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Prevalence of Risk for Orthorexia in Athletes Using the ORTO-15 Questionnaire: A Systematic Mini-Review

. 2022 ; 13 () : 856185. [epub] 20220512

Status PubMed-not-MEDLINE Language English Country Switzerland Media electronic-ecollection

Document type Journal Article, Review

The article aims to summarize the literature about the profile of risk of orthorexia in athletes using the ORTO-15 questionnaire. The search was performed at PubMed, Embase, Web of Science, and Sport Discus databases, using the terms "orthorexia" AND "athletes" with the respective entry terms. A multistage process of selection followed the PRISMA 2020 recommendation. A total of 688 articles were identified, and six studies were available for the final process. The prevalence of risk for orthorexia was assessed by the articles by the ORTO-15 questionnaire and ranged between 38 and 35 points. The comparison between male and female athletes and, athletes and non-athletes was not significant in the six articles. In conclusion, the review highlights that athletes from different sports, included in the review, do not present a risk of orthorexia nervosa considering the cutoff of 40 points, but not 35 points. Also, athletes present the same orthorexic behavior compared to non-athletes, demonstrating that orthorexia is an issue that needs to be considered in the general population. Moreover, a special focus should be given on the ORTO-15 questionnaire, about the sensitivity to diagnose the prevalence of orthorexia, especially in athletes.

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Bert F., Gualano M. R., Voglino G., Rossello P., Perret J. P., Siliquini R. (2019). Orthorexia nervosa: a cross-sectional study among athletes competing in endurance sports in northern Italy. PLoS One 14:e0221399. doi: 10.1371/journal.pone.0221399, PMID: PubMed DOI PMC

Cena H., Barthels F., Cuzzolaro M., Bratman S., Brytek-Matera A., Dunn T., et al. . (2019). Definition and diagnostic criteria for orthorexia nervosa: a narrative review of the literature. Eat. Weight Disord. 24, 209–246. doi: 10.1007/s40519-018-0606-y, PMID: PubMed DOI

Clifford T., Blyth C. (2019). A pilot study comparing the prevalence of orthorexia nervosa in regular students and those in university sports teams. Eat. Weight Disord. 24, 473–480. doi: 10.1007/s40519-018-0584-0, PMID: PubMed DOI PMC

Dell’Osso L., Abelli M., Carpita B., Massimetti G., Pini S., Rivetti L., et al. . (2016). Orthorexia nervosa in a sample of Italian university population. Rev. Psichiatr. 51, 190–196. doi: 10.1708/2476.25888 PubMed DOI

Domingues R. B., Carmo C. (2019). Disordered eating behaviours and correlates in yoga practitioners: a systematic review. Eat. Weight Disord. 24, 1015–1024. doi: 10.1007/s40519-019-00692-x, PMID: PubMed DOI

Domingues R. B., Carmo C. (2021). Orthorexia nervosa in yoga practitioners: relationship with personality, attitudes about appearance, and yoga engagement. Eat. Weight Disord. 26, 789–795. doi: 10.1007/s40519-020-00911-w, PMID: PubMed DOI

Donini L. M., Marsili D., Graziani M. P., Imbriale M., Cannella C. (2005). Orthorexia nervosa: validation of a diagnosis questionnaire. Eat. Weight Disord. 10, e28–e32. doi: 10.1007/BF03327537 PubMed DOI

Dunn T. M., Bratman S. (2016). On orthorexia nervosa: a review of the literature and proposed diagnostic criteria. Eat. Behaviors 21, 11–17. doi: 10.1016/j.eatbeh.2015.12.006, PMID: PubMed DOI

Herranz Valera J., Acuña Ruiz P., Romero Valdespino B., Visioli F. (2014). Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eat. Weight Disord. 19, 469–472. doi: 10.1007/s40519-014-0131-6, PMID: PubMed DOI

Koven N. S., Abry A. W. (2015). The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr. Dis. Treat. 11, 385–394. doi: 10.2147/NDT.S61665, PMID: PubMed DOI PMC

Logue D., Madigan S. M., Delahunt E., Heinen M., Mc Donnell S. J., Corish C. A. (2018). Low energy availability in athletes: a review of prevalence, dietary patterns, physiological health, and sports performance. Sports Med. 48, 73–96. doi: 10.1007/s40279-017-0790-3, PMID: PubMed DOI

Loucks A. B., Kiens B., Wright H. H. (2011). Energy availability in athletes. J. Sports Sciences 29, S7–S15. doi: 10.1080/02640414.2011.588958 PubMed DOI

Melin A. K., Heikura I. A., Tenforde A., Mountjoy M. (2019). Energy availability in athletics: health, performance, and physique. Int. J. Sport Nutr. Exerc. Metab. 29, 152–164. doi: 10.1123/ijsnem.2018-0201, PMID: PubMed DOI

Missbach B., Hinterbuchinger B., Dreiseitl V., Zellhofer S., Kurz C., Ko¨nig J. (2015). When eating right, is measured wrong! a validation and critical examination of the ORTO-15 questionnaire in German. PLoS One 10:e0135772. doi: 10.1371/journal.pone.0135772, PMID: PubMed DOI PMC

