RT Journal Article T1 Physical fitness and nutritional status in female adolescents with anorexia nervosa A1 Maria Martinez-Sanchez, Sofia A1 Eugenio Martinez-Garcia, Tomas A1 Munguia-Izquierdo, Diego K1 Anorexia Nervosa K1 Exercise test K1 Female adolescents K1 Muscle strength K1 Nutritional status K1 Body-mass index K1 Handgrip strength K1 Eating-disorders K1 Grip strength K1 Children K1 Health K1 Weight K1 Predictor K1 Validity K1 Association AB ObjectiveThis study aimed to determine whether physical fitness is related to nutritional status in a sample of female adolescents with anorexia nervosa, to contrast the nourished and undernourished patients, and to compare the physical fitness in these patients with normative data of healthy subjects stratified by age and gender.MethodsNutritional status was determined using the body mass index Z-score, fat mass, fat-free mass (bioelectrical impedance analysis), and the Controlling Nutritional Status score in 15 anorexic adolescents with 14.3 +/- 1.6 years. Physical fitness was assessed using the ALPHA-Fitness Battery (handgrip strength, standing broad jump, 4x10m shuttle run, and 20m shuttle run tests).ResultsHandgrip strength was significantly associated with all variables of nutritional status, except with the three blood components of the Controlling Nutritional Status score. The undernourished anorexic patients showed significantly worse physical fitness than the nourished anorexic patients in all tests, except in the standing broad jump and the 4x10m shuttle run tests. The physical fitness tests of the female anorexic adolescents showed scores significantly worse than those of the normative European female adolescent population.ConclusionThe observation of female adolescents with anorexia nervosa showed associations between higher physical fitness levels and better nutritional statuses. Handgrip strength and 20m shuttle run tests may be options of additional indicators of undernutrition in anorexic female adolescents. The undernourished anorexic patients showed worse physical fitness than the nourished ones. According to normative data for healthy sex- and agematched adolescents, physical fitness is severely impaired in anorexic female adolescents. PB Pontificia universidade catolica campinas SN 1415-5273 YR 2020 FD 2020-01-01 LK https://hdl.handle.net/10668/26542 UL https://hdl.handle.net/10668/26542 LA en DS RISalud RD Apr 17, 2025