Binge eating, orthorexia nervosa, restrained eating, and quality of life: a population study in Lebanon
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ORIGINAL ARTICLE
Binge eating, orthorexia nervosa, restrained eating, and quality of life: a population study in Lebanon Elsa Sfeir1,2 · Chadia Haddad3,4 · Pascale Salameh5,6,7 · Hala Sacre5,8 · Rabih Hallit1 · Marwan Akel5,9 · Karl Honein1 · Maria Akiki1 · Nelly Kheir10 · Sahar Obeid3,5,11 · Souheil Hallit1,5 Received: 5 August 2019 / Accepted: 9 December 2019 © Springer Nature Switzerland AG 2019
Abstract Objectives To assess the implication of disordered eating behaviors (DEBs) on the quality of life (QOL) of a sample of the Lebanese population, after adjustment over sociodemographic characteristics of those participants. Secondary objective aimed to assess the role of body dissatisfaction (BD) in the association of DEBs and QOL. Methods This cross-sectional study was done between January and May 2018 and enrolled 811 participants from the community. A proportionate random sample technique was used to select the sample from all Lebanese Mohafazat. The World Health Organization Quality-of-life (WHOQOL)-BREF was used to assess the QOL and it includes four domains: physical health, psychological health, social relations, and environment. Results Body dissatisfaction was found to be a major confounding factor contributing to psychological and environmental HQOL impairments in patient with restrained eating. Nevertheless, orthorexia nervosa was associated with QOL impairments in its physical and environmental domains, regardless of body dissatisfaction that was shown to be a major contributor for QOL impairments. Similarly, ON was directly correlated with QOL of life impairment in its physical and environmental domains, independently of all other risk factors. Conclusion When adding body dissatisfaction as a confounding variable, restrained eating and orthorexia nervosa remained significantly associated with quality-of-life impairments. Level of evidence Level V, cross-sectional descriptive study. Keywords Restrained eating · Orthorexia nervosa · Binge eating · Eating attitudes · Quality of life · Body dissatisfaction
Sahar Obeid and Souheil Hallit are last co-authors. The article is part of the Topical Collection on Orthorexia Nervosa. * Sahar Obeid [email protected]
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INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon
* Souheil Hallit [email protected]
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Faculty of Pharmacy, Lebanese University, Hadat, Lebanon
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Faculty of Medicine, Lebanese University, Hadat, Lebanon
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Drug Information Center, Order of Pharmacists of Lebanon, Beirut, Lebanon
School of Pharmacy, Lebanese International University, Beirut, Lebanon
Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
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Department of Pediatrics, Notre Dame des Secours University Hospital, Byblos, Lebanon
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Research Department, Psychiatric Hospital of the Cross, P.O. Box 60096, Jall‑Eddib, Lebanon
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Faculty of Pedagogy, Holy Family University, Batroun 5534, Lebanon
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Université de Limoges, UMR 1094,
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