Prospective Study of Comparison Between the Modified Atkins Diet and Classic Ketogenic Diet for Intractable Childhood Epilepsy
24. februar 2015 opdateret af: Yonsei University
The Ketogenic diet is a now proven, evidence based treatment of refractory epilepsy.
the classic ketogenic diet (KD) is based on a ratio of fat to carbohydrate and protein, usually 3:1 or 4:1.
Fat is proven long-chain triglycerides.
The efficacy of the KD has been proven by many multicenter trials.
But, side effects of ketogenic diet therapy is severe.
The modified atkins diet (MAD) was designed and investigated at Johns Hopkins Hospital, which aimed to propose a less restrictive dietary treatment that would be more palatable to children and adolescents with less side effects.
The MAD consist of a nearly balance diet (60% fat, 30% protein, and 10% carbohydrates by weight), without any restriction on the recommended daily calories.
Some literature suggested that the MAD is an effective treatment for refractory epilepsy.
But, no randomised controlled study has been tried.
the investigators aimed in this prospective study to evaluate the efficacy, safety and tolerability of MAD comparing to KD.
The patients were recruited between age 3 to 18 years old with intractable epilepsy.
Enrolled patients were randomly assigned to either one of two groups; the KD group and MAD group.
The patients were required to attend outpatient clinic after 1, 3month to record their seizure frequency and severity, while their dietary treatment.
Studieoversigt
Status
Afsluttet
Betingelser
Undersøgelsestype
Observationel
Tilmelding (Faktiske)
104
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
Seodaemun-gu
-
Seoul, Seodaemun-gu, Korea, Republikken
- Severance Hospital
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
1 år til 18 år (Barn, Voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Sandsynlighedsprøve
Studiebefolkning
the patients were recriuted from the Pediatric Neurology Outpatient Clinic, Severance Children's Hospital.
This study conducted on 104 (Ketogenic diet - 51, Atkin's diet - 53) patients diagnosed with intractable epilepsy which shows frequency with more than 1 per week, 4 per month even though at least more than 2 antiepileptic drug treatment.
Beskrivelse
Inclusion Criteria:
- Age ranged from 1 to 18 year old patients diagnosed with intractable epilepsy which shows frequency with more than 1 per week, 4 per month even though at least more than 2 antiepileptic drug treatment.
Exclusion Criteria
- Patients heve been tried KD or MAD before.
- Patients with renal stones, hyperlipidemia, cardiologic problems.
- Other conditions not adjust for dietary therapy.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
|---|
|
Atkins diet group
pediatric patients diagnosed with intractable epilepsy.
Their ages ranged between 1 to 18 years amd indicated to dietary therapy.
the targeting number of patients was 53.
enrolled patients are assigned to randomly in one of KD group or Atkins group.
|
|
Ketogenic diet group
pediatric patients diagnosed with intractable epilepsy.
Their ages ranged between 1 to 18 years amd indicated to dietary therapy.
the targeting number of patients was 51. enrolled patients are assigned to randomly in one of KD group or Atkins group.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
seizure outcome 3months after dietary therapy.
Tidsramme: 3 months
|
1 and 3 month after dietary therapy, enrolled patients were required to visit outpatient clinic to record their seizure frequency.
we compile statistics and compare seizure frequencies before and after dietary treatment in each KD group and MAD group.
|
3 months
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Hoon-Chul Kang, MD, Severance Children's Hospital, Yonsei University college of medicine.
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. marts 2011
Primær færdiggørelse (Faktiske)
1. marts 2013
Studieafslutning (Faktiske)
1. marts 2013
Datoer for studieregistrering
Først indsendt
26. marts 2014
Først indsendt, der opfyldte QC-kriterier
31. marts 2014
Først opslået (Skøn)
1. april 2014
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
25. februar 2015
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
24. februar 2015
Sidst verificeret
1. februar 2015
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 4-2011-0003
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