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PREVALENCE OF ORTHOREXIA NERVOSA AND ITS RELATIONS WITH HEALTH LITERACY IN UNIVERSITY STUDENTS

Year 2019, Volume: 4 Issue: 2, 166 - 175, 14.05.2019
https://doi.org/10.35232/estudamhsd.500538

Abstract













Eating
disorders are more common among young people. Orthorexia nervosa is known as a
nutritional obsession that has not yet been classified but has been considered
as eating disorder. The purpose of this study is to determine the frequency of
orthorexia among university students and to examine its relationship to health
literacy. This cross-sectional study was conducted on 1014 university students.
The students were randomly selected by stratified cluster sampling method and
the questionnaire covering the demographic characteristics of the students with
ORTO-15 scale and the European Health Literacy Survey (HLS-EU) were applied
under observation. SPSS 22 were used to analyze the data. The prevalence of
ortorexia was 12.2% (12.6% for male, 12.0% for female). 80% of them were found
to have inadequate health literacy. Those having a low level of health literacy
also received a low score on the ORTO-15 scale. It was observed that orthorexia
was more common among people who had regular sports and doctor-dietician as
information source. The frequency of orthorexia was found to be 12% in this
study. It was found that orthorexia was higher among the regular sportsmen and
those who got information from doctors and dieticians. Moreover, it can be said
that the increase in the level of health literacy is at a low level of
protection from orthorexia





References

  • 1. Chaki B, Pal S, Bandyopadhyay A. Exploring scientific legitimacy of orthorexia nervosa: a newly emerging eating disorder. Journal of Human Sport and Exercise [Internet]. Journal of Human Sport and Exercise; 2013;8(4):1045–53. Available from: http://dx.doi.org/10.4100/jhse.2013.84.14
  • 2. 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 [Internet]. Springer Nature; 2014 Feb 28;14(1). Available from: http://dx.doi.org/10.1186/1471-244x-14-59
  • 3. Ergin G. Sağlık personeli olan ve olmayan bireylerde ortoreksiya nervosa sıklığı araştırması. Yüksek lisans tezi, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik anabilim Dalı, Ankara, 2014.
  • 4. Freudenberg N. Priority actions for the non-communicable disease crisis. The Lancet [Internet]. Elsevier BV; 2011 Aug;378(9791):565. Available from: http://dx.doi.org/10.1016/s0140-6736(11)61283-x
  • 5. Kickbusch I, Kökény M. Global health diplomacy: five years on. Bulletin of the World Health Organization [Internet]. WHO Press; 2013 Mar 1;91(3):159–159A. Available from: http://dx.doi.org/10.2471/blt.13.118596
  • 6. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: Validation of a diagnosis questionnaire. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2005 Jun;10(2):e28–e32. Available from: http://dx.doi.org/10.1007/bf03327537
  • 7. Arusoğlu G, Kabakçi E, Köksal G, Merdol T K, Turk Psikiyatri Dergisi 2008 Ortoreksiya Nervoza ve Orto-11'in Türkçeye Uyarlama Çalışması 19(3).
  • 8. Okyay P, Abacıgil F, Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik Ve Geçerlilik Çalışması 1. Baskı ANKARA ISBN : 978-975-590-594-5 Sağlık Bakanlığı Yayın No : 1025 Baskı : 1 2016
  • 9. Dell’Osso L, Carpita B, Muti D, Cremone IM, Massimetti G, Diadema E, et al. Prevalence and characteristics of orthorexia nervosa in a sample of university students in Italy. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2017 Nov 13;23(1):55–65. Available from: http://dx.doi.org/10.1007/s40519-017-0460-3
  • 10. Ramacciotti CE, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, et al. Orthorexia nervosa in the general population: A preliminary screening using a self-administered questionnaire (ORTO-15). Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2011 Jun;16(2):e127–e130. Available from: http://dx.doi.org/10.1007/bf03325318
  • 11. Tremelling K, Sandon L, Vega GL, McAdams CJ. Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States. Journal of the Academy of Nutrition and Dietetics [Internet]. Elsevier BV; 2017 Oct;117(10):1612–7. Available from: http://dx.doi.org/10.1016/j.jand.2017.05.001
  • 12. Dittfeld A, Gwizdek K, Koszowska A, Nowak J, Brończyk-Puzoń A, et al. Assessing the Risk of Orthorexia in Dietetic and Physiotherapy Students Using the BOT (Bratman Test for Orthorexia). Pediatric Endocrinology Diabetes and Metabolism [Internet]. PROQURAT Andrzej Prokurat; 2016;22(1):6–14. Available from: http://dx.doi.org/10.18544/pedm-22.01.0044
  • 13. Malmborg J, Bremander A, Olsson MC, Bergman S. Health status, physical activity, and orthorexia nervosa: A comparison between exercise science students and business students. Appetite [Internet]. Elsevier BV; 2017 Feb;109:137–43. Available from: http://dx.doi.org/10.1016/j.appet.2016.11.028
  • 14. Dalmaz M, Tekdemir Yurtdaş G. Prevalence Of Orthorexıa Nervosa Symptoms Among People Who Exercıse In Gyms. Internatıonal Refereed Journal Of Orthopaedıcs Traumatology And Sports Medıcıne [Internet]. Guven Plus Grup Danismanlik, A.S.; 2015 Aug 30;(4):23–23. Available from: http://dx.doi.org/10.17372/otshd.2015412556
  • 15. Morris M, Clark N, Silliman K, et al. Prevalence of orthorexia nervosa among students at a rural university The FASEB Journal 2014 (1021.10) 28(1 Supplement), 1021-10. 16. Dell’Osso L, Abelli M, Carpita B, Massimetti G, Pini S, Rivetti L, et al. Orthorexia nervosa in a sample of Italian university population. Rivista di psichiatria 2016 51(5), 190-196.
  • 17. Segura-Garcia C, Ramacciotti C, Rania M, Aloi M, Caroleo M, Bruni A, et al. The prevalence of orthorexia nervosa among eating disorder patients after treatment. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2014 Dec 28;20(2):161–6. Available from: http://dx.doi.org/10.1007/s40519-014-0171-y

