Observational studyEating and weight disorders : EWD2021
Is orthorexia nervosa a feature of obsessive-compulsive disorder? A multicentric, controlled study.
Observational study in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Overall proportion of orthorexia nervosa symptoms: A systematic review and meta-analysis including 30 476 individuals from 18 countries.Journal of global health · 2023Pooled it
- ORTO-Measured Orthorexia Nervosa-Related Tendencies Among Dancers Before and During the COVID-19 Pandemic: A Multivariate Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Observational
- Pathological Eating Patterns in Adults Displaying Obsessive-Compulsive Symptoms: A Scoping Review.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- A Combined Network Analysis for Orthorexia Nervosa, Obsessive Compulsive, and Eating Disorder Symptoms.Nutrients · 2026Article
- Cross-cultural adaptation and psychometric validation of the Turkish Düsseldorf Orthorexia Scale in adolescents.Eating and weight disorders : EWD · 2026Article
- Problematic usage of the internet is associated with orthorexia nervosa tendency in adults.CNS spectrums · 2025Article
- Prevalence and determinants of orthorexia nervosa among Turkish adolescents.Social psychiatry and psychiatric epidemiology · 2025Article
- The Mediating Role of Social Camouflaging on the Relationship Between Autistic Traits and Orthorexic Symptoms.Brain sciences · 2025Article
- Relationships among nutrition knowledge level, healthy eating obsessions, body image, and social media usage in females: a cross-sectional study.BMC public health · 2025Article
- Orthorexia nervosa in dietitians and dietetics students-prevalence, risk factors, and interventions: a scoping review using a systematic approach.Nutrition reviews · 2025Article
- Assessing orthorexic behaviors in a clinical sample: validity and reliability study of the Turkish version of the Düsseldorf orthorexia scale.Journal of eating disorders · 2024Article
- Striving for the perfect diet? The mediating role of perfectionism in the relationship between obsessive compulsive symptoms and traits of Orthorexia Nervosa.Journal of eating disorders · 2024Article
- Perfectionism as a moderator of the relationship between orthorexia nervosa and obsessive-compulsive symptoms.Eating and weight disorders : EWD · 2024Article
- Maternal Bonding as a Protective Factor for Orthorexia Nervosa Risk in Dietetics Students.Nutrients · 2023Article
- Perfectionism or Perfectionisms in Orthorexia Nervosa.Nutrients · 2023Article
- The Relationship between Orthorexia Nervosa and Obsessive Compulsive Disorder.European journal of investigation in health, psychology and education · 2023Article
- Article
- Orthorexia Nervosa, Eating Disorders, and Obsessive-Compulsive Disorder: A Selective Review of the Last Seven Years.Journal of clinical medicine · 2022Review
- What do Italian healthcare professionals think about orthorexia nervosa? Results from a multicenter survey.Eating and weight disorders : EWD · 2022Article
- Orthorexia Nervosa in Adolescents and Young Adults: A Literature Review.Children (Basel, Switzerland) · 2022Review
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe term orthorexia nervosa (ON) was coined to describe altered thoughts and behaviours related to healthy eating. The prevalence of ON was found to scale up to almost 90% among high-risk populations (ballet dancers, athletes, and health workers). ON seem to share psychopathological aspects with both Eating Disorders (ED) and Obsessive-Compulsive Disorder (OCD). The aim of the study was to analyse the frequency and intensity of ON symptoms among subjects diagnosed with OCD, hypothesising that they would be higher than in two control groups (subjects with anxiety-depressive disorders and general population).
methodsWe conducted a multi-centre, observational, controlled study. Subjects filled in a socio-demographic questionnaire including questions related to life-style and two psychometric instruments: ORTO-15, for ON symptoms, and OCI-R, for OCD symptoms. Post hoc analysis of the dataset was performed using the revised version of ORTO-15, the ORTO-R.
resultsIn the final sample of 328 subjects, the overall prevalence of ORTO-15-ON was 59.5%, mean score 37.9 ± 4.2. The mean score at the ORTO-R was 16.6 ± 4.6. No statistically significant differences were found in the prevalence of ON or in the mean ORTO-15 score among OCD patients and the two control groups, and this was confirmed by the multiple regression analysis. At the ORTO-R re-scoring, OCD patients scored significantly lower than the two clinical subgroups (p = .0005) and a lower ORTO-R score was associated to positivity at the OCI-R, confirming the initial hypothesis of the study.
conclusionsON symptoms do seem to be more prevalent among subjects suffering from OCD. The psychometric properties of tools available to calculate ON symptoms, namely ORTO-15 vs. ORTO-R, play a relevant role in explaining such finding. ORTO-R seems to be a valid alternative able to overcome such difficulties, though further studies are needed to confirm this.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.