Search Results (11)

Contemporary health cultures increasingly promote disciplined eating and bodily optimisation, contributing to growing interest in orthorexia nervosa (ON), a pattern of restrictive eating characterised by an obsessive focus on food purity and health. While ON has been widely studied in relation to dietary restriction and health anxiety, less attention has been given to how individuals themselves construct meaning around these practices. The present qualitative study aimed to explore how individuals displaying orthorexic tendencies construct moral identity and self-worth through their dietary practices. Eighteen participants (13 women, 5 men; aged 19–58) living in the United Kingdom who self-identified as “healthy eaters” took part in semi-structured interviews. Data were analysed using reflexive thematic analysis within a social constructionist framework. Four themes were generated: (1) The Disciplined Self, describing how strict dietary practices were framed as evidence of personal control and self-regulation; (2) The Body as Evidence of Purity and Health, where physical appearance and bodily feelings were interpreted as confirmation of moral and dietary correctness; (3) Ethical Eating and Moral Positioning, illustrating how participants positioned their food choices as ethically superior; and (4) Guilt and Moral Repositioning, highlighting the moral emotions that followed perceived dietary transgressions. These findings suggest that orthorexic eating practices function not only as health behaviours but also as moral performances through which individuals construct disciplined, responsible, and virtuous identities. Understanding these moral and identity dimensions may help situate orthorexic tendencies within broader sociocultural narratives surrounding health, morality, and self-discipline. Full article

This paper seeks to test the explanatory potential of different sociological perspectives in relation to the development of new sport models that reflect the growth of leisure sport participation in urban outdoor places and the decline in traditional practices in associations and clubs. In this regard, this study employs an analytical framework to examine global trends, with a particular focus on the specific context of the municipality of Zaragoza (Spain). With a multi-method approach, a 10-year-period dataset (2009–2019) incorporating sport participation surveys, observational data, and a focus group study is analysed. Three theories are tested: Maffesoli’s neo-tribes; neo-Bourdieuian ideas about urban subcultures; and Elias’s theory of civilizing processes. The results show a congruence between the three theories regarding identity negotiation, commodification, and community sense. However, disparities were found between the three theories, with one or more of them exhibiting an absence of class consciousness that supports subcultural interpretation and distinct notions of change versus continuity of the analyzed phenomena. This paper concludes that recent sports participation trends are best explained with reference to the quest of excitement and using healthism as a dominant ideology or social imperative. Full article

Background: The prevalence of urological diseases increases with age, and lower urinary tract symptoms (LUTSs) are the most common problem. Natural compounds with minimal side effects for the improvement in LUTSs are of ongoing interest. Salvia miltiorrhiza root extract (SAGX) has shown potential in preclinical studies for its effects on LUTSs. Objectives: This multicenter, randomized, double-blind, placebo-controlled study aimed to evaluate the efficacy and safety of SAGX in men with lower urinary tract symptoms (LUTSs) over a 12-week period. Methods: A total of 136 subjects were randomized to receive either 400 mg or 800 mg of SAGX or a placebo daily, orally. The primary outcome was the change in the International Prostate Symptom Score (IPSS). Secondary outcomes included changes in prostate-specific antigen (PSA), testosterone levels, urinary flow rate, residual urine volume, and erectile function as measured by the International Index of Erectile Function (IIEF). Results: Both SAGX intake groups showed statistically significant improvements in total IPSS scores and several secondary outcomes compared with the placebo group. Notable improvements were observed in symptoms of incomplete emptying, frequency, intermittency, weak stream, urgency, nocturia, and quality of life scores. Erectile function, as assessed by the IIEF, also significantly improved, especially in the 400 mg SAGX intake group. No significant differences were found in PSA levels or testosterone levels. No serious adverse events leading to discontinuation of the study drug were observed in the SAGX groups. Conclusions: With fewer side effects than conventional treatments, SAGX is effective and safe in improving symptoms of lower urinary tract symptoms and enhancing erectile function in men. Full article

