Hanras Eva, Boujut Emilie, Barrada Juan Ramón, Dorard Géraldine
Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, Boulogne-BillancourtF-92100, France.
Cergy Paris Université, INSPE, Saint-Germain en Laye78100, France.
Public Health Nutr. 2024 Nov 22;27:e255. doi: 10.1017/S1368980024002374.
Orthorexia has been widely studied, but recently, a new conceptualisation was proposed to distinguish its healthy characteristics from its pathological ones. The objective of this study was to differentiate healthy orthorexia (HeOr) from orthorexia nervosa (OrNe) by exploring their sociodemographic, psychological, health and dietary characteristics using comparative and correlational statistical methods.
Cross-sectional analysis. Participants completed an online, self-administered questionnaire assessing their sociodemographic characteristics, orthorexia, exercise dependence, personality, health anxiety, food choice motives, emotional competences and eating disorders (ED).
Data were collected between May 2021 and September 2022.
1515 French females (mean = 37·67). Responses from men were excluded.
While OrNe was mainly associated with weight control motives in food choices ( = 0·42), HeOr was more strongly correlated with natural content ( = 0·60) and health motives ( = 0·49). In relation to exercising, OrNe showed its highest association with weight control ( = 0·41). Health anxiety was more strongly associated with OrNe than with HeOr. Both OrNe and HeOr were related to diet adherence and regular exercise, but the association was stronger for the latter. Orthorexia scores, mainly OrNe, were higher in participants at the risk of ED. Participants who were afraid to gain weight showed higher OrNe scores.
HeOr seems to be part of a healthy lifestyle in general. In contrast, OrNe falls into the category of an ED and is associated with more problematic psychological functioning. Particular attention should be given to individuals who are beginning to control and reduce their food intake to prevent them from developing OrNe.
对正食癖的研究已颇为广泛，但最近有人提出了一种新的概念化方法，以区分其健康特征与病理特征。本研究的目的是通过使用比较和相关统计方法，探究健康正食癖（HeOr）和神经性正食癖（OrNe）的社会人口学、心理、健康和饮食特征，从而对二者进行区分。
横断面分析。参与者完成了一份在线自填问卷，该问卷评估了他们的社会人口学特征、正食癖、运动依赖、人格、健康焦虑、食物选择动机、情绪能力和饮食失调（ED）情况。
数据收集于2021年5月至2022年9月之间。
1515名法国女性（平均年龄 = 37.67岁）。男性的回复被排除。
虽然OrNe主要与食物选择中的体重控制动机相关（r = 0.42），但HeOr与天然成分（r = 0.60）和健康动机（r = 0.49）的相关性更强。在运动方面，OrNe与体重控制的关联最为紧密（r = 0.41）。健康焦虑与OrNe的关联比与HeOr的更强。OrNe和HeOr都与饮食依从性和规律运动有关，但后者的关联更强。有饮食失调风险的参与者的正食癖得分更高，主要是OrNe得分。害怕体重增加的参与者的OrNe得分更高。
总体而言，HeOr似乎是健康生活方式的一部分。相比之下，OrNe属于饮食失调类别，且与更多有问题的心理功能相关。对于开始控制和减少食物摄入量的个体应给予特别关注，以防止他们发展为OrNe。
