The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index; none of the 12 sources its claims cite is checked for support yet.
Instagram use is linked to increased symptoms of orthorexia nervosa.
Open accessAbstract
PURPOSE: Social media use is ever increasing amongst young adults and has previously been shown to have negative effects on body image, depression, social comparison, and disordered eating. One eating disorder of interest in this context is orthorexia nervosa, an obsession with eating healthily. High orthorexia nervosa prevalence has been found in populations who take an active interest in their health and body and is frequently comorbid with anorexia nervosa. Here, we investigate links between social media use, in particularly Instagram and orthorexia nervosa symptoms. METHODS: We conducted an online survey of social media users (N = 680) following health food accounts. We assessed their social media use, eating behaviours, and orthorexia nervosa symptoms using the ORTO-15 inventory. RESULTS: Higher Instagram use was associated with a greater tendency towards orthorexia nervosa, with no other social media channel having this effect. In exploratory analyses Twitter showed a small positive association with orthorexia symptoms. BMI and age had no association with orthorexia nervosa. The prevalence of orthorexia nervosa among the study population was 49%, which is significantly higher than the general population (<1%). CONCLUSIONS: Our results suggest that the healthy eating community on Instagram has a high prevalence of orthorexia symptoms, with higher Instagram use being linked to increased symptoms. These findings highlight the implications social media can have on psychological wellbeing, and the influence social media 'celebrities' may have over hundreds of thousands of individuals. These results may also have clinical implications for eating disorder development and recovery.
Overview
AI snapshot
Written from the paper’s full text.
TL;DR
In an online survey of 680 female social media users, higher Instagram use was associated with greater orthorexia nervosa symptoms as measured by ORTO-15. The sample showed a high prevalence of ON symptoms (49% using the <35 cut-off) compared with <1% in the general population.
Key findings
- Instagram use was negatively correlated with ORTO-15 score (r = −0.10, p = 0.01), meaning higher Instagram use was linked to greater ON symptoms; in regression, Instagram use (β = −0.12, p = 0.003) and country of residence (β = 0.23, p < 0.001) were significant predictors.
- ON prevalence in the sample was 49.0% with the <35 cut-off and 90.6% with the <40 cut-off; among Instagram users it was 49.3% and 90.4%, respectively, versus <1% in the general population.
- No significant relationships were found between ORTO-15 and number of food types eaten (r = −0.01, p = 0.87), number of social media channels used (r < 0.01, p = 0.99), age (r = −0.06, p = 0.13), or BMI (r = −0.03, p = 0.47); diet types also did not differ [F(5,674) = 0.705, p = 0.620].
- Twitter showed a small positive correlation with ORTO-15 score (r = 0.12, p = 0.04) in exploratory analysis; the paper describes this inconsistently as a positive association with ON symptoms in the abstract and as possibly protective in the discussion.
Methods
- Online Qualtrics survey; participants were recruited via unpaid advertisements on Instagram, Facebook, and Twitter, plus the “Plantbased Pixie” blog and “Health Bloggers Community” newsletter. Data were collected from 713 participants (23 males, 686 females, 4 other/prefer not to say; mean age 24.96 ± 8.17 years); final analysis included 680 females after excluding non-female participants and missing ORTO-15 data.
- Measures included social media channels and time spent, dietary choices (19 food types and diet label), ORTO-15, and demographics. ORTO-15 lower scores indicate higher ON symptoms; cut-offs of <40 and <35 were used.
- Analyses used Spearman correlations for social media use and ORTO-15, Pearson correlations for age/BMI, one-way ANOVA for diet types, and linear regression with Instagram use, age, BMI, ethnicity, and country of residence.
Limitations
- The paper states convenience non-random sampling, with 83% of participants recruited from the author’s Instagram account; the study title (“Health habits on social media”) may have attracted health-interested individuals; BMI was self-reported; medical diets were not assessed; and causality cannot be established due to the correlational design.
- The paper also notes possible interactions among multiple social media channels and that the sample was restricted to females because the number of male participants was too low for adequate power.
