Evidence map›Paper›PMID 38070009›Full record

ArticleEating and weight disorders : EWD2023

Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorders: a cross-sectional study.

Mandy Foyster, Nessmah Sultan, Matilda Tonkovic, Andrew Govus, Helen Burton-Murray, Caroline J Tuck, Jessica R Biesiekierski

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Eating and weight disorders : EWD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Mandy FoysterDepartment of Dietetics, Nutrition and Sport, La Trobe University, Bundoora, VIC, Australia.
Nessmah SultanDepartment of Dietetics, Nutrition and Sport, La Trobe University, Bundoora, VIC, Australia.
Matilda TonkovicDepartment of Dietetics, Nutrition and Sport, La Trobe University, Bundoora, VIC, Australia.
Andrew GovusDepartment of Dietetics, Nutrition and Sport, La Trobe University, Bundoora, VIC, Australia.
Helen Burton-MurrayDivision of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA.
Caroline J Tuck *Department of Dietetics, Nutrition and Sport, La Trobe University, Bundoora, VIC, Australia.
Jessica R Biesiekierski *Department of Dietetics, Nutrition and Sport, La Trobe University, Bundoora, VIC, Australia. jessica.biesiekierski@monash.edu.
La Trobe University · AUHarvard University · US

Funding

A Biobehavioral Approach to Understand Problematic Avoidant/Restrictive Eating in Adults with Functional DyspepsiaK23DK131334 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI BURTON MURRAY, HELEN · 2021 to 2025
$1.1M
NIDDK NIH HHS K23 DK131334NIDDK NIH HHS K23DK131334
6 · The paper itself

Abstract

purposeOrthorexia 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.

methodsParticipants ≥ 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).

resultsED 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).

conclusionAdults 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. LEVEL OF EVIDENCE: III: Evidence obtained from cohort studies.

Indexed as

Feeding and Eating DisordersOrthorexia NervosaAdultAthletesCross-Sectional StudiesFeeding BehaviorHealth BehaviorHumansMotivationSurveys and QuestionnairesCompulsive exerciseDisordered eatingEating disorder historyEating motivationsEndurance athletesWeight control

Identifiers

PMID38070009
PMCPMC10710386
OpenAlexW4389506411

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.