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Nurse evaluation of hyperactivity in anorexia nervosa: a comparative study

✍ Scribed by Annemarie A. van Elburg; Hans W. Hoek; Martien J.H. Kas; Herman van Engeland

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
98 KB
Volume
15
Category
Article
ISSN
1072-4133

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✦ Synopsis

Abstract

Up to 80% of patients with anorexia nervosa (AN) manifest elevated levels of physical activity or hyperactivity. A variety of methods have been used to evaluate activity levels, mostly questionnaires but also expensive and invasive methods such as actometry or other measurements of energy expenditure. Nurse observations have heretofore not been tested for validity and reliability. In this study, 18 patients with AN under treatment in a specialized eating disorder centre simultaneously rated their own physical activity levels, used an actometer, and were observed for physical activity by trained nurses. We found that nurse ratings of activity correlated significantly with the average actometer activity score (r = 0.61, p < 0.01). Patients could not rate their own activity levels accurately. Nurse observation of activity levels of AN patients during treatment is a reliable and useful monitoring tool. Copyright Β© 2007 John Wiley & Sons, Ltd and Eating Disorders Association.

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