Öz
Objective: Studies indicate that orthorexia nervosa is more frequently seen in medical students, physicians, dietitians, people with anxiety, obsessive compulsive people, and people who are concerned with their body image. The aim of this study is to evaluate healthy eating obsessions, eating attitudes, and eating behaviors of female students studying nutrition and dietetics.
Method: This study was conducted on 106 randomly selected female students of Near East University, Faculty of Health Sciences, Department of Nutrition and Dietetics. A questionnaire was used to obtain general information on the subjects, and Diet Quality Index-International (DQI-I), Orthorexia Nervosa Evaluation Scale (ORTO-11), Eating Attitude Test (EAT-40), and Maudsley Obsessive Compulsive Inventory (MOCI) were applied and some anthropometric measurements were taken to evaluate the subjects' obsession with healthy eating, eating attitudes, and eating behaviors.
Findings: Mean ORTO-11 score of the subjects was found to be 30.7±4.45. As eating behavior disorder risk increases, orthorexia nervosa and obsessive compulsive disorder risks decreases with statistical significance (p<0.05). In addition, the increase of orthorexia nervosa risk is related with increased obsessive compulsive behavior risk and decreased eating behavior disorder risk (p<0.01).
Results: Obsession with healthy eating, eating attitudes, and eating behaviors of female students studying nutrition and dietetics can be affected by their education.
Anahtar Kelimeler
Orthorexia nervosa nutrition female student ORTO-11 EAT-40 MOCI
Kaynakça
- Schmidt U. Risk factors for eating disorders. Fairburn CG, Brownell KD, ed. Eating Disorders and Obesity: A Comprehensive Handbook. New York: Guilford Press, 2002: 247-251.
- Wonderlich SA. Personality and eating disorders. Fairburn CG, Brownell KD, ed. Eating Disorders and Obesity: A Comprehensive Handbook. New York: Guilford Press, 2002: 204-210.
- Rome ES. Eating Disorders in Children and Adolescents. Curr Probl Pediatr Adolesc Health Care 2012; 42: 28-44.
- Lewinsohn PM, Striegel-Moore RH, Seeley JR. Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry 2000; 39: 1284–1292.
- Kaye WH, Klump KL, Frank GK, Strober M. Anorexia and bulimia nervosa. Annu Rev Med. 2000; 51: 299–313.
- Wheeler K, Greiner P, Boulton M. Exploring alexithymia, depression and binge eating in self- reported eating disorders in women. Perspect Psychiatr Care 2005; 41(3): 114–123.
- 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.
- Eriksson L, Baigi A, Marklund B, Lindgren EC. Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants. Scand J Med Sci Sports 2008; 18: 389–394.
- Korinth A, Schiess S, Westenhoefer J. Eating behaviour and eating disorders in students of nutrition sciences. Public Health Nutr 2009; 13(1), 32–37.
- Aksoydan E, Camcı N. Prevalence of orthorexia nervosa among Turkish Performance artists. Eat Weight Disord. 2009; 14(1): 33-37.
- Fidan T, Ertekin V, Işıkay S, Kırpınar I. Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry 2010; 51: 49–54
- Bratman S, Knight D. Health food junkies: overcoming the obsession with healthful eating. Broadway Books, New York: 2000.
- Bartrina JA. Orthorexia or when a healthy diet becomes an obsession. Arch Latinoam Nutr 2007; 57(4): 313-315.
- Zamora MLC, Bonaechea BB, Sanchez GF, Rial BR. Orthorexia nervosa. A new eating behavior disorder? Actas Esp Psiquiatr. 2005; 33(1): 666- 668.
- Mathieu J. What is orthorexia? J Am Diet Assoc 2005; 105(10): 1510-1512.
- Kratina K. Orthorexia Nervosa. National Eating Disorders Association (NEDA) 2006; 1-2.
- Evilly S. The price of perfection, Nutrition Bulletin. Br Nutr Found 2001; 26: 275-276.
- Aldana SG, Greenlaw RL, Diehl HA, Salberg A, Merrill RM, Ohmine S, Thomas C. Effects of an intensive diet and physical activity modification program en the health risks of adults. J Am Diet Assoc 2005; 105(3): 371-381.
- Nguyen NT, Mango CP, Lane KT, Hinojosa MW, Lane JS. Association of hypertension, diabetes, and metabolic syndrome with obesity: findings from the National Health and Nutrition Examination Survey 1999-2004. J Am Coll Surg 2008; 207(6): 928-934.
