ORTHOREXIA AND EATING ATTITUDES IN HEALTH SCIENCES STUDENTS
ORTHOREXIA IN HEALTH SCIENCES STUDENTS
DOI:
https://doi.org/10.14738/aivp.93.10292Keywords:
Orthorexia Nervosa, University Students, ORTO-15, EAT-40, NutritionAbstract
Background: Investigating eating disorders and orthorexia nervosa, especially in the young population, is an important step in taking protective precautions and identifying disease
Objective: To Investigate the incidence of disordered eating attitudes and orthorexia tendencies in among university students studying in various Health Sciences departments in Turkey.
Methods: A total of 639 second and third year university students participated in this study. The EAT-40 and ORTO-15 that are validated instruments for the screening of abnormal eating behaviors and orthorexia nervosa respectively, were used as measurement tools.
Results: Majority of the students who participated in the study were found to exhibit orthorexic tendency, and that male students had a more orthorexic tendency in comparison to female students (p = 0.022). More specifically, the students studying in the Department of Nutrition and Dietetics had lower orthorexic tendencies compared with the students from other departments. There was no significant relationship between BMI values and the mean ORTO-15 scores, whereas the mean EAT-40 score was found to increase statistically significantly with increased BMI (p = 0.038). There was a statistically significant difference between the departments and classes in terms of mean EAT-40 scores, whereas no difference was found regarding gender.
Conclusion: All students except the Nutrition and Dietetics department show orthorexic tendency. The EAT-40 scores of the participants were 16.0 (low risk) for the whole sample. More comprehensive studies are needed to better understand the orthorexia nervosa and healthy lifestyle interaction.
References
Abbate‐Daga G, Gramaglia C, Malfi G, Piero A, Fassino S (2007) Eating problems and personality traits. An Italian pilot study among 992 high school students. European Eating Disorders Review 15:471-478. https://doi.org/10.1002/erv.770
Alvarenga M, Martins M, Sato K, Vargas S, Philippi ST, Scagliusi F (2012) Orthorexia nervosa behavior in a sample of Brazilian dietitians assessed by the Portuguese version of ORTO-15 Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 17:29-35. https://doi.org/10.1007/BF03325325
American Psychiatric Association (APA) (2013) Diagnostic and statistical manual of mental disorders (DSM-5) (5th edition), Washinghton
Arusoğlu G, Kabakci E, Köksal G, Merdol TK (2008) Orthorexia nervosa and adaptaion of ORTO-11 into Turkish. Turkish Journal of Psychiatry 19:283-291
Asil E, Sürücüoğlu MS (2015) Orthorexia nervosa in Turkish dietitians. Ecology of Food and Nutrition 54:303-313. https://doi.org/10.1080/03670244.2014.987920
Bartrina JA (2007) Orthorexia or when a healthy diet becomes an obsession. Archivos Latinoamericanos de Nutricion 57:313-315.
Batıgün AD, Utku Ç (2006) Bir grup gençte yeme tutumu ve öfke arasındaki ilişkinin incelenmesi. Türk Psikoloji Dergisi 21:65-78.
Bosi ATB, Çamur D, Güler Ç (2007) Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite 49:661-666. https://doi.org/10.1016/j.appet.2007.04.007
Bratman S, Knight D (2001) Health food junkies: Orthorexia nervosa: Overcoming the obsession with healthful eating (1st edition), New York
Brytek-Matera A (2012) Orthorexia nervosa–an eating disorder, obsessive-compulsive disorder or disturbed eating habit. Archives of Psychiatry and Psychotherapy 1:55-60.
