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Nutrients 2015, 7(5), 3652-3665;

Nutritional Adequacy of Dietary Intake in Women with Anorexia Nervosa

USDA, ARS, Human Nutrition Research Center, Grand Forks, ND 58203, USA
Department of Food Science and Nutrition, University of Minnesota, Saint Paul, MN 55108, USA
Neuropsychiatric Research Institute, Fargo, ND 58103, USA
Department of Clinical Neurosciences, University of North Dakota, Grand Forks, ND 58202, USA
Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN 55455, USA
Department of Psychiatry and Department of Pediatrics, University of California, San Francisco, San Francisco, CA 94143, USA
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Received: 2 April 2015 / Revised: 27 April 2015 / Accepted: 6 May 2015 / Published: 15 May 2015
(This article belongs to the Special Issue Assessment of Nutrient Intakes)
Full-Text   |   PDF [264 KB, uploaded 15 May 2015]


Understanding nutrient intake of anorexia nervosa (AN) patients is essential for the treatment. Therefore, estimates of total energy and nutrient consumption were made in a group of young women (19 to 30 years) with restricting and binge purge subtypes of AN participating in an ecological momentary assessment study. Participants completed three nonconsecutive 24-hour diet recalls. Mean nutrient intakes were stratified by subtype and by quartiles of energy intake and compared to the age specific Dietary Reference Intake (DRI) levels, as well as to the reported intakes from the What We Eat In America (WWEIA) dietary survey 2011–2012. Reported intake was determined for energy, macronutrients, and micronutrients. The mean body mass index (BMI) for all participants was 17.2 ± 0.1 kg/m2. Reported nutrient intake was insufficient for participants in quartiles 1–3 of both AN subtypes when compared to the DRIs. Intake reported by participants in quartile 4 of both subgroups met requirements for most nutrients and even met or exceeded estimated energy needs. Counseling of AN patients should be directed to total food consumption to improve energy intake and to reduce individual nutritional gaps. View Full-Text
Keywords: anorexia nervosa; dietary intake; WWEIA; NHANES 2011–2012 anorexia nervosa; dietary intake; WWEIA; NHANES 2011–2012
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Raatz, S.K.; Jahns, L.; Johnson, L.K.; Crosby, R.; Mitchell, J.E.; Crow, S.; Peterson, C.; Le Grange, D.; Wonderlich, S.A. Nutritional Adequacy of Dietary Intake in Women with Anorexia Nervosa. Nutrients 2015, 7, 3652-3665.

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