- The introduction notes ORTO-15 psychometric limitations, including internal consistency issues, lack of standardisation, cultural variation, and possible false positives from the high cut-off score.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
12 Own result · 9 Not checked yet · 9 Own method · 5 Own interpretation · 1 No basis given
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The prevalence of ON in our sample was 90.6% with a cut-off score of <40, or 49.0% with a cut-off score of <35.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Sample characteristics
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The prevalence of ON in our sample was 90.6% with a cut-off score of <40, or 49.0% with a cut-off score of <35.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Sample characteristics
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No relationship was found between ORTO-15 scores and number of food types eaten (r = −0.01; p = 0.87), number of social media channels used (r < 0.01; p = 0.99), age (r = −0.06; p = 0.13), or BMI (r = −0.03; p = 0.47).”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No relationship was found between ORTO-15 scores and number of food types eaten (r = −0.01; p = 0.87), number of social media channels used (r < 0.01; p = 0.99), age (r = −0.06; p = 0.13), or BMI (r = −0.03; p = 0.47).”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“except Twitter which showed a small positive correlation (r = 0.12, p = 0.04).”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall model was significant [F(5,648) = 9.58, p < 0.001)] with Instagram use (β = −0.12, p = 0.003) and country of residence (β = 0.23, p < 0.001) being significant predictors.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No relationship was found between ORTO-15 scores and number of food types eaten (r = −0.01; p = 0.87), number of social media channels used (r < 0.01; p = 0.99), age (r = −0.06; p = 0.13), or BMI (r = −0.03; p = 0.47).”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“There were also no significant differences in ORTO-15 score between diet types as determined by one-way ANOVA [F(5,674) = 0.705, p = 0.620].”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No relationship was found between ORTO-15 scores and number of food types eaten (r = −0.01; p = 0.87), number of social media channels used (r < 0.01; p = 0.99), age (r = −0.06; p = 0.13), or BMI (r = −0.03; p = 0.47).”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The overall model was significant [F(5,648) = 9.58, p < 0.001)] with Instagram use (β = −0.12, p = 0.003) and country of residence (β = 0.23, p < 0.001) being significant predictors.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- It may state two separate claims as one. 6
- Probably not a substantial claim. 15
- The quote only partly states this claim. 1
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Higher Instagram use was associated with a greater tendency towards orthorexia nervosa, with no other social media channel having this effect.”
- Also stated in: § Inferential Results · plain
“As predicted, there was a negative correlation between ORTO-15 score and Instagram use (r = −0.10; p = 0.01) (Fig. 1).”
- Also stated in: § Discussion · plain
“We found a significant relationship between symptoms of ON as measured by the ORTO-15 test and Instagram use, with higher Instagram use being associated with a greater tendency towards ON.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Abstract > Results
plaincorrelationaln = 680 ·- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Also stated in: § Inferential Results · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“with no other social media channel having this effect.”
- Also stated in: § Inferential Results · plain
“No significant relationship was found between ORTO-15 score and other social media use (Table 3), except Twitter which showed a small positive correlation (r = 0.12, p = 0.04).”
- Also stated in: § Discussion · hedged
“No other social media channels were found to have this effect, although Twitter seemed to have a small protective association.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Abstract > Results
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Also stated in: § Inferential Results · plain
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“although Twitter seemed to have a small protective association.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“While the effect size was small, the large population of social media users, now over 500 million on Instagram alone, means that this is a meaningful effect at population level.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“with higher Instagram use being linked to increased symptoms.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Abstract > Conclusions
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The quote only partly states this claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Furthermore, BMI was calculated from self-report rather than measured, accordingly, we cannot rule out error and deliberate miss-reporting.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion > Limitations and further research
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Participants were recruited through convenient non-random sampling, with the majority coming from the author’s Instagram account (83%), which is not representative of the general population.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion > Limitations and further research
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We decided to concentrate on female participants as the N recruited for men was too low to provide adequate power for statistical analyses.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Methods and materials > Participants
plainn = 27- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“All participants gave their informed consent before starting the questionnaire and the study was approved by the UCL ethics committee.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Methods and materials > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“We used two cut-off scores due to disagreement in the literature over the appropriate cut-off point: less than 40 (following [28]), and less than 35 (following [35]).”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Methods and materials > Assessment and analysis
What the sources say
- Not checked yetcites [28] Arusoğlu G, Kabakci E, Köksal G, Merdol TK (2008) Orthorexia nervosa and adaptaon of ORTO-11 into Turkish. Turk J Psychiatry 19(3):283–291
- Not checked yetcites [35] Missbach B, Dunn TM, König JS (2016) We need new tools to assess Orthorexia Nervosa. A commentary on “Prevalence of Orthorexia Nervosa among College Students Based on Bratman’s Test and Associated Tendencies”. Appetite 108:521 source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“social media use has been associated with higher levels of depression in young adults [14]”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
What the sources say
