The relationship between orthorexia nervosa and body composition in female students of the nutrition and dietetics department

Agopyan, Anı; Kenger, Emre Batuhan; Kermen, Seda; Ülker, Mutlu Tuçe; Uzsoy, Mustafa Ataberk; Yetgin, Meral Küçük

doi:10.1007/s40519-018-0565-3

Cited by 36 publications

(40 citation statements)

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“…A correlation among the three test scores was identified in both the WBS and PBS groups: the increase in attitudes towards one of the conditions examined also implies an increase in attitudes towards the other two conditions. This is in line with the literature: a correlation between ON and ED traits emerged in some studies [ 6 , 67 , 76 , 77 ] as well as a correlation between MD and EDs [ 78 – 80 ]. This result is also in line with the studies in which a proximity of features between ON and MD with EDs is considered [ 4 – 9 , 25 ].…”

Section: Discussionsupporting

confidence: 91%

Use of online and paper-and-pencil questionnaires to assess the distribution of orthorexia nervosa, muscle dysmorphia and eating disorders among university students: can different approaches lead to different results?

et al. 2021

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Purpose Administration of questionnaires to assess the diffusion of disordered eating behaviours via the web is becoming common today. The aim of this study is to assess whether two different approaches of administering a test to assess traits of eating disorders (EDs), orthorexia nervosa (ON) and muscle dysmorphia (MD) by email recruitment and online completion (web-based survey—WBS) and by in person recruitment and paper-and-pencil completion (paper-based survey—PBS), gives different results. Methods During 2 consecutive academic years, a self-reported questionnaire consisting of questions about personal characteristics and three tests for the evaluation of ON (ORTO-15), MD (MDDI-ITA), and EDs (EAT-26) were administered to two groups of undergraduates, respectively, as a WBS and a PBS. Results The WBS response rate was 6.7% (N = 137), and the PBS response rate was 86.5% (N = 372). The WBS group showed a statistically significant higher prevalence of students with eating disordered behaviours (21.2% vs 5.4%) and registered a higher mean score on the EAT-26 test (13.5 ± 11.1 vs 6.0 ± 8.0); no differences between the two groups emerged for ON and MD prevalence and test scores. Moreover, in the WBS group, the number of students with one or more tests with test scores above the cut-off values was significantly higher (46.0% vs 32.3%). Conclusion The choice of the approach to administer a questionnaire to assess the diffusion of EDs and related issues must take into account all the factors that can result in selection bias and that can affect the reliability of the results. Level of evidence Level V, descriptive cross-sectional survey.

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Section: Discussionsupporting

confidence: 91%

Use of online and paper-and-pencil questionnaires to assess the distribution of orthorexia nervosa, muscle dysmorphia and eating disorders among university students: can different approaches lead to different results?

et al. 2021

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“…There are a few studies which found that ON was related to BMI [36,37]. However, in most studies, the authors did not observe any correlation between ON and BMI classification [5,15,[38][39][40]. So far only Agopyan et al (2019) assessed the relationship between ON score and body composition measured with bioelectrical impedance analysis in female students of nutrition and dietetics [15].…”

Section: Discussionmentioning

confidence: 99%

“…Even less is known about the relationship between ON and body composition in athletes. To the best of our knowledge, only one study, by Agopyan et al (2019) [ 15 ], has evaluated the association between body composition and ON; however, participants of the study were female students of nutrition and dietetics, not athletes. In light of these limitations, the purpose of this study was to evaluate the traits of orthorexia nervosa among athletes from a range of sports.…”

Section: Introductionmentioning

confidence: 99%

Traits of Orthorexia Nervosa and the Determinants of These Behaviors in Elite Athletes

