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如何痴迷于健康饮食与愿意运动相遇:神经性厌食症的动机背景。

How the obsession to eat healthy food meets with the willingness to do sports: the motivational background of orthorexia nervosa.

机构信息

Institute of Clinical Psychology, Semmelweis University, Budapest, Hungary.

School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.

出版信息

Eat Weight Disord. 2019 Jun;24(3):465-472. doi: 10.1007/s40519-019-00642-7. Epub 2019 Feb 6.

DOI:10.1007/s40519-019-00642-7
PMID:30726547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6531400/
Abstract

PURPOSE

Given its relevance, the present study sought to reveal the motivational background of orthorexia nervosa (ON) and to examine its association to do sports.

METHODS

A total number of 739 participants completed a self-administered, online questionnaire including questions related to sports and three scales: Ortho-11-Hu, Motivation for Healthy Behaviors in Orthorexia Nervosa Questionnaire (MHBONQ) and Short Health Anxiety Inventory (SHAI). The age of the respondents ranged from 18 to 72 years (M = 29.67, SD = 10.18) and 79.16% of them were female. The majority of the subjects trained 3-4 times a week (37.2%), usually for 1-2 h per week (25.8%).

RESULTS

According to the hierarchical multiple regression analysis, social desirability, guilt over skipping training and health anxiety were the strongest predictors of ON with explaining 46% of the variance of ON.

DISCUSSION

The results of the present study suggested that obsessive features of sport activities (guilt over skipping training, counting calories during training) play an important role in ON. People with a higher level of ON tend to reach other people's respect, protect their general health and regulate negative emotional states through healthy eating.

LEVEL OF EVIDENCE

Level V, descriptive cross-sectional study.

摘要

目的

鉴于其相关性,本研究旨在揭示神经性厌食症(ON)的动机背景,并研究其与运动的关联。

方法

共有 739 名参与者完成了一份在线自我管理问卷,其中包括与运动相关的问题和三个量表:Ortho-11-Hu、神经性厌食症中健康行为动机问卷(MHBONQ)和短健康焦虑量表(SHAI)。受访者的年龄在 18 至 72 岁之间(M=29.67,SD=10.18),其中 79.16%为女性。大多数受试者每周训练 3-4 次(37.2%),通常每周训练 1-2 小时(25.8%)。

结果

根据层次多重回归分析,社交期望、因错过训练而产生的内疚感和健康焦虑是 ON 的最强预测因子,解释了 ON 变异的 46%。

讨论

本研究结果表明,运动活动的强迫特征(错过训练时的内疚感、训练时计算卡路里)在 ON 中起着重要作用。ON 水平较高的人倾向于通过健康饮食获得他人的尊重、保护自己的整体健康和调节负面情绪状态。

证据水平

五级,描述性横断面研究。

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2
Orthorexia symptoms correlate with perceived muscularity and body fat, not BMI.正食癖症状与感知到的肌肉量和体脂相关,而非与体重指数相关。
Eat Weight Disord. 2018 Jun;23(3):363-368. doi: 10.1007/s40519-018-0508-z. Epub 2018 May 3.
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Orthorexic eating behaviors related to exercise addiction and internal motivations in a sample of university students.大学生样本中与运动成瘾和内在动机相关的正食癖饮食行为。
Eat Weight Disord. 2018 Feb;23(1):67-74. doi: 10.1007/s40519-017-0470-1. Epub 2017 Dec 20.
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The connection between exercise addiction and orthorexia nervosa in German fitness sports.德国健身运动中运动成瘾与正食癖之间的联系。
Eat Weight Disord. 2018 Oct;23(5):581-586. doi: 10.1007/s40519-017-0437-2. Epub 2017 Sep 7.
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Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature.神经性厌食症和神经性贪食症中情绪调节障碍的维度:实证文献的概念性综述
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