Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Psychiatry Unit, AOU Careggi Hospital, Florence, Italy.
Eat Weight Disord. 2022 Mar;27(2):847-851. doi: 10.1007/s40519-021-01184-7. Epub 2021 Apr 14.
Orthorexia is a recent construct describing an unhealthy and extreme concern for healthy food. To date, its relationship with other eating disorders (EDs) remains unclear, and little is known about the development of this condition. Current literature suggests that a thorough knowledge about nutrition and alimentation, as in the case of experts in the field of dietetics, could foster the development of orthorexic tendencies. The aim of this study was to compare orthorexia between ED patients, student dietitians and general population.
A total of 90 female participants (age: 18-29 years) were recruited: 30 ED patients, 30 student dietitians and 30 control subjects, matched for age and sex. Orthorexia, ED-specific and general psychopathology were evaluated using self-report questionnaires (ORTO-15, Eating Disorder Examination Questionnaire and Symptom Checklist-90-Revised).
Eating disorder patients had significantly higher orthorexic tendencies than other groups (p < 0.001), while student dietitians and general population showed no difference between each other (p = 0.96). Moreover, orthorexia positively correlated to ED psychopathology in ED patients (p = 0.004), but not in control groups.
Our data do not confirm previous suggestions that experts in the field of dietetics may display a higher level of orthorexia.
Level IV, cross-sectional observational study (case series).
饮食强迫症是一种新近提出的概念，描述的是对健康食品的一种不健康且过度的关注。迄今为止，其与其他饮食障碍（EDs）的关系尚不清楚，对这种疾病的发展也知之甚少。目前的文献表明，对营养和饮食的深入了解，就像营养师这一领域的专家一样，可能会助长饮食强迫症倾向的发展。本研究的目的是比较 ED 患者、学生营养师和普通人群之间的饮食强迫症。
共招募了 90 名女性参与者（年龄：18-29 岁）：30 名 ED 患者、30 名学生营养师和 30 名对照组，按年龄和性别匹配。使用自我报告问卷（ORTO-15、饮食障碍检查问卷和症状清单-90-修订版）评估饮食强迫症、ED 特异性和一般精神病理学。
饮食障碍患者的饮食强迫症倾向明显高于其他组（p<0.001），而学生营养师和普通人群之间没有差异（p=0.96）。此外，饮食强迫症与 ED 患者的 ED 精神病理学呈正相关（p=0.004），但在对照组中则无相关性。
我们的数据不支持之前的观点，即饮食领域的专家可能表现出更高水平的饮食强迫症。
四级，横断面观察性研究（病例系列）。
