Elevated polyunsaturated fatty acids in blood serum obtained from children on the ketogenic diet

被引:125
作者
Fraser, DD
Whiting, S
Andrew, RD
Macdonald, EA
Musa-Veloso, K
Cunnane, SC
机构
[1] Childrens Hosp Eastern Ontario, Dept Paediat, Div Crit Care Med, Ottawa, ON K1H 8L2, Canada
[2] Queens Univ, Dept Anat & Cell Biol, Kingston, ON, Canada
[3] Canadian Paediat Epilepsy Network, Clin Trials Grp, Kingston, ON, Canada
[4] Queens Univ, Dept Paediat, Kingston, ON, Canada
[5] Univ Toronto, Dept Nutr Sci, Toronto, ON, Canada
关键词
D O I
10.1212/01.WNL.0000049974.74242.C6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors analyzed blood metabolites in nine children with epilepsy prior to starting the ketogenic diet (KD) and 3 to 4 weeks after KD therapy. Elevated p-hydroxybutyrate and cortisol levels were observed in all children on the KD. Free fatty acids increased 2.2-fold on the KD, with significant elevations in most polyunsaturated fatty acids (PUFA; arachidonate increased 1.6- to 2.9-fold and docosahexaenoate increased 1.5- to 4.0-fold). The rise in total serum arachidonate correlated with improved seizure control. Elevated PUFA may represent a key anticonvulsant mechanism of the KD.
引用
收藏
页码:1026 / 1029
页数:4
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