Evidence map›Paper›PMID 41760836›Full record

ArticleEating and weight disorders : EWD2026

Parental eating attitudes and adolescent eating disorder severity: preliminary findings on orthorexic tendencies.

Francesca Camardella, Valentina Pellegatta, Eleonora Poggiogalle, Maria Pia Casini, Federica Gigliotti, Samira Terlizzi, Angela Favaro, Patrizia Todisco, Paolo Meneguzzo, Lorenzo M Donini

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Article in Eating and weight disorders : EWD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Francesca CamardellaExperimental Medicine Department, Food Science and Human Nutrition Research Unit, Sapienza University of Rome, Rome, Italy.
Valentina PellegattaExperimental Medicine Department, Food Science and Human Nutrition Research Unit, Sapienza University of Rome, Rome, Italy.
Eleonora PoggiogalleExperimental Medicine Department, Food Science and Human Nutrition Research Unit, Sapienza University of Rome, Rome, Italy.
Maria Pia CasiniDepartment of Human Neuroscience, Unit of Child and Adolescent Neuropsychiatry, Sapienza University of Rome, Via Dei Sabelli 108, 00185, Rome, Italy.
Federica GigliottiDepartment of Human Neuroscience, Unit of Child and Adolescent Neuropsychiatry, Sapienza University of Rome, Via Dei Sabelli 108, 00185, Rome, Italy.
Samira TerlizziEating Disorder Unit, Casa di Cura "Villa Margherita" - KOS Group, Arcugnano, Vicenza, Italy.
Angela FavaroDepartment of Neuroscience, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.ORCID http://orcid.org/0000-0002-6540-5194
Patrizia TodiscoEating Disorder Unit, Casa di Cura "Villa Margherita" - KOS Group, Arcugnano, Vicenza, Italy.ORCID http://orcid.org/0000-0002-2212-9855
Paolo MeneguzzoDepartment of Neuroscience, University of Padova, Via Giustiniani 2, 35128, Padua, Italy. paolo.meneguzzo@unipd.it.ORCID http://orcid.org/0000-0003-3323-6071
Lorenzo M DoniniExperimental Medicine Department, Food Science and Human Nutrition Research Unit, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0003-4692-4754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEating disorders (EDs) often emerge in adolescence and are influenced by family factors. Parental eating attitudes, including orthorexic tendencies, may be associated with adolescent ED severity. We examined parental orthorexic tendencies, cognitive rigidity, and nutritional knowledge in relation to adolescents' ED symptoms.

methodsThe sample comprised 59 adolescents (93.2% female; mean age = 18.34 ± 3.78 years) and their parents (36 dyads; 23 single parents). Parents completed measures of orthorexia (ORTO-R), cognitive rigidity (D-FLEX), and an ad hoc nutritional knowledge questionnaire; adolescents completed the EDE-Q. Analyses were conducted in the full sample and repeated in anorexia nervosa (AN).

resultsIn the full sample, higher maternal ORTO-R scores were associated with greater EDE-Q restraint (β = 0.29, p = 0.042) and shape concern (β = 0.31, p = 0.030). In fathers, older age was associated with adolescents' shape (β = 0.32, p = 0.037) and weight concerns (β = 0.36, p = 0.018), whereas paternal ORTO-R was not significant. Mothers showed higher nutritional knowledge than fathers (U = 821.0, p = 0.013). No parent-child concordance emerged for BMI or eating psychopathology. Associations were no longer significant in AN-only analyses.

conclusionParental orthorexic tendencies showed small associations with adolescent ED severity in the full sample, with limited robustness in AN. Findings are preliminary and warrant replication in larger diagnostically stratified cohorts. LEVEL OF EVIDENCE: Level III, observational analytic study; cross-sectional design.

Indexed as

Adolescent BehaviorFeeding and Eating DisordersFeeding BehaviorHealth Knowledge, Attitudes, PracticeParent-Child RelationsParentsAdolescentAdultAnorexia NervosaFemaleHumansMaleSeverity of Illness IndexSurveys and QuestionnairesYoung AdultAdolescentsEating DisordersFamily EnvironmentNutritional KnowledgeOrthorexiaParental Influence

Identifiers

PMID41760836
PMCPMC13043582

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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.