Evidence map›Paper›PMID 39940418›Full record

Observational studyNutrients2025

Dynamic Nutrition Strategies for Anorexia Nervosa: Marker-Based Integration of Calories and Proteins.

Eugenia Dozio, Martina Alonge, Gianluca Tori, Andrea Caumo, Rina Giuseppa Russo, Edoardo Scuttari, Leonardo Fringuelli, Ileana Terruzzi

Abstract readObservational Study
In one paragraph

Observational study in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eugenia DozioVilla Miralago, Center for the Treatment of Eating Disorders, Cuasso al Monte, 21050 Varese, VA, Italy.
Martina AlongeBiology Applied to the Sciences of Nutrition, Università degli Studi di Milano, 20133 Milano, MI, Italy.ORCID 0009-0000-0295-5343
Gianluca ToriAlkemy S.p.A., 20124 Milano, MI, Italy.
Andrea CaumoDepartment of Biomedical Sciences for Health, Università degli Studi di Milano, 20133 Milano, MI, Italy.
Rina Giuseppa RussoVilla Miralago, Center for the Treatment of Eating Disorders, Cuasso al Monte, 21050 Varese, VA, Italy.
Edoardo ScuttariVilla Miralago, Center for the Treatment of Eating Disorders, Cuasso al Monte, 21050 Varese, VA, Italy.
Leonardo FringuelliVilla Miralago, Center for the Treatment of Eating Disorders, Cuasso al Monte, 21050 Varese, VA, Italy.
Ileana TerruzziVilla Miralago, Center for the Treatment of Eating Disorders, Cuasso al Monte, 21050 Varese, VA, Italy.ORCID 0000-0002-8663-4033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAnorexia nervosa (AN) is a severe psychiatric disorder characterized by profound nutritional deficits and significant alterations in body composition, cellular integrity, and hydration. Nutritional rehabilitation is critical not only for weight restoration but also for improving body composition and metabolic functions. However, optimal strategies for integrating caloric and protein intake to achieve balanced recovery remain underexplored. This study aims to evaluate the interactions between caloric/protein intake and time on quantitative (weight and BMI) and qualitative (body composition and cellular health) outcomes, and to identify markers that predict recovery trajectories and guide personalized nutritional interventions.

methodsThis retrospective observational study analyzed 79 patients with AN admitted to Villa Miralago for six months of nutritional rehabilitation. Anthropometric and body composition parameters-including body weight (BW), body mass index (BMI), fat mass (FM), fat-free mass (FFM), body cell mass (BCM), phase angle (PA), and hydration markers (TBW and ECW)-were assessed at baseline (T0), 3 months (T1), and 6 months (T2). Generalized Estimating Equations (GEEs) were used to evaluate the effects of caloric and protein intake over time.

resultsSignificant increases in BW (+6.54 kg,

conclusionsThis study highlights the importance of a dynamic, marker-based approach to nutritional rehabilitation in AN. Integrating caloric and protein intake with advanced body composition and hydration markers enables personalized interventions and balanced recovery, shifting AN treatment toward a focus on qualitative improvements overweight restoration alone.

Indexed as

Anorexia NervosaDietary ProteinsEnergy IntakeNutrition TherapyAdolescentAdultBiomarkersBody CompositionBody Mass IndexBody WeightFemaleHumansMaleNutritional StatusRetrospective StudiesYoung AdultBiomarkersDietary Proteinsanorexia nervosabody cell massbody compositioncaloric intakefat-free massfat masshydration statusmarkersnutritional strategiesphase angleprotein intake

Identifiers

PMID39940418
PMCPMC11820861

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.