The Effect of Nutrition Education Given to Healthcare Personnel on Orthorexia Nervosa

Main Article Content

Derya Dalğa https://orcid.org/0000-0001-7453-4361
Hande Öngün Yılmaz https://orcid.org/0000-0002-3497-567X

Keywords

Nutrition, Nutrition education, Orthorexia nervosa, Healthcare personnel.

Abstract

Objective: This study was conducted to determine the effect of nutritional education given to healthcare professionals on Orthorexia Nervosa. Methods: Within the scope of the study, 111 volunteer health personnel working in a private health institution received nutrition education. Before the education, the questionnaire form and ORTO-15 scale were applied to the participants by face-to-face interview technique, and their anthropometric measurements were taken by the researcher. ORTO-15 scale was applied again after the education. Results: Of the individuals who participated in the study, 75.7% were female, 24.3% were male and the mean age was 32.75±10.37 years. The mean BMI of the participants was 24.94±4.03 kg/m2, and the mean BMI of males was significantly higher compared to females (p<0.05). While the mean ORTO-15 score before the education was 37.35±3.62, it increased to 42.51±4.01 after the education (p<0.001). According to the pre-education ORTO-15 scores of the participants, 11.7% of them had orthorexia, and this rate was only 0.9% after the education. Conclusion: At the end of the study, it was determined that providing nutrition education to healthcare personnel had a positive effect on them in terms of overcoming orthorexia. Nutritionists should give nutrition education with wide participation that includes different groups to decrease the tendency towards orthorexic behaviors in society. 

