Ketogenic food pyramid for patients with refractory epilepsy: From theory to clinical practice

ObjectiveTo develop a graphical representation in the form of a food pyramid for a ketogenic diet for dietary treatment in children and adolescents with refractory epilepsy. MethodsThe pyramid was constructed based on: the estimation of energy requirements for different age groups, macronutrient dis...

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Detalhes bibliográficos
Autores: Baldini PRUDENCIO, Mariana, de Azevedo LIMA, Patricia, Pruper de FREITAS, Maria Camila, de Conti CARTOLANO, Flávia, Kawamoto MURAKAMI, Daniela, Teixeira DAMASCENO, Nágila Raquel
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2023
País:Brasil
Recursos:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
Repositório:Revista de Nutrição
Idioma:inglês
OAI Identifier:oai:ojs.periodicos.puc-campinas.edu.br:article/7834
Acesso em linha:https://periodicos.puc-campinas.edu.br/nutricao/article/view/7834
Access Level:Acceso aberto
Palavra-chave:Adolescent
Child
Epilepsy
Food and nutrition education
Ketogenic Diet
Adolescente
Criança
Epilepsia
Educação alimentar e nutricional
Dieta cetogênica
Descrição
Resumo:ObjectiveTo develop a graphical representation in the form of a food pyramid for a ketogenic diet for dietary treatment in children and adolescents with refractory epilepsy. MethodsThe pyramid was constructed based on: the estimation of energy requirements for different age groups, macronutrient distribution, food groups, and the number of servings and respective amounts of food according to the ketogenic diet. Serving sizes were based on the calculation of energy and macronutrient requirements according to age and nutritional status. ResultsThe pyramid was divided into three tiers and 5 food groups (fats, proteins, type 1 vegetables, type 2 vegetables, and fruits). Four portion size lists were defined for the following age groups: 1-3 years, 4-6 years, 7-10 years, and 11-19 years. ConclusionThe ketogenic diet food pyramid can be used as nutritional guidance for patients undergoing this dietary therapy by illustrating the variety of foods that can be eaten during the treatment, optimizing adherence to the treatment, and guaranteeing beneficial effects on seizure control.