Moroze R. M., Dunn T. M., Craig Holland J., Yager J., Weintraub P. (2015). Microthinking About micronutrients: a case of transition From obsessions About healthy eating to near-fatal “Orthorexia nervosa” and proposed diagnostic criteria. Psychosomatics 56, 397–403. doi: 10.1016/j.psym.2014.03.003, PMID: PubMed DOI

Niedzielski A., Kaźmierczak-Wojtaś N. (2021). Prevalence of Orthorexia nervosa and its diagnostic tools—A literature review. Int. J. Environ. Res. Public Health 18:5488. doi: 10.3390/ijerph18105488, PMID: PubMed DOI PMC

Page M. J., Moher D., Bossuyt P. M., Boutron I., Hoffmann T. C., Mulrow C. D., et al. . (2021). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ 372:n160. doi: 10.1136/bmj.n160 PubMed DOI PMC

Pontes J. B., Montagner M. I., Montagner M. A. (2014). Ortorexia nervosa: adaptação cultural do orto-15. Demetra Aliment. Nutr. Saúde. 9, 533–548.

Pratt V. B., Madigan D. J., Hill A. P. (2022). Perfectionistic self-presentation and orthorexia in exercisers. EWD. 27, 1217–1221. doi: 10.1007/s40519-021-01262-w PubMed DOI

Ramacciotti C. E., Perrone P., Coli E., Burgalassi A., Conversano C., Massimetti G., et al. . (2011). Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO15). Eat. Weight Disord. 16, e127–e130. doi: 10.1007/BF03325318 PubMed DOI

Reardon C. L., Hainline B., Aron C. M., Baron D., Baum A. L., Bindra A., et al. . (2019). Mental health in elite athletes: International Olympic Committee consensus statement. Br. J. Sports Med. 53, 667–699. doi: 10.1136/bjsports-2019-100715 PubMed DOI

Rudolph S. (2018). The connection between exercise addiction and orthorexia nervosa in German fitness sports. Eat. Weight Disord. 23, 581–586. doi: 10.1007/s40519-017-0437-2, PMID: PubMed DOI

Segura-García C., Papaianni M. C., Caglioti F., Procopio L., Nisticò C. G., Bombardiere L., et al. . (2012). Orthorexia nervosa: a frequent eating disordered behavior in athletes. Eat. Weight Disord. 17, e226–e233. doi: 10.3275/8272, PMID: PubMed DOI

Sim A., Burns S. F. (2021). Questionnaires as measures for low energy availability (LEA) and relative energy deficiency in sport (RED-S) in athletes. J. Eat. Disord. 9, 1–13. doi: 10.1186/s40337-021-00396-7 PubMed DOI PMC

Stochel M., Janas-Kozik M., Zejda J. E., Hyrnik J., Jelonek I., Siwiec A. (2015). Walidacja kwestionariusza ORTO-15 w grupie młodzie ˙zy miejskiej w wieku 15–21 lat. Psychiatr. Pol. 49, 119–134. doi: 10.12740/PP/25962, PMID: PubMed DOI

Strahler J. (2019). Sex differences in orthorexic eating behaviors: A systematic review and meta-analytical integration. Nutrition 67–68:110534. doi: 10.1016/j.nut.2019.06.015 PubMed DOI

Surala O., Malczewska-Lenczowska J., Sadowska D., Grabowska I., Białecka-Dębek A. (2020). Traits of orthorexia nervosa and the determinants of these behaviors in elite athletes. Nutrients 12:2683. doi: 10.3390/nu12092683, PMID: PubMed DOI PMC

Taranis L., Touyz S., Meyer C. (2011). Disordered eating and exercise: development and preliminary validation of the compulsive exercise test (CET). Eur. Eat. Disord. Rev. 19, 256–268. doi: 10.1002/erv.1108, PMID: PubMed DOI

Toti E., Cavedon V., Raguzzini A., Fedullo A. L., Milanese C., Bernardi E., et al. . (2021). Dietary intakes and food habits of wheelchair basketball athletes compared to gym attendees and individuals who do not practice sport activity. Endocr. Metab. Immune Disord. Drug Targets 22, 38–48. doi: 10.2174/1871530321666210208213046 PubMed DOI

Turner P. G., Lefevre C. E. (2017). Instagram use is linked to increased symptoms of orthorexia nervosa. Eat. Weight Disord. 22, 277–284. doi: 10.1007/s40519-017-0364-2, PMID: PubMed DOI PMC

Uriegas N. A., Winkelmann Z. K., Pritchett K., Torres-McGehee T. M. (2021). Examining eating attitudes and behaviors in collegiate athletes, the association between Orthorexia nervosa and eating disorders. Front. Nutr. 8:763838. doi: 10.3389/fnut.2021.763838, PMID: PubMed DOI PMC

Varga M., Thege B. K., Dukay-Szabó S., Túry F., van Furth E. F. (2014). When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 14:59. doi: 10.1186/1471-244X-14-59, PMID: PubMed DOI PMC

Wasserfurth P., Palmowski J., Hahn A., Krüger K. (2020). Reasons for and consequences of low energy availability in female and male athletes: social environment, adaptations, and prevention. Sports Med. Int. Open. 6, 1–14. doi: 10.1186/s40798-020-00275-6 PubMed DOI PMC

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