Downloads

Download data is not yet available.
Abstract 8 | PDF Downloads 1

References

1. Şengül R, Hocaoğlu Ç. What is Orthorexia Nervosa? Diagnostic and Therapeutic Approaches. KSU Medical Journal, 2019; 14 (2) 101-104.
2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
3. Chaki B, Pal S, Bandyopadhyay A. Exploring scientific legitimacy of orthorexia nervosa: A newly emerging eating disorder. JHSE, 2013; 8: 1045-1053.
4. Oğur S, Aksoy A. "Determination of the Orthorexia Nervosa Tendency in University Students", BEU Journal of Science, 2015; 4 (2), 93-102.
5. Rossi FE, Landreth A, Beam S, et al. The Effects of a Sports Nutrition Education Intervention on Nutritional Status, Sport Nutrition Knowledge, Body Composition, and Performance during Off Season Training in NCAA Division I Baseball Players. Journal of Sports Science and Medicine, 2017; 16 (1), 60-68.
6. Kazkondu İ. Orthorexia Nervosa (Healthy Nutrition Obsession) in University Students, Examination of Symptoms (Thesis), Gazi University, Institute of Educational Sciences, Master's Thesis; Ankara, 2010.
7. Duran S, "The risk of orthorexia Nervosa (healthy eating obsession) symptoms for health high school students' and affecting factors", Pam Medical Journal, 2016; 9 (3): 220-226.
8. Arusoğlu G. The investigation of healthy eating fixation (Orthorexia) and the adaptation of the ORTO-15 scale, Hacettepe University, Institute of Health Sciences, Master's Thesis; Ankara, 2006.
9. Moroza R. M, Dunn T. M, Craig, H. J, et al. Micro-thinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal 'orthorexia nervosa' and proposed diagnostic criteria. Psychosomatics. 2015; 56 (4): 397-403.
10. Yücel B. Examining of Food Habits and Nutrition Knowledge Levels of Healthcare Staff (Thesis), Başkent University, Institute of Health Sciences, Master Thesis; Ankara, 2015.
11. Mcınerney-Ernst EM. Orthorexia Nervosa: Real Construct or Newest Social Trend? (Doctoral dissertation, University of Missouri-Kansas City, Faculty of the Department of Psychology). Missouri, 2011.
12. Donini LM, Marsili D, Graziani MP, et al. Orthorexia nervosa: Validation of a diagnosis questionnaire. Eating Weight Disord. 2005; 10 (2): 28-32.
13. Brytek-Matera A. "Orthorexia nervosa - an eating disorder, obsessive-compulsive disorder or disturbed eating habit?" Arch Psychiatry Psychother, 2012; 14(1):44–60.
14. Varga M, Dukay-Szabó S, Túry F, et al. "Evidence and gaps in the literature on orthorexia nervosa". Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 2013; 18 (2): 103-111.
15. Oberle CD, Samaghabadi RO, Hughes EM, “Orthorexia Nervosa: Assessment and correlates with gender, BMI, and personality”, Appetite, 2017; 303-310.
16. Atmaca G, Durat G. "Correlation of orthorexic tendencies with eating attitude and obsessive-compulsive symptoms", Journal of Human Sciences, 2017; 14(4), 3571-3579.
17. Üstündağ GE. Analyzing the Eating Awareness and Orthorexia Nervosa Symptoms Among Those Working Out in Gym (Thesis), Çağ University, Department of Psychology, Master Thesis; Mersin, 2020.
18. Fidan T, Ertekin V, Işıkay S, et al. “Prevalence of orthorexia among medical students in Erzurum, Turkey”. Compr psychiatry, 2010;51(1):49-55.
19. Şanlıer N, Yassıbaş E, Bilici S, et al. “Does the rise in eating disorders lead to increasing risk of orthorexia nervosa? Correlations with gender, education, and body mass index". Ecol Food Nutr, 2016; 55(3),266-278.
20. Arusoğlu G, Kabakçı E, Köksal G, et al. "Orthorexia Nervosa and Adaptation of ORTO-11 into Turkish", Turkish Journal of Psychiatry, 2008; 19(3):283-291.
21. Alvarenga MS, Martins MC, Sato KS, et al. "Orthorexia nervosa behavior in a sample of Brazilian dietitians assessed by the Portuguese version of ORTO-15". Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 2012; 17 (1): 29-35.
22. Kinzl JF, Hauer K, Traweger C, et al. “Orthorexia nervosa in dietitians”. Psychother Psychosom, 2006; 75:395-6.
23. Garipoğlu G, Arslan M, Öztürk A. "Determining Orthorexia Nervosa Tendencies of Female Students Studying in the Department of Nutrition and Dietetics", Istanbul Sabahattin Zaim University Journal of Institute of Science and Technology, 2019; 1 (3): 23-27.
24. Acar-Tek N, Karaçil-Ermumcu MŞ. "Healthy Eating Concern in Health Professionals: Orthorexia Nervosa", Gazi University Journal of Health Sciences, 2016; 1(2):59-71.
25. Bağcı Bosi ATB, Çamur D, Güler Ç. "Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey)". Appetite, 2007; 49:661-666.
26. Ergin G. Orthorexia Nervosa Prevalence Study in Health-Care and Non-Health Care Individuals (Thesis), Başkent University, Institute of Health Sciences, Master Thesis; Ankara 2014.
27. Özenoğlu A, Dege G. "As a Predictor of Eating Disorders at University Students the Effect of Self Esteem and Nutrition Education on the Frequency of Orthorexia Nervosa", Bozok Medical Journal, 2015;5(3):5-14.
28. Arslantaş H, Adana F, Öğüt S, et al. "Relationship Between Eating Behaviors of Nursing Students and Orthorexia Nervosa (Obsession with Healthy Eating): A Cross-Sectional Study", Journal of Psychiatric Nursing, 2017;8(3):137–144.
29. Vandereycken W. “Media hype, diagnostic fad or genuine disorder? Professionals' opinions about night eating syndrome, orthorexia, muscle dysmorphia, and emetophobia". Eating Disorders. 2011; 19 (2): 145-155.
30. Philippou E, Middleton N, Pistos C, et al. “The impact of nutrition education on nutrition knowledge and adherence to the Mediterranean Diet in adolescent competitive swimmers”. Journal of Science and Medicine in Sport, 2017; 20(4), 328-332.
31. Tatlıses, M. Investigation of the Relationship Between Orthorexia Nervosa Symptoms and Body Perception of People Who Exercise Regularly in the Gym (Thesis), Istanbul University, Master Thesis; Istanbul, 2016.
32. Aksoydan E, Camci N. “Prevalence of orthorexia nervosa among Turkish performance artists”. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2009; 14 (1): 33-37.
33. Barnes MA, Caltabiano ML. “The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style”. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 2017; 22 (1): 177-184.
34. Asil E, Sürücüoğlu MS. "Orthorexia Nervosa in Turkish Dietitians", Ecology of Food and Nutrition. 2015; 54 (4): 303-13.