Risky eating behaviors in nutrition professionals: Are we immune to what we teach?

Authors

  • Damaris Ivonne Román Rivera Instituto de Investigaciones en Comportamiento Alimentario y Nutrición, Universidad de Guadalajara https://orcid.org/0009-0006-9655-7541
  • Fernando Hernández-Leonardo Universidad de Guadalajara
  • Ángeles Anahí García Bernal Universidad de Guadalajara https://orcid.org/0009-0003-4629-2133

DOI:

https://doi.org/10.32870/jbf.v6i11.129

Keywords:

Conductas alimentarias de riesgo, Comportamiento alimentario, Profesionales de la nutrición, Salud mental en el ámbito sanitario

Abstract

Nutrition professionals are often regarded as health role models, not only because of their technical knowledge but also for their role in promoting healthy eating behaviors. However, various studies have documented the presence of disordered eating behaviors (DEB) and eating disorders (ED) among both students and practicing professionals in the field, revealing a significant contradiction with their educational and therapeutic roles. This phenomenon raises ethical and professional concerns, as such behaviors may compromise not only the physical and emotional well-being of the nutritionist but also the quality of the nutritional counseling they provide. Social and academic pressures to maintain an “ideal” body image, continuous exposure to normative aesthetic discourses, and a culture of professional performance are factors that may contribute to the onset or persistence of DEB. Additionally, there is a real risk that these patterns will be unconsciously reproduced in patients, reinforcing restrictive or unhealthy eating ideals. This perspective article aims to analyze the personal, educational, and ethical implications of DEB in nutrition professionals. It also reflects on the limited institutional response to this issue and the urgent need to implement preventive strategies within academic and workplace settings. Finally, it emphasizes the importance of promoting self-care, offering psychological support, and building safe spaces that encourage a more conscious, empathetic, and coherent professional practice aligned with the principles of holistic health.

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References

Alberga, A. S., Edache, I. Y., Forhan, M., y Russell-Mayhew, S. (2019). Weight bias and health care utilization: A scoping review. Primary Health Care Research & Development, 20, e116. https://doi.org/10.1017/S1463423619000227

Almeida, C., Borba, V. V., y Santos, L. (2018). Orthorexia nervosa in a sample of Portuguese fitness participants. Eating And Weight Disorders - Studies On Anorexia Bulimia And Obesity, 23(4), 443-451. https://doi.org/10.1007/s40519-018-0517-y

Alqahtani, R. M., y Alhazmi, A. (2025). Association between cognitive restraint, emotional eating, uncontrolled eating, and body mass index among health care professionals. Scientific Reports, 15(1), 2570. https://doi.org/10.1038/s41598-025-86419-8

Bacon, L., y Aphramor, L. (2011). Weight science: Evaluating the evidence for a paradigm shift. Nutrition Journal, 10(1), 1–13. https://doi.org/10.1186/1475-2891-10-9

Behar, R., Alviña, M., Medinelli, A., y Tapia, P. (2007). Trastornos de la conducta alimentaria en estudiantes de la carrera de nutrición y dietética. Revista Chilena de Nutrición, 34(4), 298-306. https://doi.org/10.4067/S0717-75182007000400003

Berengüí, R., Castejón, M. Á., y Torregrosa, M. S. (2016). Body dissatisfaction, risk behaviors and eating disorders in university students. Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders, 7(1), 1-8. https://doi.org/10.1016/j.rmta.2016.02.004

Bessey, M., Brady, J., Lordly, D., y Leighteizer, V. (2021). “This is what you’re supposed to do”: weight stigma in dietetics education. Fat Studies, 10(2), 184-196. https://doi.org/10.1080/21604851.2020.1859078

Corey, G., Corey, M. S., y Callahan, P. (2020). Issues and ethics in the helping professions (10.ª ed.). Cengage Learning.

Díaz-Gutiérrez, M. C., Bilbao y Morcelle, G. M., Unikel-Santoncini, C., Muñoz-Espinosa, A., Escalante-Izeta, E. I., y Parra-Carriedo, A. (2019). Relación entre estatus nutricional, insatisfacción corporal y conductas alimentarias de riesgo en estudiantes de nutrición. Revista Mexicana de Trastornos Alimentarios, 10(1), 53-65. https://doi.org/10.22201/fesi.20071523e.2019.1.490

Díaz-López, K. de J., Quintana-López, V. A., Mejía-León, M. E., y Bojórquez-Díaz, C. I. (2022). Riesgo de trastornos de la conducta alimentaria en universitarios del área de la salud. Ju’unea Revista de Investigación, 7(8), 1-8. https://juunea.lasallenoroeste.edu.mx/juunea-a%C3%B1o-7-n%C3%BAmero-8-2022

Domínguez Ibáñez, S. E., Valdez, E. A., y Cubillas Rodríguez, M. J. (2025). Conductas de riesgo alimentario, percepción corporal e índice de masa corporal en universitarios del Noroeste de México. CIENCIA Ergo Sum, 33. https://doi.org/10.30878/ces.v33n0a47

