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Research Articles

Relationship Between Healthy Eating Fixation (Orthorexia) and Past Family Life, and Eating Attitudes in Young Adults

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Pages 155-167 | Received 07 Oct 2022, Accepted 21 Nov 2022, Published online: 30 Jan 2023

References

  • Bratman S. What is orthorexia? www.orthorexia/what-is-orthorexia. Published 2014. Accessed May 8, 2021.
  • Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord. 2004;9(2):151–157. doi:10.1007/BF03325060.
  • Dunn TM, Bratman S. On orthorexia nervosa: a review of the literature and proposed diagnostic criteria. Eat Behav. 2016;21:11–17. doi:10.1016/j.eatbeh.2015.12.006.
  • Bratman S. Orthorexia vs. theories of healthy eating. Eat Weight Disord. 2017;22(3):381–385. doi:10.1007/s40519-017-0417-6.
  • Zickgraf HF, Barrada JR. Orthorexia nervosa vs. healthy orthorexia: relationships with disordered eating, eating behavior, and healthy lifestyle choices. Eat Weight Disord. 2021;17:1–13. doi:10.1007/s40519-021-01263-9.
  • Altinok M. The evaluation of eating attitudes, emotional eating, mindful eating and orthorexia with the metacognitions [Master’s thesis]. Istanbul, Turkey: Fatih Sultan Mehmet Vakif University; 2020.
  • Aksoydan E, Camci N. Prevalence of orthorexia nervosa among Turkish performance artists. Eat Weight Disord. 2009;14(1):33–37. doi:10.1007/BF03327792.
  • Andreas S, Schedler K, Schulz H, Nutzinger DO. Evaluation of a German version of a brief diagnosis questionnaire of symptoms of orthorexia nervosa in patients with mental disorders (Ortho-10). Eat Weight Disord. 2018;23(1):75–85. doi:10.1007/s40519-017-0473-y.
  • Varga M, Dukay-Szabó S, Túry F, van Furth EF. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013;18(2):103–111. doi:10.1007/s40519-013-0026-y.
  • Koven NS, Abry AW. The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat. 2015;11:385–394. doi:10.2147/NDT.S61665.
  • Moroze RM, Dunn TM, Holland C, Yager J, Weintraub P. Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal “orthorexia nervosa” and proposed diagnostic criteria. Psychosomatics. 2015;56(4):397–403. doi:10.1016/j.psym.2014.03.003.
  • Ogur S, Aksoy A, Gungor S. Determination of the orthorexia nervosa tendency in university students. BEU Fen Bil D. 2015;4(2):93–102. doi:10.17798/beufen.95626.
  • Evcimen H, Ayyildiz NI. Determination of the tendencies of university students to orthorexia nervosa of the relationship with obsession. ESTUDAM Public Health J. 2020;5(3):391–400. doi:10.35232/estudamhsd.691686.
  • Bosi ATB, Camur D, Guler C. Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite. 2007;49(3):661–666. doi:10.1016/j.appet.2007.04.007.
  • Alvarenga MS, Scagliusi FB, Philippi ST. Changing attitudes, beliefs and feelings towards food in bulimic patients. Arch Latinoam Nutr. 2008;58:274–279.
  • Valente M, Syurina EV, Donini LM. Shedding light upon various tools to assess orthorexia nervosa: a critical literature review with a systematic search. Eat Weight Disord. 2019;24(4):671–682. doi:10.1007/s40519-019-00735-3.
  • Mathieu J. What is orthorexia? J Am Diet Assoc. 2005;105(10):1510–1512. doi:10.1016/j.jada.2005.08.021.
  • Dell’Osso L, Abelli M, Carpita B, et al. Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive-compulsive spectrum. Neuropsychiat Dis Treat. 2016;12:1651–1660. doi:10.2147/NDT.S108912.
  • Cuzzolaro M, Donini LM. Orthorexia nervosa by proxy? Eat Weight Disord. 2016;21(4):549–551. doi:10.1007/s40519-016-0310-8.
  • Syurina EV, Bood ZM, Ryman FVM, Muftugil-Yalcin S. Orthorexia nervosa – opinion study in Dutch health professionals. Front Psychol. 2018;9:1419. doi:10.3389/fpsyg.2018.01419.
