Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.
Faculty of Education and Psychology, Eötvös Loránd University, Budapest, Hungary.
Eat Weight Disord. 2021 Dec;26(8):2481-2489. doi: 10.1007/s40519-020-01095-z. Epub 2021 Jan 27.
The aim of this study was to measure how orthorexic tendencies relate to age, self-esteem, and spirituality. We conducted the study on a sample of Hungarian adults performing regular fitness activity.
175 participants completed a four-part online survey: demographics and training habits, the Rosenberg Self-Esteem Scale, the Eating Habits Questionnaire-Revised (EHQ-R), and one of the Spiritual Awareness questionnaire's subscale. We performed univariate linear regression to assess the predictor role of age on orthorexic tendencies. Mediation analysis was conducted to determine the effect of self-esteem on orthorexic tendencies and the mediator role of spiritual attitudes.
Age negatively correlated with EHQ-R, and there were no gender differences. Lower self-esteem was a predictor for orthorexic tendencies with the total effect of ß = -0.3046 (p < 0.0001). In part, this is a direct relationship, but it is mediated by spiritual awareness as well.
Among frequent exercisers, strict dieting is likely to originate from a lack of self-esteem due to perfectionist standards, social comparison, and the aspiration of being in control. In case self-esteem is achieved through spiritual approaches, individuals may experience positive changes in their attitudes toward eating and their bodies as well. In the future, it is important to confirm whether the EHQ-R indicates diagnostic boundaries.
Level V, descriptive cross-sectional study.
本研究旨在衡量饮食强迫症倾向与年龄、自尊和灵性的关系。我们对经常进行健身活动的匈牙利成年人进行了研究。
175 名参与者完成了一个由四部分组成的在线调查：人口统计学和训练习惯、罗森伯格自尊量表、饮食习惯问卷修订版（EHQ-R）和精神意识问卷的一个子量表。我们进行了单变量线性回归分析，以评估年龄对饮食强迫症倾向的预测作用。中介分析用于确定自尊对饮食强迫症倾向的影响以及精神态度的中介作用。
年龄与 EHQ-R 呈负相关，且不存在性别差异。较低的自尊是饮食强迫症倾向的预测因素，总效应的β值为-0.3046（p<0.0001）。部分原因是直接关系，但也受到精神意识的中介作用。
在经常锻炼的人中，严格节食可能源于缺乏自尊，原因是完美主义标准、社会比较和控制欲。如果通过精神方法实现自尊，个体可能会对饮食和身体态度产生积极的变化。未来，重要的是要确认 EHQ-R 是否表明了诊断界限。
V 级，描述性横断面研究。
