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Dietary calcium in galactosaemia
Patricia J Rutherford1, D C Davidson, S M Matthai
1Alder Hey, Royal Liverpool Children's NHS Trust, Eaton Road, Liverpool L12 2AP, UK.
Galactosaemia patients often have low calcium intake despite special formulas. Regular dietary assessment and lactose-free calcium supplements are recommended to ensure adequate nutrient intake for these patients.
Area of Science:
- Biochemistry
- Nutrition Science
- Pediatrics
Background:
- Galactosaemia requires a strict milk-free diet, impacting nutrient intake.
- Specialized infant formulas and calcium-supplemented milk alternatives are used to manage dietary restrictions.
Purpose of the Study:
- To assess the calcium and phosphorous intake in galactosaemic patients.
- To determine the adequacy of nutrient intake in relation to reference nutrient intake (RNI) guidelines.
Main Methods:
- Dietary assessment of 19 galactosaemic patients.
- Analysis of calcium and phosphorous intake from various food sources, including specialized formulas and milk alternatives.
Main Results:
- Only 26% of patients met the RNI for calcium, despite using soya-based formulas or calcium-supplemented milk.
- All patients exceeded 100% of the RNI for phosphorous.
- The milk-free diet poses a significant risk for inadequate calcium intake.
Conclusions:
- Regular dietary assessments are crucial for galactosaemic patients to monitor calcium levels.
- Lactose-free calcium supplements should be considered when dietary intake is insufficient.
- Proactive nutritional management is essential to prevent calcium deficiency in this patient group.
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