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Longitudinal evaluation of estimated calorie and protein intake in patients on ketogenic therapy for seizures
Author(s) -
Len Dylan J,
Allen Hannah J,
Giurcanu Mihai C,
Borum Peggy R
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.lb315
Subject(s) - ketogenic diet , medicine , calorie , medical prescription , dietary reference intake , population , pediatrics , zoology , environmental health , nutrient , psychiatry , epilepsy , biology , chemistry , organic chemistry , pharmacology
Background Ketogenic therapy (KT) is prescribed as a ratio of grams of fat to carbohydrate plus protein. Prescribed Calories (Cals) and protein (Pro) describe total dietary energy recommendations (Recs) and should support each patient's nutritional state. Objectives To compare Cal and Pro intake with prescribed Cal and Pro and with national Recs for healthy children. Methods 24 hour diet records were entered into Nutrition Data System for Research. Cal (kcal/day) and Pro (g/day) intake was determined up to the first year of available data. Cal Recs were calculated from Estimated Energy Requirements for actual height, weight, age, gender, and physical activity. Pro Recs were calculated from DRIs for age and gender. Results Diet records were evaluated for intake as percent of prescribed Cals, Pro, recommended Cals, and DRI for Pro.Intake of Prescribed (%) Intake of Recommended (%)Cal Pro Cal Pro(M=mean, SD=Stdev) Month n M±SD M±SD M±SD M±SD1–3 16 97±8 99±8 95±17 124±22 4–6 15 98±17 99±17 93±15 120±24 7–9 14 96±10 99±10 91±18 119±16 10–12 14 95±5 97±5 87±16 113±14Conclusion When monitored regularly, parameters of diet intake reflect adherence to KT diet prescription, which is altered based on nutritional needs that may differ from those expected for a population of healthy children. Supported in part by the National Institutes of Health (NIH) and National Center for Research Resources (NCRR) CTSA grant 1UL1RR029890