{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T02:50:39Z","timestamp":1775011839190,"version":"3.50.1"},"reference-count":73,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Poznan University of Medical Sciences Doctoral School","award":["502-14-22193490-45055"],"award-info":[{"award-number":["502-14-22193490-45055"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: The present study aimed to evaluate cognitive function and laboratory parameters in adolescent girls with anorexia nervosa (AN) before and after nutritional rehabilitation (NR) compared to healthy female peers (CG). Methods: We evaluated 36 girls with AN at two-time points, during acute malnutrition (AN1) and after NR, in a partially normalized weight status (AN2). We compared their cognitive functions and laboratory parameters to 48 healthy CG subjects. Cognitive function was assessed using a Cognitive Assessment Battery (CAB) assessment, depressive symptom levels were assessed using a Beck Depression Inventory (BDI) assessment, and eating disorders were assessed using an Eating Attitude Test (EAT-26). Results: The AN1 group scored better in total cognition, attention, estimation, and spatial perception than the CG group (p &lt; 0.05), with scores increasing in the AN2 group. Shifting and visual perception values did not differ between the study groups (p = 0.677, p = 0.506, respectively). Laboratory tests showed no significant abnormalities and did not differ significantly between groups (p &gt; 0.05). There was a negative correlation for EAT-26 and CAB in the AN1 group (rho = \u22120.43, p = 0.01), but not for BDI. Conclusions: Cognitive function in adolescent girls with AN was better than CG and correlated with EAT-26 score. These results highlight the high compensatory capacity of the adolescent body to maintain cognitive function despite severe malnutrition. Our results suggest that although normalization of body weight is crucial, other factors can significantly influence improvements in cognitive function. Cognitive deficits and laboratory tests may not be biomarkers of early forms of AN.<\/jats:p>","DOI":"10.3390\/nu16203435","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T11:34:36Z","timestamp":1728560076000},"page":"3435","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cognitive Functions in Adolescent Girls with Anorexia Nervosa during Nutritional Rehabilitation"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7027-5905","authenticated-orcid":false,"given":"Katarzyna","family":"Jowik-Krzemi\u0144ska","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Poznan University of Medical Sciences, 27\/33 Szpitalna St., 61-572 Poznan, Poland"},{"name":"Poznan University of Medical Sciences Doctoral School, 61-701 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dagmara","family":"Dylewska","sequence":"additional","affiliation":[{"name":"Department of Adult Psychiatry, Poznan University of Medical Sciences, 27\/33 Szpitalna St., 61-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5223-0292","authenticated-orcid":false,"given":"Aleksandra","family":"Pawli\u0144ska-Ma\u0107kowiak","sequence":"additional","affiliation":[{"name":"Department of Adult Psychiatry, Poznan University of Medical Sciences, 27\/33 Szpitalna St., 61-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"S\u0142opie\u0144","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Poznan University of Medical Sciences, 27\/33 Szpitalna St., 61-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0141-4593","authenticated-orcid":false,"given":"Marta","family":"Tyszkiewicz-Nwafor","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Poznan University of Medical Sciences, 27\/33 Szpitalna St., 61-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e026691","DOI":"10.1136\/bmjopen-2018-026691","article-title":"Epidemiology of eating disorders in primary care in children and young people: A Clinical Practice Research Datalink study in England","volume":"9","author":"Wood","year":"2019","journal-title":"BMJ Open"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e027339","DOI":"10.1136\/bmjopen-2018-027339","article-title":"Incidence of anorexia nervosa in young people in the UK and Ireland: A national surveillance study","volume":"9","author":"Petkova","year":"2019","journal-title":"BMJ Open"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1002\/eat.22949","article-title":"Time trends in healthcare-detected incidence of anorexia nervosa and bulimia nervosa in the Norwegian National Patient Register (2010\u20132016)","volume":"51","author":"Reas","year":"2018","journal-title":"Int. J. Eat. Disord."