{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:59:36Z","timestamp":1792612776186,"version":"4.5.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100011594","name":"Penn State College of Medicine","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011594","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Avoidant\/restrictive food intake disorder (ARFID) and anorexia nervosa (AN) are characterized by restrictive eating and micronutrient deficiencies. While zinc deficiency has been identified in AN, zinc level in ARFID has not been systematically assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Examine serum zinc levels and their association with eating pathology, psychopathology, and executive functioning in youth with ARFID and AN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study included 28 adolescents (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u2009=\u200913, 75% female) receiving treatment for ARFID (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200913) and AN (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200915). Demographic data and intake mood metrics were obtained via chart review. Participants completed the Delis\u2013Kaplan Executive Functioning Systems and their mothers completed the behavior rating inventory of executive function (BRIEF-2). Zinc level was collected via blood draw. Independent samples\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, Pearson's chi-square, and Pearson's correlations were used to evaluate between-group differences and the relationship between zinc level and clinical correlates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No between-groups differences emerged in zinc levels, though half the sample demonstrated low levels for their ages. No significant correlations were found between zinc level and demographic data, mood measures, or executive functioning tasks. AN had relatively lower zinc levels, higher eating pathology, and anxiety, though ARFID had a longer duration of illness. Correlations between zinc and BRIEF-2 scores were mixed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first study to systematically assess zinc levels in ARFID. While there were no group differences for zinc levels, 50% of the sample had low zinc levels. Zinc level did not correlate with higher psychopathology. Monitoring zinc levels throughout treatment in the context of anabolic processes can inform treatment strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02601060231191658","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T02:53:02Z","timestamp":1690512782000},"page":"653-661","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Serum zinc levels in youth with avoidant\/restrictive food intake disorder and anorexia nervosa: Clinical correlation with weight and psychopathology"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8295-1242","authenticated-orcid":false,"given":"Fauzia","family":"Mahr","sequence":"first","affiliation":[{"name":"Penn State College of Medicine"},{"name":"Penn State College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marley G","family":"Billman Miller","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlana A","family":"Quaill","sequence":"additional","affiliation":[{"name":"Department of Psychology, Barry University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheryl A","family":"Ryan","sequence":"additional","affiliation":[{"name":"Penn State College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.04.008"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03327573"},{"key":"e_1_3_2_4_1","volume-title":"Structural equation modeling with AMOS: Basic concepts, applications, and programming","author":"Byrne BM","year":"2010","unstructured":"Byrne BM (2010) Structural equation modeling with AMOS: Basic concepts, applications, and programming. 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