Minano-Garrido E, Catalán-Matamoros D, Acosta GP, Gómez-Conesa A. The effect of anorexia nervosa inpatient physiotherapy adapted program (ANIPAP): A clinical trial.
J Bodyw Mov Ther 2025;
42:337-343. [PMID:
40325688 DOI:
10.1016/j.jbmt.2024.12.043]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Revised: 11/06/2024] [Accepted: 12/26/2024] [Indexed: 05/07/2025]
Abstract
PURPOSE
Anorexia nervosa (AN) is a mental health pathology with severe somatic consequences that increase the vital risk. The collateral effects by several undernourishment has been studied but the autonomy of within a physical activity context and muscle strength research are insufficient. The purpose of the study is to assess the effect of the adapted exercise physiotherapy program on AN inpatients to improve health-related quality of life (HRQOL), body mass index (BMI), cardiorespiratory endurance (CRE), peak-expiratory-flow (PEF), and both, muscle and manual strength.
METHODS
26 females hospitalized for AN, severely malnourished (mean age 22.21, and mean BMI 15.01), were divided into two groups: experimental treatment (EG) and control (CG). The treatment sessions were administered 3 days/week, for 4 weeks (including active and counter-resistance mobilizations of the limbs and trunk and breathing exercises).
RESULTS
There was a significant group-time interaction in BMI [F = 2.401, p = 0.04, η2 = 0.008], HRQOL [F = 10.877, p < 0.05, η2 = 0.097], PEF [F = 5.50, p = 0.0295, η2 = 0.20], the muscular strength of triceps brachii [F = 4.417, p = 0.005, η2 = 0.038], thumb opposition [F = 3.595, p = 0.015, η2 = 0.035] and quadriceps [F = 3.739, p = 0.013, η2 = 0.028]. Also showed a significant effect (p < 0.05) on time in CRE, manual strength, and muscular strength (left and right).
CONCLUSIONS
Following a 4-week treatment, the adapted physiotherapy program demonstrated significant improvements among patients with severe undernutrition due to AN.
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