Orthorexia prevalence among health care professionals involved in nutrition education: The ADI-O Study
Orthorexia prevalence among health care professionals involved in nutrition education: The ADI-O Study
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DOI：
10.3233/mnm-140039
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发表时间：
2015-01-01
影响因子：
1.1
通讯作者：
Lucchin, L.
中科院分区：
文献类型：
--
作者：
Maghetti, A.;Cicero, A. F. G.;Lucchin, L.
背景：神经性厌食症是一种对健康食品消费的病理性固着。ON尚未出现在精神疾病诊断和统计手册-V（DSM-V）中作为疾病分类学类别，因此它仍然是一个新的有争议的概念，影响大多数卫生保健专业人员。目的：我们的研究的目的是评估正性厌食症的患病率在一个大样本的卫生保健专业人员参与营养教育方法：通过电子邮件向ADI成员发送Orto-15问卷的盲形式，该问卷是筛查骨科患者的主要验证测试。离婚者的总分明显较低（已婚或未婚的人，p = 0.005），生物学家（而不是医生，p = 0.002），自由职业者（与政府雇员相比，p = 0.020）、吸烟者（与不吸烟者相比，p = 0.011）和节食的专业人员（p < 0.001）。主要的得分预测因素是婚姻状况（B =-0.464，CI 95%=-0.727 --0.134，p = 0.007，离婚vs.其他类别），BMI（B = 0.882，CI 95%= 0.819-0.976，p = 0.012）和饮食依从性（B =-2.200，CI 95%=-6.066 --1.819，p < 0.001）。在这个大样本中，正性食欲似乎相当普遍，特别是在生物学家、自由职业者、离婚者、吸烟者、节食者和瘦的受试者中。
BACKGROUND: Orthorexia Nervosa (ON) is defined as a pathological fixation about the consumption of healthy food. ON doesn't yet appear in the Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V) as a nosological category, so that it remains a new controversial concept that affects mostly health care professionals.OBJECTIVE: The aim of our study was to evaluate the prevalence of orthorexia in a large sample of health care professionals involved in nutrition education (1240 subjects).METHODS: A masked form of the Orto-15 questionnaire, the main validated test for the screening of orthorexic patients, was administrated to the ADI members by e-mail.RESULTS: The total score is significantly lower in divorced people (than in married or unmarried people, p = 0.005), biologists (rather than medical doctors, p = 0.002), free-lances (than government employees, p = 0.020), smokers (than no smokers, p = 0.011) and in professionals following a diet (p < 0.001). The main score predictors are the marital status (B =-0.464, CI95% =-0.727 --0.134, p = 0.007, divorced vs. other categories), BMI (B = 0.882, CI95% = 0.819-0.976, p = 0.012) and adherence to a diet (B =-2.200, CI95% =-6.066 --1.819, p < 0.001 versus subjects with free diet).CONCLUSION: In this large sample, orthorexia seems to be quite widespread, especially among biologists, free-lances, divorced, smokers, dieting and thin subjects.