患有基尿症的患者的无氨酸婴儿配方:一项回顾性研究
Ozlem Yilmaz Nas1,2,3, Catherine Ashmore1, Sharon Evans1
1Birmingham Children's Hospital, Birmingham B4 6NH, UK.
Nutrients
|July 27, 2024
概括
没有氨的婴儿配方 (PFIF) 在患有基尿症的儿童中显示出正常生长,但长期使用可能导致超重. 建议在两岁之前停止使用PFIF,以获得更好的养模式.
科学领域:
- 代谢障碍 代谢障碍 代谢障碍
- 儿童营养学 儿童营养学
- 基尿症的管理
背景情况:
- 无氨酸婴儿配方 (PFIF) 在基尿症 (PKU) 的长期疗效尚未得到充分研究.
- PFIF是一种关键的蛋白质替代品,用于治疗婴儿PKU.
研究的目的:
- 评估PFIF在患有PKU的儿童的长期疗效和使用情况.
- 评估代谢控制,生长,饮食摄入量和与PFIF使用相关的症状.
- 了解孩子们对PFIF的经验.
主要方法:
- 追溯,纵向研究设计.
- 包括25名患有PKU的儿童 (平均年龄3.6岁).
- 在24个月内收集有关代谢控制,生长,饮食,症状和PFIF接受的数据.
主要成果:
- 儿童在24个月内保持了正常生长和令人满意的代谢控制.
- 大多数儿童 (64%) 在24个月后停止PFIF;36%继续.
- 持续使用PFIF与更高的能量/脂肪摄入量和BMIz分数 (p <0.05) 相关.
- 便秘 (44%) 和最初接受问题 (20%) 随着年龄的增长而有所改善.
结论:
- 在学龄前儿童中长期使用PFIF可能会导致营养不良和超重.
- 建议包括在12个月前用断奶替代品取代大多数PFIF蛋白.
- 建议在2岁之前停止使用PFIF,以优化养模式.
相关概念视频
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Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
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