Skip to content


Open Access

“Exercising hard or hardly exercising?” Objective and subjective measures of physical activity in patients with anorexia nervosa

  • Sarah Young1Email author,
  • Paul Rhodes1,
  • Stephen Touyz1,
  • Jon Arcelus2,
  • Caroline Meyer3,
  • Kathleen Pike4,
  • Sloane Madden5,
  • Ross Crosby6,
  • Evelyn Attia4,
  • Stacy Clemes2 and
  • Phillipa Hay7
Journal of Eating Disorders20153(Suppl 1):O55

Published: 23 November 2015


Physical ActivityAnorexia NervosaEating DisorderMajor Risk FactorSubjective Measure

Compulsive exercise in anorexia nervosa (AN) has been associated with adverse effects in treatment, and is a major risk factor for relapse. However, exercise is often surreptitious and measurement problematic. For example, females in community samples have been found to over-report physical activity when compared to objective assessment. The current study aimed to explore the relationships between objectively recorded and subjectively reported physical activity (PA) in AN outpatients. Participants were 34 females with AN enrolled in a randomised-controlled trial of outpatient treatment of anorexia nervosa (Hay et al., in progress). They completed the Eating Disorder Examination (EDE) interview; self-report questionnaires assessing eating disorder and exercise cognitions and behaviours; and wore an accelerometer for 4 days as an objective PA measure. Participants also self-reported their average daily PA. Results demonstrated significant under-reporting (objective PA greater than self-report PA) on light and total PA, but not vigorous or moderate PA. Discrepancy scores between moderate PA (accelerometer – self-report) were also negatively correlated with motivation to change in AN (p<0.05). Clinically, it is important that professionals are aware of such discrepancies between methods, as well as the limitations of accelerometer devices and self-report measures.

Authors’ Affiliations

University of Sydney, Sydney, Australia
Loughborough University, Loughborough, UK
University of Warwick, Coventry, UK
Columbia University, New York, USA
Children's Hospital at Westmead, Sydney, Australia
Neuropsychiatric Research Institute, Fargo, USA
Western Sydney University, Sydney, Australia


© Young et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.