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Orthorexia Nervosa Updated

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Orthorexia Nervosa Updated

  1. 1.  Orthorexia Nervosa By Olivia Curl Image source:
  2. 2. Outline  What is Orthorexia Nervosa?  Classification of Orthorexia Nervosa  The Evidence: What does it tell us?  Obsessive Compulsive Disorder & Anxiety  Diagnostic Tools  Treatment Options  Goals of Nutrition Care  Technique Tool Box
  3. 3. What is Orthorexia Nervosa Image Source:
  4. 4. The Illusion of Safety H E A L T H L Y P U R E Artificial GMO’s Additives P E S T I C I D E S Natural Preservatives TOXIC Fresh B I O L O G I C A L Processed Wholesome Image Source: Image Source:
  5. 5.  Not included in the DSM-5  Similarities among anorexia nervosa and bulimia nervosa  Avoidant/Restrictive Food Intake Disorder  Diagnostic Fad?  Dominant awareness among eating disorder professionals in Belgium (Vandereycken W, 2011)Media-Induced or actual disorder? Classification Image Source:
  6. 6.  Prevalence Image Source: Image Source:
  7. 7. Prevalence continued
  8. 8.  In combination with Orthorexia Nervosa OCD and Anxiety Image Source:
  9. 9. DiagnosticTools  Bratman’s Orthorexia Test (BOT)  ORTO-15 Image Source:
  10. 10. Treatment Options  Motivational Interviewing  Cognitive Behaviour Therapy  Selective Serotonin Reuptake Inhibitors  Atypical Antipsychotics Image Source:
  11. 11. Goals of Nutrition Care  Correct  Restore  Achieve Image Source:
  12. 12. TechniqueTool Box  Food Acceptance  Dispel harmful beliefs/attitudes  Trigger Foods  Address feelings  Define meals  Be curious  Raise awareness Image source:
  13. 13. Lessons Learned
  14. 14.  Thank you for listening Questions? Image Source:
  15. 15. References  Aksoydan E, Camci N. Prevalence of orthorexia nervosa among Turkish performance artists. Eat Weight Disord. 2009 March;14(1):33-7. Abstract available from:  Alvarenga M, Martins M, Sato K, Varga S, Philippi S, Scagliusi F. Orthorexia nervosa behaviour in a sample of Brazilian dietitians assessed by the Portuguese version of ORTO-15. Eat Weight Disord. 2012 March;17(1):e29-e35. Abstract available from:  Asil E, Sürücüoğlu, M. Orthorexia nervosa in Turkish dietitians. Ecol Food Nutr, 2015 Jan;[Epup ahead of print]: 1-11. Abstract available from:  Bağci Bosi A, Camur D, Güler C. Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite. 2007 Nov;49(3):661-6. Abstract available from: http://www-ncbi-nlm-nih-  Bratman S, Knight D. Health food junkies: overcoming the obsession with healthy eating. New York (NY): Broadway Books; 2000. ISBN: 0767905857  Brytek-Matera A. Orthorexia nervosa – an eating disorder, obsessive-compulsive disorder or disturbed eating habit? Arch Psychiatr Psychother. 2012;1:55-60. Available from:  Catalina Zamora ML, Bote Bonaechea B, Garcia Sanchez F, Rios Rial B. Orthorexia nervosa. A new eating behavior disorder? Actas Esp Psiquiatr. 2005;33(1):66-68
  16. 16. References  Donini L, Marsili D, Graziani M, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005 Jun;10(2):e28-e32. Abstract available from: http://www-ncbi-nlm-nih-  Donini L, Marsili D, Graziani D, Imbriale M, Cannella C. Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord. 2004 Jun;9(2):151-7. Abstract available from:  Eriksson L, Baigi A, Marklund B, Lindgren E. Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants. Scand J Med Sci Sports. 2008 Jun;18(3):389-94. Abstract available from:  Haman L, Barker-Ruchti N, Patriksson G, Lindgren EC. Orthorexia nervosa: an integrative literature review of a lifestyle syndrome. Int J Qualitative Stud Health Well-Being. 2015;10:26799. Abstract available from:  Herranz Valera J, Acuña Ruiz P, Romero Valdespino B, Visioli F. Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eat Weight Disord. 2014 May;epub ahead of print. Abstract available from: http://www-  Kinzl F, Hauer K, Traweger C, Kiefer I. Orthorexia nervosa in dieticians. Psychother Psychosom. 2006 Oct;75(6):695-6. Citation available from:
  17. 17. References  Korinth A, Schiess S, Westenhoefer. Eating behaviour and eating disorders in students of nutrition sciences. Public Health Nutr. 2010 Jan;13(1):32-7. Abstract available from: http://www-ncbi-nlm-nih-  Koven N, Senbonmatsu R. A neuropsychological evaluation of orthorexia nervosa. O J Psych. 2013 Feb;3(2): 214-22. Available from:  Mathieu J. What is orthorexia? J Am Diet Assoc. 2005 Oct;105(10):1510-2. Abstract available from: http://www-ncbi-  Moroze R, Dunn T, Craig Holland J, Yager J, Weintraub P. Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal “orthorexia nervosa” and proposed diagnostic criteria. Psychosomatics. 2014 Mar. Epub ahead of print. Abstract available from: http://www-ncbi-nlm-nih-  Park S, Kim J, Jeon E, Pyo H, Kwon Y. Orthorexia nervosa with hyponatremia, subcutaneous emphysema, pneumomediastinum, pneumothorax, and pancytopenia. Electrolyte Blood Press. 2011 Jun;9(1):32-7. Abstract available from:  Ramacciotti C, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, et al. Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO-15). Eat Weight Disord. 2011 Jun;16(2):e127-30. Abstract available from:
  18. 18. References  Rangel C, Dukeshire S, MacDonald L. Diet and Anxiety. An exploration into the Orthorexic Society. Appetite. 2011 Aug;58:124-132. Abstract available from: doi:10.1016/j.appet.2011.08.024  Saddichha S, Babu G, Chandra P. Orthorexia nervosa presenting as a prodrome of schizophrenia. Schiophr Res. 2012 Jan;134(1):110. Citation available from: http://www-ncbi-nlm-nih-  Satter E. Eating competence: nutrition education with the Satter Eating Competence Model. J Nutr Educ Behav. 2007 Sep-Oct;39(5 Suppl):S189-94. Citation available from: http://www-ncbi-nlm-nih-  Segura-García C, Papaianni M, Caglioti F, Procopio L, Nisticò C, Bombardiere L, et al. Orthorexia nervosa: a frequent eating disordered behaviour in athletes. Eat Weight Disord. 2012 Dec;17(4):e226- 33. Abstract available from:  Vandereycken W. Media hype, diagnostic fad, or genuine disorder? Professionals’ opinions about night eating syndrome, orthorexia, muscle dysmorphia, and emetophobia. Eat Weight Disord. 2014 Mar-Apr;19(2):145-55. Abstract available from:  Varga M, Dukay-Szabó S, Túry F, van Furth E. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013 Jun;18(2):103-11. Abstract available from: http://www-ncbi-nlm-nih-

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