Compulsive exercise or exercise dependence? Clarifying conceptualizations of exercise in the context of eating disorder pathology

ObjectiveMaladaptive exercise relates to eating disorder (ED) pathology and impairment in clinical and non-clinical populations. At present, two different conceptualizations of maladaptive exercise are often studied in relation to ED pathology: compulsive exercise and exercise dependence. Compulsive exercise functions to avoid negative affect (e.g., guilt and anxiety) associated with not exercising, whereas exercise dependence is associated with tolerance to exercise benefits and avoidance of exercise withdrawal. At present, clinicians and researchers struggle to determine the most appropriate term for describing problematic exercise in individuals with ED pathology. This study aimed to directly compare these conceptualizations of maladaptive exercise in relation to severity of ED pathology.DesignThis study examined cross-sectional data.MethodUndergraduate participants (N = 235, 78% female) with elevated ED pathology completed the Eating Disorder Examination Questionnaire (EDE-Q), Compulsive Exercise Test (CET), and Exercise Dependence Scale (EDS). Multiple linear regression analyses evaluated associations between EDE-Q and CET and EDS scores and dominance analysis determined which qualities of exercise were uniquely associated with EDE-Q scores.ResultsResults suggest that compulsive qualities of exercise, including exercise to control shape and weight and to avoid negative affect are more strongly associated with severity of ED pathology than qualities of exercise dependence.ConclusionsClinicians and researchers working with ED populations can benefit from prioritizing assessments that capture compulsive qualities of exercise. Additionally, these results suggest that interventions that effectively target other compulsive behaviors (e.g., exposure and response prevention) may be promising treatment options for problematic exercise in the context of EDs.     

Why do they exercise less? Barriers to exercise in high-anxiety-sensitive women

Anxiety sensitivity (AS; fear of arousal sensations) is a risk factor for mental and physical health problems, including physical inactivity. Because of the many mental and physical health benefits of exercise, it is important to better understand why high-AS individuals may be less likely to exercise. The present study's aim was to understand the role of barriers to exercise in explaining lower levels of physical exercise in high-AS individuals. Participants were undergraduate women who were selected as high (n = 82) or low (n = 72) AS. High-AS women participated in less physical exercise and perceived themselves as less fit than low-AS women. Mediation analyses revealed that barriers to exercise accounted for the inverse relationships between AS group and physical exercise/fitness levels. Findings suggest that efforts to increase physical exercise in at-risk populations, such as high-AS individuals, should not focus exclusively on benefits to exercise but should also target reasons why these individuals are exercising less.     

The exercise pill: should we replace exercise with pharmaceutical means?

New physiological and pharmacological research points to the possibility of a pill that produces the complete physiological effects of exercise. Is replacement of exercise with a pill a good idea? And if so, under what circumstances? To explore answers, I have examined three approaches to the understanding exercise. From a dualist point of view, exercise is explained mechanistically in terms of physiological cause and effect relationships. From this perspective, and in particular for reluctant exercisers, there seems to be no strong argument against the use of a pill. From a phenomenological point of view, exercise is understood from a first person perspective focusing on experiential qualities. It is argued that a pill can never replace the embodied, experiential values of exercising and their potential ethical significance. In other words, the use of a pill is rejected. From a critical social constructivist point of view, exercise is understood as an expression of sociocultural values. Exercise can be a source of both bodily alienation and embodied self-realization and meaning. It is argued that in settings of alienating exercise malpractice, an exercise pill can be a temporary lesser evil approach. It is pointed out, however, that the long-term solution to malpractice is not a pill but a change of practice. In a final section, the possibility of the exercise pill is contextualized in the larger, bio-ethical debate on human enhancement.     

Is anxiety about health associated with desire to exercise, physical activity, and exercise dependence?

There are significant gaps in the literature regarding the behavioural consequences of health anxiety. Although past research indicates that health anxiety is associated with distinctive maladaptive behaviours, such as reassurance seeking, the relationship between health anxiety and wellness-related behaviours, such as physical activity, has not been adequately examined. Given that health anxiety is associated with excessive attempts to ensure health and avoid illness, health anxiety could be potentially related to extreme physical activity, known as exercise dependence. Using the cognitive behavioural model of health anxiety as a framework, this exploratory study investigated the relationships between health anxiety, exercise desire, physical activity, and exercise dependence.Undergraduate university students (n = 144) completed a battery of online measures. Results indicated that only the perceptual component of health anxiety, namely hypervigilance to somatic symptoms, was related to exercise desire and components of exercise dependence. Implications of the findings are discussed and future research avenues are explored.     