- Not checked yetcites [14] Sidani JE, Shensa A, Radovic A, Miller E, Colditz JB, Hoffman BL, Giles LM, Primack BA (2016) Association between social media use and depression among US young adults. Depress Anxiety 33(4):323–331 source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Currently the relationship between ON and social media use is unclear, although links between social media use and AN have been reported.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“In addition, the research title (Health habits on social media) may have attracted individuals with an interest in health.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion > Limitations and further research
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Previous work around similar disorders suggests that social media use may contribute to an ‘echo-chamber’ effect, where users perceive their values and world-views to be more common than they actually are, due to selectively viewing contributions of other, similarly minded people [5].”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
What the sources say
- Not checked yetcites [5] Salathé M, Khandelwal S (2011) Assessing vaccination sentiments with online social media: implications for infectious disease dynamics and control. PLoS Comput Biol 7(10):e1002199 source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Higher prevalence has been found in yoga instructors [30], dieticians, [31], nutrition students [32], and exercise science students [33] compared to the general population.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
What the sources say
- Not checked yetcites [30] Valera JH, Ruiz PA, Valdespino BR, Visioli F (2014) Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eat Weight Disord-Stud Anorex Bulim Obes 19(4):469–472 source
- Not checked yetcites [31] Asil E, Sürücüoğlu MS (2015) Orthorexia nervosa in Turkish dietitians. Ecol Food Nutr 54(4):303–313 source
- Not checked yetcites [32] Bo S, Zoccali R, Ponzo V, Soldati L, De Carli L, Benso A, Fea E, Rainoldi A, Durazzo M, Fassino S (2014) University courses, eating problems and muscle dysmorphia: are there any associations? J Transl Med 12(1):1 source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“To assess the robustness of the correlation between ORTO-15 and Instagram use when controlling for potentially confounding demographic variables, we additionally conducted linear regression analysis with ORTO-15 score as the outcome measure and Instagram use, age, BMI, ethnicity (dummy coded as white/non-white), and country of residence (dummy coded as UK/non-UK) as the predictor variables.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Inferential Results
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
In the paper
“Social media use is constantly increasing, with now 90% of UK young adults (aged 16–34 years) accessing social media platforms [1].”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
What the sources say
- Not checked yetcites [1] Ofcom (2015) Communications Market Report 2015. Ofcom
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“as well as eating disorders and related behaviours [15]”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
What the sources say
- Not checked yetcites [15] Carrotte ER, Vella AM, Lim MS (2015) Predictors of “liking” three types of health and fitness-related content on social media: a cross-sectional study. J Med Internet Res 17(8) source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Finally, we did not assess whether some participants followed a strict diet for medical reasons.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion > Limitations and further research
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“There is some overlap between ON, AN and obsessive compulsive disorder (OCD) [25].”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Introduction
What the sources say
- Not checked yetcites [25] Koven NS, Abry AW (2015) The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatric Disease & Treatment 11
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“A study of 713 participants confirmed orthorexia nervosa prevalence of 49% [70], far greater than the estimated <1% in the general UK population.”
From The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people (2023) · cites this paper as [70]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Disturbingly high prevalence of body image dissatisfaction, disordered eating pathology and comorbid mental health outcomes were reported amongst young social media users in this review [57, 66, 70].”
From The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people (2023) · cites this paper as [70]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“One cross-sectional and one qualitative study indicated orthorexia nervosa symptomatology amongst participants, ranging from obsessions with ‘clean eating’ to avoidance of ‘demonised’ foods and compulsive exercise behaviours [64, 70].”
From The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people (2023) · cites this paper as [70]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(5, 674) = 0.705reported p = .62 · recomputed p = .620
“F(5,674) = 0.705, p = .620”
- ConsistentF(5, 648) = 9.58reported p < .001 · recomputed p < .001
“F(5,648) = 9.58, p < .001”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Sample characteristics
“| Number of social media channels (out of n = 7) | 3.55 ± 1.25 |”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Results > Sample characteristics
“| % using this channel | 94.5% | 88.1% | 41.0% | 54.9% | 12.3% | 20.7% | 29.0% |”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion
“exploratory analysis into other social media channels showed that Twitter had a positive association with ON symptoms.”
§ Instagram use is linked to increased symptoms of orthorexia nervosa > Discussion
“No other social media channels were found to have this effect, although Twitter seemed to have a small protective association.”
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
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“Additionally, frequent Instagram use has been associated with symptoms of orthorexia nervo-sa among young adults (Turner & Lefevre, 2017).”
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“Participants reported their use of YouTube, Instagram, and Facebook, including time spent per session, categorized as < 15, 15–30, 31–60, or > 60 min, consistent with the approach used by Turner and Lefevre (2017).”
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Metadata
- Authors
- Turner, P. G., & Lefevre, C. E.
- Affiliations
- University College London (GB)
- Corresponding author
- Lefevre, Carmen E.
- ORCID
- Lefevre, Carmen E.
- Venue
- Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
- Published
- 2017-03-01
- Volume
- 22
- Issue
- 2
- Pages
- 277-284
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- PMC
- PMC5440477
- OpenAlex
- W2593519256
- Semantic Scholar
- 8fa58fca216d463d9400de92c0164d84018f7dc8
- Cited by
- 380
- References
- 37
- Citations by year
- 2026: 39 · 2025: 43 · 2024: 40 · 2023: 52 · 2022: 55 · 2021: 60 · 2020: 43 · 2019: 28 · 2018: 18 · 2017: 1
- FWCI
- 30.45
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- orthorexia nervosa, Instagram, social media use, eating disorders, disordered eating, young adults, ORTO-15, Twitter, body image, social media influencers
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Body Image, Feeding Behavior, Female, Humans, Health Behavior, Young Adult, Social Media, Symptom Assessment
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