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Diet quality of adolescents with eating disorders

  • Alexis Santiago , Jacqueline Zimmerman , Ronald Feinstein und Martin Fisher EMAIL logo
Veröffentlicht/Copyright: 15. September 2017

Abstract

Purpose

To compare the nutritional intake of adolescents with eating disorders (EDs) to recommended Daily Values of macronutrients and micronutrients, using the Nutrition Data Systems for Research (NDSR); to determine if nutritional content varied among the different sub-types of EDs; and to use the Healthy Eating Index 2010 (HEI-2010) as a measurement of diet quality in this population.

Methods

Forty-six adolescents referred to an ED Program were recruited for inclusion in this study. A detailed 24-h dietary recall from each participant was obtained and a detailed nutritional analysis was generated, allowing for calculation of the HEI-2010. Descriptive statistics were calculated to determine baseline characteristics of the study population and to determine associations and differences between ED subtypes.

Results

Average daily caloric intake was below recommended values in the study population. Despite this, the distribution of macronutrients was within the ranges recommended for older children and adolescents by the Dietary Guidelines for Americans, 2010. Micronutrient content varied considerably. The study population had a mean HEI-2010 score of 60.1, falling within the “needs improvement” category. A majority of the participants had insufficient caloric intake for the HEI to be applicable.

Conclusion

Results suggest that adolescents with EDs have a surprisingly normal distribution of macronutrient intake. Although using a diet quality assessment tool such as the HEI-2010 has been helpful in analyzing overall diet quality in the general population, the restrictive caloric intake which characterizes the ED population prevents the utility of such a guide for most patients with EDs.

References

[1] Golden NH, Katzman DK, Sawyer SM, Ornstein RM, Rome ES, Garber AK, et al. Position Paper of the Society for Adolescent Health and Medicine: medical management of restrictive eating disorders in adolescents and young adults. J Adolesc Health. 2015;56:121–5.10.1016/j.jadohealth.2014.10.259Suche in Google Scholar

[2] Mayer LE, Schebendach J, Bodell LP, Shingleton BM, Walsh BT. Eating behavior in anorexia nervosa: before and after treatment. Int J Eat Disord. 2011;45:290–3.10.1002/eat.20924Suche in Google Scholar

[3] Hetherington MM, Altemus M, Nelson ML, Bernat AS, Gold PW. Eating behavior in bulimia nervosa: multiple meal analyses. AM J Clin Nutr. 1994;60:864–73.10.1093/ajcn/60.6.864Suche in Google Scholar

[4] American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. (DSM-5). Arlington VA: American Psychiatric Association, 2013.10.1176/appi.books.9780890425596Suche in Google Scholar

[5] Mustelin L, Lentokari VL, Keski-Rankonen A. Other specified and unspecified feeding or eating disorders among women in the community. Int J Eat Disord. 2016;49:1010–7.10.1002/eat.22586Suche in Google Scholar

[6] Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, et al. Update on the Healthy Eating Index: HEI-2010. J Acad Nutri Diet. 2013;113:569–80.10.1016/j.jand.2012.12.016Suche in Google Scholar

[7] Feskanich D, Rockett HR, Colditz GA. Modifying the Healthy Eating Index to Assess diet quality in children and adolescents. J Am Diet Assoc. 2004;104:1375–83.10.1016/j.jada.2004.06.020Suche in Google Scholar

[8] Raper N, Perloff B, Ingewersen L, Steinfeldt L, Anand J. An overview of USDA’s dietary intake data system. J Food Comp Anal. 2004;17:545–55.10.1016/j.jfca.2004.02.013Suche in Google Scholar

[9] Nutrition Coordinating Center (NCC). Website, Features of NDSR Available at http://www.ncc.umn.edu/products/features/. Accessed December 28, 2016.Suche in Google Scholar

[10] Feskanich D, Sielaff B, Chong K, Buzzard IM. Computerized collection and analysis of dietary intake information. Comput Methods Programs Biomed. 1989;30:47–57.10.1016/0169-2607(89)90122-3Suche in Google Scholar

[11] Britten P, Cleveland LE, Koegel KL, Kuczynski KJ, Nickols-Richardson SM. Updated US Department of Agriculture Food Patterns meet goals of the 2010 Dietary Guidelines. J Acad Nutri Diet. 2012;112:1648–55.10.1016/j.jand.2012.05.021Suche in Google Scholar PubMed

[12] Regents of The University Of Minnesota. Guide to Creating Variables Needed to Calculate Scores for Each Component of the Healthy Eating Index-2010 (HEI-2010) Available at: http://www.ncc.umn.edu/ncc-news/ncc-news-fall-2014/#firstarticle. Accessed on 26 September, 2014.Suche in Google Scholar

[13] US Department of Agriculture. Dietary Guidelines for Americans. 2010. Available at: http://www.dietaryguidelines.gov. Accessed on 24 August, 2017.Suche in Google Scholar

[14] Aparicio E, Canals J, Perez S, Arija V. Dietary intake and nutritional risk in Mediterranean adolescents in relation to severity of the eating disorder. Public Health Nutr. 2014;18:1461–73.10.1017/S1368980014002043Suche in Google Scholar

[15] Raatz S, Jahns L, Johnson L, Crosby R, Mitchell J, Crow S, et al. Nutritional adequacy of dietary intake in women with anorexia nervosa. Nutrients. 2015;7:3652–65.10.3390/nu7053652Suche in Google Scholar

[16] Hadigan C, Anderson E, Miller K, Hubbard J, Herzog D, Klibanski A, et al. Assessment of macronutritent and micronutrient intake in women with anorexia nervosa. Int J Eat Disord. 2000;28:284–92.10.1002/1098-108X(200011)28:3<284::AID-EAT5>3.0.CO;2-GSuche in Google Scholar

[17] Tek N, Yildiran H, Akbulut G, Bilici S, Koksal E, Karadag MG, et al. Evaluation of dietary quality of adolescents using Healthy Eating Index. Nutr Res Pract. 2011;5:322–8.10.4162/nrp.2011.5.4.322Suche in Google Scholar

[18] Goodwin D, Knol L, Eddy J, Fitzhugh E, Kendrick O, Donohue R. Sociodemographic correlates of overall quality of dietary intake of US adolescents. Nutrition Res. 2006;26:105–10.10.1016/j.nutres.2006.02.004Suche in Google Scholar

[19] Hudson J, Hiripi E, Pope H, Kessler R. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61:348–58.10.1016/j.biopsych.2006.03.040Suche in Google Scholar

Received: 2017-02-21
Accepted: 2017-05-26
Published Online: 2017-09-15

©2019 Walter de Gruyter GmbH, Berlin/Boston

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