  • Park SW, Kim JY, Go GJ, Jeon ES, Pyo HJ, Kwon YJ. Orthorexia nervosa with hyponatremia, subcutaneous emphysema, pneumomediastimum, pneumothorax, and pancytopenia. Electrolyte Blood Press. 2011;9(1):32–37. doi:10.5049/EBP.2011.9.1.32.
  • Cheshire A, Berry M, Fixsen A. What are the key features of orthorexia nervosa and influences on its development? A qualitative investigation. Appetite. 2020;155(1):104798. doi:10.1016/j.appet.2020.104798.
  • Oberle CD, Samaghabadi RO, Hughes EM. Orthorexia nervosa: assessment and correlates with gender, BMI, and personality. Appetite. 2017;108:303–310. doi:10.1016/j.appet.2016.10.021.
  • Segura-Garcia C, Ramacciotti C, Rania M, et al. The prevalence of orthorexia nervosa among eating disorder after treatment. Eat Weight Disord. 2015;20(2):161–166. doi:10.1007/s40519-014-0171-y.
  • Strahler J, Herman A, Walter B, Stark R. Orthorexia nervosa: a behavioral complex or psychological condition? J Behav Addict. 2018;7(4):1143–1156. doi:10.1556/2006.7.2018.129.
  • Missbach B, Hinterbuchinger B, Dreiseitl V, Zellhofer S, Kur C, Konig J. When eating right, is measured wrong! A validation and critical examination of the ORTO-15 questionnaire in German. PLoS One. 2015;10(8):1–15. doi:10.1371/journal.pone.0135772.
  • Barnes MA, Caltabiano ML. The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style. Eat Weight Disord. 2017;22(1):177–184. doi:10.1007/s40519-016-0280-x.
  • Brytek-Matera A, Rogoza R, Gramaglia C, Zeppegno P. Predictors of orthorexic behaviours in patients with eating disorders: a preliminary study. BMC Psychiatry. 2015a;15(1):1–8. doi:10.1186/s12888-015-0628-1.
  • Brytek-Matera A, Donini LM, Krupa M, Poggiogalle E, Hay P. Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. J Eat Disord. 2015b;3(1):1–8. doi:10.1186/s40337-015-0038-2.
  • Gramaglia C, Brytek-Matera A, Rogoza R, Zeppegno P. Orthorexia and anorexia nervosa: two distinct phenomena? A cross-cultural comparison of orthorexic behaviours in clinical and non-clinical samples. Bio Med Central Psychia. 2017;17(1):1–5. doi:10.1186/s12888-017-1241-2.
  • Grammatikopoulou MG, Gkiouras K, Markaki A, et al. Food addiction, orthorexia, and food-related stress among dietetics students. Eat Weight Disord. 2018;23(4):459–467. doi:10.1007/s40519-018-0514-1.
  • Barnett MJ, Dripps WR, Blomquist KK. Organivore or organorexic? Examining the relationship between alternative food network engagement, disordered eating, and special diets. Appetite. 2016;105:713–720. doi:10.1016/j.appet.2016.07.008.
  • Ercim RE, Pekcan G. Assessment of nutritional status of young adults with Healthy Eating Index-2005. J Nutr Dietet. 2014;42:91–98.
  • Cok F. Gelişim psikolojisi, kuramlar, yöntemler ve yaşamın ilk yılları. Jfes. 1993;26(22):641–670. doi:10.1501/Egifak_0000000479.
  • Erol A, Toprak G, Yazıcı F. Predicting factors of eating disorders and general psychological symptoms in female college students. Türk Psikiyatri Derg. 2002;13:48–57.
  • Erbas S. Examining eating attitudes from an object relational perspective [Ph.D. Dissertation]. Ankara, Turkey: Hacettepe University; 2015.
  • Smink FRE, van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep. 2012;14(4):406–414. doi:10.1007/s11920-012-0282-y.
  • Sanlier N, Yassibas E, Bilici S, Sahin G, Celik B. Does the rise in eating disorders lead to increasing risk of orthorexia nervosa? Correlations with gender, education, and body mass index. Ecol Food Nutr. 2016;55(3):266–278. doi:10.1080/03670244.2016.1150276.