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e2137395","DOI":"10.1001\/jamanetworkopen.2021.37395","article-title":"Trends in the Incidence of New-Onset Anorexia Nervosa and Atypical Anorexia Nervosa Among Youth During the COVID-19 Pandemic in Canada","volume":"4","author":"Agostino","year":"2021","journal-title":"JAMA Netw. Open"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/eat.23704","article-title":"The impact of the COVID-19 pandemic on eating disorders: A systematic review","volume":"56","author":"Devoe","year":"2023","journal-title":"Int. J. Eat. Disord."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/0141076815617651","article-title":"Trends in hospital admission rates for anorexia nervosa in Oxford (1968\u20132011) and England (1990\u20132011): Database studies","volume":"109","author":"Holland","year":"2016","journal-title":"J. R. Soc. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.4088\/JCP.09m05176blu","article-title":"Time trends in age at onset of anorexia nervosa and bulimia nervosa","volume":"70","author":"Favaro","year":"2009","journal-title":"J. Clin. Psychiatry"},{"key":"ref_8","unstructured":"(2024, March 18). GBE\u2014Gesundheitsberichterstattung des Bundes. Available online: https:\/\/www.gbe-bund.de\/gbe\/."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1002\/eat.22955","article-title":"Eating disorders-Related hospitalizations in Portugal: A nationwide study from 2000 to 2014","volume":"51","author":"Cruz","year":"2018","journal-title":"Int. J. Eat. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.copsyc.2015.09.005","article-title":"Social Media and Body Image Concerns: Current Research and Future Directions","volume":"9","author":"Fardouly","year":"2016","journal-title":"Curr. Opin. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.jadohealth.2016.02.012","article-title":"#Proana: Pro-Eating Disorder Socialization on Twitter","volume":"58","author":"Lee","year":"2016","journal-title":"J. Adolesc. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"106586","DOI":"10.1016\/j.appet.2023.106586","article-title":"Perfectionism and eating disorders in children and adolescents: A systematic review and meta-analysis","volume":"187","author":"Bills","year":"2023","journal-title":"Appetite"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"3293","DOI":"10.1007\/s00787-024-02492-w","article-title":"Mental health provision for children affected by war and armed conflicts","volume":"33","author":"Vostanis","year":"2024","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_14","first-page":"45","article-title":"Le Use of Telehealth in the Management of Adolescent Eating Disorders: Patient Perspectives and Future Directions Suggested from the COVID-19 Pandemic","volume":"13","author":"Gorrell","year":"2022","journal-title":"Adolesc. Health. Med. Ther."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Muth, L., Leven, K.H., Moll, G., Kratz, O., and Horndasch, S. (2022). Effects of the COVID-19 Restrictions on Eating Behaviour and Eating Disorder Symptomology in Female Adolescents. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19148480"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1080\/10640266.2019.1656470","article-title":"Cognitive rigidity and heightened attention to detail occur transdiagnostically in adolescents with eating disorders","volume":"29","author":"Wang","year":"2021","journal-title":"Eat. Disord."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e68","DOI":"10.1192\/j.eurpsy.2022.2327","article-title":"Is decision-making impairment an endophenotype of anorexia nervosa?","volume":"65","author":"Versini","year":"2022","journal-title":"Eur. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1002\/eat.22929","article-title":"A systematic review of reviews of neurocognitive functioning in eating disorders: The state-of-the-literature and future directions","volume":"51","author":"Smith","year":"2018","journal-title":"Int. J. Eat. Disord."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Lang, K., Roberts, M., Harrison, A., Lopez, C., Goddard, E., Khondoker, M., Treasure, J., and Tchanturia, K. (2016). Central Coherence in Eating Disorders: A Synthesis of Studies Using the Rey Osterrieth Complex Figure Test. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0165467"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Fuglset, T.S. (2021). Is set-shifting and central coherence in anorexia nervosa influenced by body mass index, anxiety or depression? A systematic review. BMC Psychiatry, 21.","DOI":"10.1186\/s12888-021-03120-6"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1002\/erv.2172","article-title":"Cognitive Set-Shifting in Anorexia Nervosa","volume":"20","author":"Shott","year":"2012","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/eat.22283","article-title":"Neuropsychological function in patients with anorexia nervosa or bulimia nervosa","volume":"48","author":"Weider","year":"2015","journal-title":"Int. J. Eat. Disord."