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21 November 2023

Orthorexia Nervosa in UK Cyclists: Associations with Excessive Exercise and Perfectionism †

,
and
School of Allied Health and Life Sciences, Faculty of Sport, Technology and Health Sciences, St Mary’s University Twickenham, London TW1 4SX, UK
*
Author to whom correspondence should be addressed.
Presented at the 14th European Nutrition Conference FENS 2023, Belgrade, Serbia, 14–17 November 2023.

Abstract

Background and objectives: Research about exercise addiction, perfectionism and orthorexia within endurance sports is emerging. Endurance sports athletes might have a higher risk of exercise addiction and eating disorders. Cycling is a popular endurance sport, but research in this population is lacking. The present study aimed to explore the relationship between exercise addiction, perfectionism, and orthorexia within cycling. Methods: A cross-sectional survey was applied, including validated questionnaires assessing the cognitions, behaviors, and feelings related to an extreme focus on healthy eating (Eating Habits Questionnaire; EHQ), compulsion to exercise (CET-A Questionnaire), and perfectionistic tendencies (Multidimensional Perfectionism Questionnaire). Demographic information such as age, training hours, gender, and competition level were also collected. Results: Sixty-one male (n = 5; 8.2%) and female (54; 88.5%) cyclists with a mean age of 32 ± 7 years completed the survey. Higher scores in orthorexia were significantly associated with higher exercise addiction (β = 0.41; p < 0.001) and total perfectionism scores (β = 0.38; p < 0.01). Higher orthorexia was also associated with higher scores for self-oriented perfectionism (β = 0.34, p < 0.05) and higher weight control (β = 0.39, p < 0.01). Higher EHQ-Knowledge was associated with higher self-oriented (β = 0.33, p < 0.05) and other-oriented perfectionism (β = 0.30, p < 0.05) and higher EHQ-Problems and EHQ-Feelings were associated with higher weight control (β = 0.39, p < 0.01 and β = 0.41, p < 0.01 respectively). Cyclists who trained 16–20 h per week had significantly lower scores on total perfectionism and socially prescribed perfectionism than those who trained 6–10 h per week (p < 0.05). No other significant effects of training hours on exercise addiction or orthorexia were observed. Discussion: The potential risk of an individual developing orthorexia may be significantly predicted by high levels of exercise addiction and perfectionism within the cycling population. The high levels of self-oriented perfectionism observed highlight a potential predisposition or susceptibility within certain populations to the adoption of maladaptive behaviours in relation to diet. Further research is needed to explore the role of perfectionism and exercise addiction as risk factors for orthorexia in amateur and professional cyclists.

Author Contributions

Conceptualization, K.M. and C.M.; methodology, K.M. and C.M.; formal analysis, K.M. and C.M.; investigation, C.M.; data curation, K.M. and C.M.; writing—original draft preparation, K.M.; writing—review and editing, K.M. and E.K.; visualization, K.M. and C.M.; supervision, K.M.; project administration, C.M. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

The study was conducted in accordance with the Declaration of Helsinki, and approved by the St Mary’s Ethics Committee (18 October 2022).

Data Availability Statement

The data presented in this study are available on request from the corresponding author. The data are not publicly available due to the preparation of the full manuscript for publication.

Conflicts of Interest

The authors declare no conflict of interest.
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