Effects of increasing the availability of vegetarian options on main meal choices, meal offer satisfaction and liking: a pre-post analysis in a French university cafeteria.

BACKGROUND: Changing the food environment is an important public health lever for encouraging sustainable food choices. Targeting the availability of vegetarian main meals served in cafeterias substantially affects food choice, but acceptability has never been assessed. We examined the effects of an availability intervention at a French university cafeteria on students' main meal choices, meal offer satisfaction and liking. METHODS: A four-week controlled trial was conducted in a university cafeteria in Dijon, France. During the two-week control period, vegetarian main meals constituted 24% of the offer. In the subsequent two-week intervention period, this proportion increased to 48%, while all the other menu items remained unchanged. Students were not informed of the change. Student choices were tracked using production data, and daily paper ballots were used to assess student satisfaction with the meal offer and liking of the main meal they chose (score range [1;5]). Nutritional quality, environmental impact, and cost of production of meal choices were calculated for each lunchtime. Food waste was measured over 4 lunchtimes during control and intervention periods. An online questionnaire collected student feedback at the end of the study. RESULTS: Doubling availability of vegetarian main meals significantly increased the likelihood of choosing vegetarian options (OR = 2.57, 95% CI = [2.41; 2.74]). Responses of the paper ballots (n = 18,342) indicated slight improvements in meal offer satisfaction from 4.05 ± 0.92 to 4.07 ± 0.93 (p = 0.028) and in liking from 4.09 ± 0.90 to 4.13 ± 0.92 (p < 0.001) during control and intervention periods, respectively. The end-of-study questionnaire (n = 510) revealed that only 6% of students noticed a change the availability of vegetarian main meals. The intervention led to a decrease in the environmental impact of the main meals chosen, a slight decrease in nutritional quality, a slight increase in meal costs and no change in food waste. CONCLUSIONS: Doubling availability of vegetarian main meals in a university cafeteria resulted in a twofold increase in their selection, with students reporting being more satisfied and liking the main meals more during the intervention period. These results suggest that serving an equal proportion of vegetarian and nonvegetarian main meals could be considered in French university cafeterias to tackle environmental issues. TRIAL REGISTRATION: Study protocol and analysis plan were pre-registered on the Open Science Framework ( https://osf.io/pf3x7/ ).

Cultivating change in food consumption practices: The reception of the social representation of alternative proteins by consumers.

This article is concerned with the dynamics of change in protein consumption practices from the perspective of the consumer. It is based on a model, informed by social representation theory, that aims to understand the role played by various types of representation of alternative proteins in the process of changing food consumption practices. It discusses the reception, by consumers, of the representations associated with alternative proteins on Instagram. Methodologically, three focus groups were organized with different consumer segments (omnivorous, flexitarian and vegetarian and vegan consumers), as well as seven individual interviews. Participants were submitted to the social representations of alternative proteins, and visual stimuli from social media were mobilized for this purpose. Results show that the publications which boast the environmental, animal welfare or health attributes of alternative proteins generally contribute to the cultivation of new elements of practices. While this kind of publications is essential to help consumers question their established practices linked to meat and dairy consumption, they can also generate a critical reception that is not conducive to change, making them a double-edge sword. Publications that relate to the representations involved in daily food consumption proteins (e.g. that alternative proteins are versatile and crowd-pleasing) emerge as being safer in terms of reception, although as standalone they may not be able to achieve a deep level of change in food consumption practices. The results of this study show the importance of deploying a diverse communication strategy about alternative proteins that appeal to a variety of consumer segments.

Minding some animals but not others: Strategic attributions of mental capacities and moral worth to animals used for food in pescatarians, vegetarians, and omnivores.

While moral concern for animals has become increasingly important for both consumer food choice and food policy makers, previous research demonstrated that meat eaters attribute lower moral status and mental capacities to animals raised for meat compared to non-food animals. The current research investigated whether this strategic flexibility in moral concern and mind perceptions also occurs when considering aquatic food animals and animals used for dairy and egg products, and the degree to which these concerns and perceptions are evident in pescatarians and vegetarians. We compared perceptions (mind attributions and moral concern) of land food animals versus aquatic food animals, and of animals in the meat versus dairy and egg industry between omnivores (n = 122), pescatarians (n = 118), vegetarians (n = 138), vegans (n = 120), and flexitarians (n = 60). Pescatarians scored lower than other dietary groups on moral concern and mind attribution for aquatic animals relative to farmed land animals. Unlike the other dietary groups, pescatarians and vegetarians scored lower on moral concern and mind attribution for dairy than beef cows and for layer chickens than broiler chickens. These findings demonstrate that pescatarians and vegetarians were flexible in their moral thinking about different types of food animals in ways that suited their consumption habits, even when the same animal was evaluated (e.g., dairy vs beef cows). This research highlights the psychological barriers that might prevent people from reducing animal product consumption and may need to be addressed in interventions to encourage transitioning towards more plant-based diets.

