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Lack of association between food insecurity, eating disorders, and orthorexia nervosa

Findings from a cross-sectional study in Lebanon

Bibliographic Data

ID22089388
AuthorsHala Sacre (0000-0001-6547-6251), Chadia Haddad (0000-0003-2413-2684, Lebanese University), Rana Rizk (0000-0002-8850-6502, Lebanese American University, corresponding author), Joanne Karam (0000-0003-2637-1347), Pascale Salameh (0000-0002-4780-0772, Lebanese University)
Year2025
Volume13
Pages1572654-1572654
Publication date2025-09-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1572654
PMID41069823
OpenAlexW4414483480
LanguageEN
References cited51

Objectives: To investigate the association between food insecurity (FI), eating disorders (EDs), and orthorexia nervosa (ON) among Lebanese university students. Methods: This cross-sectional study, conducted between 2021 and 2022, enrolled 197 students, from various majors, via snowball sampling. Data were collected on Google Forms via social media platforms. Results: Most participants (59.4%) declared being food-insecure, without financial support (67.0%), nor financial independence (68.5%). Most did not show any ED (81.7%) or a risk of ON (79.7%). Reported EDs were bulimia-nervosa (6.1%) and anorexia-nervosa (6.1%); 4.1% had a high risk of ON. No significant associations were found between declared FI, ED, and the risk of ON. Higher adherence to the Mediterranean diet (ORa = 1.31) and higher perceived stress (ORa = 1.14) were significantly associated with EDs. Higher exercise addiction scores (ORa = 1.25) and higher insomnia levels (ORa = 1.26) were significantly associated with the risk of ON. Being employed (ORa = 0.17) and skipping meals (ORa = 0.20) were inversely associated with declared ON. Conclusion: FI and EDs were not associated among university students in Lebanon. Research into underlying mechanisms and cultural aspects is crucial to clarifying these associations

Feeding behavior · Food intake · Healthy eating · MEDLINE · Public health · COVID-19 Pandemic Impacts · Eating Disorders and Behaviors · Food Security and Health in Diverse Populations

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