Thursday, 7 March 2013

Orthorexia Nervosa



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The term ‘Orthorexia’ was first coined in 1997 by Dr. Steven Bratman. The combination of the Greek words ‘orthos’ meaning correct or right and ‘orexis’ meaning appetite gives the lose definition of correct eating; prior to coining the term Bratman previously referred to Orthorexia as “righteous eating”. Predominantly, the primary focus is eating healthy food. In addition to healthy eating, it is purported that orthorexics “obsess” over the quality of the food they eat more than the quantity.

Not uncommon to many ‘diet plans’, the orthorexic places high importance on large quantities of fruit and vegetables in his eating plan, but often will fixate on eliminating what he deems ‘bad’ foods; with some sufferers trying to completely eliminate fat, sodium and carbohydrates from their diet. Dr Bratman affectionately refers to orthorexics as ‘health food junkies’, unfortunately this rather tongue-in-cheek term does little to relay the seriousness and potentially life-threatening nature of the disorder.


In Dr Ingrid van Heerden’s paper Orthorexia- a new eating disorder? Catalina Zamora describes this disorder as a “pathological obsession for biologically pure food”. The obsession in this disorder stems from the restrictive nature of the person’s relationship with their food. What usually begins as a healthy diet progressively becomes more and more restrictive as additional items are removed from the diet; this deprivation of food items in the diet can have adverse effects on the orthorexic.

Research was conducted at the Universita degli Studi di Roma La Sepienza in 2004; of the 404 subjects in the study, scientists concluded that 7% of them suffered with orthorexia. Giving prudence to this research, Dr James Greenblatt in his work with eating disorders has seen an estimated 15% increase in this (orthorexic) form of behaviour among his young patients.

One of the major complications with Orthorexia is that it is not really considered to be a medical condition and as such does not have criteria for diagnosis. It is often perceived to be another form of anorexia nervosa or possibly a sub-type of obsessive-compulsive disorder; at the very least, some medical practitioners are in agreement that the associated behaviour explains an important and growing health phenomenon.

What causes orthorexia nervosa?
“I eat things I don’t even like because I feel like
I should only eat what my body needs”.
(Hurt, M.: 2007)

The causes of Orthorexia are somewhat difficult to pinpoint and isolate primarily due to the very limited literature covering this topic. Researching literature on this topic, one is quickly aware that the majority of information is based around the same starting point, the literature of Dr Bratman. As the founding source, subsequent to his writing, very little has been added to the body of knowledge; a body of knowledge as emaciated as some of the Orthorexics it discusses.

The ‘fixation’ that is manifest by the sufferers revolves around eating only healthy food. Orthorexia is believed to begin as a relatively innocent plan to improve one’s general health, an attempt to lose weight or in some cases to deal with chronic illnesses. As a starting point, I would like to make mention of the three causes of orthorexia as outlined by Emily Battaglia; she focuses her discussion on the potential around genetic factors, stress and family dynamics, and a desire to exercise control.

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