{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T18:00:36Z","timestamp":1759341636537},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2003,2,25]],"date-time":"2003-02-25T00:00:00Z","timestamp":1046131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2003,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nutritional recovery in anorexia nervosa (AN) is associated with improved exercise tolerance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We describe the investigation of a male with AN. Despite nutritional recovery, he complained of impaired exercise tolerance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Respiratory muscle weakness was demonstrated as the cause of the impaired exercise tolerance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Weakness of the muscles of respiration results from prolonged malnutrition. The diaphragmatic muscle may be slower to recover than other muscles. This can cause impaired exercise tolerance due to shortness of breath on exertion, despite nutritional recovery. \u00a9 2003 by Wiley Periodicals, Inc. 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Laird","family":"Birmingham","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne O.","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,2,25]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1982.52.1.64"},{"key":"e_1_2_1_3_1","first-page":"5","article-title":"Respiratory muscle strength and maximal voluntary ventilation in undernourished patients","volume":"126","author":"Arora N.S.","year":"1982","journal-title":"American Review of Respiratory Disease"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19740060"},{"key":"e_1_2_1_5_1","first-page":"33","article-title":"Inspiratory muscle strength and body composition in patients receiving total parental nutrition therapy","volume":"130","author":"Kelly S.M.","year":"1984","journal-title":"American Review of Respiratory Disease"},{"key":"e_1_2_1_6_1","doi-asserted-by":"crossref","unstructured":"Lands L. 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