The prevalence of orthorexia nervosa among eating disorder patients after treatment

Segura-Garcia, Cristina; Ramacciotti, Carla Emilia; Rania, Marianna; Aloi, Matteo; Caroleo, Mariarita; Bruni, Antonella; Gazzarrini, Denise; Sinopoli, Flora; Fazio, Pasquale De

doi:10.1007/s40519-014-0171-y

Cited by 164 publications

(135 citation statements)

References 32 publications

(34 reference statements)

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“…30 ON has been proposed to serve both a coping strategy for more severe EDs like anorexia nervosa and bulimia nervosa, but may also be a risk factor for a future ED. 23,31,32 …”

Section: Discussionmentioning

confidence: 99%

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Tremelling¹,

Sandon²,

Vega³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

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Background Dietitians are trained to identify optimal food choices for clients based on medical state and lifestyle. Orthorexia nervosa (ON) is a proposed disorder related to obsessions about eating healthfully; eating disorders (ED) are serious mental illnesses with symptoms related to eating, body image, and self-esteem. Both ON and EDs are more common amongst dietitians than the general population. Objective This study examined the prevalence of ON and EDs in dietitians in the United States and, amongst this sample, assessed whether the presence of ON symptoms related to symptoms of EDs, including weight, shape, eating, and restraint. Design A cross-sectional design compared responses for participants after dividing into three groups: those scoring at-risk for ON, those with a current or past ED, and a comparison group. Participants A sample of 2,500 registered dietitians were invited to complete surveys electronically; 636 responses were received. Main Outcome Measures Scores on the ORTO-15 and Eating Disorder Examination Questionnaire (EDE-Q) determined prevalence of ON and EDs. Differences in these measures, and body mass index (BMI) were compared in the three groups. Statistical Analyses Analysis of Variance (ANOVA) and Chi-square analyses compared the groups. Results For the entire sample, scores on the ORTO-15 suggested 49.5% were at risk for ON, and scores on the EDE-Q suggested 12.9% were at risk for an ED, with 8.2% of dietitians self-disclosing treatment for an ED. Both the group disclosing ED treatment and the group at risk for ON had a lower mean BMI, lower scores on the ORTO-15 and higher scores on the EDE-Q and all its subscales than the comparison group. Conclusions Clarifying the relationship between ON and EDs is warranted, as ON symptoms appear to be associated not only with disturbances in eating but also with elevated shape and weight concerns.

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“…30 ON has been proposed to serve both a coping strategy for more severe EDs like anorexia nervosa and bulimia nervosa, but may also be a risk factor for a future ED. 23,31,32 …”

Section: Discussionmentioning

confidence: 99%

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Tremelling¹,

Sandon²,

Vega³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

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“…Moreover, the desirability of ON might be justified given society's emphasis on “clean” eating (Rangel et al, ). Adherence to a strict diet and limiting intake of certain foods is praised in the current sociocultural climate and seen as acceptable, and even laudable (Battle & Brownell, ; Segura‐Garcia et al, ; Sellin, ). Thus, individuals who adhere to strict eating rules are likely to generate feelings of admiration in others.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, ON rates rose to 53% after completion of ED treatment (Segura‐Garcia et al, ). Although this research is preliminary, given the absence of formalized ON diagnostic criteria, as noted above (Moroze et al, ), these findings do suggest that ON might precede or follow a full‐syndrome ED, and that ON and EDs can cooccur (Segura‐Garcia et al, ).…”

Section: Orthorexia Nervosamentioning

confidence: 99%

Attitudes toward orthorexia nervosa relative to DSM‐5 eating disorders

Simpson

Mazzeo

2017

Intl J Eating Disorders

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“…The 'Food awareness' factor concerns behaviors representing healthy eating. The meaning of this factor could be explained in terms of orthorexia nervosa -a fixation on eating healthy food [20], which is often present in patients with EDs [21,22]; however, further research is necessary to confirm this hypothesis.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the EAT-26 in a non-clinical sample

Rogoza¹,

Brytek-Matera²,

Garner³

2016

Arch Psych Psych

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SummaryThe Eating Attitudes Test (EAT) is one of the most commonly used measures of abnormal eating habits; however, it has been criticized for its unstable factorial structure. Different studies proposed different solutions, but as yet there is no consensus whether the three-, five-or seven-factor solution is appropriate. We examined the cues provided by previous studies that investigated the EAT structure, and tested our expectations on a nonclinical group of 617 women. Based on bi-factor confirmatory factor analysis, we demonstrated that the EAT measures general eating pathology as well as more specific factors, such as 'Social pressure', 'Food awareness', 'Food preoccupation' and 'Purging behaviors'. Among distinguished specific factors, 'Social pressure' seems to be a promising scale to be used for screening purposes. The 'Food awareness' factor could be interpreted in terms of orthorexia nervosa; however, further evidence is required to support this conclusion. We also provided evidence that 'Bulimia' and 'Food preoccupation' factors should be maintained within the EAT-26 as important behavioral aspects of eating pathology. These results shed new light on this measure and provide the basis for a discussion of its psychometric issues. EAT-26 structure/EAT-26 assessmentIt is well known that eating disorders (EDs) are prevalent and constitute significant health problems among young women [1]. There is evidence that effective eating disorder treatment does exist; however, findings from community studies indicate that only a minority of patients are in treatment [2]. This is a factor leading researchers to employ various screening strategies in order to estimate the prevalence of eating disorders as well as to detect cases for the purpose of earlier interventions [3]. One of the most widely used screening measures for eating disorders is the abbreviated version of the Eating Attitudes Test - . Three factors were distinguished: dieting, bulimia and food preoccupation, and oral control. Following the development of the EAT-26, screening studies of abnormal eating habits have proliferated [5], and this has raised questions regarding its psychometric properties.Although many studies of the psychometric properties of the EAT-26 exist, researchers have not been able to reach an agreement concerning its factor structure. Therefore, different versions of the EAT exist in the literature: comprising three factors [6][7][8], four factors [9][10][11], five factors [12,13] or seven factors [14]. Second, researchers often encounter items that do not load on any factor [7,8], items that cross-load on other scales [13], or items that weave between scales [10]. Third, the intercorrelations between distinguished factors are extremely high [11], which could be interpreted in terms of a general abnormal eating habits factor whose reliability estimates have been reported in numerous studies [15]. Failure in replication of the factor structure may be the result of sample selection, since the EAT was originally developed on a clinica...

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The prevalence of orthorexia nervosa among eating disorder patients after treatment

Cited by 164 publications

References 32 publications

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Attitudes toward orthorexia nervosa relative to DSM‐5 eating disorders

Analysis of the EAT-26 in a non-clinical sample

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