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dc.contributor.authorMisra, Madhusmita
dc.contributor.authorTsai, Patrika
dc.contributor.authorAnderson, Ellen J.
dc.contributor.authorHubbard, Jane L.
dc.contributor.authorGallagher, Katie
dc.contributor.authorSoyka, Leslie A.
dc.contributor.authorMiller, Karen K.
dc.contributor.authorHerzog, David B.
dc.contributor.authorKlibanski, Anne
dc.date2022-08-11T08:10:10.000
dc.date.accessioned2022-08-23T16:57:52Z
dc.date.available2022-08-23T16:57:52Z
dc.date.issued2006-10-07
dc.date.submitted2011-10-11
dc.identifier.citationAm J Clin Nutr. 2006 Oct;84(4):698-706.
dc.identifier.issn0002-9165 (Linking)
dc.identifier.pmid17023694
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43244
dc.description.abstractBACKGROUND: Adolescence is a common time for the onset of anorexia nervosa (AN), a condition associated with long-term medical and hormonal consequences. OBJECTIVE: The objective was to compare the nutrient intakes of community-dwelling girls with AN with those of healthy adolescents and to describe the associations between specific nutrient intakes and nutritionally dependent hormones. DESIGN: Nutrient intakes in 39 community-dwelling girls with AN and 39 healthy adolescents aged 12.1-18.7 y were determined by using 4-d food records. Fasting adiponectin, leptin, ghrelin, insulin, and insulin-like growth factor I (IGF-I) concentrations were measured. Indirect calorimetry was used to assess respiratory quotient and resting energy expenditure. RESULTS: In contrast with the control group, the AN group consumed fewer calories from fats (P < 0.0001) and more from carbohydrates (P = 0.0009) and proteins (P < 0.0001). Intake of individual fat components was lower and of dietary fiber higher in the AN group. No significant between-group differences were observed in dietary intakes of calcium, zinc, and iron; however, total intake was greater in the AN group because of greater supplement use (P = 0.006, 0.02, and 0.01, respectively). The AN group had greater intakes of vitamins A, D, and K and of most of the B vitamins, and significantly more girls with AN met the Dietary Reference Intake for calcium (P = 0.01) and vitamin D (P = 0.02) from supplement use. Fat intake predicted ghrelin, insulin, and IGF-I concentrations; carbohydrate intake predicted adiponectin. Resting energy expenditure was lower (P < 0.0001) and leisure activity levels higher in the AN group. CONCLUSIONS: Despite outpatient follow-up, community-dwelling girls with AN continue to have lower fat and higher fiber intakes than do healthy adolescents, which results in lower calorie intakes. Nutritionally related hormones are associated with specific nutrient intakes.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=17023694&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ajcn.org/content/84/4/698.full.pdf+html
dc.subjectAdiponectin
dc.subjectAdolescent
dc.subjectAdult
dc.subject*Anorexia Nervosa
dc.subjectBasal Metabolism
dc.subjectBody Composition
dc.subjectBone Density
dc.subjectCalorimetry, Indirect
dc.subjectCase-Control Studies
dc.subjectChild
dc.subjectDiet Records
dc.subjectDietary Carbohydrates
dc.subjectDietary Fats
dc.subjectDietary Fiber
dc.subjectEnergy Intake
dc.subjectFemale
dc.subject*Food Habits
dc.subjectGhrelin
dc.subjectHumans
dc.subjectInsulin
dc.subjectInsulin-Like Growth Factor I
dc.subjectLeptin
dc.subject*Nutrition Surveys
dc.subjectPeptide Hormones
dc.subjectResidence Characteristics
dc.subjectTrace Elements
dc.subjectVitamins
dc.subjectEndocrinology, Diabetes, and Metabolism
dc.subjectPediatrics
dc.titleNutrient intake in community-dwelling adolescent girls with anorexia nervosa and in healthy adolescents
dc.typeJournal Article
dc.source.journaltitleThe American journal of clinical nutrition
dc.source.volume84
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/peds_endocrinology/9
dc.identifier.contextkey2288604
html.description.abstract<p>BACKGROUND: Adolescence is a common time for the onset of anorexia nervosa (AN), a condition associated with long-term medical and hormonal consequences.</p> <p>OBJECTIVE: The objective was to compare the nutrient intakes of community-dwelling girls with AN with those of healthy adolescents and to describe the associations between specific nutrient intakes and nutritionally dependent hormones.</p> <p>DESIGN: Nutrient intakes in 39 community-dwelling girls with AN and 39 healthy adolescents aged 12.1-18.7 y were determined by using 4-d food records. Fasting adiponectin, leptin, ghrelin, insulin, and insulin-like growth factor I (IGF-I) concentrations were measured. Indirect calorimetry was used to assess respiratory quotient and resting energy expenditure.</p> <p>RESULTS: In contrast with the control group, the AN group consumed fewer calories from fats (P < 0.0001) and more from carbohydrates (P = 0.0009) and proteins (P < 0.0001). Intake of individual fat components was lower and of dietary fiber higher in the AN group. No significant between-group differences were observed in dietary intakes of calcium, zinc, and iron; however, total intake was greater in the AN group because of greater supplement use (P = 0.006, 0.02, and 0.01, respectively). The AN group had greater intakes of vitamins A, D, and K and of most of the B vitamins, and significantly more girls with AN met the Dietary Reference Intake for calcium (P = 0.01) and vitamin D (P = 0.02) from supplement use. Fat intake predicted ghrelin, insulin, and IGF-I concentrations; carbohydrate intake predicted adiponectin. Resting energy expenditure was lower (P < 0.0001) and leisure activity levels higher in the AN group.</p> <p>CONCLUSIONS: Despite outpatient follow-up, community-dwelling girls with AN continue to have lower fat and higher fiber intakes than do healthy adolescents, which results in lower calorie intakes. Nutritionally related hormones are associated with specific nutrient intakes.</p>
dc.identifier.submissionpathpeds_endocrinology/9
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages698-706


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