Too much of a good thing? Examining the relationship between passion for exercise and exercise dependence

ObjectivesTo examine the relationship between passion (i.e., love for an activity that is valued for which and a great deal of time is invested) for exercise and exercise dependence symptoms.DesignA cross-sectional correlational survey design was utilised.MethodA total of 480 participants (n = 275 females, n = 205 males; M_age = 18.58, SD = 1.66) completed the Leisure Time Exercise Questionnaire (Godin, Jobin, & Bouillon, 1986), the Passion Scale (Vallerand et al., 2003), and the Exercise Dependence Scale-Revised (Hausenblas, Symons-Downs, & Nigg, 2004). Path analysis using structural equation modelling was used to assess the relationships between passion and exercise dependence.ResultsPath analysis using structural equation modelling via AMOS 20.0 (Arbuckle, 2011) revealed that harmonious passion (i.e., being in control of the activity and deciding when and when not to engage in it) was positively related to the exercise dependence dimensions of time and tolerance. On the other hand, obsessive passion (i.e., an internal compulsion to engage in the activity even when not appropriate to do so) was positively related to all seven exercise dependence dimensions: time, tolerance, withdrawal, continuance, intention effects, lack of control, and reduction in other activities (CFI = .91, RMSEA = .05, SRMR = .06).ConclusionAn empirical relationship has been established to support the proposed theoretical link between passion (harmonious and obsessive) for exercise and exercise dependence dimensions.     

Does personality matter in exercise participation?

This research extends previous work by demonstrating how the relationships between social cognition and exercise are influenced by different personality types. The theory of planned behaviour forms the basis of our theoretical model, and the Big Five personality framework was used to determine personality types. Data were collected from a quota sample of 512 Malaysian adults. The results suggest that an individual's personality can prevent him or her from exercising. For example, an extrovert is likely to be driven by affect and self‐confidence in their capability to exercise, and thus are more likely to participate in exercise. Those who are more conscientious (and less neurotic) feel more in control and thus possess a greater ability to exercise in comparison with their less conscientious and more neurotic counterparts. Our findings demonstrate the importance of considering personality factors in exercise research and caution us about underestimating the relationship between perceived control, attitude and its potential behavioural outcomes that could lead to a misinterpretation of its true impact. Our core contribution lies in identifying the underlying causes of social cognition differences in a moderating capacity, which has potential to yield important theoretical and practical implications. This study sets the ground for social marketers to improve their understanding of exercise behaviour and, in turn, consumer welfare. Ultimately, they could be in a better position to develop effective health intervention and educational programmes. Copyright © 2013 John Wiley & Sons, Ltd.     

The role of motives in exercise participation†

The aim was to better understand the role of motives in exercise participation. It was hypothesised that motives influence exercise participation by influencing behavioural regulation, and that motives are themselves influenced by personality traits. Data were from a cross-sectional questionnaire survey of 252 office workers, mean age 40 years. Analysis was by structural equation modelling. According to the final model, appearance/weight motive increased external regulation, thereby reducing participation, and also increased introjected regulation. Health/fitness motive increased identified regulation, thereby increasing participation. Social engagement motive increased intrinsic regulation. Neuroticism increased appearance/weight motive, openness increased health/fitness motive, and conscientiousness, without affecting motives, reduced external and introjected regulation. It is inferred that exercise promotion programmes, without denigrating appearance/weight motive, should encourage other motives more conducive to autonomous motivation.     

Ifá divination as an exercise in deconstructionism

Abstract

Placide Tempels’ Bantu Philosophy has largely been met with hostility from African philosophers. Whilst Tempels intended to show that the Bantu were not only capable of thinking, but also that they had a distinct and coherent philosophy of their own, his project seems to have achieved exactly the opposite. Temples’ project sought to expose the racism of thinkers such as Lucien Levy-Bruhl, thereby raising the African to the same status as the Westerner. However, his efforts have been rejected for a number of reasons ranging from the view that it is a theory of magic, freely generalized to the Bantu, to the accusation that his project fails to speak on behalf of the oppressed Bantu and furthermore, that he is overly obsessed with finding the African difference at the cost of reason. In this paper, I seek to argue that a neglected critique of Tempels is one that has to do with the basis of his philosophical racialism. I seek to show that at the root of Bantu Philosophy is racialism grounded in the same assumptions as those made by Levy-Bruhl. I seek to argue that the categories that Tempels creates for Bantu thought do not simply seek to articulate a genuine difference from Western categories. The Bantu categories are coined as inferior, incoherent, inarticulate, illogical, and mystified. I argue that it is for reasons of philosophical racialism that Tempels urges his Western audience to overthrow their logical and articulable systems if they ever want to understand the Bantu system of thought.     