The psychology of eating animals and veg*nism.

Vegetarian and vegan (Veg*n) diets are increasingly popular in Western societies and an increasingly common topic of psychological research. Animal-free diets hold considerable potential for helping curb the climate crisis and improving interspecies justice. This special issue presents recent contributions from research on the psychology of meat eating and veg*nism. To situate these articles in a broader context, we first establish the importance of studying veg*nism. We then review papers in this special issue, organized into themes of motivations and characteristics of veg*ns, attitudes towards veg*ns, attitudes toward meat and alternative proteins, intentions to eat meat or plant-based foods, consumption of meat or plant-based foods, and meat reduction interventions. We conclude with future directions for this blossoming field of study.

Individual differences in selective attentional bias for healthy and unhealthy food-related stimuli and social identity as a vegan/vegetarian dissociate "healthy" and "unhealthy" orthorexia nervosa.

Previous work identified the operation of an attentional bias (AB) towards healthy food related stimuli among those with increasing tendencies towards orthorexia nervosa (ON) using a modified Stroop task. The current work aimed to replicate and extend our understanding of this effect by incorporating alternative measures of AB (i.e., the dot probe task) and ON (i.e., the Teruel Orthorexia Scale [ToS]) in a sample of self-defined vegans/vegetarians. The theoretical assertion of the ToS is the conceptual broadening of orthorexia with differentiable dimensions - one characterised as a "healthy" preoccupation with healthy food/eating patterns (HeOr) and the other by a more underlying pathology (OrNe). This study also aimed to examine the pattern of responding across these two dimensions according to factors known to predict ON. Eighty-six participants (mean age = 33.0 years; 20 males, 66 females) completed measures of obsessive compulsivity, perfectionism, state/trait anxiety and ToS as well as a dot probe designed to measure AB for healthy and unhealthy-related food stimuli, threat ratings of each of words utilized and perceived identity centrality as a vegan/vegetarianism. Results showed a dissociation of predicted determinants for "healthy" ON (HeOr) and pathological ON (OrNe). HeOr was predicted by increasing identity centrality whereas OrNe was predicted by increased OCD and perfectionism, and increased interference for healthy-related food words (in particular slowed disengagement) and not unhealthy related food words. Threat-related ratings of unhealthy food words was shown to be common across both dimensions. This pattern highlights cognitive and individual differences-based correlates of pathological and non-pathological ON.

Impact of increasing vegetarian availability on meal selection and sales in cafeterias.

Shifting people in higher income countries toward more plant-based diets would protect the natural environment and improve population health. Research in other domains suggests altering the physical environments in which people make decisions ("nudging") holds promise for achieving socially desirable behavior change. Here, we examine the impact of attempting to nudge meal selection by increasing the proportion of vegetarian meals offered in a year-long large-scale series of observational and experimental field studies. Anonymized individual-level data from 94,644 meals purchased in 2017 were collected from 3 cafeterias at an English university. Doubling the proportion of vegetarian meals available from 25 to 50% (e.g., from 1 in 4 to 2 in 4 options) increased vegetarian meal sales (and decreased meat meal sales) by 14.9 and 14.5 percentage points in the observational study (2 cafeterias) and by 7.8 percentage points in the experimental study (1 cafeteria), equivalent to proportional increases in vegetarian meal sales of 61.8%, 78.8%, and 40.8%, respectively. Linking sales data to participants' previous meal purchases revealed that the largest effects were found in the quartile of diners with the lowest prior levels of vegetarian meal selection. Moreover, serving more vegetarian options had little impact on overall sales and did not lead to detectable rebound effects: Vegetarian sales were not lower at other mealtimes. These results provide robust evidence to support the potential for simple changes to catering practices to make an important contribution to achieving more sustainable diets at the population level.

