Medical nutrition therapy (MNT) is an indisputable component of the multidisciplinary therapeutic approach in rheumatoid arthritis (RA). Previous research has suggested that in chronic disease where nutrition is an important effector of prognosis, healthy dietary choices might take an unhealthy turn, with patients developing disordered eating in the form of orthorexia nervosa (ON). ON is characterized by a pathological preoccupation with "healthy", "pure" eating, associated with restrictive dietary patterns, nutrient deficiencies and worsening disease outcomes. The aim of the present cross-sectional study was to evaluate ON tendencies in a sample of adult patients with RA. A total of 133 patients with RA were recruited, and completed the ORTO-15 questionnaire for the assessment of ON tendencies. Most of the patients were overweight/obese (53.4%). The results revealed ON tendencies in the sample, with the median ORTO-15 score reaching 36 (IQR: 33-39). Greater ON tendencies were associated with the female gender, and lowered ON tendencies with increasing age and body mass index. The present findings highlight the need for health professional awareness regarding the problem of ON in patients with RA and the importance of screening patients.

Orthorexia Nervosa Practices in Rheumatoid Arthritis: The DORA Study / Sifakaki, Maria; Gkiouras, Konstantinos; Lindqvist, Helen M; Marakis, Georgios; Petropoulou, Anastasia; Donini, Lorenzo M; Bogdanos, Dimitrios P; Grammatikopoulou, Maria G. - In: NUTRIENTS. - ISSN 2072-6643. - 15:3(2023), p. 713. [10.3390/nu15030713]

Orthorexia Nervosa Practices in Rheumatoid Arthritis: The DORA Study

Donini, Lorenzo M;
2023

Abstract

Medical nutrition therapy (MNT) is an indisputable component of the multidisciplinary therapeutic approach in rheumatoid arthritis (RA). Previous research has suggested that in chronic disease where nutrition is an important effector of prognosis, healthy dietary choices might take an unhealthy turn, with patients developing disordered eating in the form of orthorexia nervosa (ON). ON is characterized by a pathological preoccupation with "healthy", "pure" eating, associated with restrictive dietary patterns, nutrient deficiencies and worsening disease outcomes. The aim of the present cross-sectional study was to evaluate ON tendencies in a sample of adult patients with RA. A total of 133 patients with RA were recruited, and completed the ORTO-15 questionnaire for the assessment of ON tendencies. Most of the patients were overweight/obese (53.4%). The results revealed ON tendencies in the sample, with the median ORTO-15 score reaching 36 (IQR: 33-39). Greater ON tendencies were associated with the female gender, and lowered ON tendencies with increasing age and body mass index. The present findings highlight the need for health professional awareness regarding the problem of ON in patients with RA and the importance of screening patients.
2023
DAS28; diet; disordered eating; eating disorders; mental health; obesity; pain; remission; rheumatic disease; weight loss
01 Pubblicazione su rivista::01a Articolo in rivista
Orthorexia Nervosa Practices in Rheumatoid Arthritis: The DORA Study / Sifakaki, Maria; Gkiouras, Konstantinos; Lindqvist, Helen M; Marakis, Georgios; Petropoulou, Anastasia; Donini, Lorenzo M; Bogdanos, Dimitrios P; Grammatikopoulou, Maria G. - In: NUTRIENTS. - ISSN 2072-6643. - 15:3(2023), p. 713. [10.3390/nu15030713]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1682947
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