Surała

Malczewska-Lenczowska

Sadowska

et al. 2020

Nutrients

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Background: The purpose of this study was to evaluate the traits of orthorexia nervosa (ON) and its relation to body composition and anthropometric indices among elite athletes. Methods: We studied 273 (125 female, 148 male) competitive athletes. ON was assessed with the self-administered ORTO-15 questionnaire. Total body composition was determined using dual-energy X-ray absorptiometry (DXA). Results: The ORTO-15 score was independent of sex, type of effort or age. The ORTO-15 score was related to: total body mass (TBM) (p = 0.037; R = 0.170), body mass index (BMI) (p = 0.022; R = 0.187), bone mineral content (BMC) (p = 0.035; R = 0.172), lean soft tissue (p = 0.026; R = 0.182) and visceral adipose tissue (VAT) (p = 0.007; R = 0.255) in the male; BMI (p = 0.045; R = 0.412) and BMC (p = 0.012; R = 0.506) in weight-dependent male athletes. There was no relationship between ORTO-15 score and body composition in the total study group and subgroup of female athletes. In female athletes, ON tendencies were related to the weekly training time (p = 0.039), but in sprint and high-intensity intermittent efforts subgroup exclusively. Conclusions: Factors related to ON tendencies concerned exclusively BMI and body composition in male, and the weekly training time in female athletes. The results from this study demonstrate that a significant percentage of athletes, irrespective of sex, age, type of sport or hours of training per week, may manifest traits of orthorexia nervosa.

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“…Therefore, diet could represent a risk factor for ON, but it has not been sufficiently investigated. Most studies on non-clinical at-risk populations found more orthorexic tendencies in health professionals such as doctors or dieticians [ 33 – 35 ], in students attending medical or nutrition/dieting faculties [ 36 – 38 ], in people who regularly practice fitness [ 39 ], and in performing artists [ 40 ]. However, no study investigated the role of diet on ON in clinical populations that follow a diet inside a rehabilitation program.…”

Section: Introductionmentioning

confidence: 99%

Orthorexia Nervosa: differences between clinical and non-clinical samples

et al. 2021

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Background Orthorexia Nervosa (ON) is a construct characterized by behaviors, emotions, and beliefs on eating healthy food and excessive attention to diet; moreover, dieting has been considered a risk factor in ON symptoms development. The principal aim of this study was to investigate the differences in clinical and non-clinical groups most at risk of ON. Aspects that could be associated with ON (Eating Disorders [EDs], obsessive-compulsive symptomatology, perfectionistic traits, anxiety, depression, Body Mass Index [BMI]) were investigated in all groups. Methods The sample consisted of 329 adults belonging to four different groups. Three were on a diet: Anorexia/Bulimia Nervosa group (N = 90), Obesity/Binge Eating Disorder group (N = 54), Diet group (N = 91). The Control group consisted of people who were not following a diet (N = 94). Participants completed several self-administered questionnaires (EHQ-21, EDI-3, OCI-R, MPS, BAI, BDI-II) to assess ON-related features in different groups. Results Analyses highlighted higher orthorexic tendencies in Anorexia/Bulimia Nervosa, Obesity/BED, and Diet groups than in the Control group. Moreover, results have shown that in the AN/BN group, eating disorders symptomatology and a lower BMI were related to ON and that in Obesity/Binge Eating Disorder and Diet groups, perfectionism traits are associated with ON. Conclusion Individuals who pursue a diet share some similarities with those who have an eating disorder regarding emotions, behaviors, and problems associated with orthorexic tendencies. Moreover, perfectionistic traits seem to predispose to higher ON tendencies. In general, these results confirm the ON as an aspect of the main eating disorders category.

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The relationship between orthorexia nervosa and body composition in female students of the nutrition and dietetics department

Abstract: V, cross-sectional descriptive study.

Cited by 36 publications

References 43 publications

Use of online and paper-and-pencil questionnaires to assess the distribution of orthorexia nervosa, muscle dysmorphia and eating disorders among university students: can different approaches lead to different results?

Use of online and paper-and-pencil questionnaires to assess the distribution of orthorexia nervosa, muscle dysmorphia and eating disorders among university students: can different approaches lead to different results?

Traits of Orthorexia Nervosa and the Determinants of These Behaviors in Elite Athletes

Orthorexia Nervosa: differences between clinical and non-clinical samples

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