Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study

  • Jesus Herranz Valera
  • Patricia Acuña Ruiz
  • Borja Romero Valdespino
  • Francesco VisioliEmail author
Original Article



Orthorexia nervosa (ON, i.e., fixation on righteous eating) is a poorly defined disordered eating behavior that results from a pathological obsession with food, its purported nutritional value, composition, origin, etc.


We investigated the prevalence of ON in a local ashtanga yoga community, by using a validated questionnaire (ORTO-15) that sets a threshold of ON diagnosis at ≤40.


Among the 136 respondents, the mean ORTO-15 score (which was normally distributed) was 35.27 ± 3.69, i.e., 86 % of respondents had an ORTO-15 score lower than 40 and no significant association with age or BMI was recorded. When we analyzed the differential distribution of orthorexia in our cohort, we recorded an association of ORTO-15 score and vegetarianism, i.e., the ORTO-15 score was lower among vegetarians.


The results of this pilot study should suggest ashtanga yoga teachers to avoid excessive reference to a healthy diet, which is natural component of yoga practice.


Orthorexia nervosa Yoga Eating disorders Physical activity Vegetarianism 


Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Mathieu J (2005) What is orthorexia? J Am Diet Assoc 105:1510–1512PubMedCrossRefGoogle Scholar
  2. 2.
    Brytek-Matera A (2012) Orthorexia nervosa—an eating disorder, obsessive-compulsive disorder or disturbed eating habit? Arch Psychiatry Psychother 1:55–60Google Scholar
  3. 3.
    Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C (2005) Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord 10:e28–e32PubMedCrossRefGoogle Scholar
  4. 4.
    Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C (2004) Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord 9:151–157PubMedCrossRefGoogle Scholar
  5. 5.
    Ross A, Friedmann E, Bevans M, Thomas S (2013) National survey of yoga practitioners: mental and physical health benefits. Complement Ther Med 21:313–323PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Ross A, Friedmann E, Bevans M, Thomas S (2012) Frequency of yoga practice predicts health: results of a national survey of yoga practitioners. Evid Based Complement Altern Med 2012:983258CrossRefGoogle Scholar
  7. 7.
    Carim-Todd L, Mitchell SH, Oken BS (2013) Mind-body practices: an alternative, drug-free treatment for smoking cessation? A systematic review of the literature. Drug Alcohol Depend 132:399–410PubMedCentralPubMedCrossRefGoogle Scholar
  8. 8.
    Bratman S.: Original orthorexia essay., 1997
  9. 9.
    Bratman S, Knight D (2000) Health food junkies. Broadway books, New YorkGoogle Scholar
  10. 10.
    Jois SKP (2010) Yoga mala. North Point Press, New YorkGoogle Scholar
  11. 11.
    Varambally S, Gangadhar BN (2012) Yoga: a spiritual practice with therapeutic value in psychiatry. Asian J Psychiatr 5:186–189PubMedCrossRefGoogle Scholar
  12. 12.
    Benavides S, Caballero J (2009) Ashtanga yoga for children and adolescents for weight management and psychological well being: an uncontrolled open pilot study. Complement Ther Clin Pract 15:110–114PubMedCrossRefGoogle Scholar
  13. 13.
    Penman S, Cohen M, Stevens P, Jackson S (2012) Yoga in Australia: results of a national survey. Int J Yoga 5:92–101PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Ramacciotti CE, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, Dell’Osso L (2011) Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO-15). Eat Weight Disord 16:e127–e130PubMedCrossRefGoogle Scholar
  15. 15.
    Segura-Garcia C, Papaianni MC, Caglioti F, Procopio L, Nistico CG, Bombardiere L, Ammendolia A, Rizza P, De Fazio P, Capranica L (2012) Orthorexia nervosa: a frequent eating disordered behavior in athletes. Eat Weight Disord 17:e226–e233PubMedGoogle Scholar
  16. 16.
    Butar F, Park J (2008) Permutation Tests for comparing two populations. J Math Sci Math Ed 3:19–30Google Scholar
  17. 17.
    Catalina Zamora ML, Bote Bonaechea B, Garcia Sanchez F, Rios Rial B (2005) Orthorexia nervosa. A new eating behavior disorder? Actas Esp Psiquiatr 33:66–68PubMedGoogle Scholar
  18. 18.
    Fidan T, Ertekin V, Isikay S, Kirpinar I (2010) Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry 51:49–54PubMedCrossRefGoogle Scholar
  19. 19.
    Arusoglu G, Kabakci E, Koksal G, Merdol TK (2008) Orthorexia nervosa and adaptation of ORTO-11 into Turkish. Turk Psikiyatr Derg 19:283–291Google Scholar
  20. 20.
    Aksoydan E, Camci N (2009) Prevalence of orthorexia nervosa among Turkish performance artists. Eat Weight Disord 14:33–37PubMedCrossRefGoogle Scholar
  21. 21.
    Mac Evilly C (2001) The price of perfection. Nutr Bull 26:275–276CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Jesus Herranz Valera
    • 2
  • Patricia Acuña Ruiz
    • 1
    • 3
  • Borja Romero Valdespino
    • 1
  • Francesco Visioli
    • 2
    Email author
  1. 1.Ashtanga Yoga MadridMadridSpain
  2. 2.Laboratory of Functional FoodsIMDEA-Food, CEI UAM+CSICMadridSpain
  3. 3.Ashtanga Yoga MalagaMalagaSpain

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