一个跨部分研究的蛋白质替代儿科芬基尿症饮食:时间来注意注意
Albina Tummolo1, Rosa Carella1, Donatella De Giovanni1
1Department of Metabolic Diseases and Clinical Genetics, Giovanni XXIII Children Hospital, Azienda Ospedaliero-Universitaria Consorziale, 70126 Bari, Italy.
Nutrients
|June 13, 2025
概括
基尿症 (PKU) 的蛋白质替代品 (PSs) 通常超过推的微量营养素水平,在产品和年龄组之间存在显著的变化. 胆在许多配方中显著缺失,需要仔细考虑饮食.
科学领域:
- 营养科学 营养科学
- 代谢障碍 代谢障碍 代谢障碍
- 儿童营养学 儿童营养学
背景情况:
- 蛋白质替代品 (PSs) 对于管理经典性尿症 (PKU) 是必不可少的,提供蛋白质和微量营养素.
- 最近PS的进步改善了氨基酸的输送和配方的多样性,但微量营养素含量需要评估.
- 在儿科PKU管理中使用的PS的微量营养素概况受到有限的关注.
研究的目的:
- 分析意大利为儿科PKU患者提供PS配方的微量营养素成分.
- 为了比较PSs的微量营养素贡献与不同年龄组的推饮食补贴 (RDAs).
- 评估PS产品和年龄段之间微量营养素补充剂的变化.
主要方法:
- 对儿科PKU患者的63个PSS分析了28种微量营养素.
- 根据RDA年龄范围分组PS:0-6个月,6-12个月,1-3年,3-8年,8-14年.
- 每10克蛋白质等效 (PE) 的标准化微量营养素含量.
主要成果:
- 与所有年龄组的RDA相比,许多微量营养素被过度补充,特别是婴儿 (0-6个月) 的维生素K,和.
- 1-3岁的年龄组对大多数微量营养素的补充水平最低.
- 在PS中观察到补充剂的高变化,特别是在老年人群中对生物素和铜的高变化. 胆经常没有补充.
结论:
- 当前的PS通常会提供过多的某些微量营养素,产品间和年龄间的差异很大.
- 观察到的变化和潜在的过量补充需要仔细考虑规定的PS量,以避免微量营养素失衡.
- 评估每天的微量营养素总摄入量,考虑到PS的数量,对于最佳的PKU饮食管理至关重要.
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