The Relation Between Eating Disorder Symptoms and Impairment

Jenkins, Paul E.; Rienecke, Renee D.; Conley, Colleen S.; Meyer, Caroline; Blissett, Jacqueline

doi:10.1097/nmd.0000000000000301

Cited by 5 publications

(2 citation statements)

References 62 publications

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“…Another factor associated with ON risk observed in this sample is limited cohabitation with one person or less, which places perceived social support as a variable to consider, as reported by various publications discussing eating disorders more generally. In addition, living with more people would allow the exchange of experiences through food [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Orthorexia nervosa risk and associated factors among Chilean nutrition students: a pilot study

et al. 2022

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Background Orthorexia nervosa (ON) is characterized by an excessive, obsessive concern with healthy eating generating psychological complications and even malnutrition at a caloric and protein level. Current evidence suggests that people with greater food knowledge are the most likely to be affected, placing nutrition students as a populational risk group. Since there are no nationwide studies dealing with orthorexia nervosa in this risk group, the present pilot study intends to identify risk factors for orthorexia nervosa in a sample of Nutrition and Dietetics students in Chile. Method A descriptive cross-sectional pilot study was done on 90 Nutrition and Dietetics students from a Chilean university, representing 70% of its population. The ORTHO-11-ES instrument was applied to determine ON risk, along with consulting about attitudinal, physical-clinical and social variables. Statistical tests were performed in GraphPad PRISM 8.0®, applying probability ratios and personal correlation, between the sociodemographic variables and the risk of orthorexia nervosa. This study was approved by the university Ethics Committee based on the Helsinki Declaration. Results 23.3% of the studied population was at risk of suffering ON. Associated variables were being in the second year of their major (OR 2.22), coming from a charter school (OR 3.00) and cohabitation being limited to ≤ 1 person (OR 2.47). Particularly, declared physical activity limits are associated to the risk of suffering ON (Sedentary OR 2.42, Heavy OR 3.53), as well as time spent on the social network Instagram (< 1 h OR 2.77, > 3 h OR 1.80). Conclusions There is an ON risk prevalence of 23.3% in the present pilot sample under study, indicating that years of study, cohabitation, secondary educational establishment, physical activity and Instagram use constitute associated factors for the studied condition. Some results vary from international evidence, describing a dual nature in the variables for Instagram time and declared physical activity for ON risk. This study needs replication in more representative samples and longitudinal character with control groups which can confirm the studied elements as ON risk factors. Plain English summary Orthorexia nervosa (ON) is an expression created to indicate a possible new eating disorder characterized by excessive and obsessive preoccupation with healthy eating. Some of its most distinctive traits include marked anxiety over food, exaggerated fear over the appearance of some diseases and shame about physical appearance. This ultimately impacts food choice, planning, acquisition, preparation and consumption, creating psychological complications along with some associated with malnutrition. Considering that Nutrition students are an at-risk group, the present pilot study evaluated its prevalence and associated factors in a specific sample in Chile. Conditions associated with the risk of orthorexia nervosa identified in the present study include: number of hours spent using Instagram, limited cohabitation, extreme physical activity, and number of years in the major. These results should be taken cautiously, with their association confirmed in follow-up studies.

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Section: Discussionmentioning

confidence: 99%

Orthorexia nervosa risk and associated factors among Chilean nutrition students: a pilot study

et al. 2022

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“…As a secondary aim, we investigated the unique associations between ED-related impairment and core cognitive and behavioral features of ED, including severity of BMI. This is an understudied issue, as prior investigations of the unique contributions of individual eating disorder features to EDrelated impairment have either utilized community samples (Hovrud & De Young, 2015;Jenkins, Rienecke, Conley, Meyer, & Blissett, 2015) or mixed diagnostic samples (Dahlgren et al, 2017), or have more broadly investigated correlates of health-related QOL rather than illness-specific impairment (Abbate-Daga et al, 2014;Weigel, Konig, Gumz, Lowe, & Brettschneider, 2016).…”

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confidence: 99%

Less symptomatic, but equally impaired: Clinical impairment in restricting versus binge-eating/purging subtype of anorexia nervosa

Reas

Rø

2018

Eating Behaviors

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Although those with AN-B/P displayed higher levels of core attitudinal and behavioral ED pathology than AN-R, no significant differences in ED-specific impairment were found between AN subtypes. Eating disorder-related impairment in AN was not related to the severity of underweight or purging behaviors, but was uniquely and positively associated with weight/shape concerns and binge eating frequency.

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Cognitive Schemas and Eating Disorder Risk: the Role of Distress Tolerance

Hovrud

Simons

2019

J Cogn Ther

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The Relation Between Eating Disorder Symptoms and Impairment

Cited by 5 publications

References 62 publications

Orthorexia nervosa risk and associated factors among Chilean nutrition students: a pilot study

Orthorexia nervosa risk and associated factors among Chilean nutrition students: a pilot study

Less symptomatic, but equally impaired: Clinical impairment in restricting versus binge-eating/purging subtype of anorexia nervosa

Cognitive Schemas and Eating Disorder Risk: the Role of Distress Tolerance

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