  • Garipoglu G, Arslan M, Andaç-Ozturk S. Beslenme ve Diyetetik Bölümü’nde okuyan kız öğrencilerin ortoreksiya nervoza eğilimlerinin belirlenmesi. Jizuist. 2019;1:23.27.
  • Westen D. Psychology: Mind, Brain, & Culture. New York: John Wiley & Sons; 1996.
  • Pehlivan E, Mete B, Firinci B, Dogan E. Prevalence of orthorexia nervosa and its relations with health literacy in university students. ESTUDAM Public Health J. 2019;4(2):166–175. doi:10.35232/estudamhsd.500538.
  • Baysal I. The determination of the relationship between food neophobia and orthorexia nervosa tendencies with nutritional status of individuals who engage in sports [Master’s Thesis]. Ankara, Turkey: Baskent University; 2020.
  • Dalmaz M, Tekdemir-Yurtdas G. Investigation of the orthorexia nervosa symptoms among those who sport in gym. Int R J Orthopaed Traumatol Sport Med. 2015;4(4):23–39. doi:10.17372/OTSHD.2015412556.
  • Oner B. Investigation of exercise addiction and orthorexia nervosa (healthy eating obsession) symptoms among sports center members [Master’s thesis]. Elazig, Turkey: Firat University; 2021.
  • Hamurcu TGO. The Effect of social media use on orthorexia nervosa in nursing students [Master’s thesis] İstanbul, Turkey: İstanbul University; 2019.
  • Karakus B, Hidiroglu S, Keskin N, Karavus M. Orthorexia nervosa tendency among students of the department of nutrition and dietetics at a university in Istanbul. North Clin Istanb. 2017;4(2):117–123. doi:10.14744/nci.2017.20082.
  • Krohne HW. Stress and coping theories. Int Encycl Social Behav Sci. 2001;22:15163–15170. doi:10.1016/B0-08-043076-7/03817-1.
  • Verhaeghe S, Defloor T, Grydonck M. Stress and coping among families of patients with traumatic brain injury: a review of the literature. J Clin Nurs. 2005;14(8):1004–1012. doi:10.1111/j.1365-2702.2055.01126.x.
  • Sutin AS, Costa JPT, Wethington E, Eaton W. Perceptions of stressful life events as turning points are associated with self-rated health and psychological distress. Anxiety Stress Coping. 2010;23(5):479–492. doi:10.1080/10615800903552015.
  • Miller IW, Ryan CE, Keitner GI, Bishop DS, Epstein NB. The McMaster approach to families: theory, assessment, treatment, and research. J Fam Therapy. 2008;22(2):168–189. doi:10.1111/1467-6427-00145.
  • Minuchin P. Families and individual development: provocations from the field of family therapy. Child Dev. 1985;56(2):289–302. doi:10.2307/1129270.
  • Ozen Y, Gul A. Population-sampling issue on social and educational research studies. Educ Acad Res. 2007;15:394–422.
  • Tóth-Király I, Gajdos P, Román N, Vass N, Rigó A. The associations between orthorexia nervosa and the sociocultural attitudes: the mediating role of basic psychological needs and health anxiety. Eat Weight Disord. 2021;26(1):125–134. doi:10.1007/s40519-019-00826-1.
  • Tugrul C. Gençlik dönemindeki aile sorunlarını değerlendirme ölçeği: faktör yapısı, geçerlik ve güvenirlik çalışması. Türk Psk D. 1996;11:25–43.
  • Erguney-Okumus FE, Sertel-Berk HO. The psychometric properties of the eating attitudes test short form (EAT-26) in a college sample. Stud Psychol. 2020;40(1):57–78. doi:10.26650/SP2019-0039.
  • Barrada JR, Roncero M. Bidimensional structure of the orthorexia: development and initial validation of a new instrument. Anales de Psicología. 2018;34(2):283–291. doi:10.6018/analesps.34.2.299671.
  • Asarkaya B, Arcan K. Adaptation, validity and reliability study of Teruel Orthorexia Scale (TOS): the Turkish adaptation of the Teruel Orthorexia Scale. Klinik Psk D. 2021. doi:10.5455/kpd.26024438m000039.
