Disordered eating focused on an extreme healthy diet is becoming increasingly common, experts are warning. Known as orthorexia, the disorder lacks a formal designation in the Diagnostic and Statistical Manual, but a growing number of people are displaying symptoms as ultra-healthy eating gains ground on social media.
What is orthorexia nervosa? The term orthorexia combines orthos ("right") and orexia ("appetite") to mean "righteous eating" and was coined in 1997 by physician Steven Bratman to describe patients who were "driving themselves crazy" with their eating habits. He specified two categories: healthy orthorexia and orthorexia nervosa, when restriction becomes obsessive and causes harm. Although being concerned with the "nutritional quality of the food you eat isn't a problem in and of itself", said the US National Eating Disorders Association, people who have orthorexia "become so fixated on so-called 'healthy eating' that they actually damage their own well-being". This can lead to consequences such as "malnutrition and/or impairment of psychosocial functioning".
Without formal diagnostic criteria, it is difficult to calculate how many people are affected. But there is an "increased awareness" of the condition, said Samantha DeCaro, the director of clinical outreach at Philadelphia's Renfrew Center, which treats people with eating disorders. Orthorexia is finally "being identified and treated – when in the past it was getting misdiagnosed or even missed completely", she told Everyday Health.
What is driving the rise? Social media is believed to be playing a role in perpetuating an upward trend in orthorexia, although to what extent is unclear. The "post-pandemic shifts in eating habits, increased screen time and heightened health anxieties" are also possible factors, José Francisco López-Gil, a senior researcher in lifestyle medicine at the Universidad de Las Américas, told the Washington Post.
Between fad diets, the "protein-ification of nearly everything" and new wearable technology that "tracks all kinds of biometrics", said HuffPost, it's "easy to get swept up in the health-obsession craze".
How is it treated? With no established diagnosis criteria, there is no clear treatment, but experts say that dietitians and therapists can help. A study by Bournemouth University researchers, published earlier this year in the Journal of Eating and Weight Disorders, suggested that help with emotional regulation could be useful for people with orthorexia nervosa.
|