Volume 12 Supplement 1

Scientific Abstracts Presented at the International Research Congress on Integrative Medicine and Health 2012

Open Access

P02.168. Safety issues and orthorexia in paediatrics

  • I von Rosenstiel1,
  • J Stam1 and
  • W Schats1
BMC Complementary and Alternative MedicineThe official journal of the International Society for Complementary Medicine Research (ISCMR)201212(Suppl 1):P224

https://doi.org/10.1186/1472-6882-12-S1-P224

Published: 12 June 2012

Purpose

As an antithesis to the paediatric obesity pandemic, the eating disorder of orthorexia in parents and children is an emerging condition. Well-intentioned parents strictly limit their childrens’ food groups, be it carbohydrates, transfats, animal products, dyes or sugars, leading to dangerous extremes and malnutrition.

Methods

We descibe our clinical experiences with families with extreme diets at our outpatient integrative medicine clinic in Amsterdam, the Netherlands. Data were analysed on parent and child demographics and clinical characteristics, family health concerns, educational level, lifestyle and social consequences.

Results

During 12 months, a total of 4 cases of extreme diets were reported from a cohort of 41 patients. Two cases concerned sugar-free diets, one case of a vegan diet and one case of 100% raw food. Negative medical outcomes were nutritional deficiencies, stunting, concentration and developmental disorders, and social isolation. The raw food case involving a mother with orthorexia and her 14 year old son has led to a court case, causing a national debate on autonomy of the family versus child abuse.

Conclusion

Pediatricians should be more knowledgable about the phenomenon of orthorexia and the potential warning signs. The so-called "worry factor" and "feelings towards food groups" are the biggest indicators to aid in preventive efforts. More studies in the pediatric field adressing effectiveness and safety issues of specific diets are needed to assist the experts in daily practice and medical court cases.

Authors’ Affiliations

(1)
Slotervaart Hospital

Copyright

© von Rosenstiel et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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