Ketogenic food pyramid for patients with refractory epilepsy: From theory to clinical practice/Piramide alimentar cetogenica para pacientes com epilepsia refrataria: da teoria a pratica clinica

• Published in: Revista de nutrição 2017-01, Vol.30 (1), p.99
• Main Authors: Prudencio, Mariana Baldini, de Azevedo Lima, Patricia, de Freitas, Maria Camila Pruper, de Conti Cartolano, Flavia, Murakami, Daniela Kawamoto, Damasceno, Nagila Raquel Teixeira
• Format: Article
• Language: Portuguese
• ISSN: 1415-5273
• DOI: 10.1590/1678-98652017000100010

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. 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. 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. 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. Desenvolver uma representacao grafica sob a forma de piramide alimentar para a dieta cetogenica destinada a criancas e adolescentes com indicacao de tratamento dietetico da epilepsia refrataria. A piramide foi dividida em tres estratos e em cinco grupos alimentares (gorduras, proteinas, hortalicas tipo 1, hortalicas tipo 2 e frutas). Foram elaboradas quatro listas de porcionamento para as seguintes faixas etarias 1 a 3 anos, 4 a 6 anos, 7 a 10 anos e 11 a 19 anos.