ÜNİVERSİTE ÖĞRENCİLERİNDE ORTOREKSİYA NERVOZA YAYGINLIĞI VE SAĞLIK OKURYAZARLIĞI İLE İLİŞKİSİ

Year 2019, Volume: 4 Issue: 2, 166 - 175, 14.05.2019
https://doi.org/10.35232/estudamhsd.500538

Abstract

Amaç:
Gençlerde
yeme bozuklukları sık görülmektedir. Henüz yeme bozukluğu olarak
sınıflandırılmamış ortoreksiya nevroza sağlıklı beslenme takıntısı olarak
bilinir. Bu çalışmanın amacı üniversite öğrencilerinde ortoreksiya sıklığını
saptamak ve sağlık okuryazarlığı ile ilişkisini tespit etmektir.



Gereç
ve Yöntem:
Kesitsel tipte olan bu çalışma 1014
öğrenci üzerinde yapılmıştır. Öğrenciler tabakalı küme örnekleme yöntemi ile
seçilmiştir ve gözlem altında uygulanan anket; sosyodemografik bölüm, ORTO-15
ölçeği ve Sağlık Okuryazarlığı ölçeklerinden oluşmaktadır. Verilerin analizinde
SPSS 22 kullanılmıştır.



Bulgular:
Öğrencilerde
ortoreksiya sıklığı %12.2 (erkelerde %12.6, kadınlarda 12.0) olarak
bulunmuştur. Öğrencilerin %80’i yetersiz sağlık okuryazarıdır. Düşük düzeyde
sağlık okuryazarlığı olanlar  ORTO-15 ölçeğinden
düşük puan almışlardır (p = 0.001). Düzenli spor yapanlarda ve beslenme
konusunda uzmanlardan bilgi alan kişilerde ortoreksiya eğiliminin daha fazla
olduğu görülmüştür.



Sonuç:
Bu
çalışmada ortoreksiya sıklığı %12 olarak bulunmuştur. Ortoreksiya düzenli spor
yapanlarda, doktor ve diyetisyenlerden bilgi alanlarda daha fazladır. Ayrıca
sağlık okuryazarlığının ortoreksiyadan düşük seviyede koruyucu olduğu
söylenebilir.

