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Characteristics and clinical implications of the relationship between veganism and pathological eating behaviours

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Abstract

Objective

Veganism may serve as a socially acceptable means to restrict food intake and disguise pathological eating behaviours. Studies that include vegan participants typically group them with other meat avoiders (e.g., vegetarians), potentially masking risk factors unique to veganism.

Method

We addressed this issue by recruiting two Amazon Mechanical Turk samples of 110 vegan and 118 omnivore participants, with comparable gender composition. We aimed to examine whether vegans showed higher disordered eating than omnivores, and if motives for pursuing a vegan diet impacted disordered eating. We assessed disordered eating using the Eating Attitudes Test, the Eating Disorder Examination-Questionnaire, and the Eating Pathology Symptom Inventory.

Results

Vegans displayed more pathological eating behaviours than omnivores, which was significantly predicted by cognitive restraint. However, body dissatisfaction levels were higher in omnivores than vegans. Diet motives did not influence vegans’ disordered eating.

Conclusion

We propose vegans have high levels of cognitive restraint, possibly due to their intention to avoid animal products. In turn, cognitive restraint subscales in eating disorder measures might be over-pathologising rates of eating disorders in vegans. Future research should monitor the progression of people’s eating-related attitudes and behaviours before and after they transition to veganism to establish whether veganism increases the risk of disordered eating, or vice versa.

Level of evidence

IV, cross-sectional study.

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Data availability

Deidentified data for Sample 1 and Sample 2 is publicly available on the Open Science Framework at https://osf.io/utyxa and https://osf.io/qz8e6/ respectively.

Code availability

Not applicable.

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Funding

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Authors and Affiliations

Authors

Contributions

CM created the study idea, and CM, EM, and GS drafted the manuscript. CM, EM and NT assisted with the design and statistical analyses.

Corresponding author

Correspondence to Courtney P. McLean.

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Conflict of interest

The authors have no conflicts to declare.

Ethics approval

This study was approved by the Monash University Human Research Ethics Committee (MUHREC; reference number 20514).

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Consent for publication

Participants were informed their participation would result in de-identifiable data for publication.

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McLean, C.P., Moeck, E.K., Sharp, G. et al. Characteristics and clinical implications of the relationship between veganism and pathological eating behaviours. Eat Weight Disord 27, 1881–1886 (2022). https://doi.org/10.1007/s40519-021-01330-1

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  • DOI: https://doi.org/10.1007/s40519-021-01330-1

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