Brytek-Matera A, Donini LM, Krupa M, Poggiogalle E, Hay P (2015) Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. Journal of Eating Disorders 3:2. https://doi.org/10.1186/s40337-015-0038-2
Cinosi E, Matarazzo I, Marini S, Acciavatti T, Lupi M, Corbo M, De Berardis D (2015) Prevalence of orthorexia nervosa in a population of young Italian adults. European Psychiatry 30:1330. https://doi.org/10.1016/S0924-9338(15)31038-5
De Caprio C, Alfano A, Senatore I, Zarrella L, Pasanisi F, Contaldo F (2006) Severe acute liver damage in anorexia nervosa: two case reports. Nutrition 22:572-575. https://doi.org/1016/j.nut.2006.01.003
Donini L, Marsili D, Graziani M, Imbriale M, Cannella C (2005) Orthorexia nervosa: validation of a diagnosis questionnaire, Eating and Weight Disorders-Studies on Anorexia. Bulimia and Obesity 10:28-32. https://doi.org/10.1007/BF03327537
Fidan T, Ertekin V, Işikay S, Kırpınar I (2010) Prevalence of orthorexia among medical students in Erzurum, Turkey. Comprehensive Psychiatry 51:49-54. https://doi.org/10.1016/j.comppsych.2009.03.001
Gezer C, Kabaran S (2013) Beslenme ve diyetetik bölümü kız öğrencileri arasında görülen ortoreksiya nervosa riski. SDU Journal of Health Science Institute/SDÜ Saglik Bilimleri Enstitüsü Dergisi 4:14-22.
Kim S, Cho H, Kim M, Ko Y (2009) Sudden cardiac arrest due to acute gastric dilatation in a patient with an eating disorder. Emergency Medicine Journal 26:227-228. https://doi.org/10.1136/emj.2008.065391
Marazziti D, Presta S, Baroni S, Silvestri S, Dell'Osso L (2014) Behavioral addictions: a novel challenge for psychopharmacology. CNS Spectrums 19:486-495. https://doi.org/10.1017/S1092852913001041
Poyraz CA, Tüfekçioğlu EY, Özdemir A, Baş A, Kani AS, Erginöz E, Duran A (2015) Relationship between Orthorexia and Obsessive-Compulsive Symptoms in Patients with Generalised Anxiety Disorder, Panic Disorder and Obsessive Compulsive Disorder. Yeni Symposium 53:22-26. https://doi.org/10.5455/NYS.20160324065040
Ramacciotti C, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, Dell’Osso L (2011) Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO-15). Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 16:127-130. https://doi.org/10.1007/BF03325318
Sánchez FG, Rial BR (2005) Orthorexia nervosa. A new eating behavior disorder?. Actas Espanolas Psiquiatr 33:66-68.
Sanlier N, Biyikli AE, Biyikli ET (2015) Evaluating the Relationship of Eating Behaviors of University Students with Body Mass Index and Self-Esteem. Ecology of Food and Nutrition 54:175-185. https://doi.org/10.1080/03670244.2014.896798
Sanlier N, Yassibas E, Bilici S, Sahin G, Celik B (2016) Does the rise in eating disorders lead to increasing risk of orthorexia nervosa? Correlations with gender, education, and body mass index. Ecology of Food and Nutrition 55:1-13. https://doi.org/10.1080/03670244.2016.1150276
Saraswati P, Nagendraswamy C (2015) Orthorexia Nervosa-a Review. International Journal of Psychiatric Nursing 1:64-67. https://doi.org/10.1080/01612840.2017.1371816
Stheneur C, Bergeron S, Lapeyraque AL (2014) Renal complications in anorexia nervosa. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 19:455-460. https://doi.org/10.1007/s40519-014-0138-z
Strumia R (2005) Dermatologic signs in patients with eating disorders. American Journal of Clinical Dermatology 6:165-173. https://doi.org/10.2165/00128071-200506030-00003
Ulaş B, Uncu F, Üner S (2013) Sağlık Yüksekokulu Öğrencilerinde Olası Yeme Bozukluğu Sıklığı ve Etkileyen Faktörler. İnönü Üniversitesi Sağlık Bilimleri Dergisi 2:15-22.
Ünalan D, Öztop DB, Elmalı F, Öztürk A, Konak D, Pırlak B, Güneş D (2009) Bir grup sağlık yüksekokulu öğrencisinin yeme tutumları ile sağlıklı yaşam biçimi davranışları arasındaki ilişki. Turgut Özal Tıp Merkezi Dergisi 16:75-81.
Valera JH, Ruiz PA, Valdespino BR, Visioli F (2014) Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 19:469-472. https://doi.org/10.1007/s40519-014-0131-6
Varga M, Thege BK, Dukay-Szabó S, Túry F, van Furth EF (2014) When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 14:59-70. https://doi.org/10.1186/1471-244X-14-59
Whitehead WE (1991) Delayed gastrointestinal transit times in anorexia nervosa and bulimia nervosa. Gastroenterology 101:1320-1324. https://doi.org/10.1016/0016-5085(91)90083-W
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