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The connection between exercise addiction and orthorexia nervosa in German fitness sports

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

The combination of physical activity and healthy eating habits has potentially positive effects on health. However, both practices can also lead to pathological behaviors such as exercise addiction (EA) and orthorexia nervosa (ON), thus generating negative effects. So far, studies analyzing the connection between these two phenomena cannot be found. The current paper is aiming to close this gap.

Methods

The sample (n = 1.008) consisted of 559 male and 449 female active members of three fitness studios, and was analyzed in a cross-sectional study design. The Exercise Addiction Inventory (EAI) was used to establish exercise addiction and the Düsseldorfer Orthorexie Skala (DOS) was used to evaluate orthorectic eating behavior.

Results

Out of the whole sample, 10.2% exhibit EA, while ON is prevalent in 3.4%. Twenty-three (2.3%) individuals suffer from both. There is a significant positive correlation between DOS and EAI (p < .001, r = .421). Female participants (p < .001, r = .452) show a higher correlation compared to male participants (p < .001, r = .418).

Conclusion

The results suggest a positive correlation between ON and EA in the context of German fitness sports. Both seem to be serious phenomena and require further investigation.

Level of evidence

Level V (cross-sectional descriptive study).

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References

  1. Biddle SJH, Mutrie N (2007) Psychology of physical activity: determinants, well-being and interventions. Routledge, Abingdon

    Book  Google Scholar 

  2. McAuley E, Rudolph D (1995) Physical activity, aging, and psychological well-being. J Aging Phys Act 3:67–96. doi:10.1123/japa.3.1.67

    Article  Google Scholar 

  3. Biddle SJH, Asare M (2011) Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 45:886–895. doi:10.1136/bjsports-2011-090185

    Article  PubMed  Google Scholar 

  4. Bouchard C, Blair SN, Haskell WL (2012) Physical activity and health, 2nd edn. Human Kinetics, Champaign

    Google Scholar 

  5. World Health Organization (2000) Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization, Geneva

    Google Scholar 

  6. Baekeland F (1970) Exercise deprivation. Sleep and psychological reactions. Arch Gen Psychiatry 22:365–369. doi:10.1001/archpsyc.1970.01740280077014

    Article  CAS  PubMed  Google Scholar 

  7. Berkman ND, Lohr KN, Bulik CM (2007) Outcomes of eating disorders: a systematic review of the literature. Int J Eat Disord 40:293–309. doi:10.1002/eat.20369

    Article  Google Scholar 

  8. Hausenblas HA, Downs DS (2002) How much is too much? The development and validation of the exercise dependence scale. Psychol Health 17:387–404. doi:10.1080/0887044022000004894

    Article  Google Scholar 

  9. Szabo A, Griffiths MD, de La Vega Marcos R et al (2015) Methodological and conceptual limitations in exercise addiction research. Yale J Biol Med 88:303–308

    PubMed  PubMed Central  Google Scholar 

  10. Zeeck A, Leonhart R, Mosebach N et al (2013) Psychopathologische Aspekte von Sport: Eine deutsche Adaptation der “Exercise Dependence Scale” (EDS-R). Z Für Sportpsychol 20:94–106. doi:10.1026/1612-5010/a000099

    Article  Google Scholar 

  11. Morgan W (1979) Negative addiction in runners. Phys Sportsmed 7:57–70

    Article  Google Scholar 

  12. Breuer S, Kleinert J (2009) Primäre Sportsucht und bewegungs-bezogene Abhängigkeit—Beschreibung, Erklärung und Diagnostik. Rausch Ohne Drog. Springer, Vienna, pp 191–218

    Google Scholar 

  13. Coverley Veale DMW (1987) Exercise dependence. Addiction 82:735–740. doi:10.1111/j.1360-0443.1987.tb01539.x

    Article  Google Scholar 

  14. Hausenblas HA, Symons Downs D (2002) Exercise dependence: a systematic review. Psychol Sport Exerc 3:89–123. doi:10.1016/S1469-0292(00)00015-7

    Article  Google Scholar 

  15. Griffiths M (2005) A “components” model of addiction within a biopsychosocial framework. J Subst Use 10:191–197. doi: 10.1080/14659890500114359

