期刊论文详细信息
Journal of Translational Medicine
University courses, eating problems and muscle dysmorphia: are there any associations?
Giovanni Abbate-Daga3  Secondo Fassino3  Marilena Durazzo2  Alberto Rainoldi2  Elisabetta Fea1  Andrea Benso2  Luca De Carli2  Laura Soldati4  Valentina Ponzo2  Rossana Zoccali2  Simona Bo2 
[1] Department of Public Health and Paediatric Science, University of Turin, P.zza Polonia 94, Turin, 10126, Italy;Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, Turin, 10126, Italy;Department of Neuroscience, University of Turin, via Cherasco 15, Turin, 10126, Italy;Department of Health Sciences, University of Milan, Milan, Italy
关键词: Orthorexia;    Muscle dysmorphia;    Freshmen;    Eating disorders;   
Others  :  1148583
DOI  :  10.1186/s12967-014-0221-2
 received in 2014-06-05, accepted in 2014-07-28,  发布年份 2014
PDF
【 摘 要 】

Background

Orthorexia and muscle dysmorphia are disorders affecting above all young adults whose prevalence and social impact are still unclear. We aimed to evaluate the prevalence of the traits of orthorexia and muscle dysmorphia among freshmen attending university courses focused on nutrition (Dietetics) and body care (Exercise and Sport Sciences). Students of Biology were considered as a control group. The prevalence of eating disorder (ED) traits were also evaluated.

Methods

All participants (n = 440; n = 53 Dietetics school, n = 200 Exercise and Sport Sciences school, n = 187 the Biology school) completed the following questionnaires: ORTO-15, Muscle-Dysmorphic-Disorder-Inventory, and Eating Attitudes Test-26.

Results

The prevalence of the traits of EDs, orthorexia, and muscle dysmorphia was 9.1%, 25.9%, and 5.9%, respectively. When compared to other students, those attending the Dietetics school showed a 2-fold higher risk of EDs and those from the Exercise and Sport Sciences school a 10-fold higher risk of muscle dysmorphia. The prevalence of orthorexia traits was high in all schools (35.9%, 22.5%, 26.5% in Dietetics, Biology, and Exercise and Sport Sciences schools, respectively). Overall, individuals with traits of any of these disorders were more frequently on diet or on supplement use. In a logistic regression model, attending the Dietetics school (OR = 2.71; 95% CI 1.14-6.48) was significantly associated with the ED traits, but not with the orthorexia traits (OR = 1.75; 95% CI 0.93-3.29), while attending the Exercise and Sport Sciences school was significantly associated with the muscle dysmorphia traits (OR = 5.15; 95% CI 1.44-18.4). Finally, when evaluating the relationships among the types of study programs as dependent variables and traits of these disturbances, the associations between the traits of ED (OR = 3.35; 95% CI 1.38-8.13) and matriculation at the school of Dietetics, and between the traits of muscle dysmorphia (OR = 4.32; 95% CI 1.16-16.1) and the choice of the Exercise and Sport Sciences school were confirmed.

Conclusions

The choice of the university courses might be influenced by pre-existing disorders in eating behaviors, which were relatively frequent in the considered sample.

