Orthorexia nervosa

Have you ever noticed that most people who liked healthy eating (or clean eating) goes too far in this food passion? The name of this phenomenon is Orthorexia.

Orthorexia nervosa is a proposed eating disorder or mental disorder characterized by an extreme or excessive preoccupation with avoiding foods perceived to be unhealthful.

Symptoms of orthorexia nervosa may include obsession with healthy eating and emaciation, among other things. Orthorexic subjects typically have specific feelings towards different types of food. The obsession for healthy foods could come from a number of sources such as family habits, society trends, economic problems, recent illness, or even just hearing something negative about a food type or group, which then leads them to ultimately eliminate the food or foods from their diet.

Although Orthorexia is not recognized as a mental disorder by the American Psychiatric Association, and it is not listed in the DSM-IV or planned to be included in the DSM-5 to be published May 2013, it is still used as a diagnosis by some practitioners who have documented the damaging results of the condition as they have seen in their practices.

– wikipedia

Orthorexia Self-Test by Dr. Bratman

Each YES answer scores one point

• Do you spend more than three hours a day thinking about healthy food? (for four hours, give yourself two points)
• Do you plan tomorrow’s food today?
• Do you care more about the virtue of what you eat than the pleasure you receive from eating it?
• Have you found that as the quality of your diet has increased, the quality of your life has correspondingly diminished?
• Do you keep getting stricter with yourself?
• Do you sacrifice experiences you once enjoyed to eat the food you believe is right?
• Do you feel an increased sense of self-esteem when you are eating healthy food? Do you look down on others who don’t?
• Do you feel guilt or self-loathing when you stray from your diet?
• Does your diet socially isolate you?
• When you are eating the way you are supposed to, do you feel a peaceful sense of total control?

If you answer yes to more than four questions, you are probably have Orthorexia nervosa.

ORTO-15 test (Institute of Food Sciences, University of Rome “La Sapienza”)

Orthorexia nervosa: validation of a diagnosis questionnaire. (Full text )
Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C.
Istituto di Scienza dell’Alimentazione, Università degli Studi di Roma La Sapienza, Rome, Italy.

Questionnaire for the diagnosis of orhorexia nervosa, an eating disorder defined as “maniacal obsession for healthy food”

Scoring grid for ORTO-15 test

If you score more than 40 points (threshold value), you are probably have Orthorexia nervosa.

See Also

• Orthorexia nervosa. A new eating behavior disorder?, FG Sánchez, BR Rial – Actas Esp Psiquiatr, 2005
• Evidence and gaps in the literature on orthorexia nervosa, Eat Weight Disord. 2013 Jun;18(2):103-11.
• Orthorexia nervosa: a frequent eating disordered behavior in athletes, Eat Weight Disord. 2012 Dec;17(4):e226-33.