- Wardle J, Parmenter K, Waller J. Nutrition knowledge and food intake. Appetite 2000; 34, 269–275.
- Crites SL, Aikman SN. Impact of nutrition knowledge on food evaluations. Eur J Clin Nutr 2005; 59: 1191–1200.
- Martins MCT, Alvarenga MS, Vargas SVA, Sato KSCJ, Scagliusi FB. Orthorexia nervosa: reflections about a new consept. Rev Nutr 2011; 24(2): 345-537.
- Rangel C, Dukeshire S, Macdonald L. Diet and anxiety. an exploration into the Orthorexic Society. Appetite 2012; 58(1): 124-132.
- Kinzl JF, Hauer K, Traweger C, Kiefer I. Orthorexia Nervosa in Dieticians. Psychother Psychosom 2006; 75: 395–396.
- World Health Organisation. Global database on body mass index: BMI classification. http://apps. who.int/bmi/index.jsp?introPage=intro_3.html. Erişim tarihi: 2.11.2012.
- Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003; 133: 3476-3484.
- Arusoğlu G, Kabakçı E, Köksal G, Merdol TK. Orthorexia Nervosa and adaptation of ORTO-11 in Turkish. Turk Psikiyatri Derg. 2008; 19(3): 1-9.
- Savaşır I, Erol N. Yeme Tutum Testi anoreksiya nervosa belirtileri indeksi. Turk J Psychol 1989; 23: 19-25.
- Erol N, Savaşır I. Maudsley Obsesif-Kompulsif Soru Listesi. 24. Ulusal Psikiyatrive Nörolojik Bilimler Kongresi Bilimsel Çalışma Kitabı. Ankara, 1988; 107-114.
- Alpar R. Spor Bilimlerinde Uygulamalı İstatistik, 3. ed. Ankara: Nobel Yayıncılık; 2006: 9-267.
- Rosa AC, Diniz JB, Fossaluza V, Torres AR, Fontenelle LF, De Mathis AS, da Conceição Rosário M, Miguel EC, Shavitt RG. Clinical correlates of social adjustment in patients with obsessive-compulsive disorder. J Psychiatr Res 2012; 46(10): 1286-1292.
- Şanlıer N, Yabancı N, Alyakut Ö. An evaluation of eating disorders among a group of Turkish university students. Appetite 2008; 51: 641-645.
- Kunkel ME, Bell LB, Luccia BD. Effect of peer nutrition education on nutritional status and nutritional knowledge of university student- athletes. J Am Dietetic Assoc 1999; 99(9): 38-45.
- Kolodinsky J, Harvey-Berino JR, Berlin L, Johnson RK, Reynolds TW. Knowledge of current dietary guidelines and food choice by college students: better eaters have higher knowledge of dietary guidance. J Am Diet Assoc 2007; 107(8): 1409- 1413.
- Barzegari A, Ebrahimi M, Azizi M, Ranjbar K. A study of nutrition knowledge, attitudes and food habits of college students. WASJ 2011; 15(7): 1012-1017.
- Bosi MLM, Uchimura KY, Luiz YY. Eating behavior and body image among psychology students. J Bras Psiquiatr. 2009; 58(3): 150-155.
- Ganasegeran K, Al-Dubai SAR, Qureshi AM, Al-abed AA, Rizal AM, Aljunid SM. Social and physiological factors effecting eating habits among university students in a Malasian medical school: a cross-sectional study. Nutr. J 2012; 11: 48-54.
- Unusan N. Fruit and vegetable consumption among Turkish university students. Int J Vitam Nutr. Res 2004; 74(5): 341-348.
- Çam ÇF, Yılmaz BT, Yıldırım D, Tel H, Erkorkmaz Ü. Obsesif kompulsif bozukluk hastalarında yeme tutumu. Nöropsikiyatri Arş. 2009; 46: 86-90.
- Özsoylar G, Sayın A, Candansayar S. Panik Bozukluğu ve Obsesif kompulsif bozukluk hastalarının karşılaştırılması. Klin Psikiyatr. 2008; 11: 17-24. tutumları açısından
Öz
Amaç: Yapılan çalışma sonuçlarına göre tıp fakültesi öğrencileri, hekimler, diyetisyenler, anksiyetesi olan bireyler, obsesif kompulsif bireyler ve beden imajına aşırı önem veren bireylerde ortoreksiya nervosa belirtilerine daha sık rastlanmaktadır. Bu araştırmada da beslenme ve diyetetik bölümünde eğitim gören kız öğrencilerin sağlıklı beslenme takıntıları ile yeme tutum ve davranışlarının değerlendirilmesi amaçlanmıştır.
