemiology, 59, 192–200.
American Psychological Association (2007). APA public interest government relations office, eating disorders. http://www.apa.org/ppo/pi/eating_disorders_fact_sheet.pdf.
Haines, J., & Neumark-Sztainer, D. (2006). Prevention of eating disorders and obesity: A consideration of shared risk factors. Health Education Research, 21, 770–782.
Green, S. B. (1991). How many subjects does it takes to do a regression analysis? Multivariate Behavioral Research, 26, 499–510.
Berg, K. C., Frazier, P., & Sherr, L. (2009). Change in eating disorder attitudes and behavior in college women: Prevalence and predictors. Eating Behaviors, 10, 137–142.
Hausenblas, H. A., & SymonsDowns, D. (2002). How much is too much? The development and validation of the exercise dependence scale. Psychology and Health, 17, 387–404.
Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sports Science, 10, 141–146.
Haskell, W. L., Lee, I., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., et al. (2007). Physical activity and public health. Updated recommendation for adults from the American college of sports medicine and the American heart association. Circulation, 116, 1081–1093.
Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the eating disorder diagnostic scale: A brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12, 123–131.
Hays, R. D., Hahn, H., & Marshall, G. (2002). Use of SF-36 and other health-related quality of life measures to assess person with disabilities. Archives of Physical and Medical Rehabilitation, 83, S4–S9.
Doll, H. A., Peterson, S. E., & Stewart-Brown, S. L. (2005). Eating disorders and emotional and physical well-being: Associations between student self-reports of eating disorders and quality of life as measured by the SF-36. Quality of Life Research, 14, 705–717.
Mond, J. M., Rodgers, B., Hay, P. J., Owens, C., & Beaumont, P. J. V. (2004). Relationship between exercise behaviour, eating disordered behaviour and quality of life in a community sample of women: When is exercise “excessive”? European Eating Disorders Review, 12, 265–272.
Padierna, A., Quintana, J. M., Arostegui, I., Gonzalez, N., & Horcajo, M. J. (2000). The health-related quality of life in eating disorders. Quality of Life Research, 9, 667–674.
Klump, K. L., Bulik, C. M., Kaye, W. H., & Treasure, J. (2009). Academy for eating disorders position paper: Eating disorders are serious mental illnesses. International Journal of Eating Disorders, 42, 97–103.
American College of Sports Medicine. (2005). ACSM’s resource manual for guidelines for exercise testing and prescription (7th ed.). Baltimore: Williams and Wilkins.
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Cook, B.J., Hausenblas, H.A. Eating disorder-specific health-related quality of life and exercise in college females. Qual Life Res 20, 1385–1390 (2011). https://doi.org/10.1007/s11136-011-9879-6
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DOI: https://doi.org/10.1007/s11136-011-9879-6