Dunn, T. M., y Bratman, S. (2016). On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eating Behaviors, 21, 11-17. https://doi.org/10.1016/j.eatbeh.2015.12.006

Ephrem, C., Rizk, R., Saadeh, D., Hallit, S., Obeid, S., y Martijn, C. (2025). Orthorexia nervosa in dietitians and dietetics students—prevalence, risk factors, and interventions: a scoping review using a systematic approach. Nutrition Reviews, 83(2), 382-396. https://doi.org/10.1093/nutrit/nuae009

Fischler, C. (1988). Food, self and identity. Social Science Information, 27(2), 275-292. https://doi.org/10.1177/053901888027002005

Gunsalus, K. T. W., Mixon, J. K., y House, E. M. (2024). Medical nutrition education for health, not harm: BMI, weight stigma, eating disorders, and social determinants of health. Medical Science Educator, 34(3), 679-690. https://doi.org/10.1007/s40670-024-02025-9

Heruc, G., Hart, S., Stiles, G., Fleming, K., Casey, A., Sutherland, F., Jeffrey, S., Roberton, M., y Hurst, K. (2020). ANZAED practice and training standards for dietitians providing eating disorder treatment. Journal Of Eating Disorders, 8(1), 77. https://doi.org/10.1186/s40337-020-00334-z

Kinzl, J. F., Traweger, C. M., Trefalt, E., Mangweth, B., y Biebl, W. (1999). Dietitians: are they a risk group for eating disorders?. European Eating Disorders Review, 7(1), 62-67. https://doi.org/10.1002/(SICI)1099-0968(199903)7:1%3C62::AID-ERV249%3E3.0.CO;2-W

Lawrence, B. J., Kerr, D., Pollard, C. M., Theophilus, M., Alexander, E., Haywood, D., y O'Connor, M. (2021). Weight bias among health care professionals: A systematic review and meta-analysis. Obesity, 29(11), 1802-1812. https://doi.org/10.1002/oby.23266

McInerney, E. G., Stapleton, P., y Baumann, O. (2024). A systematic review on the prevalence and risk of orthorexia nervosa in health workers and students. International Journal of Environmental Research and Public Health, 21(8), 1103. https://doi.org/10.3390/ijerph21081103

Most, J., y Redman, L. M. (2020). Impact of calorie restriction on energy metabolism in humans. Experimental Gerontology, 133, 110875. https://doi.org/10.1016/j.exger.2020.110875

Myers, T. A., y Crowther, J. H. (2009). Social comparison as a predictor of body dissatisfaction: A meta-analytic review. Journal of Abnormal Psychology, 118(4), 683-698. https://doi.org/10.1037/a0016763

O’Hara, L., y Taylor, J. (2018). What’s wrong with the ‘war on obesity?’ A narrative review of the weight-centered health paradigm and development of the 3C framework to evaluate alternative approaches. SAGE Open, 8(2), 1-19. https://doi.org/10.1177/2158244018772888

Palmeros-Exsome, C., González-Chávez, G. del C., León-Díaz, R., Carmona-Figueroa, Y. P., Campos-Uscanga, Y., Barranca-Enríquez, A., y Romo-González, T. (2022). Conductas alimentarias de riesgo y satisfacción corporal en estudiantes universitarios mexicanos. Revista Española de Nutrición Humana y Dietética, 26(2), 95-103. https://doi.org/10.14306/renhyd.26.2.1484

Puhl, R. M., y Heuer, C. A. (2009). The stigma of obesity: A review and update. Obesity, 17(5), 941–964. https://doi.org/10.1038/oby.2008.636

Slavin, S. J., Schindler, D. L., y Chibnall, J. T. (2014). Medical student mental health 3.0. Academic Medicine, 89(4), 573-577. https://doi.org/10.1097/acm.0000000000000166

Tomiyama, A. J., Carr, D., Granberg, E. M., Major, B., Robinson, E., Sutin, A. R., y Brewis, A. (2018). How and why weight stigma drives the obesity ‘epidemic’ and harms health. BMC Medicine, 16(1), 123. https://doi.org/10.1186/s12916-018-1116-5

Tylka, T. L., Annunziato, R. A., Burgard, D., Daníelsdóttir, S., Shuman, E., Davis, C., y Calogero, R. M. (2014). The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss. Journal of Obesity, 2014, 1-18. https://doi.org/10.1155/2014/983495

Ureña-Molina, M. P., Pacheco-Milian, M., y Rondón-Ortega, M. J. (2015). Conductas alimentarias de riesgo y su relación con la imagen corporal en estudiantes de enfermería. Revista de Ciencia y Cuidado, 12(2), 57-71. https://dialnet.unirioja.es/servlet/articulo?codigo=5434590

Published

2026-07-29

How to Cite

Román Rivera, Damaris Ivonne, Fernando Hernández-Leonardo, and Ángeles Anahí García Bernal. 2026. “Risky Eating Behaviors in Nutrition Professionals: Are We Immune to What We Teach?”. Journal of Behavior and Feeding 6 (11):72-78. https://doi.org/10.32870/jbf.v6i11.129.

Issue

Section

Perspectives from IICAN Graduate Students

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