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Nutrients
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Current Status of Eating Disorders: From Prevention to Treatment
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Current Status of Eating Disorders: From Prevention to Treatment

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (15 June 2024) | Viewed by 8449

Special Issue Editor

Dr. María Dolores Onieva-Zafra

E-Mail Website
Guest Editor
Faculty of Nursing Ciudad Real, University of Castilla-La-Mancha, 13001 Ciudad Real, Spain
Interests: eating disorders; orthorexia nervosa; food preferences; food addiction; dietary patterns

Special Issue Information

Dear Colleagues,

Eating disorders are serious mental disorders affecting many adolescent females and young women and are associated with significant physical and psychological impairment. Anorexia nervosa and bulimia nervosa have emerged as the predominant eating disorders, characterized by extreme eating behaviours and overestimation of weight and body shape. There are many factors associated with the development of these disorders, including sociocultural factors (such as media and peer influences), family factors (such as enmeshment and criticism), negative influences, low self-esteem, and body dissatisfaction, among others.

This Special Issue aims to highlight emerging evidence across a broad scope of disordered eating, spanning from restrictive to overeating attitudes and behaviours and subclinical to diagnosable conditions, with a special focus on nutrition and dietetic management. Both original research articles and reviews are welcome. The goal is to develop new interventions for treating eating disorders.

Dr. María Dolores Onieva-Zafra
Guest Editor

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Keywords

  • eating disorders
  • anorexia nervosa
  • bulimia nervosa
  • eating behaviours
  • diet
  • prevention
  • treatment

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Published Papers (3 papers)

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Research

12 pages, 2692 KiB  
Article
A Bibliometric Analysis of Scientific Publications on Eating Disorder Prevention in the Past Three Decades
by Zhenxin Liao, Martina Scaltritti, Zhihan Xu, Thu Ngoc Xuan Dinh, Jiahe Chen and Ata Ghaderi
Nutrients 2024, 16(8), 1111; https://doi.org/10.3390/nu16081111 - 10 Apr 2024
Viewed by 1636
Abstract
Background: Eating disorders (EDs) present a growing concern due to their widespread occurrence and chronic course, the low access to evidence-based treatment, and the significant burden they place on the patients and society. This picture justifies intensive focus on the prevention of EDs. [...] Read more.
Background: Eating disorders (EDs) present a growing concern due to their widespread occurrence and chronic course, the low access to evidence-based treatment, and the significant burden they place on the patients and society. This picture justifies intensive focus on the prevention of EDs. The current study provides the first bibliometric analysis of research on the prevention of EDs, focusing on trends and contributions, to prompt further prevention research. Methods: We conducted a bibliometric analysis of publications on the prevention of EDs using the Web of Science database, from 1993 to 2023. Focusing on universal and selective prevention strategies, our study involved a rigorous selection process, narrowing down from 10,546 to 383 relevant papers through manual screening. The analysis utilized the “bibliometrix” R package (version 4.2.2) and Python (version 3.9.6) for data processing, with VOSviewer employed for mapping collaboration networks. Results: Our analysis revealed a consistent annual growth rate of 10.85% in ED prevention research publications, with significant contributions from the “International Journal of Eating Disorders” and some notable authors. The United States emerged as the dominant contributor. The analysis also highlighted key trends, including a surge in publications between 2010 and 2017, and the role of major institutions in advancing research in this field. Discussion: The increasing rate of publications on the prevention of EDs is encouraging. However, the actual number of studies on the prevention of EDs are limited, and the majority of this work is performed by a few research groups. Given the high concentration of publications within a few countries and research groups, increased funding, facilitation of prevention research on a wider scale, and engagement of more researchers and further collaboration are called for. Full article
(This article belongs to the Special Issue Current Status of Eating Disorders: From Prevention to Treatment)
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20 pages, 2325 KiB  
Article
Effects of Mindful Eating in Patients with Obesity and Binge Eating Disorder
by Tatiana Palotta Minari, Gerardo Maria de Araújo-Filho, Lúcia Helena Bonalume Tácito, Louise Buonalumi Tácito Yugar, Tatiane de Azevedo Rubio, Antônio Carlos Pires, José Fernando Vilela-Martin, Luciana Neves Cosenso-Martin, André Fattori, Juan Carlos Yugar-Toledo and Heitor Moreno
Nutrients 2024, 16(6), 884; https://doi.org/10.3390/nu16060884 - 19 Mar 2024
Cited by 4 | Viewed by 5072
Abstract
Introduction: Binge eating disorder (BED) is a psychiatric illness related to a high frequency of episodes of binge eating, loss of control, body image dissatisfaction, and suffering caused by overeating. It is estimated that 30% of patients with BED are affected by obesity. [...] Read more.
Introduction: Binge eating disorder (BED) is a psychiatric illness related to a high frequency of episodes of binge eating, loss of control, body image dissatisfaction, and suffering caused by overeating. It is estimated that 30% of patients with BED are affected by obesity. “Mindful eating” (ME) is a promising new eating technique that can improve self-control and good food choices, helping to increase awareness about the triggers of binge eating episodes and intuitive eating training. Objectives: To analyze the impact of ME on episodes of binge eating, body image dissatisfaction, quality of life, eating habits, and anthropometric data [weight, Body Mass Index (BMI), and waist circumference] in patients with obesity and BED. Method: This quantitative, prospective, longitudinal, and experimental study recruited 82 patients diagnosed with obesity and BED. The intervention was divided into eight individual weekly meetings, guided by ME sessions, nutritional educational dynamics, cooking workshops, food sensory analyses, and applications of questionnaires [Body Shape Questionnaire (BSQ); Binge Eating Scale (BES); Quality of Life Scale (WHOQOL-BREF)]. There was no dietary prescription for calories, carbohydrates, proteins, fats, and fiber. Patients were only encouraged to consume fewer ultra-processed foods and more natural and minimally processed foods. The meetings occurred from October to November 2023. Statistical analysis: To carry out inferential statistics, the Shapiro–Wilk test was used to verify the normality of variable distribution. All variables were identified as non-normal distribution and were compared between the first and the eighth week using a two-tailed Wilcoxon test. Non-Gaussian data were represented by median ± interquartile range (IQR). Additionally, α < 0.05 and p < 0.05 were adopted. Results: Significant reductions were found from the first to the eighth week for weight, BMI, waist circumference, episodes of binge eating, BSQ scale score, BES score, and total energy value (all p < 0.0001). In contrast, there was a significant increase in the WHOQOL-BREF score and daily water intake (p < 0.0001). Conclusions: ME improved anthropometric data, episodes of binge eating, body image dissatisfaction, eating habits, and quality of life in participants with obesity and BED in the short-term. However, an extension of the project will be necessary to analyze the impact of the intervention in the long-term. Full article
(This article belongs to the Special Issue Current Status of Eating Disorders: From Prevention to Treatment)
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Graphical abstract

