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A Diet High in Processed Foods, Total Carbohydrates and Added Sugars, and Low in Vegetables and Protein Is Characteristic of Youth with Avoidant/Restrictive Food Intake Disorder.

  • Harshman SG Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Wons O Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Rogers MS Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Izquierdo AM Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Holmes TM Translational and Clinical Research Center, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Pulumo RL Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Asanza E Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Eddy KT Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Misra M Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Micali N Département universitaire de psychiatrie, Université de Genève, 1211 Genève, Switzerland.
  • Lawson EA Neuroendocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Thomas JJ Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA. jjthomas@mgh.harvard.edu.
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  • 2019-08-30
Published in:
  • Nutrients. - 2019
ARFID
avoidant/restrictive food intake disorder
dietary intake
dietary recall
nutritional insufficiency
Adolescent
Adolescent Behavior
Age Factors
Avoidant Restrictive Food Intake Disorder
Child
Child Behavior
Diet, Protein-Restricted
Dietary Proteins
Dietary Sugars
Fast Foods
Feeding Behavior
Female
Humans
Male
Nutritive Value
Recommended Dietary Allowances
Risk Assessment
Risk Factors
Vegetables
Young Adult
English Avoidant/restrictive food intake disorder (ARFID) is characterized in part by limited dietary variety, but dietary characteristics of this disorder have not yet been systematically studied. Our objective was to examine dietary intake defined by diet variety, macronutrient intake, and micronutrient intake in children and adolescents with full or subthreshold ARFID in comparison to healthy controls. We collected and analyzed four-day food record data for 52 participants with full or subthreshold ARFID, and 52 healthy controls, aged 9-22 years. We examined frequency of commonly reported foods by logistic regression and intake by food groups, macronutrients, and micronutrients between groups with repeated-measures ANOVA. Participants with full or subthreshold ARFID did not report any fruit or vegetable category in their top five most commonly reported food categories, whereas these food groups occupied three of the top five groups for healthy controls. Vegetable and protein intake were significantly lower in full or subthreshold ARFID compared to healthy controls. Intakes of added sugars and total carbohydrates were significantly higher in full or subthreshold ARFID compared to healthy controls. Individuals with full or subthreshold ARFID had lower intake of vitamins K and B12, consistent with limited vegetable and protein intake compared to healthy controls. Our results support the need for diet diversification as part of therapeutic interventions for ARFID to reduce risk for nutrient insufficiencies and related complications.
Language
  • English
Open access status
gold
Identifiers
Persistent URL
https://sonar.ch/global/documents/46903
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