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The Management and Therapeutic Use of Exercise in Eating Disorders Treatment


Friday, March 24, 2017: 10:30 AM-12:00 PM

Background: This talk will review how to identify pathological patterns of exercise in eating disorders and present clinical recommendations for the management and therapeutic use of exercise in eating disorders treatment.

Objectives: how to identify for whom exercise may be contributing to eating disorder pathology. current knowledge on how manage exercise in eating disorder. newly proposed protocols for the inclusion of exercise in the treatment of some, but not all, individuals with eating disorders.

Exercise is one of the most complex behaviors related to eating disorders. Certainly, many individuals with eating disorders exercise in a pathological manner that exacerbates their illness. Alternatively, an emerging body of literature has demonstrated that the management of exercise in eating disorders is possible. Moreover, evidence suggests that exercise may be an effective adjunct to eating disorder treatment. The objective of my talk will be to summarize the literature on the management and therapeutic potential for exercise in eating disorders treatment. Evidence from exercise science, health psychology, and the eating disorders literatures will be reviewed. The main focus of my talk will be to review identified recently published guidelines for the therapeutic use of exercise in eating disorders treatment. Specifically, the evidence and clinically meaningful applications for how to safely implement the following 11 protocols will be reviewed: employ a team or relevant experts, monitor medical status, screen for exercise related psychopathology, create a written contract of how therapeutic exercise will be used, include a psych-educational component, focus on positive reinforcement, create a graded exercise program, begin with mild intensity exercise, tailor the mode of exercise to the needs of the individual, include a nutritional component, and debrief after exercise sessions. This review will provide a practical set of protocols for the clinical management and therapeutic use of exercise in eating disorders treatment by helping clinicians to identify for whom exercise may be beneficial, whom it should be excluded, and how to focus on empowering individuals with exercise as a tool for healthy living.

Exercise is one of the most complex behaviors related to eating disorders. Certainly, many individuals with eating disorders exercise in a pathological manner that exacerbates their illness. Alternatively, an emerging body of literature has demonstrated that the management of exercise in eating disorders is possible. Moreover, evidence suggests that exercise may be an effective adjunct to eating disorder treatment. The objective of my talk will be to summarize the literature on the management and therapeutic potential for exercise in eating disorders treatment. Evidence from exercise science, health psychology, and the eating disorders literatures will be reviewed. The main focus of my talk will be to review identified recently published guidelines for the therapeutic use of exercise in eating disorders treatment. Specifically, the evidence and clinically meaningful applications for how to safely implement the following 11 protocols will be reviewed: employ a team or relevant experts, monitor medical status, screen for exercise related psychopathology, create a written contract of how therapeutic exercise will be used, include a psych-educational component, focus on positive reinforcement, create a graded exercise program, begin with mild intensity exercise, tailor the mode of exercise to the needs of the individual, include a nutritional component, and debrief after exercise sessions. This review will provide a practical set of protocols for the clinical management and therapeutic use of exercise in eating disorders treatment by helping clinicians to identify for whom exercise may be beneficial, whom it should be excluded, and how to focus on empowering individuals with exercise as a tool for healthy living.
Presenter:
Brian Cook, PhD

Dr. Cook has developed an original line of research focused on examining the etiological role, management, and therapeutic potential of exercise in eating disorders. His graduate training at the University of Florida and a National Institute of Mental Health funded post-doctoral fellowship at the Neuropsychiatric Research Institute has allowed him to train under leading experts in the eating disorder field. This has resulted in consistently presenting research and invited talks at conferences throughout the United States, Canada, and Europe, chairing paper sessions on eating disorders and associated illnesses at international conferences, and publications in leading journals and invited book chapters.



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