When orthorexia nervosa meets cancer—A case review

Babilonia, Margarita Bobonis; Donovan, Kristine A.; Ciccone, Barbara B. Lubrano di; Rajasekhara, Sahana

doi:10.1002/pon.5419

Cited by 3 publications

(11 citation statements)

References 8 publications

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“…The reasons for exclusions are reported in Supplementary Table S2 [ 35 , 36 , 37 , 38 ]. A total of seven articles were included in this systematic review once the full selection process was completed [ 12 , 13 , 14 , 39 , 40 , 41 , 42 ]. Figure 1 illustrates the selection process.…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 describes the main characteristics of the seven included studies [ 12 , 13 , 14 , 39 , 40 , 41 , 42 ]. In terms of study design, the majority ( n = 3) of the studies were cross-sectional, with one multicenter study involving 11 tertiary referral centers.…”

Section: Resultsmentioning

confidence: 99%

“…Approximately half of the studies ( n = 3) were conducted in the United States of America (USA), followed by Turkey ( n = 2), and Canada and Slovakia for the remainder. The two most recent studies were published in 2020 [ 12 , 39 ], while the first study on this topic was published in 2011 [ 14 ]. The largest study included 238 female breast cancer cases and 164 healthy controls, for a total of 402 subjects [ 12 ], followed by 308 prolactinoma patients [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…The largest study included 238 female breast cancer cases and 164 healthy controls, for a total of 402 subjects [ 12 ], followed by 308 prolactinoma patients [ 41 ]. All the remaining studies had between 20 and 40 subjects, with the exception of the case report which described a patient’s medical history [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…According to the inclusion criteria, all the participants had been diagnosed with cancer: two studies were conducted on women with breast cancer [ 12 , 42 ], two studies included subjects with pituitary adenomas (prolactinoma) [ 14 , 41 ], two studies dealt with hematological neoplasia in young survivors of pediatric acute lymphoblastic leukemia (ALL) and lymphoma [ 13 ], and one included elite athletes with acute lymphoblastic leukemia [ 39 ]. The remaining studies focused on women with ovarian cancer [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

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Altered Food Behavior and Cancer: A Systematic Review of the Literature

Nucci

Santangelo

Provenzano

et al. 2022

IJERPH

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There is evidence of an association between cancer and certain types of altered eating behaviors, including orthorexia, food cravings, and food addiction. Given the growing interest in the topic throughout the scientific community we conducted a systematic review to summarize current evidence on the development of altered food behavior, including food addiction and cancer. The Cochrane Collaboration and the Meta-analysis Of Observational Studies in Epidemiology guidelines were followed to perform this systematic review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used to report the process and results. The structured literature search was conducted on 19 April 2022, on PubMed/Medline and Scopus, combining free-text terms and medical subject headings. A total of seven articles were included once the selection process was completed. Food craving has been associated with different types of cancer in adults and young patients, as well as with orthorexia; conversely, compulsive eating has only been explored in patients with prolactinoma treated with dopamine agonists. This systematic review explored a new area of research that warrants further investigation. More research is required to better understand the relationship between cancer and food behavior.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Altered Food Behavior and Cancer: A Systematic Review of the Literature

Nucci

Santangelo

Provenzano

et al. 2022

IJERPH

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Prevalence of Orthorexic Tendencies and Their Correlates Among Lebanese Patients with Cancer

Zoghbi,

Awad,

Hallit

et al. 2023

Percept Mot Skills

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Individuals with cancer face daily challenges regarding diet and healthy lifestyle behaviors that may lead them to better health. This quest for improved health can be exaggerated in unhealthy ways if it is not approached with moderation as occurs with a condition called orthorexia nervosa (ON). Our aim in this study was to determine the prevalence of ON tendencies and their behavioral correlates among Lebanese adults with cancer. This was a monocentric cross-sectional study, conducted between December 2021 and February 2022, involving 366 patients. We collected data via telephone and recorded answers online on a Google form. We used the Düsseldorf Orthorexia Scale (DOS) to assess orthorexic behaviors, and we checked for behavioral correlates of orthorexia through a linear regression model using the DOS score as the dependent variable. On the DOS scale, we found that 9% of these participants showed possible ON tendencies, whereas 22.2% had definite ON tendencies. Factors associated with having more ON tendencies were (a) receipt of hormonotherapy, (b) being female and (c) having breast cancer. Having prostate cancer was significantly associated with fewer ON tendencies. Our results should help improve the management of patients with cancer through programs to increase patient awareness and education.

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Orthorexia Nervosa, Eating Disorders, and Obsessive-Compulsive Disorder: A Selective Review of the Last Seven Years

Pontillo

Zanna

Demaria

et al. 2022

JCM

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Orthorexia nervosa (ON) is defined as an exaggerated, obsessive, pathological fixation on healthy food, healthy eating, or health-conscious eating behaviors. In the literature, there is an ongoing debate over whether ON should be considered simply a lifestyle phenomenon or a psychiatric disorder. In this vein, ON seems to share psychopathological characteristics with both eating disorders (EDs) and obsessive-compulsive disorder (OCD). However, there are insufficient data to reconcile the debate. The present study aimed at consolidating evidence on the clinical significance of ON and its relationship with EDs and OCD. A selective review of the literature published between January 2015 and March 2022 was conducted, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Ten studies were included. Some of these studies suggested that ON might follow a full-syndrome DSM-5 ED. Other studies proposed that ON and DSM-5 EDs may co-occur. Finally, only two studies suggested a relationship between ON and OCD. To date, the clinical significance of ON and its relationship with EDs and other DSM-5 psychiatric disorders (e.g., OCD) appears complicated and unclear. Future longitudinal research on the possible clinical course of ON is needed.

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When orthorexia nervosa meets cancer—A case review

Cited by 3 publications

References 8 publications

Altered Food Behavior and Cancer: A Systematic Review of the Literature

Altered Food Behavior and Cancer: A Systematic Review of the Literature

Prevalence of Orthorexic Tendencies and Their Correlates Among Lebanese Patients with Cancer

Orthorexia Nervosa, Eating Disorders, and Obsessive-Compulsive Disorder: A Selective Review of the Last Seven Years

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