Yöntem: Bu çalışma, Yakın Doğu Üniversitesi, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü'ne kayıtlı rastgele seçilmiş 106 kız öğrenci ile gerçekleştirilmiştir. Bireylerin genel özellikleri için ilgili anket formu, sağlıklı beslenme takıntıları ile yeme tutum ve davranışları için Diyet Kalite İndeksi-Uluslararası, Ortoreksiya Nervoza Değerlendirme Ölçeği (ORTO-11), Yeme Tutum Testi-40 (YTT-40), Maudsley Obsesif Kompulsif Soru Listesi (MOKSL) uygulanmış ve bazı antropometrik ölçümleri alınmıştır.
Bulgular: Bireylerin ORTO-11 puan ortalaması 30.7±4.45 olarak belirlenmiştir. Yeme davranış bozukluğu riski arttıkça ortoreksiya nervoza ile obsesif kompulsif davranış riski istatistiksel yönden anlamlı olarak azalmaktadır (p<0.05). Ayrıca ortoreksiya nervosa riskindeki artış obsesif kompulsif davranış riskindeki artış ve yeme davranış bozukluğu riskindeki azalış ile ilişkilidir (p<0.01).
Sonuçlar: Beslenme ve diyetetik bölümü kız öğrencilerinin sağlıklı beslenme ile yeme tutum ve davranışları aldıkları eğitimden etkilenebilmektedir.
Anahtar Kelimeler
Kaynakça
- Schmidt U. Risk factors for eating disorders. Fairburn CG, Brownell KD, ed. Eating Disorders and Obesity: A Comprehensive Handbook. New York: Guilford Press, 2002: 247-251.
- Wonderlich SA. Personality and eating disorders. Fairburn CG, Brownell KD, ed. Eating Disorders and Obesity: A Comprehensive Handbook. New York: Guilford Press, 2002: 204-210.
- Rome ES. Eating Disorders in Children and Adolescents. Curr Probl Pediatr Adolesc Health Care 2012; 42: 28-44.
- Lewinsohn PM, Striegel-Moore RH, Seeley JR. Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry 2000; 39: 1284–1292.
- Kaye WH, Klump KL, Frank GK, Strober M. Anorexia and bulimia nervosa. Annu Rev Med. 2000; 51: 299–313.
- Wheeler K, Greiner P, Boulton M. Exploring alexithymia, depression and binge eating in self- reported eating disorders in women. Perspect Psychiatr Care 2005; 41(3): 114–123.
- 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.
- Eriksson L, Baigi A, Marklund B, Lindgren EC. Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants. Scand J Med Sci Sports 2008; 18: 389–394.
- Korinth A, Schiess S, Westenhoefer J. Eating behaviour and eating disorders in students of nutrition sciences. Public Health Nutr 2009; 13(1), 32–37.
- Aksoydan E, Camcı N. Prevalence of orthorexia nervosa among Turkish Performance artists. Eat Weight Disord. 2009; 14(1): 33-37.
- Fidan T, Ertekin V, Işıkay S, Kırpınar I. Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry 2010; 51: 49–54
- Bratman S, Knight D. Health food junkies: overcoming the obsession with healthful eating. Broadway Books, New York: 2000.
- Bartrina JA. Orthorexia or when a healthy diet becomes an obsession. Arch Latinoam Nutr 2007; 57(4): 313-315.
- Zamora MLC, Bonaechea BB, Sanchez GF, Rial BR. Orthorexia nervosa. A new eating behavior disorder? Actas Esp Psiquiatr. 2005; 33(1): 666- 668.
- Mathieu J. What is orthorexia? J Am Diet Assoc 2005; 105(10): 1510-1512.
- Kratina K. Orthorexia Nervosa. National Eating Disorders Association (NEDA) 2006; 1-2.
- Evilly S. The price of perfection, Nutrition Bulletin. Br Nutr Found 2001; 26: 275-276.
- Aldana SG, Greenlaw RL, Diehl HA, Salberg A, Merrill RM, Ohmine S, Thomas C. Effects of an intensive diet and physical activity modification program en the health risks of adults. J Am Diet Assoc 2005; 105(3): 371-381.
