探索治疗药物耐药性的经典饮食的儿童的生理β-基酸盐水平
Xiaoying Qiao1, Zimeng Ye2, Jialun Wen1
1Department of Neurology, Shenzhen Children's Hospital, Shenzhen, 518038, Guangdong, China.
性饮食 (KD) 迅速增加β-基酸盐 (BHB) 水平,在第二天左右达到峰值,并在一周内稳定下来. 对于有效的KD治疗,建议较低的BHB参考范围为1.1 mmol/L.
科学领域:
- 神经学 神经学
- 代谢障碍 代谢障碍 代谢障碍
- 营养科学 营养科学
背景情况:
- 性饮食 (KD) 是对抗药性的主要治疗方法.
- β-基酸盐 (BHB) 是KD过程中产生的关键.
- 了解BHB水平模式和建立参考范围对于KD治疗至关重要.
研究的目的:
- 在KD启动后的前三个月评估BHB水平.
- 为了确定BHB.HB的生理参考范围.
- 探索BHB水平与发作减少之间的关系.
主要方法:
- 大多数患者 (84%) 使用了禁食启动策略.
- 在第一周和1个月和3个月内,每天多次测量血液BHB度.
- 发作频率被记录下来,响应者被定义为那些发作减少≥50%的人.
主要成果:
- BHB水平迅速增加,在19小时达到2.0 mmol/L,并在43小时达到4.2 mmol/L的峰值.
- BHB水平稳定了三个月,参考范围为1.1至4.9毫摩尔/升.
- 该研究确定了有效的KD治疗的下基准限值为1.1 mmol/L.
结论:
- 在禁食开始后,BHB水平迅速上升,在第二天达到峰值.
- 从第一个星期到三个月,BHB水平稳定.
- 建议BHB的下一个参考限值为1.1 mmol/L,以获得最佳的食疗效.
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