This document discusses Orthorexia Nervosa, an eating disorder characterized by an excessive focus on eating healthy, nutritious foods. It provides an overview of what orthorexia is, debates around its classification, evidence and prevalence in different populations. Diagnostic tools and potential treatment options are also summarized, including cognitive behavioral therapy and selective serotonin reuptake inhibitors.
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. What is Orthorexia Nervosa
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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
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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
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9.
In combination with Orthorexia Nervosa
OCD and Anxiety
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15.
Thank you for listening
Questions?
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16. 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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/19367138
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/?term=orthorexia+brazilian
Asil E, Sürücüoğlu, M. Orthorexia nervosa in Turkish dietitians. Ecol Food Nutr, 2015 Jan;[Epup ahead of print]:
1-11. Abstract available from: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/25602930.
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-
gov.ezproxy.library.ubc.ca/pubmed/17586085.
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:
http://www.archivespp.pl/uploads/images/2012_14_1/BrytekMatera55__APP1_2012.pdf
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
17. 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-
gov.ezproxy.library.ubc.ca/pubmed/16682853
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/15330084
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/18067519
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:
http://dx.doi.org/10.3402/qhw.v10.26799
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-
ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/24852286
Kinzl F, Hauer K, Traweger C, Kiefer I. Orthorexia nervosa in dieticians. Psychother Psychosom. 2006 Oct;75(6):695-6.
Citation available from: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/17053342
18. 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-
gov.ezproxy.library.ubc.ca/pubmed/19433007
Koven N, Senbonmatsu R. A neuropsychological evaluation of orthorexia nervosa. O J Psych. 2013 Feb;3(2): 214-22.
Available from: http://dx.doi.org.ezproxy.library.ubc.ca/10.4236/ojpsych.2013.32019
Mathieu J. What is orthorexia? J Am Diet Assoc. 2005 Oct;105(10):1510-2. Abstract available from: http://www-ncbi-
nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/16183346
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-
gov.ezproxy.library.ubc.ca/pubmed/21998605
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/21998605
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/21989097
19. 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-
gov.ezproxy.library.ubc.ca/pubmed/22088557
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-
gov.ezproxy.library.ubc.ca/pubmed/17826701
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/22361450
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: http://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/21360365
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-
gov.ezproxy.library.ubc.ca/pubmed/23760837