- Nguyen NT, Mango CP, Lane KT, Hinojosa MW, Lane JS. Association of hypertension, diabetes, and metabolic syndrome with obesity: findings from the National Health and Nutrition Examination Survey 1999-2004. J Am Coll Surg 2008; 207(6): 928-934.
- Wardle J, Parmenter K, Waller J. Nutrition knowledge and food intake. Appetite 2000; 34, 269–275.
- Crites SL, Aikman SN. Impact of nutrition knowledge on food evaluations. Eur J Clin Nutr 2005; 59: 1191–1200.
- Martins MCT, Alvarenga MS, Vargas SVA, Sato KSCJ, Scagliusi FB. Orthorexia nervosa: reflections about a new consept. Rev Nutr 2011; 24(2): 345-537.
- Rangel C, Dukeshire S, Macdonald L. Diet and anxiety. an exploration into the Orthorexic Society. Appetite 2012; 58(1): 124-132.
- Kinzl JF, Hauer K, Traweger C, Kiefer I. Orthorexia Nervosa in Dieticians. Psychother Psychosom 2006; 75: 395–396.
- World Health Organisation. Global database on body mass index: BMI classification. http://apps. who.int/bmi/index.jsp?introPage=intro_3.html. Erişim tarihi: 2.11.2012.
- Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003; 133: 3476-3484.
- Arusoğlu G, Kabakçı E, Köksal G, Merdol TK. Orthorexia Nervosa and adaptation of ORTO-11 in Turkish. Turk Psikiyatri Derg. 2008; 19(3): 1-9.
- Savaşır I, Erol N. Yeme Tutum Testi anoreksiya nervosa belirtileri indeksi. Turk J Psychol 1989; 23: 19-25.
- Erol N, Savaşır I. Maudsley Obsesif-Kompulsif Soru Listesi. 24. Ulusal Psikiyatrive Nörolojik Bilimler Kongresi Bilimsel Çalışma Kitabı. Ankara, 1988; 107-114.
- Alpar R. Spor Bilimlerinde Uygulamalı İstatistik, 3. ed. Ankara: Nobel Yayıncılık; 2006: 9-267.
- Rosa AC, Diniz JB, Fossaluza V, Torres AR, Fontenelle LF, De Mathis AS, da Conceição Rosário M, Miguel EC, Shavitt RG. Clinical correlates of social adjustment in patients with obsessive-compulsive disorder. J Psychiatr Res 2012; 46(10): 1286-1292.
- Şanlıer N, Yabancı N, Alyakut Ö. An evaluation of eating disorders among a group of Turkish university students. Appetite 2008; 51: 641-645.
- Kunkel ME, Bell LB, Luccia BD. Effect of peer nutrition education on nutritional status and nutritional knowledge of university student- athletes. J Am Dietetic Assoc 1999; 99(9): 38-45.
- Kolodinsky J, Harvey-Berino JR, Berlin L, Johnson RK, Reynolds TW. Knowledge of current dietary guidelines and food choice by college students: better eaters have higher knowledge of dietary guidance. J Am Diet Assoc 2007; 107(8): 1409- 1413.
- Barzegari A, Ebrahimi M, Azizi M, Ranjbar K. A study of nutrition knowledge, attitudes and food habits of college students. WASJ 2011; 15(7): 1012-1017.
- Bosi MLM, Uchimura KY, Luiz YY. Eating behavior and body image among psychology students. J Bras Psiquiatr. 2009; 58(3): 150-155.
- Ganasegeran K, Al-Dubai SAR, Qureshi AM, Al-abed AA, Rizal AM, Aljunid SM. Social and physiological factors effecting eating habits among university students in a Malasian medical school: a cross-sectional study. Nutr. J 2012; 11: 48-54.
- Unusan N. Fruit and vegetable consumption among Turkish university students. Int J Vitam Nutr. Res 2004; 74(5): 341-348.
- Çam ÇF, Yılmaz BT, Yıldırım D, Tel H, Erkorkmaz Ü. Obsesif kompulsif bozukluk hastalarında yeme tutumu. Nöropsikiyatri Arş. 2009; 46: 86-90.
- Özsoylar G, Sayın A, Candansayar S. Panik Bozukluğu ve Obsesif kompulsif bozukluk hastalarının karşılaştırılması. Klin Psikiyatr. 2008; 11: 17-24. tutumları açısından
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mart 2013 |
| Gönderilme Tarihi | 16 Kasım 2012 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 4 Sayı: 1 |
SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.