Characteristics and clinical implications of the relationship between veganism and pathological eating behaviours.

OBJECTIVE: Veganism may serve as a socially acceptable means to restrict food intake and disguise pathological eating behaviours. Studies that include vegan participants typically group them with other meat avoiders (e.g., vegetarians), potentially masking risk factors unique to veganism. METHOD: We addressed this issue by recruiting two Amazon Mechanical Turk samples of 110 vegan and 118 omnivore participants, with comparable gender composition. We aimed to examine whether vegans showed higher disordered eating than omnivores, and if motives for pursuing a vegan diet impacted disordered eating. We assessed disordered eating using the Eating Attitudes Test, the Eating Disorder Examination-Questionnaire, and the Eating Pathology Symptom Inventory. RESULTS: Vegans displayed more pathological eating behaviours than omnivores, which was significantly predicted by cognitive restraint. However, body dissatisfaction levels were higher in omnivores than vegans. Diet motives did not influence vegans' disordered eating. CONCLUSION: We propose vegans have high levels of cognitive restraint, possibly due to their intention to avoid animal products. In turn, cognitive restraint subscales in eating disorder measures might be over-pathologising rates of eating disorders in vegans. Future research should monitor the progression of people's eating-related attitudes and behaviours before and after they transition to veganism to establish whether veganism increases the risk of disordered eating, or vice versa. LEVEL OF EVIDENCE: IV, cross-sectional study.

Taste and health concerns trump anticipated stigma as barriers to vegetarianism.

Meat-eaters report that a number of barriers inhibit them from going vegetarian-for example, perceiving vegetarian diets to be inadequately nutritious, too expensive, unfamiliar, inconvenient, inadequately tasty, and socially stigmatizing. However, research identifying which barriers uniquely predict meat-eaters' openness to going vegetarian is lacking from the current literature. In the present research, accordingly, we conducted a highly powered, preregistered study (N = 579) to identify which barriers uniquely predict openness to going vegetarian. We focused specifically on anticipated vegetarian stigma, given recent qualitative evidence highlighting this attitude as an influential barrier. That is, do meat-eaters resist going vegetarian because they fear that following a vegetarian diet would make them feel stigmatized? Being of younger age, more politically conservative, White, and residing in a rural community predicted greater anticipated vegetarian stigma among meat-eaters. Frequentist and Bayesian analyses converged, however, to suggest that anticipated vegetarian stigma was not a significant predictor of openness to going vegetarian. The strongest predictors of openness were perceived tastiness and perceived healthfulness of vegetarian dieting. These factors-but not anticipated stigma-furthermore explained why men (compared to women) and political conservatives (compared to liberals) were particularly resistant to going vegetarian.

Fearing the wurst: Robust approach bias towards non-vegetarian food images in a sample of young female vegetarian eaters.

Previous studies have shown that humans show an implicit approach bias toward food related items which is moderated by hunger and properties of the food items displayed (such as their palatability and calorie content). However, little is known about if and how this approach bias is moderated by food preferences and/or diet choices. In this study, we compared approach-avoidance biases in a group of young female omnivore and vegetarian eaters towards images of vegetarian and non-vegetarian food items using a manikin stimulus-response compatibility task. While vegetarian eaters showed a slightly larger approach bias for vegetarian than for non-vegetarian food stimuli, this bias was of similar size to that observed in the omnivorous group. Most interestingly, vegetarian eaters' approach bias towards non-vegetarian food pictures also did not differ from that of the omnivorous group, despite vegetarians rating those pictures as much less pleasant. Our findings suggest that approach biases towards food items are quite robust and do not rapidly change with dietary practice. However, despite approach biases often guiding behaviour, vegetarian eaters successfully withstand these implicit action tendencies and avoid non-vegetarian produce. Potential implications of this finding for the addiction literature are discussed.

A social identity needs perspective to Veg*nism: Associations between perceived discrimination and well-being among Veg*ns in Turkey.

