Journal article
Naomi G Hill, E. Lampe, Adrienne S Juarascio, S. Manasse
European eating disorders review, 2026
European eating disorders review, 2026
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APA
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Hill, N. G., Lampe, E., Juarascio, A. S., & Manasse, S. (2026). Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders. European Eating Disorders Review.
Chicago/Turabian
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Hill, Naomi G, E. Lampe, Adrienne S Juarascio, and S. Manasse. “Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders.” European eating disorders review (2026).
MLA
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Hill, Naomi G., et al. “Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders.” European Eating Disorders Review, 2026.
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@article{naomi2026a,
title = {Pre-Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre-Treatment Maladaptive Exercise Among Individuals With Binge-Spectrum Eating Disorders.},
year = {2026},
journal = {European eating disorders review},
author = {Hill, Naomi G and Lampe, E. and Juarascio, Adrienne S and Manasse, S.}
}
Abstract
OBJECTIVE Individuals with binge-spectrum eating disorders (EDs) engage in varying degrees of maladaptive and adaptive exercise. Elevated shape/weight concern is associated with engagement in maladaptive and adaptive exercise. No research has examined whether specific facets of shape/weight concern (e.g., fear of weight gain) are associated with degree of maladaptive versus adaptive exercise engagement.
METHOD Participants were 124 adults with binge-spectrum EDs enroled in outpatient trials of Enhanced Cognitive Behaviour Therapy. Linear regression models examined associations between each facet of shape and weight concern concurrently at pre-treatment and degree of maladaptive versus adaptive exercise at pre-treatment (i.e., percentage maladaptive exercise episodes of total exercise episodes). We explored these relationships across treatment and diagnostic groups.
RESULTS Greater pre-treatment fear of weight gain was associated with a greater degree of pre-treatment maladaptive exercise (p = 0.027). This pattern was marginally significant in the longitudinal model (p = 0.057) and was upheld within the BN-spectrum (p's < 0.041) but not the BED-spectrum group.
DISCUSSION Accounting for all other facets, fear of weight gain may function as a risk factor for engagement in a greater degree of maladaptive exercise pre- and post-treatment. Future research should examine the mechanisms underlying associations between fear of weight gain and maladaptive exercise engagement.