Ketogenic ratio, calories, and fluids: do they matter?
Ketogenic ratio, calories, and fluids: do they matter?
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生酮比例、卡路里和液体：它们重要吗？
DOI：
10.1111/j.1528-1167.2008.01825.x
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发表时间：
2008
期刊：
影响因子：
5.6
通讯作者：
Wirrell,ElaineC
中科院分区：
文献类型：
--
作者：
Wirrell,ElaineC
生酮饮食（KD）传统上使用特定的生酮比例，有限的卡路里和液体开始。最近的研究表明，低生酮比饮食通常与高生酮比饮食一样有效，并且导致更少的不良反应。在动物中，限制卡路里摄入是抗惊厥的。然而，在儿童中，热量限制的必要性不太明确，但避免过量的热量可能会提高饮食的功效。没有证据表明液体限制是KD的必要组成部分。考虑到肾结石的风险较高，应鼓励摄入足够的液体。
The ketogenic diet (KD) traditionally was initiated using specified ketogenic ratios, limited calories, and fluids. Recent work has shown that lower ketogenic ratio diets are frequently as efficacious as higher ones and result in fewer adverse effects. In animals, calorie restriction is anticonvulsant. In children, however, the need for calorie restriction is less clear, but avoidance of excessive calories may improve efficacy of the diet. There is no evidence that fluid restriction is a necessary component of the KD. Given the higher risk of nephrolithiasis, adequate fluid intake should be encouraged.