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Nutrients
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Advances in Eating Disorders in Children and Adolescents
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Advances in Eating Disorders in Children and Adolescents

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Pediatric Nutrition".

Deadline for manuscript submissions: 5 July 2025 | Viewed by 3465

Special Issue Editors

Dr. Eva Conceicao

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Guest Editor
Faculty of Psychology and Education Sciences, Department of Psychology, Center for Psychology at University of Porto, University of Porto, 4200-135 Porto, Portugal
Interests: eating disorders; clinical health psychology; psychological assessment; DSM; psychotherapeutic processes; psychopathology; clinical assessment; behavioral psychology; clinical psychology treatment
Dr. Sofia Marques Ramalho

E-Mail Website
Guest Editor
The Psychology for Development Research Center (CIPD), Lusíada University—Porto, 4100-348 Porto, Portugal
Interests: pediatric psychology; childhood obesity; eating problems in childhood and adolescence; eating behavior disorders
Dr. Ana Rita Vaz

E-Mail Website
Guest Editor
Faculty of Medicine, University of Lisbon, 1648-028 Lisboa, Portugal
Interests: eating disorders; treatment; psychotherapeutic processes; therapeutic outcomes

Special Issue Information

Dear Colleagues,

Adolescence is a crucial period for eating disorder (ED) development. These serious conditions are linked to depression, low self-esteem, medical complications such as electrolyte imbalances and bone density loss, and increased mortality rates. Importantly, adolescent EDs predict not only adult obesity but also impaired cognitive development, fertility issues, and an increased risk of substance abuse. EDs manifest across a weight and psychopathology spectrum, ranging from the low-weight presentation of anorexia nervosa to sub-threshold presentations (e.g., grazing) in obesity.

With a decade of experience using the DSM-5 criteria, which introduced avoidant/restrictive food intake disorder (ARFID) and binge eating disorder (BED) into the diagnostic framework, a growing body of research has enhanced our understanding of these disorders in adolescents. This Special Issue aims to explore the clinical features, assessment strategies, and intervention approaches for the diverse spectrum of eating disorders in adolescents. By focusing on the range of weight categories and the varied psychopathological profiles of EDs, this Special Issue seeks to provide a comprehensive overview of our current knowledge and highlight innovative practices in the management and treatment of adolescent EDs.

Dr. Eva Conceicao
Dr. Sofia Marques Ramalho
Dr. Ana Rita Vaz
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • adolescence
  • eating disorder (ED)
  • depression
  • obesity
  • avoidant/restrictive food intake disorder (ARFID)
  • binge eating disorder (BED)

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Published Papers (3 papers)