Recent research has documented the relationship between the promotion of ‘ideal’, ‘fit’ bodies in social media, body image and associated body concerns and conditions. This article expands this scholarship, focusing specifically on gender, body disaffection and social media. Thus far, body disaffection has mostly been understood through a psychological framing, as a pathology residing within an individual and strongly associated with poor body image because of internalizing media images. In this paper, drawing on feminist new materialism, I offer a framing of body disaffection as a relational phenomenon. The paper draws on a mixed method study in England, with over 1000 young people examining their experiences with a range of digital health technologies. I focus specifically on their engagement with social media, to explore the relationship between ideal images and body concerns. Far from being a simple process of internalization of negative perceptions or image one has of their body, disaffection is formed through the body via a complex process of entanglement with social media and other elements. I outline how disaffection materialises as part of an assemblage of elements, including discourses, humans, bodies, digital objects and platforms. The paper reveals how entanglements with social media can generate powerful affects such as shame, pleasure and belonging along gendered lines, which may have significant implications for young people’s relationships with their bodies. I analyse how social media events focused on the ‘transformation’ of bodies generate powerful affects, which open or limit capacities for what ‘boys’ or ‘girls’ bodies might become in deeply gendered and sometimes harmful ways. Full article

Although healthism appears to be at the heart of the decision-making process of vaccine hesitancy, this matter has been understudied. We believe that the concept of healthism may be key to lessen the polarization of discourses around vaccination, offering a broad understanding of parents’ decision to not vaccinate their children. This article aims to deepen the knowledge on the relation between healthism and vaccine hesitancy, using Portugal as a case study. A qualitative research approach was adopted, and therefore, in-depth interviews were conducted with 31 vaccine-hesitant parents. The findings showed that vaccine-hesitant parents usually adopt several strategies based on natural living to prevent and tackle their children’s potential health issues. There appears to be a common approach towards health and life (i.e., healthism) among vaccine-hesitant parents. Drawing upon the healthism ideology, vaccine-hesitant parents make choices to ensure the good health of their child. These choices nevertheless represent a privileged position as the pursuit of healthfulness is constrained by sociodemographic aspects. Using vaccine hesitancy as the starting point, our findings show that healthism and its focus on personal accountability under the umbrella of neoliberalism may jeopardize global public health. Healthcare professionals should pay particular attention to healthism when addressing vaccine hesitancy in Portugal and elsewhere. Research evidence advocates the need to be sensitive to the broad spectrum of vaccine hesitancy as this encompasses multiple views on the subject. Full article

Participation in medical screening programs is presented as a voluntary decision that should be based on an informed choice. An informed choice is often emphasized to rely on three assumptions: (1) the decision-maker has available information about the benefits and harms, (2) the decision-maker can understand and interpret this information, and (3) the decision-maker can relate this information to personal values and preferences. In this article, we empirically challenge the concept of informed choice in the context of medical screening. We use document analysis to analyze and build upon findings and interpretations from previously published articles on participation in screening. We find that citizens do not receive neutral or balanced information about benefits and harms, yet are exposed to manipulative framing effects. The citizens have high expectations about the benefits of screening, and therefore experience cognitive strains when informed about the harm. We demonstrate that decisions about screening participation are informed by neoliberal arguments of personal responsibility and cultural healthism, and thus cannot be regarded as decisions based on individual values and preferences independently of context. We argue that the concept of informed choice serves as a power technology for people to govern themselves and can be considered an implicit verification of biopower. Full article

The ideology of healthism and low perceptions of the threat of vaccine-preventable diseases may explain the positive link between socioeconomic status (SES) and vaccine hesitancy in high-income countries. The present study aimed to examine the effect of three measures of SES (education, income and family economic status), the perceived threat of infectious diseases and two dimensions of healthism (personal responsibility for own health and distrust in healthcare institutions) on vaccine hesitancy, adjusting for sociodemographic variables. A cross-sectional quantitative study was performed in 2019. Non-probability sampling was employed by sending invitations to respondents over the age of 18 to participate in the study. The snowball technique was used, employing e-mails and digital social networks (Facebook, Twitter and Instagram). Data from 661 respondents were collected via 1 ka.si, an online survey tool. Multivariate regression analysis indicated that vaccine hesitancy was significantly more likely to be expressed by women (β = 0.09; p < 0.001), high-income respondents (β = 0.09; p < 0.01), those who have lower perceptions of the threat of vaccine-preventable diseases (β = 0.39; p < 0.001) and those scoring high on two healthism measures (expressing high perceived control of their own health (β = 0.18; p < 0.001) and high distrust in the Slovenian healthcare system and institutions (β = 0.37; p < 0.001)). The findings indicate that among the examined predictors, low perceived threat of vaccine-preventable diseases and low trust in the healthcare system are among the strongest predictors of vaccine hesitancy among the Slovenian public. Policymakers, physicians and other healthcare workers should be especially attentive to the public’s and patients’ perceptions of the risk of infectious diseases and distrust in medical institutions, including during doctor–patient communication and through public health campaigns and policies. Full article