【 授权许可】

   
2014 Bo et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150404170830982.pdf 218KB PDF download
【 参考文献 】
  • [1]Walker DC, Anderson DA, Hildebrandt T: Body checking behaviors in men. Body Image 2009, 6:164-170.
  • [2]Diagnostic and Statistical Manual of Mental Disorders. DSM-5. American Psychiatric Publishing, Arlington, VA, USA; 2013.
  • [3]Bratman S, Knight D: Health Food Junkies: Orthorexia Nervosa- Overcoming the Obsession with Healthful Eating. Brodway Books, New York; 2000.
  • [4]Donini LM, Marsili D, Graziani MP: Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord 2004, 9:151-157.
  • [5]Bağci Bosi AT, Camur D, Güler C: Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite 2007, 49:661-666.
  • [6]Bartrina JA: Orthorexia or when the healthy diet becomes an obsession. Arch Latin Nutr 2007, 57:313-315.
  • [7]Varga M, Thege BK, Dukay-Szabó S, Túry F, van Furth EF: When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 2014, 14:59. BioMed Central Full Text
  • [8]Varga M, Durkay-Szabò S, Tùry F, van Furth EF: Evidence and gaps in literature in orthorexia nervosa. Eat Weight Disord 2013, 18:103-111.
  • [9]Kinzl JF, Hauer K, Traweger C, Kiefer I: Orthorexia nervosa in dieticians. Psychother Psychosom 2006, 75:395-396.
  • [10]Korinth A, Schiess S, Westenhoefer J: Eating behaviour and eating disorders in students of nutrition sciences. Public Health Nutr 2010, 13:32-37.
  • [11]Vandereycken W: Media hype, diagnostic fad or genuine disorder? Professionals’ opinions about night eating syndrome, orthorexia, muscle dysmorphia, and emetophobia. Eat Disord 2011, 19:145-155.
  • [12]Brytek-Matera A: Orthorexia nervosa – an eating disorder, obsessive-compulsive disorder or disturbed eating habit? Arch Psych Psych 2012, 1:55-60.
  • [13]Pope HG Jr, Katz DL, Hudson J: Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Compr Psychiatry 1993, 34:406-409.
  • [14]González-Martí I, Bustos JG, Jordán OR, Mayville SB: Validation of a Spanish version of the Muscle Appearance Satisfaction Scale: escala de satisfacción muscular. Body Image 2012, 9:517-523.
  • [15]Pope HG, Gruber AJ, Mangweth B, Bureau B, de Col C, Jouvent R, Hudson JI: Body image perception among men in three countries. Am J Psychiatry 2000, 157:1297-1301.
  • [16]Pope CG, Pope HG, Menard W, Fay C, Olivardia R, Phillips KA: Clinical features of muscle dysmorphia among males with body dysmorphic disorder. Body Image 2005, 2:395-400.
  • [17]Olivardia R, Pope HG Jr, Hudson JI: Muscle dysmorphia in male weightlifters: a case–control study. Am J Psychiatry 2000, 157:1291-1296.
  • [18]Suffolk MT, Dovey TM, Goodwin H, Meyer C: Muscle dysmorphia: methodological issues, implications for research. Eat Disord 2013, 21:437-457.
  • [19]Garner DM: The 1997 body image survey results. Psychol Today 1997, 30:30-44.
  • [20]Tucker R, Watkins PL, Cardinal BJ: Muscle dysmorphia, gender role stress, and sociocultural influences: an exploratory study. Res Q Exerc Sport 2011, 82:310-319.
  • [21]Neral SM, Collins J, Gandy MJ, Hampton HL, Morrison JC: Non-cognitive variables and residency choice. J MISS State Med Assoc 2008, 49:327-329.
  • [22]Hughes R, Desbrow B: Aspiring dietitians study: a pre-enrolment study of students motivations, awareness and expectations relating to careers in nutrition and dietetics. Nutr Dietetics 2005, 62:106-109.
  • [23]Grigg M, Arora M, Diwan AD: Australian medical students and their choice of surgery as a career: a review.ANZ J Surg 2013, doi:10.1111/ans.12389 [Epub ahead of print].
  • [24]Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C: Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord 2005, 10:28-32.
  • [25]Hildebrandt T, Langenbucher J, Schlundt DG: Muscularity concerns among men: development of attitudinal and perceptual measures. Body Image 2004, 1:169-181.
  • [26][http:/ / members.aedweb.org/ AM/ Template.cfm?Section=Conference_Arc hive&Template=/ CM/ ContentDisplay.cfm&ContentID=3793] webcite Varangis E, Folberth W, Hildebrandt T, Langenbucher J: Confirmatory factor analysis for the Muscle Dysmorphic Disorder Inventory among male appearance and performance enhancing drug users. Austin: International Conference on Eating Disorders; 2012. poster ID 3793 .
  • [27]Santarnecchi E, Dèttore D: Muscle dysmorphia in different degrees of bodybuilding activities: validation of the Italian version of Muscle Dysmorphia Disorder Inventory and Bodybuilder Image Grid. Body Image 2012, 9:396-403.
  • [28]Garner DM, Olmsted MP, Bohr Y, Garfinkel P: The eating attitudes test: psychometric features and clinical correlates. Psychol Med 1982, 12:871-878.
  • [29]Dotti A, Lazzari R: Validation and reliability of the Italian EAT-26. Eat Weight Disord 1998, 3:188-194.
  • [30]Mintz LB, O’Halloran MS: The Eating Attitudes Test: validation with DSM-IV eating disorder criteria. J Person Ass 2000, 74:489-503.
  • [31]Williams P, Hand D, Tarnopolsky A: The problem of screening for uncommon disorders – a comment on the eating attitudes test. Psychol Med 1982, 12:431-434.
  • [32]Abbate-Daga G, Gramaglia C, Malfi G, Pierò A, Fassino S: Eating problems and personality traits. An Italian pilot study among 992 high school students. Eur Eat Disord Rev 2007, 15:471-478.
  • [33]Favaro A, Caregaro L, Tenconi E, Bosello R, Santonastaso P: Time trends in age at onset of anorexia nervosa and bulimia nervosa. J Clin Psychiatry 2009, 70:1715-1721.
  • [34]Hildebrandt T, Schlundt D, Langenbucher J, Chung T: Presence of muscle dysmorphia symptomology among male weightlifters. Compr Psychiatry 2006, 47:127-135.
  • [35]Leone JE: Muscle dysmorphia symptomatology and extreme drive for muscularity in a 23-year-old woman: a case study. J Strength Cond Res 2009, 23:988-995.
  • [36]Goodale KR, Watkins PL, Cardinal BJ: Muscle dysmporphia: A new form of eating disorder? Am J Health Educ 2001, 32:260-266.
  • [37]Contesini N, Adami F, Blake M, Monteiro CB, Abreu LC, Valenti VE, Almeida FS, Luciano AP, Cardoso MA, Benedet J, de Assis G, de Vasconcelos F, Leone C, Frainer DE: Nutritional strategies of physically active subjects with muscle dysmorphia. Int Arch Med 2013, 6:25. BioMed Central Full Text
  • [38]Aksoydan E, Camci N: Prevalence of orthorexia nervosa among Turkish performance artists. Eat Weight Disord 2009, 14:33-37.
  • [39]Fidan T, Ertekin V, Işikay S, Kirpinar I: Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry 2010, 51:49-54.
  • [40]Ramacciotti CE, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, Dell’Osso L: Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO-15). Eat Weight Disord 2011, 16:127-130.
  • [41]Segura-Garcìa C, Papaianni MC, Caglioti F, Procopio L, Nisticò CG, Bombardiere L, Ammendolia A, Rizza P, De Fazio P, Capranica L: Orthorexia nervosa: a frequent eating disordered behavior in athletes. Eat Weight Disord 2012, 17:e226-e233.
  • [42]Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders J Am Diet Assoc 2006, 106:2073-2082.
  • [43]Patton GC, Selzer R, Coffey C, Carlin JB, Wolfe R: Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ 1999, 318:765-768.
  • [44]Stice E, Ng J, Shaw H: Risk factors and prodromal eating pathology. J Child Psychol Psychiatry 2010, 51:518-525.
  文献评价指标  
  下载次数:12次 浏览次数:13次