Orthorexia nervosa: relationship with obsessive-compulsive symptoms, disordered eating patterns and body uneasiness among Italian university students

Brytek-Matera, Anna; Fonte, Maria Luisa; Poggiogalle, Eleonora; Donini, Lorenzo Maria; Cena, Hellas

doi:10.1007/s40519-017-0427-4

Cited by 85 publications

(70 citation statements)

References 47 publications

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“…Participants were assessed with the following questionnaires: ORTO-15 [26,27]; Eating Attitudes Test-26 (EAT-26) [28]; Temperament and Character Inventory (TCI) [19,29].…”

Section: Assessmentmentioning

confidence: 99%

“…The ORTO-15 is a self-administered scale developed in 2004 by Donini and coworkers, modeled on the Bratman test [30,31]. It is the most frequently used tool for the assessment of orthorexic symptoms in various populations [26,32,33], even though it is clearly not a diagnostic tool.…”

Section: Orto-15mentioning

confidence: 99%

“…The ORTO-15 was developed in Italian [26] and later translated in other language. Several studies have eliminated one or more of its items, based on confirmatory analyzes and the adequacy of the instrument [34].…”

Section: Orto-15mentioning

confidence: 99%

“…Less orthorexic features, as assessed with the ORTO-15, emerged in the Italian than in the Polish samples (both AN and healthy control group). Research involving nonclinical populations of students have reported a wide variability in the prevalence of orthorexic attutides and behaviors, being up to 68.55% in Polish University students [26], and57.6% in a previous Italian study [25].…”

Section: Introductionmentioning

confidence: 96%

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Orthorexia nervosa, eating patterns and personality traits: a cross-cultural comparison of Italian, Polish and Spanish university students

et al. 2019

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Background The amount of research about orthorexic attitudes and behaviours has increased in the last five years, but is still mainly based on descriptive and anecdotal data, yielding a variety of prevalence data and inconsistent results. The interplay between socio-cultural context and orthorexia has been poorly investigated and is still far from being understood. Method Multicentre, cross-sectional study involving Italian ( N = 216), Polish ( N = 206) and Spanish ( N = 242) university students, assessed through a protocol including informed consent, socio-demographic and anamnestic data sheet and self-administered questionnaires (ORTO-15, Eating Attitudes Test- 26 [EAT-26], Temperament and Character Inventory [TCI]). Results Higher prevalence of orthorexia (as described by the ORTO-15 cutoff) was found in Poland. Female gender, Body Mass Index (BMI), current Eating Disorder, dieting, EAT-26 score ≥ 20 and low/medium Persistence were associated with orthorexia in the whole sample. The cross-cultural comparison showed several differences among the three subgroups of students. Conclusions The associations found between orthorexic attitudes, self-reported current eating disorder, BMI and adherence to a dieting need to be supported by further research. The differences among students from the three countries seem to suggest a possible rolve for cultural elements in the construct of orthorexia.

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“…Participants were assessed with the following questionnaires: ORTO-15 [26,27]; Eating Attitudes Test-26 (EAT-26) [28]; Temperament and Character Inventory (TCI) [19,29].…”

Section: Assessmentmentioning

confidence: 99%

Section: Orto-15mentioning

confidence: 99%

Section: Orto-15mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

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Orthorexia nervosa, eating patterns and personality traits: a cross-cultural comparison of Italian, Polish and Spanish university students

et al. 2019

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“…Szczególnie istotna wydaje się dalsza weryfikacja problematyki cielesności. Zaburzenia obrazu ciała mogą bowiem odgrywać istotną rolę w patogenezie ortoreksji, lecz dotychczasowe doniesienia empiryczne są niejednoznaczne (Brytek-Matera, Donini, Krupa, Poggiogalle, Hay, 2015;Barnes, Caltabiano, 2017;Brytek-Matera, Fonte, Poggiogalle, Donini, Cena, 2017;Brytek-Matera, Gramaglia, Gambaro, Delicato, Zeppegno, 2018;Oberle, Lipschuetz, 2018).…”

Section: Ortoreksja -Kryteria Definicyjne I Klasyfikacyjneunclassified

Orthorexia nervosa: definicje, kryteria, klasyfikacje – kontrowersje i rozbieżności w wynikach badań

Nelkowska

2019

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<p>Ortoreksja (<em>orthorexia nervosa</em> – ON) to stosunkowo nowe zjawisko, opisywane jako fiksacja na spożywaniu zdrowej żywności. Ze względu na skalę żywieniowych restrykcji oraz znaczące konsekwencje, obejmujące zarówno problemy w sferze somatycznej, jak i zaburzenia funkcjonowania psychospołecznego, od ponad dekady trwa naukowa debata mająca na celu rozstrzygnięcie statusu ortoreksji. W niniejszym artykule dokonano podsumowania dotychczasowych rozważań dotyczących ON, ze szczególnym uwzględnieniem doniesień empirycznych. Opisano dominujące kierunki badań, wskazując na rozbieżności w ich wynikach.</p>

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Associations between orthorexia, disordered eating, and obsessive–compulsive symptoms: A systematic review and meta‐analysis

Zagaria

Vacca

Cerolini

et al. 2021

Intl J Eating Disorders

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Objective Orthorexia nervosa (ON) is defined as an unhealthy obsession with healthy eating, focusing on concerns regarding food quality and composition. Currently, there is still a lack of consensus about a clear definition of the construct. Specifically, it has yet to be clarified whether ON pertains to eating disorders (EDs) or obsessive–compulsive disorder (OCD) spectrum. Hence, we conducted a systematic review and meta‐analysis addressing the magnitude of the association between these groups of symptoms. Method PubMed, Medline, SCOPUS, PsychINFO, CINAHL, and Web of Science were searched from inception up to February 2021. Data from individual studies were pooled using a random‐effects model. Pearson's r was used as the effect size metric. Subgroup analyses were conducted exploring the role of ON‐related instruments, body mass index, study quality, and cultural context. Results Thirty‐six studies met the eligibility criteria and were included in the meta‐analysis. Random‐effects model yielded a moderate association between ON and EDs symptoms with an overall effect size of r = .36 (p < .001; 95% confidence interval [CI] = 0.30–0.43). On the other hand, the results showed a small association between ON and OCD symptoms with a mean effect size of r = .21 (p < .001; 95% CI = 0.15–0.27). Discussion Meta‐analytic findings showed that ON symptoms are more associated to EDs compared to OCD. Despite the similarities, the nonhigh magnitude of the pooled correlations suggests that ON might be different from pre‐existing EDs and OCD. Hence, ON might be treated as a stand‐alone ED and included as an emerging syndrome in the DSM classification.

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Orthorexia nervosa: relationship with obsessive-compulsive symptoms, disordered eating patterns and body uneasiness among Italian university students

Abstract: Further studies regarding the relationship between ON and anorexia nervosa, as well as obsessive-compulsive symptoms, are needed to better understand the causality. Level of Evidence Level V, descriptive study.

Cited by 85 publications

References 47 publications

Orthorexia nervosa, eating patterns and personality traits: a cross-cultural comparison of Italian, Polish and Spanish university students

Orthorexia nervosa, eating patterns and personality traits: a cross-cultural comparison of Italian, Polish and Spanish university students

Orthorexia nervosa: definicje, kryteria, klasyfikacje – kontrowersje i rozbieżności w wynikach badań

Associations between orthorexia, disordered eating, and obsessive–compulsive symptoms: A systematic review and meta‐analysis

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