{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T18:28:30Z","timestamp":1784917710793,"version":"3.55.0"},"reference-count":45,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,5,7]],"date-time":"2023-05-07T00:00:00Z","timestamp":1683417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Undernutrition among young women at \u201cCinderella weight\u201d is socially important in Japan. To determine the nutritional status of Cinderella-weight women, we conducted an exploratory cross-sectional study on the health examination results of employees aged 20 to 39 (n = 1457 and 643 for women and men, respectively). The percentage of underweight women was found to be much higher than that of men (16.8% vs. 4.5%, respectively). In underweight women (n = 245), handgrip strength (22.82 \u00b1 5.55 vs. 25.73 \u00b1 5.81 kg, p &lt; 0.001), cholesterol level (177.8 \u00b1 25.2 vs. 194.7 \u00b1 31.2 mg\/dL, p &lt; 0.05), and lymphocyte count (1883 \u00b1 503 vs. 2148 \u00b1 765\/\u03bcL, p &lt; 0.001) were significantly lower than in overweight women (n = 116). Then, the BMI &lt; 17.5 group (n = 44) was referred to the outpatient nutrition evaluation clinic. Lower prealbumin, cholesterol, and lymphocyte levels were also observed in 34%, 59%, and 32% of the patients, respectively. Regarding dietary characteristics, 32% of the underweight women in this study skipped breakfast, and 50% had low dietary diversity scores. Lower total energy intake, carbohydrate and fiber intake, and Ca and Fe intake were also observed in 90% of the patients. Deficiencies in vitamin B1, B12, D, and folate were diagnosed in 4.6%, 25%, 14%, and 98% of the patients, respectively. Thus, young underweight women may be prone to malnutrition.<\/jats:p>","DOI":"10.3390\/nu15092216","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T02:03:31Z","timestamp":1683511411000},"page":"2216","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Young Japanese Underweight Women with \u201cCinderella Weight\u201d Are Prone to Malnutrition, including Vitamin Deficiencies"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9837-6238","authenticated-orcid":false,"given":"Katsumi","family":"Iizuka","sequence":"first","affiliation":[{"name":"Department of Clinical Nutrition, Fujita Health University, Toyoake 470-1192, Japan"},{"name":"Food and Nutrition Service Department, Fujita Health University Hospital, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroko","family":"Sato","sequence":"additional","affiliation":[{"name":"Health Management Center, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuko","family":"Kobae","sequence":"additional","affiliation":[{"name":"Health Management Center, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotone","family":"Yanagi","sequence":"additional","affiliation":[{"name":"Health Management Center, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiko","family":"Yamada","sequence":"additional","affiliation":[{"name":"Health Management Center, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chihiro","family":"Ushiroda","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konomi","family":"Hirano","sequence":"additional","affiliation":[{"name":"Food and Nutrition Service Department, Fujita Health University Hospital, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satomi","family":"Ichimaru","sequence":"additional","affiliation":[{"name":"Food and Nutrition Service Department, Fujita Health University Hospital, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9099-3493","authenticated-orcid":false,"given":"Yusuke","family":"Seino","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Diabetes, Metabolism, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akemi","family":"Ito","sequence":"additional","affiliation":[{"name":"Food and Nutrition Service Department, Fujita Health University Hospital, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0807-199X","authenticated-orcid":false,"given":"Atsushi","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Diabetes, Metabolism, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiichi","family":"Saitoh","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake 470-1192, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Naruse","sequence":"additional","affiliation":[{"name":"Health Management Center, Fujita Health University, Toyoake 470-1192, Japan"},{"name":"Department of Medical Laboratory Science, Fujita Health University Graduate School of Health Sciences, Toyoake 470-1192, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"624","DOI":"10.7861\/clinmedicine.10-6-624","article-title":"Malnutrition: Causes and consequences","volume":"10","author":"Saunders","year":"2010","journal-title":"Clin. 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