A pilot trial with modified Atkins’ diet in adult patients with refractory epilepsy

التفاصيل البيبلوغرافية
العنوان: A pilot trial with modified Atkins’ diet in adult patients with refractory epilepsy
المؤلفون: Isabelle Dewaele, Lutgart Goossens, Vijay M. Thadani, Veerle De Herdt, Robrecht Raedt, Evelien Carrette, Paul Boon, Wytse J. Wadman, Michel Van Zandijcke, Kristl Vonck
المصدر: Clinical Neurology and Neurosurgery. 110:797-803
بيانات النشر: Elsevier BV, 2008.
سنة النشر: 2008
مصطلحات موضوعية: Adult, Blood Glucose, Male, medicine.medical_specialty, Constipation, food.diet, Drug Resistance, Pilot Projects, Urine, Central nervous system disease, Diet, Carbohydrate-Restricted, Electrocardiography, Epilepsy, food, Seizures, Weight loss, Internal medicine, medicine, Humans, Atkins diet, business.industry, Beck Depression Inventory, Electroencephalography, General Medicine, Ketones, Middle Aged, medicine.disease, Lipids, Surgery, Affect, Mood, Anticonvulsants, Female, Neurology (clinical), medicine.symptom, business
الوصف: Objectives: At Ghent University Hospital, the feasibility and efficacy of the modified Atkins’ diet was evaluated in adult patients with refractory epilepsy. The Atkins’ diet restricts carbohydrate intake and was originally designed for weight loss. Patients and methods: During a 6-month trial period, a carbohydrate restriction of 20 g/day was in place. During a 36 h hospital admission, patients were instructed about the diet. Patients underwent clinical neurological testing, EEG, ECG, blood and urine analyses and mood evaluation before and during the trial. Seizure frequency and side effects were recorded in seizure diaries and followed up at monthly clinic visits. Results: Eight patients were included in the study. Three out of eight patients followed the diet for 6 months. One out of three patients showed a >50% seizure reduction, 1/3 > 30%, and 1/3 < 30%. Side effects such as constipation and diarrhoea were mild and occurred mainly during the initial week of the diet. Patients reported improved concentration and well being. This was confirmed by improved scores on the Beck Depression Inventory Scale. Conclusion: This pilot study shows that the modified Atkins’ diet is feasible in an adult population, and that seizure frequency reduction is possible. The results need to be confirmed in larger prospective, controlled studies with comparison groups. © 2008 Elsevier B.V. All rights reserved.
تدمد: 0303-8467
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e4a5f27b8a90e3e4be5dc66bf6f1517
https://doi.org/10.1016/j.clineuro.2008.05.003
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....6e4a5f27b8a90e3e4be5dc66bf6f1517
قاعدة البيانات: OpenAIRE