It is important to exercise to lead a healthy life.
The Center for Disease Control and Prevention recommends that every adult engages in at least 150
minutes of moderate-intensity physical activity per week and two days of muscle
strength training.
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While physical
activity has a plethora of health benefits that can reduce the risk of many
diseases and conditions, too much of any one thing can have negative
consequences; and physical activity is no exception.
Why exercise can be
addictive
Certain substances like nicotine, alcohol, and narcotics are addictive due
to the chemicals they contain, which increase naturally occurring chemicals
known as neurotransmitters in our
brains. These neurotransmitters, such as
dopamine, serotonin, and endorphins, help give us feelings of pleasure,
regulate mood, and reduce feelings of pain.
Exercise addiction is a behavioral addiction or excessive behavior that results in adverse consequences and develops in four phases, as of current understanding.
These chemicals are
already naturally produced in the body and engaging in certain activities that
increase the release of
neurotransmitters can produce a euphoric effect similar
to that of drugs. As a result, we can become addicted to those activities much
like we would substances. And not engaging in these activities once addicted
can produce withdrawal symptoms.
Exercise naturally
increases these neurotransmitters, and amongst runners, that felt increase is
often referred to as “runner’s high”. Beyond the chemical component,
psychological and behavioral factors also play a role in exercise addiction.
As bodies and
physiques change to be seen as more acceptable or desirable by society, people
become obsessed with their appearance and exercise becomes a compulsion to
maintain their figure.
Defining exercise
addiction
An individual who frequently and regularly goes to the gym or exercises is
not necessarily considered an addict. In fact, defining and creating a proper
diagnosis for exercise addiction is difficult.
As of yet, the
American Psychiatric Association does not recognize exercise addiction as a
diagnosable condition. In truth, excessive exercise is not inherently wrong;
instead, the mental attitude and complications associated with exercise are
what become problematic.
Exercise addiction
is a behavioral addiction or excessive behavior that results in adverse
consequences and develops in four phases, as of current understanding.
• Phase 1:
Recreational phase
Exercise in this phase is
motivated either to improve
health and fitness or simply for pleasure. Most
people fit into this phase, as many generally find working out enjoyable and
enjoy improving their overall quality of life without placing immense
expectations or pressure on themselves.
In this phase, people can maintain a workout
schedule, but there are no negative consequences if a day is skipped.
• Phase 2:
At-risk phase
Here, the individual begins
to increase the frequency and intensity of their
physical activity. The goal is
no longer about enjoyment but about relief from stress, dealing with dysphoria,
or improving self-esteem.
Most people in this phase use exercise to cope with
other issues in their life. Negative consequences have still yet to develop.
• Phase 3:
Problematic exercise
Problematic exercise is when
negative consequences begin to appear. The workout regimen may become more
rigid, and exercise begins to consume most of their daily life.
During workouts, people may become less sociable and
exhibit mood swings or irritability if there is a disruption in their schedule.
The need to continue exercise despite injury is
prevalent, as people who engage in problematic exercise may workout despite
their injury.
• Phase 4:
Exercise addiction
At this point, exercise becomes the entire focus of the individual to
the point that normal daily function is severely impacted. Disruptions in their
workout schedule can cause withdrawal symptoms, including
anxiety,
restlessness, depression, guilt, tension, discomfort, loss of appetite,
sleeplessness, and headaches.
As a result, the
main motivation for exercise becomes avoidance of withdrawal symptoms.
Who is at risk?
Biologically, genetics plays a role in addiction as a whole. Certain
genes have been found to contribute to the risk of developing addiction and
compulsive behavior.
Psychologically,
negative body image and poor self-esteem can greatly increase the risk of
becoming addicted to exercise.
Other factors
such as juvenile delinquency and poor social conformity may also play a role.
Those with a
preexisting psychological condition or disorder are typically at the highest
risk. In fact, those who experience exercise addiction often have some other
underlying condition.
Eating disorders are one of the most common associated
disorders with exercise addiction, particularly orthorexia — an unhealthy
obsession with nutrition and exercise to the point where the individual adopts
strict eating regimens and excludes major food groups.
Body image disorders such as body dysmorphic
disorder can also increase the risk of developing exercise addiction. With body
dysmorphic disorder, the individual continuously finds flaws in their
appearance and adamantly believes they need to get smaller or bigger.
Certain traits
such as perfectionism, neuroticism, narcissism, and obsessive-compulsivity can
play a significant role in exercise addiction. Similarly, those with an
addiction to other substances such as nicotine, alcohol, caffeine, or other
drugs are also considered at higher risk.
Complications of exercise addiction
As with any addiction, there are social implications to exercise
addiction. As working out consumes an individual’s life, relationships can
strain, and well-being can ultimately be negatively impacted.
Those who
experience exercise addiction also often develop a superiority complex which
can further disrupt social functioning.
Exercise addiction can also worsen preexisting eating and body image disorders or develop them in those who did not have any before.
Physically,
excessive exercise can cause serious issues. Rest following exercise or injury
cannot be stressed enough, and with exercise addiction, that is usually
ignored. Even during regular exercise, the body develops small tears and cracks
in the bones, muscles, and joints, which rest can repair and help grow back
stronger. However, if the body is not allowed to rest, these tears and cracks
will not heal properly, resulting in more severe injuries.
Behavioral
aspects should also be taken into consideration as a complication.
Bodybuilders, for example, may partake in or abuse certain substances such as
creatine supplements, anabolic-androgenic steroids, or vitamins to reach their
goal. Abuse or even use of these substances may cause high fat in the blood,
cardiovascular complications, liver complications, and even renal injury or
failure.
Exercise
addiction can also worsen preexisting eating and body image disorders or
develop them in those who did not have any before. These conditions on their
own are associated with many severe complications on physical and mental
health.
Treating exercise
addiction
Treating exercise addiction is not as simple as other forms of
addiction, such as substance abuse, as it is not uncommon for those with exercise
addiction to not see an issue with their lifestyle. And although there are some
health benefits associated with their lifestyle, the consequences outweigh
them.
The first step
is admitting there is an issue and identifying the adverse effects of their
lifestyle. This can be accomplished through the use of cognitive-behavioral
therapy or motivational interviewing.
Practicing
self-control, switching regimens to more moderate intensity, and allowing more
time for rest is also essential.
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