Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects

Background and aimsOrthorexia nervosa (OrNe), the obsessive fixation on healthy eating, and exercise addiction (ExAdd) have been discussed as correlated excessive health behaviors with potential mental health implications. The role of gender-and sports-specific differences remains unclear. This stud...

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Main Authors: Hanna Wachten, Ramona Wurst, Sarah Paganini, Jana Strahler
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1494958/full
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author Hanna Wachten
Hanna Wachten
Ramona Wurst
Sarah Paganini
Jana Strahler
Jana Strahler
Jana Strahler
author_facet Hanna Wachten
Hanna Wachten
Ramona Wurst
Sarah Paganini
Jana Strahler
Jana Strahler
Jana Strahler
author_sort Hanna Wachten
collection DOAJ
description Background and aimsOrthorexia nervosa (OrNe), the obsessive fixation on healthy eating, and exercise addiction (ExAdd) have been discussed as correlated excessive health behaviors with potential mental health implications. The role of gender-and sports-specific differences remains unclear. This study aimed to investigate the links of ExAdd, OrNe, and the non-pathological interest in healthy eating (healthy orthorexia; HeOr) with well-being and exercise activity in various sports, considering gender effects.MethodsData from two cross-sectional online surveys were combined (N = 1,064, 73.5% women, age = 28.23 ± 11.09), measuring ExAdd (Exercise Addiction Inventory Revised), OrNe and HeOr (Teruel Orthorexia Scale), well-being (WHO-5 Well-Being Index), exercise activity and sports (Physical Activity, Exercise, and Sport Questionnaire).ResultsWell-being correlated with OrNe among women (r = −0.291) and not meaningfully with ExAdd and HeOr among men. Gender differences were not significant, except for the higher correlation of ExAdd with exercise activity in resistance and fitness sports among men. Regression analyses revealed that exercise activity, especially in health, resistance and fitness sports, was linked to HeOr, but not to OrNe. ExAdd was associated with exercise activity in endurance, resistance and fitness, ball and team, antigravitation, technical, aesthetic sports, and martial arts.DiscussionMen’s well-being may slightly benefit from ExAdd and an interest in healthy eating, while obsessive healthy eating may reduce women’s well-being. Although exercise activity is associated with ExAdd in a wide variety of sports, it does not explain the link between ExAdd and OrNe. Preventive measures should consider gender-specific risks in excessive health behaviors.
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spelling doaj-art-06808b51bbc24614bcbc6a15c987ac0f2024-12-03T04:22:54ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-12-011110.3389/fnut.2024.14949581494958Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effectsHanna Wachten0Hanna Wachten1Ramona Wurst2Sarah Paganini3Jana Strahler4Jana Strahler5Jana Strahler6Sportpsychology, Department of Sport and Sport Science, Albert-Ludwigs-University Freiburg, Freiburg, GermanyDepartment of Psychotherapy and System Neuroscience, Justus Liebig University Giessen, Giessen, GermanySportpsychology, Department of Sport and Sport Science, Albert-Ludwigs-University Freiburg, Freiburg, GermanySportpsychology, Department of Sport and Sport Science, Albert-Ludwigs-University Freiburg, Freiburg, GermanySportpsychology, Department of Sport and Sport Science, Albert-Ludwigs-University Freiburg, Freiburg, GermanyDepartment of Psychotherapy and System Neuroscience, Justus Liebig University Giessen, Giessen, GermanyDepartment of Health Psychology and Applied Diagnostics, University of Wuppertal, Wuppertal, GermanyBackground and aimsOrthorexia nervosa (OrNe), the obsessive fixation on healthy eating, and exercise addiction (ExAdd) have been discussed as correlated excessive health behaviors with potential mental health implications. The role of gender-and sports-specific differences remains unclear. This study aimed to investigate the links of ExAdd, OrNe, and the non-pathological interest in healthy eating (healthy orthorexia; HeOr) with well-being and exercise activity in various sports, considering gender effects.MethodsData from two cross-sectional online surveys were combined (N = 1,064, 73.5% women, age = 28.23 ± 11.09), measuring ExAdd (Exercise Addiction Inventory Revised), OrNe and HeOr (Teruel Orthorexia Scale), well-being (WHO-5 Well-Being Index), exercise activity and sports (Physical Activity, Exercise, and Sport Questionnaire).ResultsWell-being correlated with OrNe among women (r = −0.291) and not meaningfully with ExAdd and HeOr among men. Gender differences were not significant, except for the higher correlation of ExAdd with exercise activity in resistance and fitness sports among men. Regression analyses revealed that exercise activity, especially in health, resistance and fitness sports, was linked to HeOr, but not to OrNe. ExAdd was associated with exercise activity in endurance, resistance and fitness, ball and team, antigravitation, technical, aesthetic sports, and martial arts.DiscussionMen’s well-being may slightly benefit from ExAdd and an interest in healthy eating, while obsessive healthy eating may reduce women’s well-being. Although exercise activity is associated with ExAdd in a wide variety of sports, it does not explain the link between ExAdd and OrNe. Preventive measures should consider gender-specific risks in excessive health behaviors.https://www.frontiersin.org/articles/10.3389/fnut.2024.1494958/fullorthorexia nervosaexercise addictionhealthy orthorexiahealthy eatinghealth behaviorsbehavioral addiction
spellingShingle Hanna Wachten
Hanna Wachten
Ramona Wurst
Sarah Paganini
Jana Strahler
Jana Strahler
Jana Strahler
Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects
Frontiers in Nutrition
orthorexia nervosa
exercise addiction
healthy orthorexia
healthy eating
health behaviors
behavioral addiction
title Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects
title_full Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects
title_fullStr Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects
title_full_unstemmed Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects
title_short Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects
title_sort excessive health behaviors in sports links of orthorexia nervosa and exercise addiction with well being exercise activity in sports categories and gender effects
topic orthorexia nervosa
exercise addiction
healthy orthorexia
healthy eating
health behaviors
behavioral addiction
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1494958/full
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