Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorders: a cross-sectional study.
Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorders: a cross-sectional study.
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DOI：
10.1007/s40519-023-01631-7
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发表时间：
2023-12-09
影响因子：
2.9
通讯作者：
Biesiekierski, Jessica R.
中科院分区：
文献类型：
--
作者：
Foyster, Mandy;Sultan, Nessmah;Tonkovic, Matilda;Govus, Andrew;Burton-Murray, Helen;Tuck, Caroline J.;Biesiekierski, Jessica R.
关键词：
神经性厌食症包括基于质量而不是数量来限制饮食。虽然正常饮食症在许多高危人群中有很好的报道，但在有饮食失调史（EDs）的个体或运动员中存在的数据有限。与对照组相比，我们的目的是确定成人ed患者和耐力运动员中正常饮食的存在和潜在驱动因素。≥18岁的参与者包括：诊断为饮食失调的人（根据DSM-5的ED）；耐力运动员（训练/比赛≥5小时/周）；或者控制对象。参与者（n = 197）完成了一项在线调查，评估了厌食症（饮食习惯问卷，EHQ）、饮食动机（tem - b）和强迫性运动（CET）。ED患者正常饮食症状严重程度最高（92.0±3.02,n = 32），其次是运动员（76.2±2.74,n = 54）和对照组（71.0±1.80,n = 111） （F (2) = 18.2, p < 0.001）。体重控制动机与高厌食症状严重程度呈正相关（r = 0.54, 95% CI [1.35, 2.36], p < 0.001），而饥饿和愉悦动机与高厌食症状严重程度呈弱负相关（r = 0.23, 95% CI [- 2.24, - 0.34], p = 0.008; r = 0.26, 95% CI [- 2.11, - 0.47], p = 0.002）。CET与厌食症状严重程度呈中度正相关（95% CI [1.52, 3.12], p < 0.001）。与对照组相比，有ED病史的成年人和耐力运动员有更严重的厌食症状。与高危人群一起工作的临床医生应该对患者进行筛查，并注意正常饮食特征、控制体重的欲望和强迫性运动行为的危险信号。III：来自队列研究的证据。在线版本包含补充材料，下载地址为10.1007/s40519-023-01631-7。
Orthorexia nervosa involves restricting diet based on quality rather than quantity. Although orthorexia is well reported in many at-risk populations, limited data addresses its presence in individuals with eating disorder history (EDs) or athletes. We aimed to identify the presence and potential drivers of orthorexia in adults with EDs and endurance athletes, compared to control subjects. Participants ≥ 18y included: people with a diagnosed eating disorder (ED as per DSM-5); endurance athletes (training/competing ≥ 5 h/week); or control subjects. Participants (n = 197) completed an online survey assessing orthorexia (eating habits questionnaire, EHQ), eating motivations (TEMS-B) and compulsive exercise (CET). ED had the highest orthorexia symptom severity (92.0 ± 3.02, n = 32), followed by athletes (76.2 ± 2.74, n = 54) and controls (71.0 ± 1.80, n = 111) (F (2) = 18.2, p < 0.001). A strong positive correlation existed between weight control motives and higher orthorexia symptom severity (r = 0.54, 95% CI [1.35, 2.36], p < 0.001), while a weak negative association existed between Hunger and Pleasure motives and higher orthorexia symptom severity (r = 0.23, 95% CI [− 2.24, − 0.34], p = 0.008; r = 0.26, 95% CI [− 2.11, − 0.47], p = 0.002, respectively). A moderate positive relationship was found between CET and orthorexia symptom severity (95% CI [1.52, 3.12], p < 0.001). Adults with ED history and endurance athletes have greater orthorexia symptom severity compared to control. Clinicians working with at-risk populations should screen patients and be aware of red-flags of orthorexic traits, desire to control weight, and compulsive exercise behavior. III: Evidence obtained from cohort studies. The online version contains supplementary material available at 10.1007/s40519-023-01631-7.
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影响因子：
5.9
作者：
Surała O;Malczewska-Lenczowska J;Sadowska D;Grabowska I;Białecka-Dębek A
通讯作者：
Białecka-Dębek A
DOI：
10.1007/s40519-022-01407-5
发表时间：
2022-10
影响因子：
2.9
作者：
Kalika, Eliza;Egan, Helen;Mantzios, Michail
通讯作者：
Mantzios, Michail
DOI：
10.3402/qhw.v10.26799
发表时间：
2015-01-01
影响因子：
1.8
作者：
Haman, Linn;Barker-Ruchti, Natalie;Lindgren, Eva-Carin
通讯作者：
Lindgren, Eva-Carin
影响因子：
0.7
作者：
Hayes, Olivia;Wu, Monica S.;Storch, Eric A.
通讯作者：
Storch, Eric A.
影响因子：
2.8
作者：
Cresswell, Camilla;Watson, Hunna J.;Egan, Sarah J.
通讯作者：
Egan, Sarah J.