Introduction: Orthorexia nervosa, a term used to describe an obsession with healthy eating, has been shown to have major health implications for those affected. The aim of this study was to validate a Spanish version of the Düsseldorfer Ortorexie Skala (DOS), a questionnaire for the detection of orthorexic behavior.

Methods: A cross-sectional study comprising a total sample of 492 Spanish participants recruited from the University of Castilla-La Mancha, Spain, and randomly divided into two groups. The following tools were applied: the DOS and the Eating Disorder Inventory (EDI-2). The factorial structures were analyzed using exploratory and confirmatory factorial analysis.

Results: The internal consistency of the DOS-ES was α = .841. The exploratory factor analysis has revealed the existence of a single factor with factor loadings ranging from .508 to .802. A confirmatory factor analysis was applied to the second half of the random sample in order to confirm the factor solution.

Conclusion: The Spanish adaptation of the DOS-ES is proven to be a reliable and valid questionnaire for evaluating the obsessive tendency towards healthy eating among university students.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504074PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216583PLOS

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