ArticleWorld journal of psychiatry2022
Overlap of orthorexia, eating attitude and psychological distress in some Italian and Spanish university students.
Article in World journal of psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.
- Instruments used to measure well-being, ill-being, and health-related lifestyle behaviors in students attending Italian universities: a systematic review.Frontiers in public health · 2026Pooled 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
- Psychometric Evaluation and Clinical Norms of a Dutch Version of the Body Uneasiness Test Among Individuals With Self-Reported Eating Disorder Pathology.Journal of clinical psychology · 2026Article
- Article
- Multidimensional body image and self-esteem: a latent profile analysis differentiating orthorexia nervosa and exercise addiction from disordered eating.BMC psychiatry · 2026Article
- Association Between Physical Activity Level, Quality of Life Determinants, Internet Use, and Orthorexia Among Sport Science Students Living in Naples: An Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- A Comparative Study of Paralympic Veterans with Either a Spinal Cord Injury or an Amputation: Implications for Personalized Nutritional Advice.Journal of functional morphology and kinesiology · 2025Article
- Orthorexia Nervosa: Prevalence Among Spanish University Students and Its Effects on Cardiometabolic Health.Nutrients · 2025Article
- Sex-related perception of body image, attitude toward food, and nutritional status of university students, and their relationship with physical activity level.Frontiers in psychology · 2025Article
- Eating Attitudes, Stress, Anxiety, and Depression in Dietetic Students and Association with Body Mass Index and Body Fat Percent: A Cross-Sectional Study.Diseases (Basel, Switzerland) · 2024Article
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Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOrthorexia nervosa (ON) is the persistent concern of maintaining the self-imposed diet to improve one's health. Many factors have been associated to ON in univ-ersity students.
aimTo assess the prevalence of ON in Italian and Spanish university students in relation to eating attitude and psychological distress, and the possible overlaps between ON (evaluated with different scored questionnaires from the originally proposed ORTO-15), distress and risk of eating disorders.
methodsThis study was carried out on 160 students recruited at La Sapienza University of Rome and at the Catholic University of Murcia. Questionnaires were administered to evaluate ON (ORTO-15 and sub-scores), body concerns (Multidimensional Body-Self Relations Questionnaire, MBSRQ, and Body Uneasiness test, BUT), psychological distress (Kessler Psychological Distress Scale, K10), physical activity (International Physical Activity Questionnaire, IPAQ), eating attitude (Eating Attitudes Test, EAT-26) and malnutrition (Starvation Symptom Inventory, SSI). Sex differences, within the same country, and differences between Italian and Spanish students, within the same sex, were evaluated.
resultsThe ORTO-15 positive subjects, assessed with the originally proposed cut-off, were above 70% in both Italian and Spanish students, with a higher prevalence in the Spanish sample (Italian females 76.3%, Italian males 70.7%; Spanish females 97.0%, Spanish males 96.3%). According to ORTO-7, about 30% of Italian and 48% of Spanish students were positive to ON with no significant sex differences. When excluding students underweight (UW), overweight (OW) or obese (OB), as well as those potentially at risk of eating disorders or presenting mild, moderate and severe distress, in the resultant normal weight (NW)-K10
conclusionIn some university students ON could be a symptom of other conditions related to body image concerns and distress, as well as to high physical activity and appearance, fitness, health or illness orientation (from MBSRQ). However, ORTO-7 became independent from these confounding variables, after the exclusion of UW, OW, OB and students positive to EAT-26 and K10, suggesting the possibility of identifying orthorexic subjects with this specific questionnaire.
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