Is hospitalization really necessary during the introduction of the ketogenic diet?
Ramos, Ana Maria Figueiredo
Muszkat, Mauro [UNIFESP]
Gabbai, Alberto Alain [UNIFESP]
Is part ofJournal of Child Neurology
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The ketogenic diet is traditionally introduced with an initial period of fasting. This study compares the efficacy and tolerability of the introduction of a prediet (2:1 ratio of fat:protein + carbohydrates) before hospitalization with the aim at reducing the time of same and the period of fasting necessary to reach ketosis. for a minimum period of I year, adverse effects, metabolic profile, and linear growth were prospectively evaluated in 46 children. Twenty-three children received a prediet for a period of 10 days, and in the other 23 children, the ketogenic diet was introduced by hospitalization regimen after a fasting period. the use of the prediet led to a shorter fasting period of a mean 18.3 hours compared with the group without predict, in which the fasting period was 41.3 hours (P =.001). At the end, there was no difference in the adverse effects between the groups. in those submitted to the prediet, a better adaptation to the diet and acceptance to the proposal of introducing the ketogenic diet were observed.
CitationJournal of Child Neurology. Thousand Oaks: Sage Publications Inc, v. 22, n. 1, p. 33-37, 2007.
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