{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T11:00:01Z","timestamp":1758970801418,"version":"3.40.5"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,12,30]],"date-time":"2018-12-30T00:00:00Z","timestamp":1546128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Foundation of Growth Science, Japan","award":["02014dsgn","02015dsgn"],"award-info":[{"award-number":["02014dsgn","02015dsgn"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The number of adolescent patients with anorexia nervosa is increasing. In addition, an increase in pre\u2010adolescent patients with premenarchal onset has also been recognized. Detection of the disease in childhood and adolescence, however, is not always easy because the symptoms are not characteristic during this period. This study was performed to investigate detection of anorexia nervosa in children\/adolescents by comparing energy and nutrient intake between patients with anorexia nervosa and healthy thin persons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The subjects consisted of 13 girls aged 14.4 \u00b1 3.5\u00a0years with anorexia nervosa and 320 healthy girls aged 12.4 \u00b1 1.3\u00a0years. Dietary intake was evaluated using a validated diet history questionnaire designed for children\/adolescents. Daily energy and nutrient intake were expressed as a percentage of the age\u2010 and sex\u2010matched reference amount.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Healthy lean (body mass index [<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>], &lt;50th percentile) girls with an above\u2010average score for desiring thinness had higher fat and lower cereal intake, and a trend of lower carbohydrate intake. In contrast, patients with anorexia nervosa, compared with thin (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> &lt;5th percentile) girls, characteristically had significantly lower energy, fat, zinc, vitamin C, and confectionery intake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Lean girls with an above\u2010average desire for thinness appear to restrict their energy intake by reducing their intake of carbohydrates such as cereals while maintaining a relatively high fat intake. In contrast, girls with anorexia nervosa avoided fat and had a preference for vegetables. This characteristic eating pattern could be a useful clue for detection of anorexia nervosa in thin children and adolescents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.13730","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T07:39:27Z","timestamp":1541576367000},"page":"73-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Childhood dietary intake: Comparison between anorexia nervosa and healthy leanness"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8204-7870","authenticated-orcid":false,"given":"Shunsuke","family":"Kanayama","sequence":"first","affiliation":[{"name":"School of Health Sciences Tottori University Yonago Japan"},{"name":"Division of Health Sciences Graduate School of Medical Sciences Tottori University Yonago Japan"},{"name":"Department of Nursing The University of Shimane Izumo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chieko","family":"Sakai","sequence":"additional","affiliation":[{"name":"School of Health Sciences Tottori University Yonago Japan"},{"name":"Division of Health Sciences Graduate School of Medical Sciences Tottori University Yonago Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruka","family":"Aoto","sequence":"additional","affiliation":[{"name":"School of Health Sciences Tottori University Yonago Japan"},{"name":"Division of Health Sciences Graduate School of Medical Sciences Tottori University Yonago Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuri","family":"Endo","sequence":"additional","affiliation":[{"name":"School of Health Sciences Tottori University Yonago Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Minamimae","sequence":"additional","affiliation":[{"name":"School of Health Sciences Tottori University Yonago Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Katayama","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Tsuyama Chuo Hospital Kawasaki, Tsuyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun\u2010ichi","family":"Nagaishi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Tottori Municipal Hospital Matoba, Tottori Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8737-9214","authenticated-orcid":false,"given":"Keiichi","family":"Hanaki","sequence":"additional","affiliation":[{"name":"School of Health Sciences Tottori University Yonago Japan"},{"name":"Division of Health Sciences Graduate School of Medical Sciences Tottori University Yonago Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.05.018"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0141076815617651"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20316"},{"key":"e_1_2_8_6_1","unstructured":"Japanese Society of School Health Japan. 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