    Article  Google Scholar 

  16. Holden C (2001) “Behavioral” addictions: do they exist? Science 294:980–982. doi:10.1126/science.294.5544.980

    Article  CAS  PubMed  Google Scholar 

  17. Terry A, Szabo A, Griffiths M (2004) The exercise addiction inventory: a new brief screening tool. Addict Res Theory 12:489–499. doi:10.1080/16066350310001637363

    Article  Google Scholar 

  18. Griffiths MD, Szabo A, Terry A (2005) The exercise addiction inventory: a quick and easy screening tool for health practitioners. Br J Sports Med 39:e30–e30. doi: 10.1136/bjsm.2004.017020

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Ziemainz H, Stoll O, Drescher A et al (2013) Die Gefährdung zur Sportsucht in Ausdauersportarten. Dtsch Z Für Sportmed 2013:57–64. doi:10.5960/dzsm.2012.057

    Article  Google Scholar 

  20. Zeulner B, Ziemainz H, Beyer C et al (2016) Disordered eating and exercise dependence in endurance athletes. Adv Phys Educ 6:76–87. doi: 10.4236/ape.2016.62009

    Article  Google Scholar 

  21. Szabo A, Griffiths MD (2007) Exercise addiction in British sport science students. Int J Ment Health Addict 5:25–28. doi:10.1007/s11469-006-9050-8

    Article  Google Scholar 

  22. Lichtenstein MB, Jensen TT (2016) Exercise addiction in CrossFit: prevalence and psychometric properties of the exercise addiction inventory. Addict Behav Rep 3:33–37. doi:10.1016/j.abrep.2016.02.002

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lichtenstein MB, Larsen KS, Christiansen E et al (2014) Exercise addiction in team sport and individual sport: prevalences and validation of the exercise addiction inventory. Addict Res Theory 22:431–437. doi:10.3109/16066359.2013.875537

    Article  Google Scholar 

  24. Kohl HW, Craig CL, Lambert EV et al (2012) The pandemic of physical inactivity: global action for public health. Lancet 380:294–305. doi: 10.1016/S0140-6736(12)60898-8

    Article  PubMed  Google Scholar 

  25. Pierce EF, Rohaly KA, Fritchley B (1997) Sex differences on exercise dependence for men and women in a Marathon Road Race. Percept Mot Skills 84:991–994. doi:10.2466/pms.1997.84.3.991

    Article  CAS  PubMed  Google Scholar 

  26. Furst DM, Germone K (1993) Negative addiction in male and female runners and exercisers. Percept Mot Skills 77:192–194. doi:10.2466/pms.1993.77.1.192

    Article  CAS  PubMed  Google Scholar 

  27. Modoio VB, Antunes HKM, Gimenez PRB de et al (2011) Negative addiction to exercise: are there differences between genders? Clinics 66:255–260. doi:10.1590/S1807-59322011000200013

    Article  Google Scholar 

  28. Bratman S (1997) The health food eating disorder. Yoga J Sept./Oct.:42–50

  29. Dunn TM, Bratman S (2016) On orthorexia nervosa: a review of the literature and proposed diagnostic criteria. Eat Behav 21:11–17. doi:10.1016/j.eatbeh.2015.12.006

    Article  Google Scholar 

  30. Barthels F, Meyer F, Pietrowsky R (2015) Die Düsseldorfer Orthorexie Skala–Konstruktion und Evaluation eines Fragebogens zur Erfassung ortho-rektischen Ernährungsverhaltens. Z Für Klin Psychol Psychother 44:97–105. doi:10.1026/1616-3443/a000310

    Article  Google Scholar 

  31. Barthels F, Pietrowsky R (2012) Orthorektisches Ernährungsverhalten—Nosologie und Prävalenz. PPmP Psychother Psychosom Med Psychol 62:445–449. doi:10.1055/s-0032-1312630

    Article  Google Scholar 

  32. Chaki B, Pal S, Bandyopadhyay A (2013) Exploring scientific legitimacy of orthorexia nervosa: a newly emerging eating disorder. J Hum Sport Exerc 8:1045–1053. doi:10.4100/jhse.2013.84.14

