A másodlagos testedzésfüggés igen gyakori az evészavaros betegek körében. esetükben a fizikai aktivitás a kalóriamérleg kontrollálásának egy módja és így a súlycsökkentés eszköze. A túlzásba vitt testedzés nem oka a pszichológiai zavar kialakulásának, hanem inkább egy később megjelenő tünete. egyértelműen magas az együttjárás a testedzés és az evészavarok között az élsportolók és a testépítők körében. mind a női, mind a férfi sportolók számára a testsúlykontroll kritikus jelentőségű (pl. súlyemelők, tornászok, búvárok), ami az evészavarok kialakulásának magas rizikóját adja (shaw et al. 2005).
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