{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:45:49Z","timestamp":1787658349928,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,8,18]],"date-time":"2014-08-18T00:00:00Z","timestamp":1408320000000},"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":[[2015,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Previous studies assessing vitamin D status in adolescents with eating disorders showed inconsistent results. The aim of the current study was to assess vitamin D status in a large cohort of adolescent inpatients with eating disorders and its relation to bone mineral density (BMD) and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>25\u2010Hydroxyvitamin D (25OHD), calcium, phosphorus, and alkaline phosphatase levels as well as BMD and depression were assessed on admission in 87 inpatients (aged 16\u2009\u00b1\u20092 years, females\u2009=\u200981) with eating disorders [anorexia nervosa (AN)\u2009=\u200964; bulimia nervosa (BN)\u2009=\u20095; eating disorders not otherwise specified\u2010binge\/purge type (EDNOS\u2010B\/P)\u2009=\u200918].<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean 25OHD levels were 24.1\u2009\u00b1\u20097.5 ng\/ml (25.0\u2009\u00b1\u20097.6, 25.4\u2009\u00b1\u20099.9, and 22.0\u2009\u00b1\u20099.9 ng\/ml in patients with AB, BN, and EDNOS\u2010B\/P, respectively). Vitamin D deficiency (&lt;15 ng\/ml) was found in 7.8% of the patients, and insufficiency (15\u201320 ng\/ml) in 22.2%. Only 16.7% had levels &gt;32 ng\/ml, considered optimal by some experts. No associations were found between 25OHD levels and BMD or comorbid depression. 25OHD levels during winter were significantly lower than summer levels (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Mean lumbar spine BMD z\u2010score in patients with AN and EDNOS\u2010B\/P type was low (\u22121.5\u2009\u00b1\u20091.1) and correlated with body mass index standard deviation score (<jats:italic>p<\/jats:italic>\u2009=\u2009.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Adolescents with eating disorders show a high prevalence of vitamin D deficiency and insufficiency. Given the risk of osteoporosis in this population, 25OHD levels found in this group may not offer optimal bone protection. Vitamin D levels should be routinely checked and supplementation should be administered as required. \u00a9 2014 Wiley Periodicals, Inc. 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