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

Author(s)

Mariana Baldini PRUDENCIO ^[1] ; Patricia de Azevedo LIMA ^[2] ; Maria Camila Pruper de FREITAS ^[3] ; Flávia de Conti CARTOLANO ^[4] ; Daniela Kawamoto MURAKAMI ^[5] ; Nágila Raquel Teixeira DAMASCENO ^[6]

Affiliation

^[1] Universidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Nutrição em Saúde Pública - Brasil

^[2] Universidade de São Paulo. Programa de Pós-Graduação em Nutrição Humana Aplicada - Brasil

^[3] Universidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Nutrição em Saúde Pública - Brasil

^[4] Universidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Nutrição em Saúde Pública - Brasil

^[5] Universidade de São Paulo. Faculdade de Medicina. Instituto da Criança - Brasil

^[6] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição - Brasil

• Document type: Journal article
• Source: REVISTA DE NUTRICAO-BRAZILIAN JOURNAL OF NUTRITION; v. 30, n. 1, p. 99-108, 2017-02-00.

Abstract

ABSTRACT Objective: To 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. Methods: The 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. Results: The 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. Conclusion: The 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. (AU)

• FAPESP's process: 12/03775-0 - Impact of a ketogenic diet in the oxidative characteristics, physical and lipid lipoproteins of children with intractable epilepsy
• Grantee: Patricia Azevedo de Lima
• Support Opportunities: Scholarships in Brazil - Master
• FAPESP's process: 12/20789-5 - Study of inadequate intake of macro and micronutrients in children and adolescents in the dietary treatment for refractory epilepsy
• Grantee: Mariana Baldini Prudencio
• Support Opportunities: Scholarships in Brazil - Scientific Initiation