Muscle function and body composition profile in adolescents with restrictive anorexia nervosa: does resistance training help?

Disabil Rehabil. 2016;38(4):346-53. doi: 10.3109/09638288.2015.1041612. Epub 2015 Jun 18.

Abstract

Purpose: The aim of this study was to analyze the effects of short-term resistance training on the body composition profile and muscle function in a group of Anorexia Nervosa restricting type (AN-R) patients.

Methods: The sample consisted of AN-R female adolescents (12.8 ± 0.6 years) allocated into the control and intervention groups (n = 18 each). Body composition and relative strength were assessed at baseline, after 8 weeks and 4 weeks following the intervention.

Results: Body mass index (BMI) increased throughout the study (p = 0.011). Significant skeletal muscle mass (SMM) gains were found in the intervention group (p = 0.045, d = 0.6) that correlated to the change in BMI (r = 0.51, p < 0.031). Meanwhile, fat mass (FM) gains were significant in the control group (p = 0.047, d = 0.6) and correlated (r > 0.60) with change in BMI in both the groups. Significant relative strength increases (p < 0.001) were found in the intervention group and were sustained over time.

Conclusions: SMM gain is linked to an increased relative strength when resistance training is prescribed. Although FM, relative body fat (%BF), BMI and body weight (BW) are used to monitor nutritional progress. Based on our results, we suggest to monitor SMM and relative strength ratios for a better estimation of body composition profile and muscle function recovery. Implications for Rehabilitation Anorexia Nervosa Restricting Type (AN-R) AN-R is a psychiatric disorder that has a major impact on muscle mass content and function. However, little or no attention has been paid to muscle recovery. High intensity resistance training is safe for AN-R after hospitalization and enhances the force generating capacity as well as muscle mass gains. Skeletal muscle mass content and muscular function improvements are partially maintained for a short period of time when the exercise program ceases.

Keywords: Anorexia nervosa; body fat; body weight; exercise; muscle function; muscle mass; resistance training; skeletal muscle mass.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Anorexia Nervosa / rehabilitation*
  • Body Composition*
  • Body Mass Index
  • Body Weight
  • Child
  • Female
  • Humans
  • Linear Models
  • Muscle, Skeletal / physiopathology*
  • Recovery of Function
  • Resistance Training*