Şentürk Erman, Güler Şentürk Begüm, Erus Suat, Geniş Bahadır, Coşar Behcet
Department of Psychiatry, Üsküdar University NP Feneryolu Medical Center, Istanbul, Turkey.
Department of Internal Medicine, School of Medicine, Koç University, Istanbul, Turkey.
Eat Weight Disord. 2022 Dec;27(8):3279-3288. doi: 10.1007/s40519-022-01457-9. Epub 2022 Aug 2.
The obsession with healthy eating associated with restrictive behaviors is called Orthorexia Nervosa (OrNe). Nevertheless, some studies suggest that orthorexia can also be a non-pathological interest in healthy eating which is called Healthy Orthorexia (HeOr). First, one of the main objectives of this study is to compare HeOr, OrNe and eating behaviors in different dietary patterns (vegan, vegetarian and omnivore). Second is to reveal the relationship between HeOr, OrNe and eating behaviors (cognitive restraint, uncontrolled eating, and emotional eating). Lastly, to determine the potential predictors of HeOr and OrNe.
Participants (N = 426 with an omnivorous diet; N = 415 with a vegan diet, N = 324 with a vegetarian diet) completed a web-based descriptive survey, the Teruel Orthorexia Scale and the Three-Factor Eating Questionnaire-R 21.
HeOr and OrNe were more common in individuals following both vegan and vegetarian diets. Individuals following a vegan or a vegetarian diet had lower body mass index and higher body image satisfaction than individuals following an omnivorous diet. Cognitive restraint and following a vegan or a vegetarian diet were the two main predictors of both HeOr and OrNe. Cognitive restraint was positively associated with both HeOr and OrNe (more strongly correlated with OrNe), whereas uncontrolled eating and emotional eating behaviors were positively related to OrNe and negatively related to HeOr.
The present study contributes to a better understanding of the some similarities and differences between HeOr and OrNe. It also points to higher rates of orthorexia in individuals following a vegan or vegetarian diet and represents a further step towards developing prevention and intervention programs by identifying risk factors for OrNe. Level V Cross-sectional descriptive study.
与限制性行为相关的对健康饮食的痴迷被称为神经性正食症（OrNe）。然而，一些研究表明，正食症也可能是对健康饮食的一种非病理性兴趣，即健康正食症（HeOr）。首先，本研究的主要目标之一是比较健康正食症、神经性正食症以及不同饮食模式（纯素食、素食和杂食）中的饮食行为。其次是揭示健康正食症、神经性正食症与饮食行为（认知抑制、无节制饮食和情绪化饮食）之间的关系。最后，确定健康正食症和神经性正食症的潜在预测因素。
参与者（426名杂食者；415名纯素食者，324名素食者）完成了一项基于网络的描述性调查、特鲁埃尔正食症量表和三因素饮食问卷-R 21。
健康正食症和神经性正食症在纯素食和素食个体中更为常见。与杂食个体相比，纯素食或素食个体的体重指数较低，身体形象满意度较高。认知抑制以及遵循纯素食或素食饮食是健康正食症和神经性正食症的两个主要预测因素。认知抑制与健康正食症和神经性正食症均呈正相关（与神经性正食症的相关性更强），而无节制饮食和情绪化饮食行为与神经性正食症呈正相关，与健康正食症呈负相关。
本研究有助于更好地理解健康正食症和神经性正食症之间的一些异同。它还指出纯素食或素食个体中正食症的发生率较高，并通过识别神经性正食症的风险因素，朝着制定预防和干预计划又迈进了一步。V级横断面描述性研究。