    Article  Google Scholar 

  33. Brytek-Matera A (2012) Orthorexia nervosa—an eating disorder, obsessive compulsive disorder or disturbed eating habit? Arch Psychiatry Psychother 14:55–60

    Google Scholar 

  34. Mathieu J (2005) What is orthorexia? J Am Diet Assoc 105:1510–1512. doi:10.1016/j.jada.2005.08.021

    Article  Google Scholar 

  35. Depa J, Schweizer J, Bekers S-K et al (2016) Prevalence and predictors of orthorexia nervosa among German students using the 21-item-DOS. Eat Weight Disord Stud Anorex Bulim Obes. doi:10.1007/s40519-016-0334-0

    Article  Google Scholar 

  36. Håman L, Barker-Ruchti N, Patriksson G, Lindgren E-C (2015) Orthorexia nervosa: An integrative literature review of a lifestyle syndrome. Int J Qual Stud Health Well-Being. doi:10.3402/qhw.v10.26799

    Article  PubMed  PubMed Central  Google Scholar 

  37. Bratman S (2000) Health food junkies: overcoming the obession with healthful eating. Broadway Books, New York

    Google Scholar 

  38. Arusoğlu G, Kabakçi E, Köksal G, Merdol TK (2008) Orthorexia nervosa and adaptation of ORTO-11 into Turkish. Turk Psikiyatri Derg Turk J Psychiatry 19:283–291

    Google Scholar 

  39. Sundgot-Borgen J, Torstveit MK (2004) Prevalence of eating disorders in elite athletes is higher than in the general population. Clin J Sport Med 14:25–32. doi:10.1097/00042752-200401000-00005

    Article  PubMed  Google Scholar 

  40. Brehm BJ, Steffen JJ (2013) Links among eating disorder characteristics, exercise patterns, and psychological attributes in college students. SAGE Open 3:215824401350298. doi:10.1177/2158244013502985

    Article  Google Scholar 

  41. Seigel K, Hetta J (2001) Exercise and eating disorder symptoms among young females. Eat Weight Disord Stud Anorex Bulim Obes 6:32–39. doi:10.1007/BF03339749

    Article  CAS  Google Scholar 

  42. Herranz Valera J, Acuña Ruiz P, Romero Valdespino B, Visioli F (2014) Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eat Weight Disord Stud Anorex Bulim Obes 19:469–472. doi:10.1007/s40519-014-0131-6

    Article  Google Scholar 

  43. Aksoydan E, Camci N (2009) Prevalence of orthorexia nervosa among Turkish performance artists. Eat Weight Disord Stud Anorex Bulim Obes 14:33–37. doi:10.1007/BF03327792

    Article  CAS  Google Scholar 

  44. Rudolph S, Göring A, Jetzke M et al (2017) Zur Prävalenz von orthorektischem Ernährungsverhalten bei sportlich aktiven Studierenden. Dtsch Z Für Sportmed 2017:10–13. doi:10.5960/dzsm.2016.262

    Article  Google Scholar 

  45. Eriksson L, Baigi A, Marklund B, Lindgren EC (2008) Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants. Scand J Med Sci Sports 18:389–394. doi:10.1111/j.1600-0838.2007.00723.x

    Article  CAS  Google Scholar 

  46. Segura-García C, Papaianni MC, Caglioti F et al (2012) Orthorexia nervosa: A frequent eating disordered behavior in athletes. Eat Weight Disord Stud Anorex Bulim Obes 17:e226–e233. doi: 10.3275/8272

    Article  Google Scholar 

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Authors and Affiliations

  1. Institut für Sportwissenschaften, Universität Göttingen, Sprangerweg 2, 37075, Göttingen, Germany

    Sabrina Rudolph

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  1. Sabrina Rudolph
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Correspondence to Sabrina Rudolph.

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The author declares that she has no conflict of interest.

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This article does not contain any studies with human participants or animals performed by the author.

Additional information

This article is part of the topical collection on Orthorexia Nervosa.

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Rudolph, S. The connection between exercise addiction and orthorexia nervosa in German fitness sports. Eat Weight Disord 23, 581–586 (2018). https://doi.org/10.1007/s40519-017-0437-2

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