Assessment of Healthy Eating Obsession (Orthorexia Nervosa) and Eating Attitudes of Individuals Age 65 and Older

Öz

Objective: The current study was cross-sectional and aimed to determine the eating behaviors and orthorexia nervosa related factors, the relationship between eating behaviors and orthorexia nervosa (ON), and the frequency of eating behaviors and orthorexia nervosa during the pandemic period in individuals aged 65 and older.
Materials and Methods: The sample of the research is a large group of individuals age 65 and older in Turkey. A total of 895 elderly individuals were included in the study. Data were collected with Personal Information Form, Eating Attitude Test (EAT-40) and Orthorexia-15 Scale (ORTO-15). Data were evaluated in SPSS statistical package program 18.0 and frequency, percentage, student-t test, chi-square, Pearson correlation analysis were used as statistical analysis, and type 1 error level was accepted as p<0.05.
Results: The risk of orthorexia was found in 45.8% of the elderly individuals and the mean ORTO-15 score was found 34.35±4.428. In addition, it was determined that 99.1% of the elderly had eating attitude and behavior disorders, and the mean EAT-40 score of the elderly individuals was found 68.81±13,873. A negative correlation (r=-.476; p=0.001) was found between EAT-40 and ORTO-15. Therefore, 45.7% of elderly individuals had both orthorexia nervosa risk and eating attitude disorder.
Conclusion: This study showed that elderly individuals are at risk of orthorexia and have eating disorders. According results, it would be appropriate to raise awareness of elderly individuals against orthorexia nervosa and also eating attitude and behavior disorder tendencies with a multidisciplinary approach.

Anahtar Kelimeler

• orthorexia
• elderly
• eating attitude
• covid-19
• nutrition

65 Yaş Üstü Bireylerin Sağlıklı Beslenme Takıntısı (Ortoreksiya Nervoza) ve Yeme Tutumlarının Değerlendirilmesi

Öz

Amaç: Çalışma 65 yaş ve üzeri bireylerde pandemi döneminde yeme davranışları ve ortoreksiya nevroza(ON) sıklığını, yeme davranışları ve ON ile ilişkili faktörleri, yeme davranışları ve ON ilişkisini belirlemek amacıyla kesitsel olarak yapılmıştır.
Gereç ve Yöntem: Araştırmada evreni Tükiye’deki 65 yaş üstü bireylerin oluşturduğu büyük bir yığındır. Çalışmaya toplam 895 yaşlı birey dahil edilmiştir. Veriler Kişisel Bilgi Formu, Yeme Tutum Testi (YTT-40) ve Ortoreksiya-15 Ölçeği (ORTO-15 ile toplanmıştır. Elde edilen veriler SPSS istatistik paketprogramı 18.0’de değerlendirilmiş ve istatistiksel analiz olarak sıklık, yüzde, student-t test, ki kare, Pearson korelasyon analizi kullanılmış olup, tip 1 hata düzeyi p<0.05 olarak kabul edilmiştir.
Bulgular: Yaşlı bireylerin %45.8’inde ortoreksiya riski saptanmıştır ve ORTO-15 puan ortalamaları 34,35±4,428 olarak bulunmuştur. Buna ek olarak yaşlıların %99,1’inde yeme tutum ve davranış bozukluğu olduğu belirlenmiştir ve yaşlı bireylerin EAT-40 puan ortalamaları 68,81±13,873 olarak bulunmuştur. YTT-40 ve ORTO-15 arasında negatif yönlü ilişki (r=-.476; p=0.001) bulunmuştur. Yaşlı bireylerin %45.7’si hem ortoreksiya nevroza riskine hem de yeme tutum bozukluğuna sahiptir.
Sonuç: Bu çalışma, yaşlı bireylerin ortoreksiya riskine ve yeme bozukluğuna sahip olduğunu göstermiştir. Çalışma verilerine göre yaşlı bireylerin ortoreksiya nevroza ile yeme tutum ve davranış bozukluğu eğilimlerine karşı multidisipliner bir yaklaşımla bilinçlendirilmesinin uygun olacağı kanatindeyiz. 