We examined the associations between perceived discrimination, social identity need satisfaction, and well-being among a sample of vegetarians and vegans (veg*ns) in Turkey. Drawing on the Rejection Identification Model, Motivated Identity Construction Theory, and the Social Cure approach, we tested whether perceived discrimination was related to the satisfaction of esteem, meaning, belonging, efficacy, distinctiveness, and continuity needs derived from veg*n group membership and whether the satisfaction of these needs, in turn, was associated with psychological well-being and self-esteem. A total of 350 veg*ns living in Turkey participated in an online study and completed measures of perceived discrimination based on veg*n group membership, veg*n identity need satisfaction, psychological well-being, and global level self-esteem. As expected, perceived discrimination was prevalent among Turkish veg*ns (more so among vegans) and was strongly associated with the greater satisfaction of all identity needs. In turn, the satisfaction of efficacy and continuity needs was related to greater well-being, showing an indirect association between perceived discrimination and well-being. Findings also showed that the satisfaction of the esteem need predicted (less strongly) lower levels of psychological well-being and self-esteem, indicating only some aspects of need satisfaction through veg*n identities to have positive implications for well-being. Findings are discussed in terms of the relevant socio-cultural environment, social identity theories, and stigmatization in the context of veg*n group membership.

When vegetarians eat meat: Why vegetarians violate their diets and how they feel about doing so.

Many people who self-identify as vegetarian actually eat meat on occasion. Surveys documenting this phenomenon have become abundant over the past two decades, and recent studies have begun to explain why some vegetarians are more likely to violate their diets than others are. However, qualitative research detailing the experiences of vegetarians eating meat is sparse. In the current study, we surveyed 243 vegetarians, 124 (51%) of whom indicated that they have eaten meat since going vegetarian. Of these 124 participants, 108 provided written narratives about their experiences eating meat, which we analyzed. Participants were most likely to eat meat at family gatherings and on special occasions; to eat meat in order to make a social situation flow more smoothly; and to react negatively to having eaten meat. Participants' narratives suggest that vegetarianism may be best conceived as a social identity, beyond just a diet. Some vegetarians reported that they view their diets as flexible guidelines, rather than rigid rules they ought to follow without exception. This study is the first, to our knowledge, to document in detail how vegetarians reflect on their experiences eating meat.

Values and cognitive mechanisms: Comparing the predictive factors of Australian meat intake.

Recent studies have found values for animal-welfare, personal-health and the environment to be the main factors motivating veg*n diets. However, studies are yet to simultaneously compare these values between Australian meat-eaters, vegetarians, and vegans, and therefore, the extent to which they motivate these groups. Further, while cognitive mechanisms (methods of reducing the psychological discomfort of eating meat while holding such values) have been found to facilitate meat intake, these mechanisms are yet to be compared against values in their ability to predict meat consumption. In the current study, meat-eaters reported the lowest concern for animal-welfare, personal-health, and the environment. With the exception of personal-health, vegans reported the greatest concern for these factors. However, cognitive mechanisms predicted meat consumption more strongly than these values. These findings may have implications for reducing meat consumption and improving outcomes for animal-welfare, public health and the environment.

Food processing and emotion regulation in vegetarians and omnivores: An event-related potential investigation.

The present study investigated cognitive reappraisal during exposure to vegetarian and nonvegetarian food cues in food-deprived vegetarian and omnivore participants. In particular, we were interested in clarifying the motivational meaning of the foods that vegetarians avoid, as revealed by self-reported food craving, valence, and arousal, as well as by ERP measures of neural processing during passive viewing and emotional regulation. Twenty-four vegetarians and twenty-one omnivores were instructed to either passively look at the pictures (Watch) or to change the appetitive value of the food (Increase or Decrease). In vegetarians, meat and fish dishes elicited lower desire to eat, pleasantness, and arousal during each condition as compared to both omnivores and vegetarian food. In contrast with the subjective data, no group differences were observed in any of the ERP measures, suggesting that similar neural processing of food-cues occurred in vegetarians and omnivores both during passive viewing and cognitive reappraisal. Concerning the late ERP effects during cognitive reappraisal, we found an enhancement of the P300 and LPP amplitudes during the Increase and the Decrease as compared to the Watch condition and a reduction of the SW amplitude in the Decrease as compared to Watch condition. These results suggest that in a food deprivation condition it is difficult to reduce the appetitive value of food stimuli, as this cognitive strategy appears to require greater effort and a longer time to be implemented with respect to up-regulation. Overall, our findings suggest that, in vegetarians, aversion towards nonvegetarian food prevails at the subjective level and is consistent with their personal beliefs. In contrast, at the neural level, the intrinsic motivational salience of this type of food is preserved.

