The Prevalence of Orthorexia Nervosa in Polish and Lebanese Adults and Its Relationship with Sociodemographic Variables and BMI Ranges: A Cross-Cultural Perspective

Brytek-Matera, Anna; Sacre, Hala; Staniszewska, Anna; Hallit, Souheil

doi:10.3390/nu12123865

Cited by 18 publications

(25 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sample sizes ranged from 10 to 2826 participants, with an age range of 18–92 years. Six population groups were identified; twenty‐six focused on university students, 6,24–48 12 on the general population, 49–60 10 on “health‐minded” individuals, 5,61–69 four on dietitians and health professionals, 70–73 four on people with a chronic illness, 74–77 and two on people with ED 77,78 …”

Section: Resultsmentioning

confidence: 99%

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Tuck

Sultan

Tonkovic

et al. 2022

Neurogastroenterology Motil

View full text Add to dashboard Cite

There is concern that use of restrictive therapeutic diets, such as those used in disorders of the gut‐brain interaction (DGBI), may increase disordered eating. In this issue of Neurogastroenterology and Motility, Burton Murray et al. and Peters et al. both demonstrate a high prevalence of disordered eating in patients with gastrointestinal conditions, particularly those with DGBI. Given these findings, it is likely that orthorexia is common in this patient group, although this was not directly examined in these studies. Orthorexia nervosa is described as an obsessive and unsafe focus on eating foods perceived as healthy. This mini‐review therefore focuses on orthorexia by conducting a scoping review, as per the PRISMA extension for scoping reviews, aimed to assess the prevalence of orthorexia, and associations between orthorexia and restrictive eating practices. While a wide range of orthorexia prevalence has been reported (0%–97%) across the 57 studies included, no studies assessed prevalence specifically in gastrointestinal conditions. Four of eight studies describing diseases associated with specific dietary patterns suggested that participants who followed a diet for “digestive issues” or “food intolerances” were at higher orthorexia risk. These results suggest that dietary modifications may be a factor contributing to orthorexia. Additionally, we provide a commentary on the clinical implications of the findings for gastrointestinal conditions including a clinical flow chart. Clinicians should consider if a restrictive diet is appropriate for individuals with DGBI and include screening for disordered eating prior to implementation of dietary modifications. Future prospective studies should evaluate orthorexia within this patient group.

show abstract

Section: Resultsmentioning

confidence: 99%

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Tuck

Sultan

Tonkovic

et al. 2022

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…A German study using the DOS on 446 university students reported a prevalence of 3.3%, with a 9.0% risk of developing ON [14]. A recent study showed an orthorexia prevalence of 2.6% in Polish adults [15].…”

Section: Orthorexia Measures Of Assessmentmentioning

confidence: 99%

“…This number might be unrealistic since the validated ORTO-15 scale had low psychometric properties, which yielded a high prevalence of ON [43]. A recent study revealed an orthorexia prevalence of 8.4% in Lebanese adults using the Dusseldorf Orthorexia Scale [15]. Another study revealed that individuals from a Lebanese sample who met the criteria for ON experienced less psychological distress [44], but the literature connecting psychological distress to ON is scarce.…”

Section: Orthorexia In Lebanonmentioning

confidence: 99%

Association between impulsivity and orthorexia nervosa / healthy orthorexia: any mediating effect of depression, anxiety, and stress?

Awad

Salameh

Sacre³

et al. 2021

BMC Psychiatry

Self Cite

View full text Add to dashboard Cite

Background There is a lack of studies investigating the possible mediating role of psychological factors, such as depression, anxiety and stress on orthorexic eating behaviors. Given that personality attributes might affect the manifestation of psychological disorders, it was hypothesized that depression, anxiety and stress mediate the relationship between impulsivity-related traits and orthorexic eating, noting that previous research had evaluated the role of depression as a mediator between impulsivity and other pathological eating behaviors. The study objectives were to explore the mediating effect of depression, anxiety, and stress, on impulsivity and orthorexia nervosa, and healthy orthorexia. Methods This cross-sectional study conducted between July and December 2019 recruited 519 Lebanese adults from seven community pharmacies randomly selected from a list provided by the Lebanese Order of Pharmacists. Results Our results showed that depression and anxiety were positively correlated with ON. We also found a notable gender difference in findings: higher anxiety and female gender were significantly associated with higher TOS healthy orthorexia, while higher stress was associated with lower TOS healthy orthorexia. Finally, higher urgency was associated with lower TOS healthy orthorexia, while higher perseverance was significantly associated with higher TOS healthy orthorexia. Depression and anxiety partially mediated the association between perseverance and ON while anxiety and stress partially mediated the association between urgency and healthy orthorexia. Conclusion Our study suggests that depression, anxiety and stress play a mediating role between impulsivity and orthorexia nervosa/healthy orthorexia. Our findings provide a ground for future investigations of impulsive behaviors, psychopathology, and orthorexia in different populations.

show abstract

“…6%, while in Lebanese adults the prevalence rate was 8. 4% [24]. In another study, the prevalence of orthorexia nervosa among dietetics and nutrition students in Jordan was 72% with a cut-off score of 40 and 31.…”

Section: Discussionmentioning

confidence: 94%

Dietary Behavior and Risk of Orthorexia in Patients with Celiac Disease

Kujawowicz¹,

Mirończuk-Chodakowska²,

Witkowska³

2021

Preprint

View full text Add to dashboard Cite

Evidence points to a link between gluten-free diet or celiac disease and eating disorders, but not with orthorexia. This study is the first to examine adults with celiac disease in terms of the prevalence of risk of orthorexia. The study included 130 adults diagnosed with celiac disease. The standardized ORTHO-15 questionnaire was used to assess the risk of orthorexia. Cronbach's alpha test was used to determine the reliability of the ORTHO-15 questionnaire. Eating habits of the subjects were assessed using a questionnaire. The effect of celiac disease on diet was assessed on a 5-point scale. A risk of orthorexia was found in 69% of subjects with celiac disease. A statistically significant (p&lt;0.005) positive correlation was observed between age and ORTHO-15 test scores (rho=0.37). In the group with orthorexia risk, meals were more often self-prepared (93.3%) compared to those without orthorexia (80%) (p=0.023). For 80% of those at risk for orthorexia versus 20% without risk, mood was a factor influencing dietary choices (p=0.001). The study observed a strong association between celiac disease and the presence of orthorexia risk. The numerous risk factors for orthorexia suggest the need for holistic care, including nutritional and psychological support among individuals with celiac disease.

show abstract

The Prevalence of Orthorexia Nervosa in Polish and Lebanese Adults and Its Relationship with Sociodemographic Variables and BMI Ranges: A Cross-Cultural Perspective

Cited by 18 publications

References 48 publications

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Association between impulsivity and orthorexia nervosa / healthy orthorexia: any mediating effect of depression, anxiety, and stress?

Dietary Behavior and Risk of Orthorexia in Patients with Celiac Disease

Contact Info

Product

Resources

About