  • Fidan T, Ertekin V, Isikay S, Kirpinar I. Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry. 2010;51(1):49–54. doi:10.1016/j.comppsych.2009.03.001.
  • Berber R. Investigation of the relationship between orthorexia tendencies and nutritional status of individuals in the Covid-19 pandemic [Master’s thesis]. Aydin, Turkey: Adnan Menderes University; 2021.
  • Awad E, Salameh P, Sacre H, Malaeb D, Hallit S, Obeid S. Association between impulsivity and healthy orthorexia: any moderating role of personality traits? Psychol Health Med. 2021;27(8):1832–1841. doi:10.1080/13548506.2021.1954673.
  • Cok G. Examination of Orthorexia Nervosa Frequency and Nutritional Status in Individuals Applying to A Family Health Center. [Master’s thesis]. Istanbul, Turkey: Istanbul University; 2020.
  • Guvenc F. The effect of healthy nutrition obsession (Orthorexia nervosa) on the quality of life and happiness [Master’s thesis]. Isparta, Turkey: Suleyman Demirel University; 2020.
  • Ozkahya KD. Identification of orthorexia nervosa in adults applying for online diet and the correlation with other parameters [Master’s thesis]. Istanbul, Turkey: Okan University; 2015
  • Merdin E. The role of childhood trauma and psychopathological symptoms on orthorexia nervosa [Master’s thesis]. Istanbul, Turkey: Maltepe University; 2018.
  • Ugurlu EB. The relationship between orthorexia nervosa levels and social appearance anxiety in Uskudar University students [Master’s thesis]. Istanbul, Turkey: Uskudar University: 2020.
  • Cakir RD. The evaluation of the effects of social media use on orthorexia nervosa and body image [Master’s thesis]. Istanbul, Turkey: Istanbul Aydin University; 2021.
  • Turhan S. The examination of the relationship between orthorexia nervosa, perfectionism, body image and perceived parenting attitudes [Master’s Thesis]. Istanbul, Turkey: Istanbul Arel University: 2021.
  • Yildiz K. The relationship between childhood trauma and perfectionism, orthorectic symptoms and eating attitudes [Master’s thesis]. Istanbul, Turkey: Isik University: 2020.
  • Erol O. Determination of orthorexia nervosa symptoms and eating attitudes in Inonu University Faculty of Medicine Students [Master’s thesis]. Malatya, Turkey: Inonu University; 2018.
  • Ozdenoglu A, Dege G. As a predictor of eating disorders at university students the effect of self-esteem and nutrition education on the frequency of orthorexia nervosa. Bozok Med J. 2015;5:5–14.
  • Ruiz A, Quiles Y. Prevalence of orthorexia nervosa in Spanish university students: relationship with body image and eating disorders. Ann Psychol. 2021;7(3):493–499. doi:10.6018/analesps.449041.
  • Barthels F, Meyer F, Huber T, Pietrwosky R. Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. Eat Weight Disord. 2017;22(2):269–276. doi:10.1007/s40519-016-0329-x.
  • Villa M, Opawsky N, Manriquez S, Ananias N, Vergara-Barra P, Leonario-Rodriquez M. Orthorexia nervosa risk and associated factors among Chilean nutrition students: a pilot study. J Eat Disord. 2022;10(1):6. doi:10.1186/s40337-022-00529-6.
  • Cicekoglu-Ozturk P. Determining nursing students’ orthorexia nervosa tendencies and associated factors. Eurasian JHS. 2021;4:99–105.
  • Duran S. The risk of orthorexia nervosa (healthy eating obsession) symptoms for health high school students and affecting factors. Pam Med J. 2016;9(3):220–226. doi:10.5505/ptd.206.03880.
  • Sumengen M. Eating behavior in students and relationship between orthorexia nervosa [Master’s tehsis]. Istanbul, Turkey: Bahcesehir University; 2020.
  • National Commission for Health Education Credentialing. Areas of responsibilities, competencies and sub-competencies for health education specialists 2020. https://www.nchec.org/responsibilities-andcompetencies. Published 2020. Accessed November 05, 2022.

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