References

  • 1. Chaki B, Pal S, Bandyopadhyay A. Exploring scientific legitimacy of orthorexia nervosa: a newly emerging eating disorder. Journal of Human Sport and Exercise [Internet]. Journal of Human Sport and Exercise; 2013;8(4):1045–53. Available from: http://dx.doi.org/10.4100/jhse.2013.84.14
  • 2. 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 [Internet]. Springer Nature; 2014 Feb 28;14(1). Available from: http://dx.doi.org/10.1186/1471-244x-14-59
  • 3. Ergin G. Sağlık personeli olan ve olmayan bireylerde ortoreksiya nervosa sıklığı araştırması. Yüksek lisans tezi, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik anabilim Dalı, Ankara, 2014.
  • 4. Freudenberg N. Priority actions for the non-communicable disease crisis. The Lancet [Internet]. Elsevier BV; 2011 Aug;378(9791):565. Available from: http://dx.doi.org/10.1016/s0140-6736(11)61283-x
  • 5. Kickbusch I, Kökény M. Global health diplomacy: five years on. Bulletin of the World Health Organization [Internet]. WHO Press; 2013 Mar 1;91(3):159–159A. Available from: http://dx.doi.org/10.2471/blt.13.118596
  • 6. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: Validation of a diagnosis questionnaire. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2005 Jun;10(2):e28–e32. Available from: http://dx.doi.org/10.1007/bf03327537
  • 7. Arusoğlu G, Kabakçi E, Köksal G, Merdol T K, Turk Psikiyatri Dergisi 2008 Ortoreksiya Nervoza ve Orto-11'in Türkçeye Uyarlama Çalışması 19(3).
  • 8. Okyay P, Abacıgil F, Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik Ve Geçerlilik Çalışması 1. Baskı ANKARA ISBN : 978-975-590-594-5 Sağlık Bakanlığı Yayın No : 1025 Baskı : 1 2016
  • 9. Dell’Osso L, Carpita B, Muti D, Cremone IM, Massimetti G, Diadema E, et al. Prevalence and characteristics of orthorexia nervosa in a sample of university students in Italy. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2017 Nov 13;23(1):55–65. Available from: http://dx.doi.org/10.1007/s40519-017-0460-3
  • 10. Ramacciotti CE, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, et al. Orthorexia nervosa in the general population: A preliminary screening using a self-administered questionnaire (ORTO-15). Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2011 Jun;16(2):e127–e130. Available from: http://dx.doi.org/10.1007/bf03325318
  • 11. Tremelling K, Sandon L, Vega GL, McAdams CJ. Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States. Journal of the Academy of Nutrition and Dietetics [Internet]. Elsevier BV; 2017 Oct;117(10):1612–7. Available from: http://dx.doi.org/10.1016/j.jand.2017.05.001
  • 12. Dittfeld A, Gwizdek K, Koszowska A, Nowak J, Brończyk-Puzoń A, et al. Assessing the Risk of Orthorexia in Dietetic and Physiotherapy Students Using the BOT (Bratman Test for Orthorexia). Pediatric Endocrinology Diabetes and Metabolism [Internet]. PROQURAT Andrzej Prokurat; 2016;22(1):6–14. Available from: http://dx.doi.org/10.18544/pedm-22.01.0044
  • 13. Malmborg J, Bremander A, Olsson MC, Bergman S. Health status, physical activity, and orthorexia nervosa: A comparison between exercise science students and business students. Appetite [Internet]. Elsevier BV; 2017 Feb;109:137–43. Available from: http://dx.doi.org/10.1016/j.appet.2016.11.028
  • 14. Dalmaz M, Tekdemir Yurtdaş G. Prevalence Of Orthorexıa Nervosa Symptoms Among People Who Exercıse In Gyms. Internatıonal Refereed Journal Of Orthopaedıcs Traumatology And Sports Medıcıne [Internet]. Guven Plus Grup Danismanlik, A.S.; 2015 Aug 30;(4):23–23. Available from: http://dx.doi.org/10.17372/otshd.2015412556
  • 15. Morris M, Clark N, Silliman K, et al. Prevalence of orthorexia nervosa among students at a rural university The FASEB Journal 2014 (1021.10) 28(1 Supplement), 1021-10. 16. Dell’Osso L, Abelli M, Carpita B, Massimetti G, Pini S, Rivetti L, et al. Orthorexia nervosa in a sample of Italian university population. Rivista di psichiatria 2016 51(5), 190-196.
  • 17. Segura-Garcia C, Ramacciotti C, Rania M, Aloi M, Caroleo M, Bruni A, et al. The prevalence of orthorexia nervosa among eating disorder patients after treatment. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. Springer Nature; 2014 Dec 28;20(2):161–6. Available from: http://dx.doi.org/10.1007/s40519-014-0171-y
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Article
Authors

Erkan Pehlivan 0000-0002-4361-3355

Burak Mete 0000-0002-0780-6176

Betül Fırıncı This is me 0000-0001-5685-4142

Esra Doğan This is me 0000-0001-7728-0037

Publication Date May 14, 2019
Submission Date December 21, 2018
Published in Issue Year 2019 Volume: 4 Issue: 2

Cite

Vancouver Pehlivan E, Mete B, Fırıncı B, Doğan E. ÜNİVERSİTE ÖĞRENCİLERİNDE ORTOREKSİYA NERVOZA YAYGINLIĞI VE SAĞLIK OKURYAZARLIĞI İLE İLİŞKİSİ. ESTUDAM Public Health Journal. 2019;4(2):166-75.

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