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A continuously cumulating meta-analysis of the relationship between perfectionism and orthorexia in exercisers

Pratt, Verity ORCID logoORCID: https://orcid.org/0000-0002-6934-8895, Hill, Andrew P. ORCID logoORCID: https://orcid.org/0000-0001-6370-8901, Madigan, Daniel ORCID logoORCID: https://orcid.org/0000-0002-9937-1818, Nordin-Bates, Sanna M. and Ashdown-Franks, Garcia ORCID logoORCID: https://orcid.org/0000-0002-5032-0171 (2026) A continuously cumulating meta-analysis of the relationship between perfectionism and orthorexia in exercisers. Journal of Sport & Exercise Psychology.

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Abstract

A recent meta-analysis found that perfectionism was related to orthorexia (obsessive healthy eating). However, the meta-analysis included only three samples from the sport and exercise domain, so estimates were imprecise and, for perfectionistic concerns, unclear. We conducted a continuously cumulating meta-analysis to update these estimates. Following a preregistered protocol, with open data and code, we recruited three samples—255 gym members (age: 32.92 years, SD = 8.58), 297 functional athletes (age: 33.89 years, SD = 8.65), and 278 runners (age: 41.15 years, SD = 13.14). Reanalysis of meta-analytical effects incorporating these samples (total N = 1,717) showed that orthorexia had a medium, positive relationship with perfectionistic strivings (r+ = .31, 95% CI [.15, .46]) and a small-to-medium positive, relationship with perfectionistic concerns (r+ = .26, 95% CI [.11, .40]). The findings confirm that both dimensions of perfectionism are potential risk factors for orthorexia in the sport and exercise domain.

Item Type: Article
Additional Information: Accepted author manuscript version reprinted, by permission, from Journal of Sport & Exercise Psychology, [2026] © Human Kinetics, Inc.
Status: Published
DOI: 10.1123/jsep.2025-0145
School/Department: School of Science, Technology and Health
URI: https://ray.yorksj.ac.uk/id/eprint/14500

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