ReviewInternational journal of environmental research and public health2021
Prevalence of Orthorexia Nervosa and Its Diagnostic Tools-A Literature Review.
Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 7 of them syntheses that pooled it.
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Who cites it
63 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- The Associations Between Vegetarian and Vegan Diets and Orthorexia Nervosa Symptoms in Adults: A Systematic Review and Meta-Analysis.The International journal of eating disorders · 2026Pooled it
- A COSMIN-based systematic review of the measurement properties of cross-cultural versions of the orthorexia nervosa inventory.Frontiers in psychology · 2026Pooled it
- Idealized Body Images and Fitness Lifestyles on Social Media: A Systematic Review Exploring the Link Between Social Media Use and Symptoms of Orthorexia Nervosa and Muscle Dysmorphia.European eating disorders review : the journal of the Eating Disorders Association · 2026Pooled it
- Multidimensional perfectionism and orthorexia: a systematic review and meta-analysis.Eating and weight disorders : EWD · 2024Pooled it
- 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
- Pooled it
- Obsessed with Healthy Eating: A Systematic Review of Observational Studies Assessing Orthorexia Nervosa in Patients with Diabetes Mellitus.Nutrients · 2021Pooled it
- Psychometric Validation of the Turkish ORTO-11 and Psychological Correlates of Orthorexic Tendencies in Transgender Adults Before Gender-Affirming Treatment.Behavioral sciences (Basel, Switzerland) · 2026Article
- 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
- Is dieting a double-edged sword? Orthorexia in celiac disease.BMC psychiatry · 2026Article
- Multidimensional body image and self-esteem: a latent profile analysis differentiating orthorexia nervosa and exercise addiction from disordered eating.BMC psychiatry · 2026Article
- Cross-cultural adaptation and psychometric validation of the Turkish Düsseldorf Orthorexia Scale in adolescents.Eating and weight disorders : EWD · 2026Article
- Systemic lupus erythematosus is associated with an increased risk for orthorexia nervosa: a cross-sectional study.Rheumatology international · 2026Article
- Validity and reliability of the Arabic orthorexia nervosa inventory scale in young adults: a validation study.Eating and weight disorders : EWD · 2026Article
- Assessing Orthorexic Tendencies and Dietary Patterns: A Cross-Sectional Study of Orthorexia Nervosa and Dietary Patterns in Lithuania.Nutrients · 2026Article
- Screening for orthorexia nervosa among nursing students: prevalence and associations between the Chinese version of the Düsseldorf Orthorexia Scale and the Chinese version of the Orthorexia Nervosa Inventory.Frontiers in nutrition · 2026Article
- From health to harm: Cross-sectional analysis of factors associated with orthorexia nervosa.Neuroscience applied · 2026Article
- What the algorithm serves: diet and fitness content on Instagram as independent predictors of orthorexia nervosa in a large Italian female sample.Frontiers in nutrition · 2026Article
- Cross-cultural adaptation and psychometric validation of the Spanish version of the Orthorexia Nervosa Inventory (ONI-ES).Frontiers in nutrition · 2026Article
- Orthorexia Profiles in Athletes: A Multidimensional Analysis Using the Eating Habits Questionnaire (EHQ) and the Teruel Orthorexia Scale (TOS).Nutrients · 2025Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this article is to present the up-to-date diagnostic tools of orthorexia and markers of its prevalence on the basis of the available literature. The authors searched PubMedCentral (PMC) and Google Scholar with the search entry of "orthorexia", "orthorexia nervosa", and "orthorexicbehaviours". We describe the tools of evaluation of orthorexicbehaviour (i.e., orthorexia self-test-BOT, the ORTO-15 questionnaire, Eating Habits Questionnaire-EHQ, Düsseldorf Orthorexia Scale-DOS, Teruel Orthorexia Scale-TOS, Barcelona Orthorexia Scale-BOS, and Orthorexia Nervosa Inventory-ONI), and offer a review of the studies on orthorexia nervosa. We conclude that there are no reliable data regarding the prevalence of orthorexia nervosa. The available studies point to significant differences in the prevalence depending on the value of cut-off points and tools used. The prevalence varies across countries and across populations, ranging from 6.9% in the Italian population to 88.7% in the group of Brazilian students of dieting. Thus, it indicates that some groups seem to be susceptible to the risk of ON more than others. It is a challenge to determine the prevalence of orthorexia, and any obtained results should be treated with caution. Consequently, we claim that the use of the ORTO-15 questionnaire to diagnose orthorexia is questionable due to a high percentage of falsely positive results.
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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.