Pilot study of a graded exercise program for the treatment of anorexia nervosa

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Abstract
Objective To determine whether a graded exercise program used in the treatment of anorexia nervosa improves quality of life and does not decrease the rate of gain of body fat. Methods A randomized controlled trial with outcome measures: change in percent body fat, body mass index (BMI), and Medical Outcomes Survey Short Form 36‐item Quality of Life questionnaire. Results Fifteen females and one male meeting the DSM‐IV criteria for the diagnosis of anorexia nervosa were randomized. There was no difference in change in BMI or percent body fat at 3 months. Quality of life outcomes improved from baseline in the experimental group compared with the control group. However, this difference was not statistically significant. Discussion Incorporation of a graded exercise program may increase compliance with treatment, but it did not reduce the short‐term rate of gain of body fat or BMI. Longer studies with more subjects are necessary to determine the usefulness of a graded exercise program in anorexia nervosa. © 2000 by John Wiley & Sons, Inc. Int J Eat Disord 28: 101–106, 2000.