The Sunday Telegraph - Sunday

The dangers of the ‘perfect diet’

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There is no doubt eating healthily is an important part of looking after yourself. Yet anything can become dangerous if you take it to extremes. So, as National Eating Disorders Awareness week begins tomorrow, I’m looking at what happens when healthy eating goes too far and becomes an obsession. For some people, the desire to eat healthy, “clean”, unprocesse­d foods becomes a life-ruining compulsion. The condition is known as orthorexia, a term coined in 1997 by Dr Steven Bratman. “It can, in fact, often bear more resemblanc­e to obsessive-compulsive disorder in that it is characteri­sed by a fixation on righteous eating, eating only ‘pure’ foods and trying to avoid contaminat­ion by food,” says Susan Ringwood, chief executive officer for eating disorder charity Beat (b-eat. co.uk). Anecdotall­y, profession­als are reporting an increase in individual­s suffering from symptoms of orthorexia, but the condition still does not have a formal medical classifica­tion and, as such, isn’t regarded as an “official” eating disorder. Yet, having seen orthorexia in action several times, I know only too well that it can be just as harmful and upsetting as other major eating disorders, because it involves the same intense, joy-sucking preoccupat­ion with food and body. The only difference is that, unlike anorexia, where food intake is restricted, or bulimia, where food binges are followed by some form of purging, orthorexia always involves an intense compulsion to stick to any single way of eating food, thinking and behaving around food. Orthorexia isn’t the same as following a specific eating plan for ethical reasons, or because of food intoleranc­es. Yet the line between the two is often blurred, which is why orthorexia can go undetected or unnoticed, as in the fitness industry. Whether one’s particular compulsion is to follow a paleo/

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