{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:14:01Z","timestamp":1773044041295,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014461","name":"NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust\/Institute of Cancer Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014461","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009362","name":"South London and Maudsley NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009362","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The high burden of eating disorders (EDs) and limited availability of treatment speaks of a need to explore new avenues for treatment delivery. To understand if new treatment avenues are helpful and acceptable to patients, we investigated the effectiveness of Physical Exercise and Dietary Therapy (PED\u2010t) in participants with bulimia nervosa or binge\u2010eating disorder, and acceptability when the PED\u2010t was implemented in a Healthy Life\u00a0Center in a municipal primary healthcare service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Exercise physiologists and one dietitian were trained in ED literacy and to run PED\u2010t, before screening women for eligibility. Effectiveness (<jats:italic>n<\/jats:italic>\u2009=\u200916) of PED\u2010t and participants' experiences (<jats:italic>n<\/jats:italic>\u2009=\u20098) were evaluated by a mixed methods study design. Results were analyzed by relevant statistics and reflexive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 19 eligible participants, 16 completed treatment. At post\u2010treatment, the Eating Disorder Examination Questionnaire global score, binge\u2010eating frequency, and symptoms of depression were lower, and nine (56% of completers) were in remission. Participants' treatment experiences were classified into two overarching themes: \u201ccompetence\u201d and \u201cemotional support.\u201d Participants reported high acceptance for PED\u2010t, the local venue and group format, and felt that PED\u2010t provided them with coping tools and increased mental strength. However, many also spoke of an unmet need to address emotional eating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings point to a potential for making an effective ED therapy more accessible, and that participants find the local low\u2010threshold delivery within a group\u2010format helpful. With small adjustments, the PED\u2010t could emerge as a promising first\u2010line treatment for bulimic EDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance Statement<\/jats:title><jats:p>Limited access to treatment for EDs, patients' high barriers to help\u2010seeking, and the high rates of limited efficacy from psychotherapy speak of a need to explore new therapies and avenues for delivery. In this study, we build on findings from a controlled ED treatment trial and replicate the beneficial effects and find a high patient acceptance of \u201cphysical exercise and diet therapy\u201d implemented in a real, non\u2010clinical setting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24020","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T11:44:13Z","timestamp":1689594253000},"page":"1931-1940","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness and acceptability of the physical exercise and dietary therapy in a healthy life center"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3687-583X","authenticated-orcid":false,"given":"Therese Fostervold","family":"Mathisen","sequence":"first","affiliation":[{"name":"Department of Nursing, Health and laboratory science, Faculty of Health, Welfare and Organization \u00d8stfold University College  Fredrikstad Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2593-0100","authenticated-orcid":false,"given":"Gunn","family":"Pettersen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Psychology UiT\u2014The Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3485-9641","authenticated-orcid":false,"given":"Jan H.","family":"Rosenvinge","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Psychology UiT\u2014The Arctic University of Norway  Troms\u00f8 Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1335-1937","authenticated-orcid":false,"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine Institute of Psychiatry, Psychology and Neuroscience, King's College London  London UK"},{"name":"Section of Eating Disorders, Department of Psychological Medicine King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5291-5486","authenticated-orcid":false,"given":"Jorunn","family":"Sundgot\u2010Borgen","sequence":"additional","affiliation":[{"name":"Institute of Sport Medicine Norwegian School of Sport Sciences  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2018.1560847"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019386"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2019.1701351"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf01207052"},{"key":"e_1_2_11_10_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C.","year":"2008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23788"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.791125"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22103"},{"key":"e_1_2_11_14_1","volume-title":"Statistical methods for meta\u2010analysis","author":"Hedges L.","year":"1985"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/yco.0000000000000360"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23039"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.07.014"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691610393527"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22670"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856216632400"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22897"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22986"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22838"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-018-0215-1"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23228"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1312-4"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23582"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910706X96481"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018588"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22683"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2372"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5868-9"},{"issue":"20","key":"e_1_2_11_33_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan D. V.","year":"1998","journal-title":"The Journal of Clinical Psychiatry"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2017.1340627"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1108"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/yco.0000000000000641"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22181"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00435-1"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T20:07:50Z","timestamp":1696536470000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,17]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/eat.24020"],"URL":"https:\/\/doi.org\/10.1002\/eat.24020","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,17]]},"assertion":[{"value":"2023-04-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}