Structural validation of the ORTO-12-FR questionnaire among a French sample as a first attempt to assess orthorexia nervosa in France

Eat Weight Disord. 2020 Dec;25(6):1771-1778. doi: 10.1007/s40519-019-00835-0. Epub 2019 Dec 20.

Abstract

Purpose: To the best of our knowledge, no scientific publications on orthorexia nervosa have been based on a French population. The goal of our study was to confirm the factor structure of the French version of the ORTO-15 questionnaire.

Methods: An online survey (N = 768) was conducted asking participants (84.77% were women) to answer several questions about their dietary habits and to assess orthorexia nervosa using the ORTO-15 scale. Confirmatory factor analysis (CFA) was used for the validation.

Results: Given our results, we deemed it necessary to adapt the French version of the ORTO-15 questionnaire by omitting three items. The CFA supported the ORTO-12-FR (composed of 12 items and addressing three domains: rational, emotional, and behavioral) as the better-fitting model, with an internal consistency of 0.73. The Comparative Fit Index value was 0.93, the Tucker-Lewis Index was 0.90, and the Root Mean-Square Error of Approximation was 0.05.

Conclusions: Our results provide evidence for the reliability of ORTO-12-FR with a French population.

Level of evidence: V, descriptive cross-sectional study.

Keywords: Behavioral addiction; Eating habits; ORTO-12-FR; ORTO-15; Orthorexia nervosa.

MeSH terms

  • Cross-Sectional Studies
  • Feeding Behavior
  • Feeding and Eating Disorders* / diagnosis
  • Female
  • France
  • Health Behavior*
  • Humans
  • Male
  • Reproducibility of Results
  • Surveys and Questionnaires