Which Criterion Is Not Required for a Diagnosis of Anorexia

Which criterion is not required for a diagnosis of anorexia nervosa? ​

A) refusal to maintain body weight at or above a minimal normal weight for age and height
B) intense fear of gaining weight or becoming fat, even though underweight
C) undue influence of body weight or shape on self-evaluation
D) recurrent inappropriate compensatory behavior in order to prevent weight gain
E) distorted body image that overestimates body fatness