Orthorexia nervosa (ON) is an unspecified feeding or eating disorder (USFED) characterized by an exaggerated, unhealthy obsession with healthy eating. Τypical eating disorders (EDs) and USFEDs are common among patients with diabetes mellitus (DM), which complicates metabolic control and disease outcomes. The present systematic review summarizes the evidence on the prevalence of ON symptomatology among patients with DM. PubMed, Web of Science, Scopus, and grey literature were searched, and relevant observational studies were screened using the Rayyan software. The quality of the studies was assessed using the appraisal tool for cross-sectional studies (AXIS) and the Newcastle–Ottawa scale (NOS). Out of 4642 studies, 6 fulfilled the predefined criteria and were included in the qualitative synthesis. Most studies relied on the ORTO-15 or its adaptations to identify ON among patients with DM. No apparent sex or age differences exist regarding the prevalence of ON symptoms. None of the studies compared the prevalence of ON in patients with type 1 and type 2 DM. Most of the research was of average to good methodological quality. In conclusion, patients with DM often exhibit ON tendencies, although research is still limited regarding the etiology or mechanistic drivers behind ON and the characteristics of patients with a dual ON–DM diagnosis. Full article

Research question and purpose: Les Mills is a New Zealand-based fitness distributor with a community consisting of approximately 140.000 instructors worldwide who teach standardized workout routines. This paper aims to explore how the COVID-19 pandemic and related measurements, such as social distancing affect the everyday lives and professions of Les Mills International (LMI) group fitness instructors. The aim was met with the following research questions: RQ1: How are social distancing and social connectedness understood, and how do they condition LMI instructors’ understanding of their profession? RQ2: What do LMI instructors think about the #LesMillsUnited campaign to maintain a strong trainer community in the midst of the pandemic? RQ3: How do LMI instructors think that group fitness will change long term due to social distancing? Research methods: Using qualitative measures and a case-study-based approach, data were gathered through interviews with LMI-certified group fitness instructors. Seven semi-structured focused group discussions with fifteen group fitness instructors from different countries were conducted and audio recorded. The first round of virtual discussions took place in April 2020, and the follow-up talks in September 2020. A thematic analysis was employed to analyze the material. Results and findings: According to the participants, online classes as a means of upholding group fitness in times of social distancing is an insufficient substitute to face-to-face instructing, lacking social connectedness that is normally maintained through successful rituals or social scripts. Navigating “instructorhood” during the pandemic includes emotional labor where not only relationships to clients are challenged, but instructors also experience societal pressure to reinvent themselves as instructors. Implications: With no way of telling how long social distancing needs to be practiced, the group fitness industry is facing unprecedented challenges. Making sense of the group fitness profession currently preoccupies instructors who may now have to redefine to themselves how they can teach, and who for. Full article

In this paper, I trace the changing characterisation of health and consider the evolution of health within a shifting paradigmatic landscape. I argue that understanding health now encompasses the importance of wellbeing as a key determinant of longer-term good health. I use the case study of body modification and body art to explore this further. I argue that, while body modification and body art, as a means of self-expression and empowerment, is relatively easy to access, there are critical gaps in the regulatory framework that may undermine the notion of wellbeing and individual choice. I critique the Court of Appeal’s decision in R v BM, [2018] EWCA Crim 560 which raises particular public interest concerns, but conclude that it is a missed opportunity in relation to how the law understands the promotion of ‘self’ within a model of wellbeing. Full article

In this paper I argue that the practice of veganism is, or can be, a Foucauldian ethical practice of freedom. I begin by sketching out the problematization of alimentary practices within a normalizing patriarchal framework, which some feminists argue is dominant within contemporary North American society. Within this problematization, eating—for many women—is a way to manage the body’s appearance and bring it into conformity with feminine norms, and also an ongoing opportunity to exercise the will over unruly bodily desires. I then consider the narratives of women who claim that veganism helped them to relinquish disordered eating habits, temper the emotional and psychological turmoil that surrounded their alimentary practices, and mitigate antagonism toward their own bodies. In short, the practice of veganism appears to have reproblematized eating for these women. Thus, I suggest, veganism can be an ethical practice of freedom: it can loosen the tight grip of patriarchal normalization as constituted in and through disordered eating habits, and constitute subjects that are “a little less governed” by this form of power. I conclude by considering objections to this thesis, and in particular, the concern that veganism is linked to healthism, another worrying form of normalization. Full article