Kozik Karolina, Całyniuk Beata
Scientific Circle at the Department of Human Nutrition, Faculty of Public Health in Bytom, Silesian Medical University in Katowice, Poland.
Department of Human Nutrition, Faculty of Public Health in Bytom, Silesian Medical University in Katowice, Poland.
Rocz Panstw Zakl Hig. 2024 Dec 23;75(3):247-254. doi: 10.32394/rpzh/192744. Epub 2024 Sep 12.
Orthorexia nervosa (ON), or the obsessive desire to eat only healthy foods, is closely linked to eating behaviors. Among adolescents, the risk of developing ON and its consequences, including weight loss and malnutrition, can be particularly significant due to the crucial impact of eating behaviors on an individual's psychophysical development.
The aim of the study was to examine the relationship between the eating behaviors of high school students and the risk of ON.
Observational study was conducted using the PAPI method among 514 students aged 14-19, of which 59.3% (N=305) were female. The research tool was a proprietary, validated questionnaire that included the ORTO-15 test (cutoff score=35) and the BSQFVF. The questionnaire was used to assess the frequency of consumption of selected food products, the level of dietary fiber intake, the quantity and regularity of meals consumed, as well as other eating behaviors of the participants. The individual responses were then analyzed according to the risk of ON using correlation coefficients.
The prevalence of ON risk was found to be 32.1% (N=165). The percentage of individuals at risk of ON was higher among vegetarians. The results regarding the frequency of consumption of animal protein sources, dietary fiber intake, the number of meals and their regularity were similar in both the group at risk of ON and the group not at risk. Over 80% of individuals who never consumed bars, gummies, and candies were at risk of developing ON.
The risk of ON was higher among vegetarians. Individuals who excluded highly processed foods from their diet were more susceptible to developing ON.
神经性正食症（ON），即只吃健康食物的强迫性欲望，与饮食行为密切相关。在青少年中，由于饮食行为对个体心理生理发育的关键影响，患ON及其后果（包括体重减轻和营养不良）的风险可能尤为显著。
本研究旨在探讨高中生饮食行为与ON风险之间的关系。
采用PAPI方法对514名14 - 19岁的学生进行观察性研究，其中59.3%（N = 305）为女性。研究工具是一份经过验证的专有问卷，包括ORTO - 15测试（临界值 = 35）和BSQFVF。该问卷用于评估所选食品的消费频率、膳食纤维摄入量、所吃餐食的数量和规律，以及参与者的其他饮食行为。然后使用相关系数根据ON风险对个体回答进行分析。
发现ON风险的患病率为32.1%（N = 165）。素食者中ON风险个体的百分比更高。在ON风险组和非风险组中，关于动物蛋白来源的消费频率、膳食纤维摄入量、餐食数量及其规律的结果相似。超过80%从未食用过棒状食品、软糖和糖果的个体有患ON的风险。
素食者中ON风险更高。将高加工食品排除在饮食之外的个体更容易患ON。