14 pages, 866 KiB  
Article
Measuring Pathological and Nonpathological Orthorexic Behavior: Validation of the Teruel Orthorexia Scale (TOS) among Polish Adults
by Wojciech Styk, Mateusz Gortat, Emilia Samardakiewicz-Kirol, Szymon Zmorzynski and Marzena Samardakiewicz
Nutrients 2024, 16(5), 638; https://doi.org/10.3390/nu16050638 - 25 Feb 2024
Cited by 1 | Viewed by 1224
Abstract
Measuring orthorexia nervosa is challenging due to the use of various existing tools and problems with sample representativeness. Another challenge for the Polish population is the adaptation of existing research tools and the evaluation of their relevance and research reliability. Our research aimed [...] Read more.
Measuring orthorexia nervosa is challenging due to the use of various existing tools and problems with sample representativeness. Another challenge for the Polish population is the adaptation of existing research tools and the evaluation of their relevance and research reliability. Our research aimed to adapt the TOS to the Polish language and measure pathological and nonpathological orthorexic behavior among the Polish population. The adaptation of the PL-TOS has high psychometric value and allows us to assess healthy and nervous orthorexia levels. This scale can be used not only for further research but also for diagnostic purposes in the daily work of clinicians and psychologists. Our results obtained in the present study indicate a correlation between TOS and both the use of supplements and diet. Higher TOS, ORTO_R and KZZJ_Diet Restrictions scores were obtained for individuals using dietary supplements than for those not using dietary supplements. In the future, it is worth conducting research aimed at various risk groups of individuals with orthorexia to confirm the psychometric properties of this adaptation of the TOS. Full article
(This article belongs to the Special Issue Current Status of Eating Disorders: From Prevention to Treatment)
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