Strict health-oriented eating patterns (orthorexic eating behaviours) and their connection with a vegetarian and vegan diet.

PURPOSE: Although research on vegetarianism is becoming more prevalent, to date, only a few research has been conducted on relationship between vegetarian diet and orthorexia nervosa (ON). The objective of the present study was to examine the orthorexic dietary patterns and eating behaviours among individuals following a vegetarian, vegan, and meat diet. We examined the moderating role of ethical and health reasons for following a meat-free diet on the relation between vegan versus vegetarian diet and eating behaviours and ON. The study aimed to determine the predictors of ON in individuals with differential food preferences. METHODS: Seventy-nine individuals following a meat-free diet and 41 individuals following an omnivore diet completed the EHQ and the TFEQ-R18. RESULTS: Our findings indicated that individuals following a vegan diet showed a higher level of knowledge of healthy eating than those who followed a vegetarian diet and those who followed an omnivore diet. Participants maintaining a vegan diet for health reasons were more likely to have greater knowledge about healthy eating. Cognitive restraint was a predictor of ON among a sample following a meat-free diet. CONCLUSIONS: Our results could contribute to identify potential risk factors for strict health-oriented eating patterns and to gain a better insight into ON. LEVEL OF EVIDENCE: Level V, descriptive study.

Examining the "Veggie" personality: Results from a representative German sample.

An increasing proportion of people choose to follow a vegetarian diet. To date, however, little is known about if and how individual differences in personality relate to following a vegetarian diet. In the two studies presented here, we aimed to (1) estimate the prevalence of self-defined vegetarians in two waves of a German representative sample (N = 4496 and 5125, respectively), (2) analyze the effect of socio-demographic variables on dietary behavior, and (3) examine individual differences between vegetarians and meat eaters in personality traits, political attitudes, and health-related variables. In Study 1, a strict definition of vegetarians was used, while in Study 2 the definition was laxer, to include also individuals who only predominantly followed a vegetarian diet. The prevalence of self-defined vegetarians was 2.74% in Study 1, and 5.97% in Study 2. Participants who were female, younger, and more educated were more likely to report following a vegetarian diet in both studies, and vegetarians had higher income as compared to meat eaters in Study 2. We also found differences between vegetarians and meat eaters with regard to personality traits, political attitudes, and health-related variables. Stepwise logistic regression analyses showed a unique effect beyond socio-demographic variables for openness (Studies 1 and 2), conscientiousness (Study 1), trust (Study 2), conservatism (Studies 1 and 2), and level of interest in politics (Study 1) on diet: Individuals with higher scores in openness and political interest had a higher probability of being vegetarian, whereas people with higher scores in conscientiousness and conservatism had a smaller likelihood of being vegetarian. We conclude that there are individual differences between vegetarians and meat eaters in socio-demographics, personality traits, and political attitudes.

Too sweet to eat: Exploring the effects of cuteness on meat consumption.

Although daily meat consumption is a widespread habit, many individuals at the same time put a high value on the welfare of animals. While different psychological mechanisms have been identified to resolve this cognitive tension, such as dissociating the animal from the consumed meat or denying the animal's moral status, few studies have investigated the effects of the animal's appearance on the willingness to consume its meat. The present article explored how the perception of cuteness influences hypothetical meat consumption. We hypothesized that cuter animals would reduce the willingness to consume meat, and that this relationship would be mediated by empathy felt towards the animal. Across four pre-registered studies sampling 1074 US and Norwegian participants, we obtained some support for this prediction in the US but to a lesser degree in Norway. However, in all studies an indirect mediation effect of cuteness on meat consumption going through empathy towards the animal was observed. We also explored possible moderating and additional mediating mechanisms of trait pro-social orientation, caretaking intentions and sex effects for which we found mixed evidence. Theoretical and practical implications of the findings are discussed.

Vegetarian or meat? Food choice modeling of main dishes occurs outside of awareness.

It is well established that the amount eaten by other people affects how much we eat, but unanswered questions exist regarding how much the food choices of other people affect the types of food that we choose. Past research on food choice modeling has primarily been conducted in controlled laboratory situations and has focused on snack foods. The current research examines the extent to which food choice modeling of a main dish occurs in a real-life context and whether people are aware of being influenced by others. The lunch orders of café patrons were surreptitiously tracked and participants were recruited after they paid for their lunch. Participants were asked what they ordered, whether they were influenced by the prior order, and what their relationship was to the person ahead of them in line. We analyzed the data of participants who were not acquainted with the person ahead of them (N = 174). As hypothesized, participants' main-dish lunch orders matched the choice of the person ordering ahead of them in line at rates significantly higher than chance. A significant modeling effect was observed even among participants who reported that their order was not influenced by the prior order. This research provided evidence of main-dish choice modeling occurring in real-life eating situations and outside of conscious awareness - demonstrating a powerful social influence on eating behaviours.