Anahtar Kelimeler

• Ortoreksiya
• yaşlı
• yeme tutum ve davranış bozukluğu
• covid-19
• beslenme

Kaynakça

1. [1] Fettahoglu R, Erdem R.The Effect of Individuals' Perception of Aging on Healthcare Use. Manisa Celal Bayar University Journal of Social Sciences 2020;18(4):12-32.
2. [2] Sarac ZF, Yilmaz M. Aging and healthy eating. Ege Journal of Medicine 2015: 54.
3. [3] Filion AJ,Haines J. Whyprevention? The caseforupstreamstrategies. In L. Smolak& M. P. Levine (Eds.), The Wiley handbook of eating disorders .West Sussex,UK: Wiley 2015: 557– 568.
4. [4] Zickgraf HF, Barrada JR. Orthorexia nervosa vs. healthy orthorexia: relationships with disordered eating, eating behavior, and healthy lifestyle choices. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 2021 ;1-13.
5. [5] Brytek-Matera A. Orthorexia nervosa—An eating disorder, obsessive-compulsive disorder or disturbed eating habit? Arch. Psychiatry Psychother 2012;14:55–60
6. [6]Sellin J.Dietary dilemmas, delusions, and decisions.Clin. Gastroenterol. Hepatol 2013;12,:1601–1604.
7. [7] Branley-Bell D, Talbot CV. Exploring the impact of the COVID-19 pandemic and UK lockdown on individuals with experience of eating disorders. Journal of Eating Disorders 2020;8(1), 1-12.
8. [8] Cheshire A,Berry M,Fixsen A. Whatare the keyfeatures of orthorexianervosa and influences on itsdevelopment? A qualitativeinvestigation. Appetite 2020;155:104798.

9. [9] Donini LM, Marsilli D, Graziani MP, Imbriale M, Canella C.Orthorexia Nervosa: Validation of a diagnosis questionnaire.Eating and Weight Disorders2005;10(2):28-32.
10. [10] Arslantas H, Adana F, Ögüt S, Ayakdas D, Korkmaz A.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).
11. [11] Kinzl JF, Hauer K,Traweger C, Kiefer I.Orthorexia nervosa: eine häufige essstörung bei diätassistentinnen. Ernahrungs-Umschau 2005;11:436-439.
12. [12] Bagci Bosi AT, Camur D, Güler C.Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine .Appetite 2007;49:661–6.
13. [13] Fidan T, Ertekin V, Isikay S, Kirpinar I.Prevalence of orthorexia among medical students in Erzurum, Turkey. Comprehensive psychiatry 2010;51(1):49-54.
14. [14] Asil E, Surucuoglu M. S.Orthorexia nervosa in Turkish dietitians. Ecology of food and nutrition 2015;54(4): 303-313.
15. [15]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.
16. [16] Dunn T.M, Bratman S.On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eat. Behav 2016:11–17.
17. [17] Kummer A, Dias F M, Teixeira A.L. On the concept of orthorexia nervosa. Scand. J. Med. Sci. Sports 2008;18:395–396.
18. [18] Aragon A. Introduction This article is inspired by the peculiarly obsessive and perfection isticview that many fitness enthusiasts have of food. I firstheard the term “orthorexia” mentioned many years ago, but. 2009.
19. [19] McComb, Sarah E, Jennifer S Mills."Orthorexia nervosa: A review of psychosocial risk factors." Appetite 2019;140:50-75.
20. [20] He J,Zhao Y, Zhang H, Lin Z. Orthorexi anervosa is associated withpositive body imageand life satisfaction in Chinese elderly: Evidencefor a positive psychology perspective. International Journal of Eating Disorders 2021;54(2): 212-221.
21. [21] Mathieu J.What is orthorexia? Journal of the American Dietetic Association 2005;105(10):1510-1512.
22. [22] Kuk J.L,Saunders T J, Davidson L E, Ross R. Age-relatedchanges in total and regional fat distribution.Ageing research reviews 2009;8(4):339-348.
23. [23] Ergin G.Orthorexia Nervosa Prevalence Study in Health-Care and NonHealth Care Individuals.Baskent University, Faculty of Health Sciences, Master Thesis, Nutrition and Dietetics, 2014. Ankara.
24. [24] McInerney-Ernst E M.Orthorexianervosa: Real constructorne west social trend? Doctoral dissertation, University of Missouri Kansas City. 2011.
25. [25] Shah SM. Orthorexi anervosa:Healthy eating oreating disorder?Student Thesis: Eastern Illinois University.2012.
26. [26] Varga M,Dukay-Szabó S, Túry F. Evidenceandgaps in theliterature on orthorexia nervosa. Eat Weight Disord 2013;18:103–111.
27. [27] Ipkirmaz I.B, Saka M. The Evaluation of Healthy Nutrition Obsession (Orthorexia Nervosa) and Eating Attitudes of Pregnant Women. Baskent University Journal of Faculty of HealthSciences, 5(1). 2020.
28. [28] Yeşil E, Turhan B, Tatan D, Sarahman C,Mendane S. a. k. a. The Effect of Gender to Orthorexia Nervosa Tendency in Adults.Ankara Journal of Health Sciences 2018; 7(1):1-9.
29. [29] Pekcan G.Determination of nutritional status. In: Baysal A, Aksoy M, Bozkurt N, Merdol TK, Pekcan G, Besler HT, Kececioğlu S, Mercanligil SM, Yildiz E, editors. Diet Handbook. 5thEdition, Ankara: Hatiboglu Publishing House; 2008:69-77
30. [30] Barthels F,Barrada J. R, Roncero M. Orthorexia nervosa and healthy orthorexia as new eating styles.PLoSOne 2019;14(7):e0219609. [31] Duran S.The risk of orthorexia nervosa (healthy eating obsession) symptoms for health high school students and affecting factors. Pamukkale Medical Journal 2016;(3):220-226.