ANKMJ
Ankyra Medical Journal

Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

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Original Article
The relationship between mindful eating, intuitive eating and orthorexia nervosa in adult individuals
Abstract
Aims: This research sought to explore mindful eating, intuitive eating and orthorexia nervosa relationship among adult individuals.
Methods: Two hundred and seventy individuals working in a hospital (165 healthcare workers and 105 administrative staff) joined this cross-sectional research carried out between July and August 2023. The researcher collected the data from the participants in person. A descriptive facts form about participants’ sociodemographic characteristics and anthropometric measurements, the Intuitive Eating Scale, the Orthorexia Nervosa Scale, and the Mindful Eating Questionnaire were utilized to gather data.
Results: Participants’ mean age was 35.27±10.22 years. Participants body mass index distribution was 4.4%, underweight; 52.2%, normal weight; 28.1%, overweight; 11.9%, first-degree obesity; 2.2% (six participants), second-degree obesity, and 1.1% (three participants), severe obesity. The mean Orthorexia Nervosa Scale total score had a positive, very weak association with the average values of emotional eating sub-domain (r: .233, p = .000) and a very weak and negative association with conscious eating sub-domain (r:-.122, p = .046) of the Mindful Eating Questionnaire. The mean scores on the total Orthorexia Nervosa and Intuitive Eating Scales had a very weak and statistically meaningful positive association (r: .175, p = .004). The mean Mindful Eating and the Intuitive Eating measure figures showed a statistically meaningful, low-level, and positive association (r: .480, p = .000).
Conclusion: As tendency to orthorexia increased, their intuitive eating and emotional eating, a sub-domain under the mindful eating measure, decreased. Additionally, it was discovered that mindful eating rose in parallel with intuitive eating. The development and application of mindful and intuitive eating techniques in conjunction and doing more extensive research on the topic are crucial in the treatment of eating disorders like orthorexia nervosa.

Keywords : Orthorexia nervosa, intuitive eating, mindful eating, emotional eating

