Orthorexia: When “Healthy” Eating Becomes Unhealthy
Is it possible to be too focused on eating “clean”?
In this episode of Your Diet Sucks, Kylee and Zoë explore Orthorexia, a term used to describe an unhealthy obsession with healthy eating. We dive into how social media trends, cultural ideals, and diet misinformation have fueled the rise of orthorexia—especially among athletes and active people.
Although orthorexia isn’t officially recognized in the DSM, research shows it can have serious impacts on both mental and physical health. We unpack how rigid rules around food purity can lead to disordered eating patterns, performance setbacks, and increased anxiety around nutrition.
You’ll learn:
The history of orthorexia and why it’s not an official diagnosis
How diet culture and weight stigma fuel “clean eating” obsessions
Why athletes may be especially vulnerable
Evidence-based strategies for building a healthier, more flexible relationship with food
Whether you’re an athlete, coach, or just curious about how “healthy eating” can go too far, this conversation offers tools for spotting red flags and supporting balance in nutrition.
References
Conviser JH, Fisher SD, McColley SA. Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review. Int J Eat Disord. 2018; 51: 187–213.
Scheiber R, Diehl S, Karmasin M. Socio-cultural power of social media on orthorexia nervosa: An empirical investigation on the mediating role of thin-ideal and muscular internalization, appearance comparison, and body dissatisfaction. Appetite. 2023 Jun 1;185:106522. doi: 10.1016/j.appet.2023.106522. Epub 2023 Mar 8. PMID: 36893917.
Turner PG, Lefevre CE. Instagram use is linked to increased symptoms of orthorexia nervosa. Eat Weight Disord. 2017 Jun;22(2):277-284. doi: 10.1007/s40519-017-0364-2. Epub 2017 Mar 1. PMID: 28251592; PMCID: PMC5440477.
Lakritz C, Tournayre L, Ouellet M, Iceta S, Duriez P, Masetti V, Lafraire J. Sinful Foods: Measuring Implicit Associations Between Food Categories and Moral Attributes in Anorexic, Orthorexic, and Healthy Subjects. Front Nutr. 2022 Jun 13;9:884003. doi: 10.3389/fnut.2022.884003. PMID: 35769379; PMCID: PMC9234570.
Mai Adnan Abdullah, Huda Mustafa Al Hourani, Buthaina Alkhatib,
Prevalence of orthorexia nervosa among nutrition students and nutritionists: Pilot study, Clinical Nutrition ESPEN, Volume 40, 2020, Pages 144-148, ISSN 2405-4577, https://doi.org/10.1016/j.clnesp.2020.09.175.
()
Koven NS, Abry AW. The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat. 2015 Feb 18;11:385-94. doi: 10.2147/NDT.S61665. PMID: 25733839; PMCID: PMC4340368.
Michaela J. Barnett, Weston R. Dripps, Kerstin K. Blomquist,
Organivore or organorexic? Examining the relationship between alternative food network engagement, disordered eating, and special diets, Appetite, Volume 105, 2016, Pages 713-720, ISSN 0195-6663, .
Niedzielski A, Kaźmierczak-Wojtaś N. Prevalence of Orthorexia Nervosa and Its Diagnostic Tools—A Literature Review. International Journal of Environmental Research and Public Health. 2021; 18(10):5488.
Foyster M, Sultan N, Tonkovic M, Govus A, Burton-Murray H, Tuck CJ, Biesiekierski JR. Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorders: a cross-sectional study. Eat Weight Disord. 2023 Dec 9;28(1):101. doi: 10.1007/s40519-023-01631-7. PMID: 38070009; PMCID: PMC10710386.
Foyster M, Sultan N, Tonkovic M, Govus A, Burton-Murray H, Tuck CJ, Biesiekierski JR. Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorders: a cross-sectional study. Eat Weight Disord. 2023 Dec 9;28(1):101. doi: 10.1007/s40519-023-01631-7. PMID: 38070009; PMCID: PMC10710386.
Hafstad, S.M., Bauer, J., Harris, A. et al. The prevalence of orthorexia in exercising populations: a systematic review and meta-analysis. J Eat Disord 11, 15 (2023).