The Influence of Ketogenic Diet on Liver Function in Children and Adolescents with Intractable Epilepsy

Journal of Comprehensive Pediatrics

ARTICLE

Rezaei, Shahabeddin¹  Kavoosi, Mona¹  Shervin Badv, Reza³  Mohammadi, Mahmoud³  Zamani, Gholam Reza³  Ashrafi, Mahmoud Reza³  Yekaninejad, Mir Saeed⁴  Mahmoudi, Maryam¹ 

[1] Department of Cellular Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences;Students’ Scientific Research Center, Tehran University of Medical Sciences;Paediatrics Centre of Excellence, Department of Paediatric Neurology, Children’s Medical Centre, Tehran University of Medical Sciences;Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences (TUMS);Pediatric Gastroenterology and Hepatology Research Center, Children’s Medical Center, Tehran University of Medical Sciences;Universal Scientific Education and Research Network (USERN)

关键词: Adolescent;    Epilepsy;    Child;    Ketogenic Diet;    Aspartate Aminotransferase;    Alkaline Phosphatase;    Alanine Aminotransferase;   

DOI  :  10.5812/compreped.12609

来源: Kowsarmedical

【 摘 要 】

Background: High-fat content and carbohydrate restriction of the ketogenic diet (KD) increases the workload of some organs, especially the liver. Moreover, most of the antiepileptic drugs (AEDs) are metabolized in the liver; therefore, the function of the liver could be influenced during the treatment with KD. This study was undertaken to investigate the influence of the ketogenic diet on liver function. Methods: A prospective, open-label study was carried out. A total of 28 patients with intractable epilepsy initiated the diet. All patients were children and adolescents who did not respond to at least 2 AEDs. Liver function tests including Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), and alkaline phosphatase (ALP) were analyzed before and after 3 months on the KD. Results: Fourteen patients with the median age of 4.12 (2.31 - 9.70) years completed the study. The serum levels of ALP and AST did not differ significantly before and after 3 months on the diet (P value > 0.05). There was a significant difference in the serum level of ALT before and after 3 months of treatment (13 vrs 20, P = 0.014). Conclusions: Albeit, it seems that KD did not have any influence on the serum levels of AST and ALP; however, it had a significant effect on the serum level of ALT. More investigations with a larger sample size and longer follow-up duration are needed to approve abovementioned results.

【 授权许可】

Unknown