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1. Miley M, Egan H, Wallis D, Mantzios M. Orthorexia nervosa, mindful eating, and perfectionism: an exploratory investigation. Eat Weight Disord. 2022;27(7):2869-2878. doi:10.1007/s40519-022-01440-4
2. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord. 2004;9(2):151-157. doi:10.1007/BF03325060
3. Köse G, Tayfur M, Birincioğlu İ, Dönmez A. Yeme farkındalığı ölçeğini Türkçeye uyarlama çalışması. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2016;3(1):125-134. doi:10.5455/JCBPR.250644
4. Barakat M, Salim NA, Malaeb D, et al. Mediating effect of psychological distress and mindful eating behaviors between orthorexia nervosa and academic self-efficacy among Lebanese University female students. BMC Public Health. 2024;24(1):1-10. doi:10.1186/s12889-024-17812-7
5. Rodgers RF, White M, Berry R. Orthorexia nervosa, intuitive eating, and eating competence in female and male college students. Eat Weight Disord. 2021;26(8):2625-2632. doi:10.1007/s40519-020-01054-8
6. Talbot CV, Campbell CER, Greville-Harris M. “Your struggles are valid, you are worthy ofhelp andyou deserve torecover”: narratives ofrecovery fromorthorexia nervosa. Eat Weight Disord. 2023;28(1):25. doi:10.1007/s40519-023-01554-3
7. Wilson RE, Marshall RD, Murakami JM, Latner JD. Brief non-dieting intervention increases intuitive eating and reduces dieting intention, body image dissatisfaction, and anti-fat attitudes: a randomized controlled trial. Appetite. 2020;148:104556. doi:10.1016/j.appet.2019.104556
8. Anderson LM, Reilly EE, Schaumberg K, Dmochowski S, Anderson DA. Contributions of mindful eating, intuitive eating, and restraint to BMI, disordered eating, and meal consumption in college students. Eat Weight Disord. 2016;21(1):83-90. doi:10.1007/s40519-015-0210-3
9. Van Dyke N, Drinkwater EJ. Review article relationships between intuitive eating and health indicators: literature review. Public Health Nutr. 2014;17(8):1757-1766. doi:10.1017/S1368980013002139
10. Çıngı H. Örnekleme kuramı. H. Ü. Fen Fakültesi Basımevi. Ankara. 2009.
11. WHO. Body mass index-BMI, https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations, Erişim: 9 Nisan 2023
12. Framson C, Kristal AR, Schenk JM, Littman AJ, Zeliadt S, Benitez D. Development and validation of the mindful eating questionnaire. J Am Diet Assoc. 2009;109(8):1439-1444. doi:10.1016/j.jada.2009.05.006
13. Köse G. Üniversite öğrencilerinin yeme farkındalığının üzerine bir araştırma. Doktora Tezi, Başkent Üniv. Sağlık Bilimleri Enstitüsü. Ankara, Türkiye. 2017.
14. van Dyck Z, Herbert BM, Happ C, Kleveman GV, Vögele C. German version of the intuitive eating scale: psychometric evaluation and application to an eating disordered population. Appetite. 2016;105:798-807. doi:10.1016/j.appet.2016.07.019
15. Hawks S, Merrill RM, Madanat H. The intuitive eating scale: development and preliminary validation. Am J Health Educ. 2004;35(2): 90-99. doi:10.1080/19325037.2004.10603615
16. Tylka TL. Development and psychometric evaluation of a measure of intuitive eating. J Couns Psychol. 2013;60(1):137-153. doi:10.1037/a 0030893
17. Tylka TL, van Diest AMK. The intuitive eating scale-2: item refinement and psychometric evaluation with college women and men. J Couns Psychol. 2013;60(1):137-153. doi:10.1037/a0030893
18. Bas M, Karaca KE, Saglam D, et al. Turkish version of the intuitive eating scale-2: validity and reliability among university students. Appetite. 2017;114:391-397. doi:10.1016/j.appet.2017.04.017
19. Bratman S, Knight D. Health food junkies: overcoming the obsession with healthful eating. Broadway Books. New York. 2000.
20. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10(2):e28-e32. doi:10.1007/BF03327537
21. Arusoğlu G, Kabakçı E, Köksal G, Merdol TK. Ortoreksiya nervoza ve orto-11’in türkçeye uyarlama çalışması. Türk Psikiyatri Dergisi. 2008; 19(3):283-291.
22. Karagöz Y. SPSS AMOS META uygulamalı biyoistatistik. Güncellenmiş 3. Basım, Nobel akademik Yayıncılık, Ankara. 746. ISBN: 978-625-439-583-3. 2021.
23. Kuseyri G, Kızıltan G. Üniversite öğrencilerinde yeme farkındalığı ve sezgisel yeme davranışının beslenme durumu üzerine etkisi. Başkent Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2019;4(3):202-219.
24. Üstündağ EF. Spor salonunda spor yapan bireylerde yeme farkındalığı ile ortoreksiya nervoza belirtileri arasındaki ilişkinin incelenmesi. Yüksek Lisans Tezi, Çağ Üniv. Sosyal Bilimler Enstitüsü. Mersin, Türkiye. 2020.
25. Barthels F, Meyer F, Huber T, Pietrowsky R. Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. Eat Weight Disord. 2017;22(2):269-276. doi:10.1007/s40519-016-0329-x
26. Pontillo M, Zanna V, Demaria F, et al. Orthorexia nervosa, eating disorders, and obsessive-compulsive disorder: a selective review of the last seven years. J Clin Med. 2022;11(20):6134. doi:10.3390/jcm11206134
27. Brown AJ, Parman KM, Rudat DA, Craighead LW. Disordered eating, perfectionism, and food rules. Eat Behav. 2012;13(4):347-353. doi:10. 1016/j.eatbeh.2012.05.011
28. Sairanen E, Tolvanen A, Karhunen L, et al. Psychological flexibility and mindfulness explain intuitive eating in overweight adults. Behav Modif. 2015;39(4):557-579. doi:10.1177/0145445515576402
29. Ayyıldız Atak ND. Akdeniz diyetine bağlılıkla yeme farkındalığı ve sezgisel yeme farkındalığı arasındaki ilişkinin değerlendirilmesi. Yüksek Lisans Tezi, Acıbadem Mehmet Ali Aydınlar Üniv. Sağlık Bilimleri Enstitüsü, İstanbul, Türkiye. 2020.
30. Malachowska A, Je'zewska-Zychowicz M. Polish adaptation and validation of the intuitive (IES-2) and mindful (MES) eating scales—the relationship of the concepts with healthy and unhealthy food intake (a cross-sectional study). Nutrients. 2022;14(5):1109. doi:10.3390/nu 14051109
Article available in :
Volume 4, Issue 2, 2025
Page : 27-32
https://doi.org/10.51271/ANKMJ-0042
Article Information
Received : 13 Şub 2025
Accepted : 18 Mar 2025
Published : 25 Mar 2025
Corresponding Author :

Aybike Gölcür: Department of Nutrition and Dietetics, Okan University, İstanbul, Turkiye

[email protected]
Citation : Gölcür A, Pehlivan M. The relationship between mindful eating, intuitive eating and orthorexia nervosa in adult individuals. Ank Med J. 2025;4(2):27-32.

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