Emphasizing appearance versus health outcomes in exercise: The influence of the instructor and participants’ reasons for exercise

The objectifying nature of exercise environments may prevent women from reaping psychological benefits of exercise. The present experiment manipulated self-objectification through an exercise class taught by an instructor who emphasized exercise as either a means of acquiring appearance or health outcomes. The purpose of this study was to test for interactions between the class emphasis and participants’ reasons for exercise (i.e., appearance, health) predicting participants’ state self-objectification, state social physique anxiety, exercise class enjoyment, and future intentions of returning to a similar exercise class. Results, obtained via pre- and post-exercise questionnaires, revealed a significant interaction between class emphasis and health reasons for exercise predicting state self-objectification. Participants with lower health reasons for exercise reported greater state self-objectification in the appearance-focused class compared to those with higher health reasons for exercise. Adopting stronger health reasons for exercise may buffer exercise participants from the more objectifying aspects of the group exercise environment.     

Weightlifting exercise and the size–weight illusion

In the size–weight illusion (SWI), large objects feel lighter than equally weighted small objects. In the present study, we investigated whether this powerful weight illusion could influence real-lift behavior—namely, whether individuals would perform more bicep curls with a dumbbell that felt subjectively lighter than with an identically weighted, but heavier-feeling, dumbbell. Participants performed bicep curls until they were unable to continue with both a large, light-feeling 5-lb dumbbell and a smaller, heavy-feeling 5-lb dumbbell. No differences emerged in the amounts of exercise that participants performed with each dumbbell, even though they felt that the large dumbbell was lighter than the small dumbbell. Furthermore, in a second experiment, we found no differences in how subjectively tired participants felt after exercising for a set time with either dumbbell. We did find, however, differences in the lifting dynamics, such that the small dumbbell was moved at a higher average velocity and peak acceleration. These results suggest that the SWI does not appear to influence exercise outcomes, suggesting that perceptual illusions are unlikely to affect one’s ability to persevere with lifting weights.     

‘Sticking to a healthy diet is easier for me when I exercise regularly’: Cognitive transfer between physical exercise and healthy nutrition

Objective: Long-term rehabilitation success depends on regular exercise and healthy nutrition. The present study introduces a new framework to explain this association on a psychosocial level. The exercise–nutrition relationship was investigated by exploring the sequential mediation of habit strength and transfer cognitions.

Design: Analyses were performed at two measurement points in time (at 12 and 18?months after rehabilitation), involving 470 medical rehabilitation patients who participated in an exercise intervention.

Main outcome measures: Patients filled in paper-pencil questionnaires assessing exercise (t1) and habit strength, transfer cognitions and healthy nutrition at follow-up (t2).

Results: Habit strength and transfer cognitions mediated the relationship between exercise and nutrition.

Conclusion: Findings suggest that habit strength and transfer cognitions are important factors underlying the relationship between exercise and nutrition.     

Predictors of cancer survivors’ response to a community-based exercise program

ObjectiveTo explore the degree to which sociodemographic (i.e., age, sex, ethnicity, weight status, vocational status, marital status), medical (i.e., stage of cancer, treatment status, comorbidity burden), functional (i.e., self-rated health, exercise capacity), cognitive (i.e., exercise self-efficacy beliefs), and behavioural (i.e., program adherence, extra-curricular exercise) factors predicted cancer-related fatigue and quality of life among 224 cancer survivors who participated in the community-based Wellspring Cancer Exercise Program (WCEP).DesignProspective, quasi-experimental single-group repeated measures design.MethodData on predictors and outcomes were collected using self-report and objective measures upon enrollment in the program (week 0), every 10 weeks until program completion (weeks 10, 20, 30), and at 16-weeks follow-up (46 weeks). Data were analyzed using multilevel modeling.ResultsIn general, participants who were working or transitioning to work, rated their health better, and had higher exercise self-efficacy beliefs had lower cancer-related fatigue, and those who rated their health better and had higher exercise self-efficacy beliefs had higher quality of life. Also, there was a significant interaction between time and exercise self-efficacy beliefs for cancer-related fatigue and quality of life such that greater improvements were observed among participants with higher exercise self-efficacy beliefs.ConclusionCancer survivors’ perceptions of their health and their ability to exercise should be fostered to ensure they respond positively to exercise programs in terms of cancer-related fatigue and quality of life.     

