{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:08:06Z","timestamp":1775041686159,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":33,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003500","name":"Universit\u00e0 degli Studi di Padova","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003500","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eat Weight Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Eating disorders (EDs) often emerge in adolescence and are influenced by family factors. Parental eating attitudes, including orthorexic tendencies, may be associated with adolescent ED severity. We examined parental orthorexic tendencies, cognitive rigidity, and nutritional knowledge in relation to adolescents\u2019 ED symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The sample comprised 59 adolescents (93.2% female; mean age\u2009=\u200918.34\u2009\u00b1\u20093.78\u00a0years) and their parents (36 dyads; 23 single parents). Parents completed measures of orthorexia (ORTO-R), cognitive rigidity (D-FLEX), and an ad hoc nutritional knowledge questionnaire; adolescents completed the EDE-Q. Analyses were conducted in the full sample and repeated in anorexia nervosa (AN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the full sample, higher maternal ORTO-R scores were associated with greater EDE-Q restraint (\u03b2\u2009=\u20090.29, p\u2009=\u20090.042) and shape concern (\u03b2\u2009=\u20090.31, p\u2009=\u20090.030). In fathers, older age was associated with adolescents\u2019 shape (\u03b2\u2009=\u20090.32, p\u2009=\u20090.037) and weight concerns (\u03b2\u2009=\u20090.36, p\u2009=\u20090.018), whereas paternal ORTO-R was not significant. Mothers showed higher nutritional knowledge than fathers (U\u2009=\u2009821.0, p\u2009=\u20090.013). No parent\u2013child concordance emerged for BMI or eating psychopathology. Associations were no longer significant in AN-only analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Parental orthorexic tendencies showed small associations with adolescent ED severity in the full sample, with limited robustness in AN. Findings are preliminary and warrant replication in larger diagnostically stratified cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III, observational analytic study; cross-sectional design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40519-026-01830-y","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T19:16:53Z","timestamp":1772219813000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parental eating attitudes and adolescent eating disorder severity: preliminary findings on orthorexic tendencies"],"prefix":"10.1007","volume":"31","author":[{"given":"Francesca","family":"Camardella","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Pellegatta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleonora","family":"Poggiogalle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Pia","family":"Casini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Gigliotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samira","family":"Terlizzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6540-5194","authenticated-orcid":false,"given":"Angela","family":"Favaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2212-9855","authenticated-orcid":false,"given":"Patrizia","family":"Todisco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3323-6071","authenticated-orcid":false,"given":"Paolo","family":"Meneguzzo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4692-4754","authenticated-orcid":false,"given":"Lorenzo M.","family":"Donini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"issue":"14","key":"1830_CR1","doi-asserted-by":"publisher","first-page":"1242","DOI":"10.1001\/jama.2025.0132","volume":"333","author":"E Attia","year":"2025","unstructured":"Attia E, Walsh BT (2025) Eating disorders: a review. JAMA 333(14):1242\u201352","journal-title":"JAMA"},{"key":"1830_CR2","doi-asserted-by":"publisher","first-page":"947","DOI":"10.1002\/eat.23734","volume":"55","author":"ML Springmann","year":"2022","unstructured":"Springmann ML, Svaldi J, Kiegelmann M (2022) A qualitative study of gendered psychosocial processes in eating disorder development. Int J Eat Disord 55:947\u2013955. https:\/\/doi.org\/10.1002\/eat.23734","journal-title":"Int J Eat Disord"},{"key":"1830_CR3","doi-asserted-by":"publisher","DOI":"10.2147\/AGG.S55776","author":"Z Yilmaz","year":"2015","unstructured":"Yilmaz Z, Hardaway JA, Bulik CM (2015) Genetics and epigenetics of eating disorders. Adv Genomics Genet. https:\/\/doi.org\/10.2147\/AGG.S55776","journal-title":"Adv Genomics Genet"},{"key":"1830_CR4","doi-asserted-by":"publisher","first-page":"71","DOI":"10.3390\/bs10040071","volume":"10","author":"M Erriu","year":"2020","unstructured":"Erriu M, Cimino S, Cerniglia L (2020) The role of family relationships in eating disorders in adolescents: a narrative review. Behav Sci 10:71","journal-title":"Behav Sci"},{"key":"1830_CR5","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1007\/s40519-016-0310-8","volume":"21","author":"M Cuzzolaro","year":"2016","unstructured":"Cuzzolaro M, Donini LM (2016) Orthorexia nervosa by proxy? Eat Weight Disord 21:549\u2013551","journal-title":"Eat Weight Disord"},{"key":"1830_CR6","doi-asserted-by":"publisher","DOI":"10.1007\/s13668-025-00714-4","volume":"14","author":"L Moccia","year":"2025","unstructured":"Moccia L, Anesini MB, Callovini T et al (2025) Understanding orthorexia nervosa: a systematic review of meta-analytical findings. Curr Nutr Rep 14:126","journal-title":"Curr Nutr Rep"},{"key":"1830_CR7","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1002\/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M","volume":"25","author":"KH Luce","year":"1999","unstructured":"Luce KH, Crowther JH (1999) The reliability of the eating disorder examination\u2014self-report questionnaire version (EDE-Q). 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Eat Weight Disord 26:887\u2013895. https:\/\/doi.org\/10.1007\/s40519-020-00924-5","journal-title":"Eat Weight Disord"},{"key":"1830_CR10","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1002\/erv.2781","volume":"28","author":"F Marchiol","year":"2020","unstructured":"Marchiol F, Lionetti F, Luxardi GL et al (2020) Cognitive inflexibility and over-attention to detail: the Italian validation of the DFlex Questionnaire in patients with eating disorders. Eur Eat Disord Rev 28:671\u2013686. https:\/\/doi.org\/10.1002\/erv.2781","journal-title":"Eur Eat Disord Rev"}],"container-title":["Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40519-026-01830-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40519-026-01830-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40519-026-01830-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T09:21:21Z","timestamp":1775035281000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40519-026-01830-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1830"],"URL":"https:\/\/doi.org\/10.1007\/s40519-026-01830-y","relation":{},"ISSN":["1590-1262"],"issn-type":[{"value":"1590-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]},"assertion":[{"value":"1 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. A specific approval of the research protocol was obtained by the Ethics Committee of the Sapienza University (6522\/22).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from all participants, or from parents or legal guardians if participants were underage, for their involvement in this study and inclusion in any published research paper.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"24"}}