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Assessment of macronutrient and micronutrient intake in women with anorexia nervosa.
Int J Eat Disord 2000; 28(3):284-92IJ

Abstract

OBJECTIVE

The purpose of this study is to evaluate the accuracy of diet history compared to observed food intake in the nutritional assessment of women with anorexia nervosa (AN) and healthy age-matched controls.

METHOD

One-month diet history was compared to 1-day observed food intake in 30 women with AN and 28 control subjects.

RESULTS

Reported intake by diet history was similar to observed intake for macronutrient composition and fat intake for patients with AN. Reported energy intake was higher than observed intake (1,602 +/- 200 kcal vs. 1,289 +/- 150 kcal, p <.05), but was in agreement with predicted energy expenditure by the Harris-Benedict equation (1,594 +/- 18 kcal, p =.97) in patients with AN. Micronutrient intake by diet history was highly correlated with observed intake in patients with AN. More than one half of the patients with AN failed to meet the recommended dietary allowance (RDA) for vitamin D, calcium, folate, vitamin B12, zinc, magnesium, and copper when assessed by diet history. In contrast to patients with AN, diet history did not correlate with observed intake of energy, macronutrients, or most micronutrients among the controls.

DISCUSSION

Diet history is an accurate tool to assess fat intake and macronutrient composition in patients with AN and demonstrates significant micronutrient deficiencies in this population. The agreement between total energy intake and predicted energy expenditure supports the overall utility of the diet history in the nutritional assessment of patients with AN.

Authors+Show Affiliations

Combined Program in Pediatric Gastroenterology and Nutrition, Massachusetts General Hospital and Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10942914

Citation

Hadigan, C M., et al. "Assessment of Macronutrient and Micronutrient Intake in Women With Anorexia Nervosa." The International Journal of Eating Disorders, vol. 28, no. 3, 2000, pp. 284-92.
Hadigan CM, Anderson EJ, Miller KK, et al. Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. Int J Eat Disord. 2000;28(3):284-92.
Hadigan, C. M., Anderson, E. J., Miller, K. K., Hubbard, J. L., Herzog, D. B., Klibanski, A., & Grinspoon, S. K. (2000). Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. The International Journal of Eating Disorders, 28(3), pp. 284-92.
Hadigan CM, et al. Assessment of Macronutrient and Micronutrient Intake in Women With Anorexia Nervosa. Int J Eat Disord. 2000;28(3):284-92. PubMed PMID: 10942914.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. AU - Hadigan,C M, AU - Anderson,E J, AU - Miller,K K, AU - Hubbard,J L, AU - Herzog,D B, AU - Klibanski,A, AU - Grinspoon,S K, PY - 2000/8/16/pubmed PY - 2000/10/14/medline PY - 2000/8/16/entrez SP - 284 EP - 92 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 28 IS - 3 N2 - OBJECTIVE: The purpose of this study is to evaluate the accuracy of diet history compared to observed food intake in the nutritional assessment of women with anorexia nervosa (AN) and healthy age-matched controls. METHOD: One-month diet history was compared to 1-day observed food intake in 30 women with AN and 28 control subjects. RESULTS: Reported intake by diet history was similar to observed intake for macronutrient composition and fat intake for patients with AN. Reported energy intake was higher than observed intake (1,602 +/- 200 kcal vs. 1,289 +/- 150 kcal, p <.05), but was in agreement with predicted energy expenditure by the Harris-Benedict equation (1,594 +/- 18 kcal, p =.97) in patients with AN. Micronutrient intake by diet history was highly correlated with observed intake in patients with AN. More than one half of the patients with AN failed to meet the recommended dietary allowance (RDA) for vitamin D, calcium, folate, vitamin B12, zinc, magnesium, and copper when assessed by diet history. In contrast to patients with AN, diet history did not correlate with observed intake of energy, macronutrients, or most micronutrients among the controls. DISCUSSION: Diet history is an accurate tool to assess fat intake and macronutrient composition in patients with AN and demonstrates significant micronutrient deficiencies in this population. The agreement between total energy intake and predicted energy expenditure supports the overall utility of the diet history in the nutritional assessment of patients with AN. SN - 0276-3478 UR - https://www.unboundmedicine.com/medline/citation/10942914/full_citation L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0276-3478&amp;date=2000&amp;volume=28&amp;issue=3&amp;spage=284 DB - PRIME DP - Unbound Medicine ER -