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"102830","DOI":"10.1016\/j.nicl.2021.102830","article-title":"Cognitive impairment and depression: Meta-analysis of structural magnetic resonance imaging studies","volume":"32","author":"Nikolova","year":"2021","journal-title":"NeuroImage Clin."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Publishing.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/j.1742-9552.2011.00034.x","article-title":"Comorbid depression and anxiety in childhood and adolescent anorexia nervosa: Prevalence and implications for outcome","volume":"16","author":"Hughes","year":"2012","journal-title":"Clin. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1007\/s40519-019-00686-9","article-title":"Early changes in depression predict outcomes of inpatient adolescent anorexia nervosa","volume":"25","author":"Kahn","year":"2020","journal-title":"Eat. Weight Disord."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Samson, K.L.I., Fischer, J.A.J., and Roche, M.L. (2022). Iron Status, Anemia, and Iron Interventions and Their Associations with Cognitive and Academic Performance in Adolescents: A Systematic Review. Nutrients, 14.","DOI":"10.3390\/nu14010224"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"309","DOI":"10.12740\/PP\/112470","article-title":"Cognitive functions and thyroid hormones secretion disorders","volume":"55","author":"Przybylak","year":"2021","journal-title":"Psychiatr. Pol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e2020037135","DOI":"10.1542\/peds.2020-037135","article-title":"Higher-Calorie Refeeding in Anorexia Nervosa: 1-Year Outcomes from a Randomized Controlled Trial","volume":"147","author":"Golden","year":"2021","journal-title":"Pediatrics"},{"key":"ref_30","unstructured":"Weir, C.B., and Jan, A. (2024). BMI Classification Percentile and Cut Off Points. StatPearls [Internet], StatPearls Publishing."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Nahler, G. (2009). Lorentz-formula. Dictionary of Pharmaceutical Medicine, Springer.","DOI":"10.1007\/978-3-211-89836-9"},{"key":"ref_32","unstructured":"(2024, March 02). Researchers Assessment Batteries Reliability and Validity Description of CogniFit Assessment Batteries. CogniFit Assessment Battery CogniFit \u00a9 2022. Available online: https:\/\/static.cognifit.com\/customersupport\/Validation+for+Researchers.pdf."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"54","DOI":"10.12740\/APP\/63647","article-title":"Analysis of the EAT-26 in a non-clinical sample","volume":"18","author":"Rogoza","year":"2016","journal-title":"Arch. Psychiatry Psychother."},{"key":"ref_34","unstructured":"(2024, September 30). (PDF) Charakterystyka Psychometryczna Polskiej Adaptacji Kwestionariusza Depresji BDI-II Aarona T. Becka (Psychometric Properties of the Polish Version of the Aaron T. Beck\u2019s Depression Inventory BDI-II). Available online: https:\/\/www.researchgate.net\/publication\/269107443_Charakterystyka_psychometryczna_polskiej_adaptacji_Kwestionariusza_Depresji_BDI-II_Aarona_T_Becka_Psychometric_Properties_of_the_Polish_Version_of_the_Aaron_T_Beck\u2019s_Depression_Inventory_BDI-II."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1002\/eat.20483","article-title":"Eating problems, body image disturbances, and academic achievement: Preliminary evaluation of the eating and body image disturbances academic interference scale","volume":"41","author":"Yanover","year":"2008","journal-title":"Int. J. Eat. Disord."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1002\/erv.2260","article-title":"Intellectual function in patients with anorexia nervosa and bulimia nervosa","volume":"22","author":"Weider","year":"2014","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jaac.2015.09.021","article-title":"School Achievement and Risk of Eating Disorders in a Swedish National Cohort","volume":"55","author":"Sundquist","year":"2016","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1002\/eat.22146","article-title":"We are family\u2014Parents, siblings, and eating disorders in a prospective total-population study of 250,000 Swedish males and females","volume":"46","author":"Chiesa","year":"2013","journal-title":"Int. J. Eat. Disord."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1093\/aje\/kwp166","article-title":"Association of higher parental and grandparental education and higher school grades with risk of hospitalization for eating disorders in females","volume":"170","author":"Silverwood","year":"2009","journal-title":"Am. J. Epidemiol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1744-859X-9-40","article-title":"Estimated intelligence quotient in anorexia nervosa: A systematic review and meta-analysis of the literature","volume":"9","author":"Lopez","year":"2010","journal-title":"Ann. Gen. Psychiatry"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/eat.20310","article-title":"Relationships between perfectionism and specific disordered eating behaviors","volume":"40","author":"Forbush","year":"2007","journal-title":"Int. J. Eat. Disord."