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Research

13 pages, 696 KiB  
Article
Translation and Adaptation of the SCOFF Questionnaire to the Greek Language (G-SCOFF) Using a Tertiary-Setting Adolescent Sample
by Eleni G. Paschalidou, Athina Markopoulou, Maria G. Grammatikopoulou, Aristea Gioxari, Alexandra Foscolou, Eirini Karagiannopoulou, Tonia Vassilakou, Dimitrios G. Goulis, Kyriaki Tsiroukidou and Efstratia Daskalou
Nutrients 2025, 17(2), 347; https://doi.org/10.3390/nu17020347 - 19 Jan 2025
Viewed by 544
Abstract
Background/Objectives: Feeding and eating disorders (FEDs) constitute an important mental health problem today, especially among youngsters. The Sick, Control, One, Fat, Food (SCOFF) questionnaire was developed 25 years ago and remains the most frequently applied screening tool for FEDs among adults and youngsters. [...] Read more.
Background/Objectives: Feeding and eating disorders (FEDs) constitute an important mental health problem today, especially among youngsters. The Sick, Control, One, Fat, Food (SCOFF) questionnaire was developed 25 years ago and remains the most frequently applied screening tool for FEDs among adults and youngsters. The aim of the present study was to translate and adapt the SCOFF questionnaire to the Greek language, using a tertiary-setting adolescent sample. Methods: A total of 167 adolescents (86 boys, 81 girls) admitted to the pediatric outpatient clinics of the Georgios Gennimatas and Hippokration General hospitals completed the SCOFF questionnaire. Anthropometric indices were measured and dietary intake was recorded. Results: A total of 74 adolescents (44.3% of the sample) were classified as engaging in disordered eating behaviors and as possible patients with FEDs based on the SCOFF questionnaire. No differences were noted in the dietary intake between adolescents who screened positive and those who screened negative for FEDs. The body mass index z-score and obesity status were greater among children screening positive for FEDs compared to those screening negative (p < 0.01). One patient who was later diagnosed with anorexia nervosa was detected as a possible FED case by the questionnaire. Conclusions: The present study revealed that more than two out of five adolescents attending a pediatric clinic exhibited disordered eating behavior. The use of the G-SCOFF questionnaire is feasible and effective for FED triage in the Greek tertiary pediatric setting. Full article
(This article belongs to the Special Issue Advances in Eating Disorders in Children and Adolescents)
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14 pages, 589 KiB  
Article
A Risk Score to Identify Low Bone Mineral Density for Age in Young Patients with Anorexia Nervosa
by Laurent Maimoun, Helena Huguet, Eric Renard, Patrick Lefebvre, Maude Seneque, Laura Gaspari, Vincent Boudousq, Lisa Maimoun Nande, Philippe Courtet, Charles Sultan, Denis Mariano-Goulart, Marie-Christine Picot and Sebastien Guillaume
Nutrients 2025, 17(1), 161; https://doi.org/10.3390/nu17010161 - 31 Dec 2024
Viewed by 835
Abstract
Objective: Developing a scoring assessment tools for the determination of low bone mass for age at lumbar spine and hip in patients with anorexia nervosa (AN). Methods: The areal bone mineral density (aBMD) was determined with dual-energy X-ray absorptiometry (DXA). In 331 women [...] Read more.
Objective: Developing a scoring assessment tools for the determination of low bone mass for age at lumbar spine and hip in patients with anorexia nervosa (AN). Methods: The areal bone mineral density (aBMD) was determined with dual-energy X-ray absorptiometry (DXA). In 331 women with AN and 121 controls, aged from 14.5 to 34.9 years, univariate and multivariate logistic regression analyses were performed to address the association of Z-score aBMD evaluated at lumbar spine and hip with several parameters. Results: For the lumbar spine and hip, the three risk factors significantly and independently associated with Z-score aBMD were age of patients (variable in class ≥20 year vs. <20 year), minimal disease-related BMI (continuous variable), and duration of amenorrhea without contraceptive use (variable in class ≥18 months vs. <18 months), with close values for the odds ratio for the two bone sites. A simple risk score equation was developed and tested combining only these three parameters. The AUC’s measuring the score’s performance were, respectively, 0.85 [95% CI: 0.79–0.90] with a sensitivity of 83% and specificity of 71%, and 0.82 [95% CI: 0.76–0.86] with a sensitivity of 92% and specificity of 55% to detect low aBMD in lumbar spine and hip. The cut-off values for low bone mass for age were 0.9 and 1.33 for the two bone sites. The prediction model revealed that a minimum of 83% of the patients presenting low bone mass for age were correctly identified. Conclusions: the study presents for the first time a risk score for diagnosing low bone mass for age in young patients with AN. Considering its excellent sensitivity, and its ease of use, requiring only three parameters that are well identified in this disease, this new score may be useful in clinical settings when DXA scans are not feasible. Full article
(This article belongs to the Special Issue Advances in Eating Disorders in Children and Adolescents)
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11 pages, 253 KiB  
Article
Negative Aspects of Dietary Habits in Children and Adolescents with Autism Spectrum Disorders
by Martina Grot, Agnieszka Białek-Dratwa, Karolina Krupa-Kotara, Mateusz Grajek, Maciej Nigowski, Elżbieta Szczepańska and Oskar Kowalski
Nutrients 2024, 16(18), 3059; https://doi.org/10.3390/nu16183059 - 11 Sep 2024
Viewed by 1678
Abstract
Background/Objectives: Diet therapy is a key component of a holistic approach to the physiological and psychological health of children with autism spectrum disorders. A personalized diet, tailored to clinical symptoms, yields positive therapeutic effects. The aim of this study was to assess the [...] Read more.
Background/Objectives: Diet therapy is a key component of a holistic approach to the physiological and psychological health of children with autism spectrum disorders. A personalized diet, tailored to clinical symptoms, yields positive therapeutic effects. The aim of this study was to assess the intake of specific food groups and the dietary methods used among children and adolescents with autism. Methods: This study included 141 patients from neuropediatric centers diagnosed with autism spectrum disorders. Inclusion criteria were parental consent for the study, age of the child, and autism diagnosis. The research tool was a custom questionnaire covering patients’ demographic data, type of disorder, and a qualitative analysis of the dietary habits of selected products. Results: The predominant dietary models were the basic diet (n = 26; 72.22%) and the elimination diet (n = 9; 25%), with a higher application rate among children with autism spectrum disorders. Aversion to specific foods/products was more prevalent in children with autism (n = 79; 75.24%) compared to those with other neurodevelopmental disorders (n = 10; 27.78%). Snacking between meals was significantly more common among the overall neuropediatric patient group (n = 140; 99.29%), with fruit purees (n = 33; 23.57%) and fruits (n = 28; 20%) being the most frequently consumed snacks. Conclusions: The qualitative analysis of dietary habits revealed selective food aversions and eating disorders due to a narrow range of frequently consumed products within dietary groups. Full article
(This article belongs to the Special Issue Advances in Eating Disorders in Children and Adolescents)
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