Internet-based exercise intervention systems: Are more interactive designs better?

Abstract

The benefits of Internet-based health promotion programmes are much discussed, yet the literature on their feasibility and utility is limited. Here, we evaluate an Internet-based exercise motivation and action support system (Test system), relative to a group receiving no intervention (Reference) and another receiving a less interactive version of the same system (Control). We report results from a 10-week pilot study with 75 participants aged 23–54 years. We found that, relative to the control system and reference group, the more interactive (test) system was more engaging (better user retention), created higher expectations for exercise, greater satisfaction with motivation and increased self-perception of fitness. Seven months after the intervention, participants who used the test system reported greater levels of increase in exercise than the control or reference groups. Our study adds to the growing body of evidence on the benefits of interactive systems and the role they could play in health promotion programmes. However, it should also be noted that not all Web-based systems offer the same level of advantage; careful design is crucial to ensure that key messages are clearly communicated to attentive users. Further research is required to identify the optimum interactive system design principles, across a range of user types.     

Heart rate—QT interval relationship during postural change and exercise

The QT interval of the electrocardiogram, although often coordinated in an inverse relationship to heart rate, appears from the existing evidence to be regulated by mechanisms separate from those that govern heart rate. The purpose of this inquiry was to explore further the relationship of the two and to test other factors that may contribute to the regulation of QT. Heart rate and QT duration were measured in healthy human subjects during postural change and exercise. The data showed that, while coordinated in an inverse relationship under some circumstances, under others heart rate and QT were discordant, leading to the inference that there is no fixed linkage between the two. Previous work by the authors and other published studies have suggested that ventricular contractility may have more predictable association with QT shortening than do increases in heart rate. Observations of force of ventricular contraction (HI and IJ velocity) as reflected in ballisto-cardiographic tracings were made using each of 12 human subjects as the authors’ own control. The data revealed a highly significant correlation between the velocity measures and QT duration (p<0.01) but not heart rate. These findings led to the conclusion that there is clearly not a fixed relationship between heart rate and QT interval and to the hypothesis that QT may more closely reflect the degree of cardiac contractility.     

Do frequency representations eliminate conjunction effects? An exercise in adversarial collaboration

The present article offers an approach to scientific debate called adversarial collaboration. The approach requires both parties to agree on empirical tests for resolving a dispute and to conduct these tests with the help of an arbiter. In dispute were Hertwig's claims that frequency formats eliminate conjunction effects and that the conjunction effects previously reported by Kahneman and Tversky occurred because some participants interpreted the word "and" in "bank tellers and feminists" as a union operator. Hertwig proposed two new conjunction phrases, "and are" and "who are," that would eliminate the ambiguity. Kahneman disagreed with Hertwig's predictions for "and are," but agreed with his predictions for "who are." Mellers served as arbiter. Frequency formats by themselves did not eliminate conjunction effects with any of the phrases, but when filler items were removed, conjunction effects disappeared with Hertwig's phrases. Kahneman and Hertwig offer different interpretations of the findings. We discuss the benefits of adversarial collaboration over replies and rejoinders, and present a suggested protocol for adversarial collaboration.     

On the role of lyrics in the music–exercise performance relationship

ObjectivesTo examine the role of lyrics on a range of psychological, psychophysical, and physiological variables during submaximal cycling ergometry.DesignWithin-subject counterbalanced design.MethodTwenty-five participants performed three 6-min cycling trials at a power output corresponding to 75% of their maximum heart rate under conditions of music with lyrics, same music without lyrics, and a no-music control. Cycling cadence, heart rate, and perceived exertion were recorded at 2-min intervals during each trial. Positive and negative affect was assessed before and after each trial.ResultsParticipants cycled at a higher cadence towards the end of the cycling trials under music with lyrics. Main effects were found for perceived exertion and heart rate, both of which increased from min 2 through to min 6, and for affect: positive affect increased and negative affect decreased from pre- to post-trials.ConclusionsParticipants pedalled faster in both music conditions (with and without lyrics) while perceived exertion and heart rate did not differ. The inclusion of lyrics influenced cycling cadence only at min 6 and had no effect on the remaining dependent variables throughout the duration of the cycling trials. The impact of lyrical content in the music–exercise performance relationship warrants further attention in order for us to better understand its role.     