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1017\/S0033291710001121","article-title":"Memory performance in acute and weight-restored anorexia nervosa patients","volume":"41","author":"Nikendei","year":"2011","journal-title":"Psychol. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/erv.2496","article-title":"Meaningful Memory in Acute Anorexia Nervosa Patients-Comparing Recall, Learning, and Recognition of Semantically Related and Semantically Unrelated Word Stimuli","volume":"25","author":"Terhoeven","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1002\/erv.2523","article-title":"Intolerance of Uncertainty in Eating Disorders: A Systematic Review and Meta-Analysis","volume":"25","author":"Brown","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.psychres.2017.06.073","article-title":"Proactive and reactive inhibitory control in eating disorders","volume":"255","author":"Bartholdy","year":"2017","journal-title":"Psychiatry Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.adolescence.2019.08.008","article-title":"The development of inhibitory control in adolescence and prospective relations with delinquency","volume":"76","author":"Fosco","year":"2019","journal-title":"J. Adolesc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1080\/87565641.2020.1730376","article-title":"Comparison of Intentional Inhibition and Reactive Inhibition in Adolescents and Adults: An ERP Study","volume":"45","author":"Shen","year":"2020","journal-title":"Dev. Neuropsychol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e2235","DOI":"10.1002\/brb3.2235","article-title":"Attenuated neuronal and autonomic responses during error processing in anorexia nervosa","volume":"11","author":"Suttkus","year":"2021","journal-title":"Brain Behav."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Tenconi, E., Collantoni, E., Meregalli, V., Bonello, E., Zanetti, T., Veronese, A., Meneguzzo, P., and Favaro, A. (2021). Clinical and Cognitive Functioning Changes After Partial Hospitalization in Patients with Anorexia Nervosa. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.653506"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Guardia, D., Carey, A., Cottencin, O., Thomas, P., and Luyat, M. (2013). Disruption of Spatial Task Performance in Anorexia Nervosa. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0054928"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"108158","DOI":"10.1016\/j.neuropsychologia.2022.108158","article-title":"Self-perception in anorexia nervosa: When the body becomes an object","volume":"166","author":"Federica","year":"2022","journal-title":"Neuropsychologia"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s40337-021-00392-x","article-title":"Are poor set-shifting and central coherence associated with everyday function in anorexia nervosa? A systematic review","volume":"9","author":"Dann","year":"2021","journal-title":"J. Eat. Disord."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1002\/eat.22235","article-title":"Set shifting in children and adolescents with anorexia nervosa: An exploratory systematic review and meta-analysis","volume":"47","author":"Lang","year":"2014","journal-title":"Int. J. Eat. Disord."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"3365","DOI":"10.1017\/S0033291714000294","article-title":"Set-shifting ability across the spectrum of eating disorders and in overweight and obesity: A systematic review and meta-analysis","volume":"44","author":"Wu","year":"2014","journal-title":"Psychol. Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1016\/j.neubiorev.2017.08.011","article-title":"Anorexia nervosa and bulimia nervosa: A meta-analysis of executive functioning","volume":"83","author":"Hirst","year":"2017","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Brooks, S.J. (2016). A debate on working memory and cognitive control: Can we learn about the treatment of substance use disorders from the neural correlates of anorexia nervosa?. BMC Psychiatry, 16.","DOI":"10.1186\/s12888-016-0714-z"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.concog.2012.02.006","article-title":"Subliminal food images compromise superior working memory performance in women with restricting anorexia nervosa","volume":"21","author":"Brooks","year":"2012","journal-title":"Conscious. Cogn."