Evidence map›Paper›PMID 31944339›Full record

Trial reportThe International journal of eating disorders2020

Is physical exercise and dietary therapy a feasible alternative to cognitive behavior therapy in treatment of eating disorders? A randomized controlled trial of two group therapies.

Therese Fostervold Mathisen, Jan H Rosenvinge, Oddgeir Friborg, KariAnne Vrabel, Solfrid Bratland-Sanda, Gunn Pettersen, Jorunn Sundgot-Borgen

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
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  9. Review
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  15. Adaptive and Maladaptive Exercise in Eating Disorders.Current topics in behavioral neurosciences · 2024
    Review
  16. Review
  17. Article
  18. Current Discoveries and Future Implications of Eating Disorders.International journal of environmental research and public health · 2023
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Therese Fostervold MathisenDepartment of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.ORCID 0000-0003-3687-583X
Jan H RosenvingeUiT-The Arctic University of Norway, Department of Psychology, Faculty of Health Sciences, Tromsø, Norway.
Oddgeir FriborgUiT-The Arctic University of Norway, Department of Psychology, Faculty of Health Sciences, Tromsø, Norway.
KariAnne VrabelResearch Institute of Modum Bad, Vikersund, Norway.
Solfrid Bratland-SandaDepartment of Outdoor Studies, Sports and Physical Education, University College of Southeast Norway, Bø, Norway.
Gunn PettersenDepartment of Health and Caring Sciences, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
Jorunn Sundgot-BorgenDepartment of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare effects of physical exercise and dietary therapy (PED-t) to cognitive behavioral therapy (CBT) in treatment of bulimia nervosa (BN) and binge-eating disorder (BED).

methodThe active sample (18-40 years of age) consisted of 76 women in the PED-t condition and 73 in the CBT condition. Participants who chose not to initiate treatment immediately (n = 23) were put on a waiting list. Outcome measures were the eating disorder examination questionnaire (EDE-Q), Clinical Impairment Assessment (CIA), Satisfaction with Life Scale (SWLS), Beck Depression Inventory (BDI), and numbers in remission at posttreatment, and at 6-, 12-, and 24-months follow-up.

resultsBoth treatment conditions produced medium to strong significant improvements on all outcomes with long-term effect. The PED-t produced a faster improvement in EDE-Q and CIA, but these differences vanished at follow-ups. Only PED-t provided improvements in BDI, still with no between-group difference. Totally, 30-50% of participants responded favorable to treatments, with no statistical between-group difference. DISCUSSION: Both treatments shared a focus on normalizing eating patterns, correcting basic self-regulatory processes and reducing idealized aesthetic evaluations of self-worth. The results point to the PED-t as an alternative to CBT for BN and BED, although results are limited due to compliance and dropout rates. Replications are needed by independent research groups as well as in more clinical settings.

Indexed as

AdolescentAdultBinge-Eating DisorderCognitive Behavioral TherapyDietExerciseExercise TherapyFemaleHumansMaleTreatment OutcomeYoung Adultaffect regulationbinge-eating disorderbulimia nervosadietary therapyexercise therapyphysical activityself-regulation

Identifiers

PMID31944339
PMCPMC7187559

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.