Cited by 635Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

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On orthorexia nervosa: A review of the literature and proposed diagnostic criteria

Dunn, Thomas M., Bratman, Steven·2016·Eating Behaviors

DOI 10.1016/j.eatbeh.2015.12.006

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Abstract

There has been a growing interest among clinicians and researchers about a condition where people restrict their diet based not on quantity of food they consume, but based on its quality. Bratman (1997) coined the term "orthorexia nervosa" to describe people whose extreme diets - intended for health reasons - are in fact leading to malnutrition and/or impairment of daily functioning. There has also recently been intense media interest in people whose highly restrictive "healthy" diet leads to disordered eating. Despite this condition being first described in the U.S., and receiving recent media interest here, orthorexia has largely gone unnoticed in the North American literature. This review article details the literature of orthorexia nervosa, describing its emergence as a condition first described by a physician in a yoga magazine, to its being discussed in the scientific literature. It also reviews prevalence studies and discusses marked shortcomings in the literature. Finally, diagnostic criteria are proposed, as are future directions for research.

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Authors: Dunn, T. M., & Bratman, S.
Affiliations: University of Northern Colorado (US)
California Pacific Medical Center (US)
Corresponding author: Dunn, Thomas M.
ORCID: Dunn, Thomas M.
Bratman, Steven
Venue: Eating Behaviors
Publisher: Elsevier BV
Published: 2016-04
Volume: 21
Pages: 11-17
ISSN: 1471-0153 (ISSN-L)
DOI: 10.1016/j.eatbeh.2015.12.006
OpenAlex: W2200303661
Cited by: 635
References: 56
Citations by year: 2026: 57 · 2025: 66 · 2024: 56 · 2023: 70 · 2022: 93 · 2021: 82 · 2020: 73 · 2019: 53 · 2018: 43 · 2017: 30 · 2016: 11
FWCI: 34.72
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Eating Behaviors (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: orthorexia nervosa, diagnostic criteria, restrictive dieting, malnutrition, disordered eating, prevalence, functional disability
MeSH terms: Diet, Healthy, Adult, Feeding and Eating Disorders, Cross-Sectional Studies, Diet, Feeding Behavior, Female, Humans, Male

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On orthorexia nervosa: A review of the literature and proposed diagnostic criteria

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