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安卡拉土耳其医学院住院医师中“健康食品强迫症”的患病率。

Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey).

作者信息

Bağci Bosi A Tülay, Camur Derya, Güler Cağatay

机构信息

Faculty of Medicine, Department of Public Health, Hacettepe University, 06100 Ankara, Turkey.

出版信息

Appetite. 2007 Nov;49(3):661-6. doi: 10.1016/j.appet.2007.04.007. Epub 2007 May 13.

Abstract

This study has been carried out to "identify highly sensitive behavior on healthy nutrition (orthorexia nervosa-ON)" in residence medical doctors (MD) in the Faculty of Medicine. Diagnoses of ON was based on the presence of a disorder with obsessive-compulsive personality. The study is a cross-sectional research, which reached out to the entire 318 MD. The ORTO-15 test was used to propose a diagnostic proceeding and to try verify the prevalence of ON. Those subjects who were classified below 40 from the ORTO-15 test are accepted to have ON. Chi-square test, ANOVA (univariate) analysis and logistic regression were used for analyses of the data. Mean score of the participants from the ORTO-15 test is 39.8+/-0.22, and there is no statistical difference between women and men. A total of 45.5% of the residence MD involved in the research scored below 40 in the ORTO-15 test. Those who do their food shopping themselves, skip a meal with a salad/fruit, care about the quality of the things they eat, think that eating outside is healthy, look at the content of what they eat and the content of food is important in selection of a product score lower in their average marks in ORTO-15 and the difference among the groups is statistically significant. Food selection of 20.1% of the male participants and 38.9% of the female participants among the residence MD is influenced by the programs on nutrition/health in mass-media. The difference between the groups is statistically significant (p<0.05). Female medical doctors are more careful than men of their physical appearance and weight control and consume less caloric food, which is statistically significant. Since those who exhibit "healthy fanatic" eating habits may have a risk of ON in the future, it would be useful to conduct studies that identify the prevalence of ON in the public.

摘要

本研究旨在“识别医学院住院医生中对健康营养的高度敏感行为(orthorexia nervosa - ON,即健康食品强迫症)”。ON的诊断基于存在强迫性人格障碍。该研究为横断面研究,涵盖了全部318名住院医生。使用ORTO - 15测试来提出诊断程序并尝试验证ON的患病率。在ORTO - 15测试中得分低于40的受试者被认定患有ON。采用卡方检验、方差分析(单变量)和逻辑回归对数据进行分析。参与者在ORTO - 15测试中的平均得分为39.8±0.22,男女之间无统计学差异。参与研究的住院医生中,共有45.5%在ORTO - 15测试中得分低于40。那些自己购物、用沙拉/水果代替一餐、关注所吃食物质量、认为外出就餐健康、查看所吃食物成分且食物成分在选择产品时很重要的人,其在ORTO - 15中的平均得分较低,且组间差异具有统计学意义。住院医生中,20.1%的男性参与者和38.9%的女性参与者的食物选择受大众媒体营养/健康节目的影响。组间差异具有统计学意义(p<0.05)。女性医生比男性医生更在意自己的外貌和体重控制,且摄入的热量较低,这具有统计学意义。由于表现出“健康狂热”饮食习惯的人未来可能有患ON的风险,开展识别公众中ON患病率的研究将很有帮助。

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