医学营养学和营养保健品的同义词:控制癫痫发作的生酮饮食

S. Scrivens
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引用次数: 1

摘要

这篇综述构成了医学营养和营养保健品的代名词系列的一部分。生酮饮食(KD)是一种用于控制难治性癫痫发作的治疗性饮食,其原理是通过高脂肪饮食、有限的蛋白质和最少的碳水化合物(CHO)来产生酮类,作为身体的主要能量来源,而不是葡萄糖。在KD治疗3个月和6年以上的患者中,癫痫发作频率分别降低了31%至86%,>90%。短期和长期的副作用包括脱水、肾结石和生长受限,接受KD治疗>6年的儿童中有82%的身高和体重低于第10百分位。必须权衡KD的副作用与通过减少癫痫发作而获得的生活质量方面的益处。
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Eponyms in medical nutrition and nutraceuticals: The Ketogenic diet for seizure control
This review forms part of a series on Eponyms in Medical Nutrition and Nutraceuticals. The Ketogenic Diet (KD), a therapeutic diet for seizure control in intractable epilepsy, works on the principle of producing ketones as the body's main energy source as opposed to glucose by means of a high fat diet with limited protein and minimal carbohydrate (CHO). A >90% reduction in seizure frequency ranging from 31% to 86% has been recorded in patients following the KD for 3 months and >6 years respectively. Short- and long-term side effects include dehydration, kidney stones, and restricted growth with 82% of children following the KD for >6 years being under the 10 th centile for height and weight. Side effects of the KD must be weighed up against benefits in terms of quality of life gained through reduction in seizures.
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