A model of the dynamics of household vegetarian and vegan rates in the U.K.

Although there are many studies of determinants of vegetarianism and veganism, there have been no previous studies of how their rates in a population jointly change over time. In this paper, we present a flexible model of vegetarian and vegan dietary choices, and derive the joint dynamics of rates of consumption. We fit our model to a pseudo-panel with 23 years of U.K. household data, and find that while vegetarian rates are largely determined by current household characteristics, vegan rates are additionally influenced by their own lagged value. We solve for equilibrium rates of vegetarianism and veganism, show that rates of consumption return to their equilibrium levels following a temporary event which changes those rates, and estimate the effects of campaigns to promote non-meat diets. We find that a persistent vegetarian campaign has a significantly positive effect on the rate of vegan consumption, in answer to an active debate among vegan campaigners.

A Comparison of Eating Attitudes Between Vegans/Vegetarians and Nonvegans/Nonvegetarians in Terms of Orthorexia Nervosa.

This descriptive study was performed to compare signs of orthorexia nervosa and eating habits and attitudes of vegans/vegetarians and nonvegans/nonvegetarians. The study sample included 62 people, of whom 31 were vegan/vegetarian and 31 were nonvegan/nonvegetarian. Data were gathered with a personal characteristics form, Orthorexia Nervosa Evaluation Scale-11, Eating Attitudes Test-40 and Maudsley Obsessive Compulsive Inventory. There were not any significant differences between scores for Orthorexia Nervosa Evaluation Scale-11, Eating Attitudes Test-40 and Maudsley Obsessive Compulsive Inventory (p>0,05). As scores for Orthorexia Nervosa Evaluation Scale-11 decreased, predisposition to orthorexia nervosa increased. Therefore, although correlation coefficients were negative, they were considered positive. There was a significant, negative relation between Eating Habits Test-40 scores and Orthorexia Nervosa Evaluation Scale-11 scores (r=-0.290, p=0.002) and between Maudsley Obsessive Compulsive Inventory scores and Orthorexia Nervosa Evaluation Scale-11 scores (r=-0.319, p=0.012). As poor eating habits and obsessive symptoms increased, so did orthorectic symptoms. In light of obtained results, it seems that people become vegan/vegetarian mainly for ethical reasons and that veganism/vegetarianism is not associated with obsession of healthy eating.

Orthorexic and restrained eating behaviour in vegans, vegetarians, and individuals on a diet.

PURPOSE: Orthorexic eating behaviour, restrained eating, and veganism/vegetarianism are food selection strategies sharing several characteristics. Since there are no studies investigating their interrelationships, aim of the present study was to analyse orthorexic and restrained eating behaviour in (1) a sample of vegans and vegetarians and (2) a sample of individuals on a diet to lose weight. METHOD: Division of samples according to pre-defined criteria in (1) vegans (n = 114), vegetarians (n = 63), individuals with rare meat consumption (n = 83) and individuals with frequent meat consumption (n = 91) and in (2) participants on a diet with dietary change (n = 104), without dietary change (n = 37) and a control group of individuals not on a diet (n = 258). Orthorexic eating behaviour was assessed with the Düsseldorfer Orthorexie Skala and restrained eating was assessed with the Restraint Eating Scale. RESULTS: Vegans and vegetarians do not differ in orthorexic eating behaviour, but both groups score higher in orthorexic eating behaviour than individuals consuming red meat. There are no differences regarding restrained eating. Individuals on a diet with dietary change score higher in both orthorexic and restrained eating, than individuals without dietary change and individuals not on a diet. CONCLUSIONS: Individuals who restrict their eating behaviour, either predominantly due to ethical reasons or with the intention to lose weight, display more orthorexic eating behaviour than individuals not limiting their food consumption. Further research is needed to investigate whether veganism, vegetarianism, or frequent dieting behaviour serve as risk factors for orthorexia. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.