Tags

Type your tag names separated by a space and hit enter

Assessment of macronutrient and micronutrient intake in women with anorexia nervosa.

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.

Links

  • Publisher Full Text
  • 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.

    , , , , ,

    Source

    MeSH

    Adolescent
    Adult
    Anorexia Nervosa
    Feeding Behavior
    Female
    Humans
    Nutrition Assessment
    Nutritional Requirements
    Trace Elements

    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 -