评估运动员和患有饮食失调症的成年人是否患有厌食症及其动机:一项横断面研究。

Mandy Foyster, Nessmah Sultan, Matilda Tonkovic, Andrew Govus, Helen Burton-Murray, Caroline J Tuck, Jessica R Biesiekierski
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引用次数: 0

摘要

目的:神经性厌食症是一种基于质量而非数量的饮食限制。尽管厌食症在许多高危人群中都有大量报道,但有关其在有饮食失调病史(ED)的人或运动员中存在的数据却很有限。我们旨在确定与对照组相比,患有饮食失调症的成年人和耐力运动员是否存在厌食症及其潜在的驱动因素:年龄≥18 岁的参与者包括:已确诊饮食失调(根据 DSM-5)者;耐力运动员(训练/比赛时间≥5 小时/周);或对照组受试者。参与者(n = 197)完成了一项在线调查,评估厌食症(饮食习惯问卷,EHQ)、进食动机(TEMS-B)和强迫性运动(CET):ED患者的厌食症状严重程度最高(92.0 ± 3.02,n = 32),其次是运动员(76.2 ± 2.74,n = 54)和对照组(71.0 ± 1.80,n = 111)(F (2) = 18.2,p 结论:ED患者的厌食症状严重程度最高(92.0 ± 3.02,n = 32),其次是运动员(76.2 ± 2.74,n = 54)和对照组(71.0 ± 1.80,n = 111):与对照组相比,有ED病史的成年人和耐力运动员的矫形症状严重程度更高。与高危人群打交道的临床医生应筛查患者,并注意矫形特征、控制体重的愿望和强迫性运动行为等红旗:III:证据来自队列研究。
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Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorders: a cross-sectional study.

Purpose: Orthorexia nervosa involves restricting diet based on quality rather than quantity. Although orthorexia is well reported in many at-risk populations, limited data addresses its presence in individuals with eating disorder history (EDs) or athletes. We aimed to identify the presence and potential drivers of orthorexia in adults with EDs and endurance athletes, compared to control subjects.

Methods: Participants ≥ 18y included: people with a diagnosed eating disorder (ED as per DSM-5); endurance athletes (training/competing ≥ 5 h/week); or control subjects. Participants (n = 197) completed an online survey assessing orthorexia (eating habits questionnaire, EHQ), eating motivations (TEMS-B) and compulsive exercise (CET).

Results: ED had the highest orthorexia symptom severity (92.0 ± 3.02, n = 32), followed by athletes (76.2 ± 2.74, n = 54) and controls (71.0 ± 1.80, n = 111) (F (2) = 18.2, p < 0.001). A strong positive correlation existed between weight control motives and higher orthorexia symptom severity (r = 0.54, 95% CI [1.35, 2.36], p < 0.001), while a weak negative association existed between Hunger and Pleasure motives and higher orthorexia symptom severity (r = 0.23, 95% CI [- 2.24, - 0.34], p = 0.008; r = 0.26, 95% CI [- 2.11, - 0.47], p = 0.002, respectively). A moderate positive relationship was found between CET and orthorexia symptom severity (95% CI [1.52, 3.12], p < 0.001).

Conclusion: Adults with ED history and endurance athletes have greater orthorexia symptom severity compared to control. Clinicians working with at-risk populations should screen patients and be aware of red-flags of orthorexic traits, desire to control weight, and compulsive exercise behavior.

Level of evidence: III: Evidence obtained from cohort studies.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
期刊最新文献
Comparative analysis of dietary vs. non-dietary approaches in obesity and disordered eating behaviors: a narrative review of the literature. Psychometric properties of the ORTO-R in an adult population: the Turkish version, reliability, and validity study. The Dutch Body Shape Questionnaire among patients with binge-eating disorder: psychometrics and norms of the full version (BSQ34) and the short version (BSQ8C). Correction: Intrinsic and extrinsic motivations as moderators of the association between exercise frequency and exercise behavior. Transcultural adaptation and validation of the Eating Self-Efficacy Brief Scale (ESEBS): the Brazilian version.
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