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Published on: November 29, 2013
NORMAL FATTY ACID CONCENTRATIONS IN YOUNG CHILDREN WITH PHENYLKETONURIA (PKU)
Stacey M Lavoie1, Cary O Harding, Melanie B Gillingham
1Department of Pediatrics, Oregon Health & Science University, Portland, Oregon 97239, USA.
Insights
Children with phenylketonuria (PKU) on a restricted diet show lower erythrocyte fatty acids. However, these levels remain adequate, indicating no essential fatty acid deficiency despite dietary changes.
Area of Science:
- Biochemistry
- Pediatrics
- Nutrition Science
Background:
- Phenylketonuria (PKU) requires a phenylalanine-restricted diet.
- Dietary interventions may impact lipid metabolism and fatty acid profiles.
Purpose of the Study:
- To investigate erythrocyte fatty acid concentrations in children with PKU on a phenylalanine-restricted diet.
- To compare these concentrations with those in healthy control children.
Main Methods:
- Measured dietary intake and erythrocyte lipid fatty acid concentrations.
- Included twenty-one children with PKU (=6 years) and twenty-three healthy controls.
Main Results:
- PKU subjects had lower protein and higher polyunsaturated fat intake.
- PKU subjects exhibited lower concentrations of omega-3, omega-6, saturated, and polyunsaturated fatty acids in erythrocyte lipids.
- No PKU subjects showed signs of essential fatty acid deficiency.
Conclusions:
- Despite lower concentrations, erythrocyte fatty acid levels in children with PKU on this diet are adequate.
- The phenylalanine-restricted diet therapy for PKU does not appear to cause essential fatty acid deficiency in this cohort.
Abstract:
The objective of this study was to determine if children with phenylketonuria (PKU) have lower fatty acid concentrations in total erythrocyte lipid due to the phenylalanine restricted diet therapy compared to healthy control subjects. Dietary intake and fatty acid concentrations in total erythrocyte lipid were measured in twenty-one subjects (=6 years of age) with PKU and twenty-three control children. Subjects with PKU had significantly lower protein and significantly higher polyunsaturated fat intake compared to controls. Subjects with PKU had significantly lower concentrations in total erythrocyte lipid of the sum of the omega-3,omega-6, saturated and polyunsaturated fatty acids. Concentrations of fatty acids among subjects with PKU were lower than control subjects but no subject with PKU exhibited any signs or symptoms suggestive of essential fatty acid deficiency, thereby suggesting that subjects with PKU in this cohort have normal and adequate essential fatty acid concentrations in total erythrocyte lipid.
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