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.pscychresns.2015.01.022","article-title":"n-back task performance and corresponding brain-activation patterns in women with restrictive and bulimic eating-disorder variants: Preliminary findings","volume":"232","author":"Israel","year":"2015","journal-title":"Psychiatry Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1017\/S146114570100270X","article-title":"Basal activity of the HPA axis and cognitive function in anorexia nervosa","volume":"5","author":"Seed","year":"2002","journal-title":"Int. J. Neuropsychopharmacol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.eurpsy.2013.05.003","article-title":"Functional MRI investigation of verbal working memory in adults with anorexia nervosa","volume":"29","author":"Giampietro","year":"2014","journal-title":"Eur. Psychiatry"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1038\/ejcn.2016.115","article-title":"Hematological complications in anorexia nervosa","volume":"70","author":"Marra","year":"2016","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_62","first-page":"1081","article-title":"Anemia in Anorexia Nervosa: The Best Way to Deal with it\u2014An Overview of Literature","volume":"4","author":"Mamou","year":"2016","journal-title":"J. Hum. Nutr. Food Sci."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1002\/eat.20610","article-title":"The hematology of anorexia nervosa","volume":"42","author":"Ganepola","year":"2009","journal-title":"Int. J. Eat. Disord."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1002\/eat.22830","article-title":"Medical findings in 1026 consecutive adult inpatient-residential eating disordered patients","volume":"51","author":"Mehler","year":"2018","journal-title":"Int. J. Eat. Disord."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s40337-020-00303-6","article-title":"Extreme anorexia nervosa: Medical findings, outcomes, and inferences from a retrospective cohort","volume":"8","author":"Gibson","year":"2020","journal-title":"J. Eat. Disord."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Matsunaga, H., Riku, K., Shimizu, K., and Fujimi, S. (2024). Severe hypoglycemia with reduced liver volume as an indicator of end-stage malnutrition in patients with anorexia nervosa: A retrospective observational study. J. Eat. Disord., 12.","DOI":"10.1186\/s40337-024-01011-1"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1159\/000262540","article-title":"Neuroendocrine Consequences of Anorexia Nervosa in Adolescents","volume":"17","author":"Misra","year":"2010","journal-title":"Endocr. Dev."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"2575","DOI":"10.1210\/jc.2011-0243","article-title":"Bioavailability of vitamin D in malnourished adolescents with anorexia nervosa","volume":"96","author":"DiVasta","year":"2011","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Tasegian, A., Curcio, F., Dalla Ragione, L., Rossetti, F., Cataldi, S., Codini, M., Ambesi-Impiombato, F.S., Beccari, T., and Albi, E. (2016). Hypovitaminosis D3, Leukopenia, and Human Serotonin Transporter Polymorphism in Anorexia Nervosa and Bulimia Nervosa. Mediators Inflamm.","DOI":"10.1155\/2016\/8046479"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1007\/s00394-020-02176-6","article-title":"Effect of vitamin D deficiency on depressive symptoms in child and adolescent psychiatric patients: Results of a randomized controlled trial","volume":"59","author":"Libuda","year":"2020","journal-title":"Eur. J. Nutr."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"F\u00f6cker, M., Timmesfeld, N., B\u00fchlmeier, J., Zwanziger, D., F\u00fchrer, D., Grasemann, C., Ehrlich, S., Egberts, K., Fleischhaker, C., and Wewetzer, C. (2021). Vitamin d level trajectories of adolescent patients with anorexia nervosa at inpatient admission, during treatment, and at one year follow up: Association with depressive symptoms. Nutrients, 13.","DOI":"10.3390\/nu13072356"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Hemmingsen, S.D., Lichtenstein, M.B., Hussain, A.A., Sj\u00f6gren, J.M., and St\u00f8ving, R.K. (2020). Case report: Cognitive performance in an extreme case of anorexia nervosa with a body mass index of 7.7. BMC Psychiatry, 20.","DOI":"10.1186\/s12888-020-02701-1"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1159\/000527555","article-title":"Personality Disorder in Adolescent Patients with Anorexia Nervosa","volume":"56","author":"Laczkovics","year":"2023","journal-title":"Psychopathology"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/20\/3435\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:10:42Z","timestamp":1760112642000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/20\/3435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,10]]},"references-count":73,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["nu16203435"],"URL":"https:\/\/doi.org\/10.3390\/nu16203435","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,10]]}}}