Improvement of affect following exercise: methodological artifact or real finding?

The purpose of this study was to examine the "sense of relief" effect as a potential explanation for improvement of affect following exercise. The current study included male and female participants, four exercise/expectancy conditions, and assessed six dimensions of affective space. Participants were 134 undergraduates. Heart rate and affect were assessed four times: upon entering the lab, after disclosure of assigned experimental condition, immediately after exercise, and 15-min post exercise. An examination of differences between initial measures and measures taken after disclosure of condition revealed significant changes in feelings of anxiety, calmness, and tiredness, as well as heart rate. No gender differences were observed. The results support the existence of a "sense of relief" effect, but the effect is more pronounced for physiological arousal as opposed to affect.     

Does the German version of the Exercise Dependence Scale measure exercise dependence?

ObjectiveTo examine the concordance of a questionnaire-based categorization as ‘at-risk for exercise dependence’ and an interview-based diagnosis of exercise dependence.DesignOne hundred thirty four subjects answered the German version of the Exercise Dependence Scale-21 (EDS-G). They were also assessed with a structured clinical interview for exercise dependence.MethodThe congruence between the questionnaire-based categorizations of ‘at-risk for exercise dependence’ and the diagnosis of exercise dependence based on the interview was examined using κ-coefficients.ResultThe agreement between questionnaire-based and interview-based diagnoses was fair to moderate with more false positive categorization based on the EDS-G.ConclusionAssuming that a structured clinical interview allows a more accurate diagnostic categorization, the EDS-G might overestimate the prevalence of exercise dependence.     

How does frustration make you feel? A motivational analysis in exercise context

Not all exercisers experience the same psychological benefits. The understanding of motivational processes and their relation with emotional consequences of exercise should be considered in the context of the exercisers motivation. This was a cross-sectional study of 153 gym users (M?=?36.21 years, SD?=?8.44; 44.9% men, 55.1% women; M years exercise?=?8). Weekly attendance averaged 4.3 (SD?=?2.6) sessions per week; reported exertion intensity was 5.6 (SD?=?2.1) (scale: 0–11). The basic psychological needs (BPNs) posited by self-determination theory, motivational regulation, and emotional response to physical activity, were measured. Possible mediators of BPN-emotion relationships were analyzed. BPN satisfaction was associated with a positive emotional response to exercise which was partially mediated by the effect of autonomous regulation on positive activation and psychological well-being. Mediation models indicated that the negative effects of BPN frustration were counteracted by autonomous regulation. Exercise professionals should be able to create psychologically supportive contexts and identify behaviors associated with need frustration so as to enhance emotional responses to exercise.     

Holistic movement practices – An emerging category of physical activity for exercise psychology

BackgroundExercise psychology has an interest in physical activity behaviour and the psychological dimensions of physical activity delivery and outcomes. Holistic movement practices (HMPs) can be defined as physical practices embedded in holistic philosophies of well-being. As such, they go beyond what is typically offered in exercise contexts to purposefully include mental, emotional, social and/or spiritual components. Traditional Eastern movement practices (e.g., Yoga, Tai Chi, Qigong) are examples of HMPs, but a range of lesser known “Western-born” HMPs (e.g., 5Rhythms, Biodanza) also exist. HMPs have not yet received much structured attention within exercise psychology.ObjectiveTo analyse the nature of HMPs and discuss their relevance to the field of exercise psychology, with a view to raising awareness of HMPs within exercise psychology as well as encouraging and supporting future research.ContentWe discuss what we see as commonalities among HMPs and argue that it is useful to treat HMPs as a category of physical activity for exercise psychology, not only because they are forms of physical activity but also because psychological dimensions are an integral and purposeful part of these practices. We provide a tentative conceptualization of HMP philosophies, with brief examples, and consider how exercise psychology's subfields of participation behaviour, delivery parameters, outcomes, and mechanisms are applicable to the study of HMPs. Last, we briefly explore research issues, including HMPs' multicomponent nature, selected potential mechanisms, and methodologies.ConclusionHMPs are part of the leisure-based physical activities landscape in many modern societies, and deserve attention by exercise psychologists. Their embeddedness in holistic philosophies and multicomponent nature provide unique opportunities and challenges for research in exercise psychology.