Attempts at weight loss made by trips to the gym and changes in lifestyle are a regular part of many Americans lives. Numerous people around the world are able to maintain a healthy lifestyle that does not interfere with their personal and professional lives. However, there are some who develop compulsive rituals of over exercise and fitness obsessions that may create conflict with their everyday responsibilities. When something begins to interfere with daily responsibilities, it is often characterized as an addiction.

What is Compulsive Exercise?

An exercise addiction typically results in an unhealthy obsession with exercise and fitness. Injury and illness usually don’t stop someone with an exercise addiction from getting their workout in for the day.

Similar to other addictions, compulsive behaviors and obsessions are also present in people with an exercise addiction. These compulsions and obsessions include thoughts about fitness, body composition and the physical goals the patient is trying to meet. Compulsive exercise also has a high prevalence in people who have eating disorders.

People who are addicted to exercise work out obsessively, sometimes even ignoring injury, illness or disruptions that the frequency of exercise may cause in someone’s life. Even though someone with an addiction to exercise usually ignores illness or injury, they may neglect other areas of life to exercise, such as:

  • Time devoted to other responsibilities, like school or work
  • Marital or family relationships
  • Social life and personal commitments

Signs & Symptoms of Exercise Addiction

Signs and symptoms of an exercise addiction can include:

  • Unhealthy focus on exercise, like experiencing cravings for exercise
  • A high from the satisfaction of a workout
  • Tolerance and the need to increase amounts of exercise to get the same “high” or satisfying effect
  • Relationship conflicts because of the obsession with exercise
  • Decreased involvement in other activities
  • A compulsive need to work out even when injured, ill or exhausted

Someone who is addicted to exercise can experience withdrawal symptoms including depression, body aches, headaches and other issues when they go without exercise.

Types of Exercise Addiction

There are two types of exercise addiction: primary exercise addiction and secondary exercise addiction. An exercise obsession develops differently depending on the type of addiction.

1. Primary Exercise Addiction

Primary exercise addiction occurs as a form of behavioral addiction, but people with this type of addiction do not have any other mental conditions other than an obsession with exercise. Primary exercise addiction is more common in males and usually develops in response to endorphins.  Endorphins from exercise allow the body to produce its “high.” This endorphin high is what becomes addictive.

2. Secondary Exercise Addiction

Secondary exercise addiction co-occurs with another mental disorder. This type of addiction is commonly seen with people who have eating disorders like anorexia nervosa and bulimia nervosa. Secondary exercise addiction is more common in females and generally progresses because of body image issues. Lack of nutrients from the coexisting eating disorder can lead to injury and illness when combined with the obsessive exercise.

What Causes Exercise Addiction?

Exercise addiction usually begins with someone having a desire to improve their physical fitness. An eating disorder, like anorexia or bulimia, or a body image disorder may lead to an unhealthy obsession with exercise.

Exercise releases endorphins and dopamine from the brain, similar to the response during drug use. Exercise addiction is rewarded with the feeling of euphoria through neurotransmitters when exercising. When someone stops exercising, these happy feelings often disappear. Exercising more to trigger the chemical release is usually the way someone with an exercising disorder copes with stress and manages symptoms.

Effects of Exercise Addiction

Exercise addiction is associated with several physical and psychological side effects, including:

  • Negative social consequences
  • Anxious psychological functioning
  • Exercising despite medical contraindications
  • Prone to injury
  • Interference with relationships or work

Even though regular exercise strengthens the muscles and bones, too much activity increases the risk of stress fractures and other bone and muscle injuries. People with existing injuries may aggravate their injuries and increase the duration of recovery time. Some examples of injuries caused by excessive exercise include:

  • Joint damage
  • Loss of muscle mass
  • Sprained ligaments
  • Strained or torn muscles or tendons

Exercise addiction may also cause a menstrual disturbance in women. Because of an unhealthy body mass with over-exercise, a female body may stop releasing eggs and the woman will miss one or more periods. This is more common in females who have secondary exercise addiction accompanied by an eating disorder.

Exercise Addiction Statistics

Statistics show that exercise addiction impacts approximately 3 percent of the general population.  Athletes are affected at a much higher rate. Exercise addiction affects around three percent of regular gym-goers. When it comes to runners, some research suggests 25 percent qualify as exercise addicted, with the prevalence doubling to 50 percent in marathon runners.

Exercise Addiction and Co-Occurring Disorders

The co-occurrence of exercise addiction with an eating disorder or another mental health disorder can add challenges for someone living with addiction.  Exercise addiction may also be coupled with substance abuse. Illicit performance-enhancing drugs, like steroids, can be overused by someone trying to fit their unrealistic physical goals. Other people may use alcohol or drugs as another compulsive behavior, like their exercise addiction.

Treatment for Exercise Addiction

As with other forms of addiction, exercise addiction can be treated. The type of treatment most helpful is therapy mixed with other healthy activities including yoga, meditation and walking.

If a co-occurring disorder exists along with the exercise addiction, treating both disorders simultaneously is important for the success of the overall treatment. Only seeking treatment for one of the problems will be a short term solution to just part of the problem. The Recovery Village specializes in dual diagnosis treatment with experienced medical professionals.

Cognitive Behavioral Therapy helps the person understand their problem behaviors, recognize triggers and develop skills to interrupt those behaviors and learn healthier ones. Another effective treatment addition is to engage the patient in healing activities, like writing, painting, dancing, singing, gardening and others to take their attention off of exercising.

If you or a loved one is living with an exercise addiction that is affecting your life, The Recovery Village can help. People who have addictive symptoms and a co-occurring disorder can receive comprehensive treatment from one of the facilities located across the country. To learn more, call The Recovery Village today to speak with a representative.

Freimuth, M., Moniz, S., & Kim, S. R. (2011). “Clarifying Exercise Addiction: Differential Diagnosis, Co-occurring Disorders, and Phases of Addiction.” International Journal of Environmental Research & Public Health, 8(10), 4069–4081

Mónok, K., et al. (2012). “Psychometric properties and concurrent validity of two exercise addiction measures: A population wide study in Hungary.” Psychology of Sport and Exercise, 13, 739 – 746.

Berczik, K., Szabo, A., Griffiths, M. D, Kurimay, T., Kun, B., Urban, R., & Demetrovics, Z. (2012). “Exercise addiction: Symptoms, diagnosis, epidemiology, and etiology.” Substance Use & Misuse, 47, 403–417.

Medical Disclaimer: The Recovery Village aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.