Orthorexia
supposedly is an emerging eating disorder marked by extreme
devotion to healthy food.
People
suffering from the addiction - usually those righteous raw
foodists, vegetarians and vegans - obsessively check labels,
avoid junk food, plan menus and often eat a healthy diet so
they can feel "pure." Some even make fun of
McDonald's customers.
It gets
worse. While an anorexic tries to severely limit calories,
an orthorexic might shun foods with artificial ingredients,
trans fats or high-fructose corn syrup. Orthorexics also are
generally unconcerned about their weight and do not feel
fat. Their diet may make them feel virtuous.
Treatment is
tricky, however, because orthorexics "will consider
drugs such as antidepressants to be `impure' and
unnatural," wrote Dr. Steven Bratman, who is credited
with coining the term in the 1990s but no longer maintains
orthorexia.com.
"The
same goes for weight-gain aids such as Ensure, because they
contain verboten substances such as sugar, artificial colors
and artificial flavors," Bratman wrote in "Health
Food Junkies" (Broadway, $22).
This is a
problem?
Frankly, most
of us could learn a thing or two from orthorexics, who used
to be dismissed as "health-food nuts" but now
apparently need to be rehabilitated into society.
Today's
"normal" diet consists primarily of highly
processed, non-nutritive, industrially produced food. That's
because the best decisions for the food conglomerates often
are the worst ones for our health.
Nourishing
yourself healthfully, then, is not the default; it's the
exception. And it often requires a conscientious approach
that, in a culture where Diet Coke is considered a health
food, might be called "extreme."
Orthorexics,
for example, "tend to dwell on upcoming menus,"
Bratman wrote. "If you get a thrill of pleasure from
contemplating a healthy menu the day after tomorrow,
something is wrong with your focus."
Actually,
planning meals is one of the skills a person needs to
maintain a healthy body weight. The alternative - eating at
restaurants - is a sure way to gain weight because
"every time we eat out the calories are far higher than
we intuitively imagine," said Yoni Freedhoff, medical
director of the Bariatric Medical Institute in Ottawa.
Although
eating at home rather than in a restaurant can be better for
your health, the rigid orthorexic diet leads to social
isolation, warned Bratman.
"A
common strategy is to bring your own food in separate
containers and chew it slowly, looking virtuous or soulful
while everyone else gulps down garbage," Bratman wrote
in a 10-question orthorexia quiz.
But perhaps
it's the restaurants that need to change by putting
nutritional information on menus, educating the wait staff
and using more locally grown or organic ingredients. This
wouldn't just help so-called orthorexics. Millions of people
with food allergies and other dietary restrictions have to
avoid restaurants to stay healthy.
Everyone has
an addiction; some just take it further than others. I'm
sure there really are people whose lives are consumed by the
thought of "healthy" food and who need serious
help. But according to the National Association of Anorexia
Nervosa and Associated Eating Disorders, this problem
already has a name: anorexia.
Orthorexia,
more often than not, is a non-medical term popularized by
people who feel guilty that they aren't eating better and
need a name to call people who try harder.
It's really
OK to like green beans better than french fries, to avoid
chemical-laden drinks such as Ensure (which contains more
than 40 artificial ingredients) and to wonder why ketchup
and peanut butter have added high-fructose corn syrup. As a
friend who borders on "orthorexia" told me,
"It's normal society that is off-target, not I."