Keto Diet Complications

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Questions and Answers

What is the primary concern for individuals emerging from inborn errors of metabolism when adopting a diet?

Avoiding worsening loss of strength (correct)

Reducing hunger and inconvenience

Increasing financial assistance

Managing dropout rates

What makes comparing dropout rates among trials challenging?

Inconvenience and hunger

Variations in diagnoses and features measured (correct)

Cost and inefficiency

Different weight loss goals

Which of the following may contribute to patient attrition in diet treatments?

Gallstones and bad breath

Financial assistance and exogenous ketones

Inconvenience, hunger, general body weakness, and high costs (correct)

Counseling and social support

What may facilitate long-term maintenance of a diet, according to researchers?

Counseling, social support, financial assistance, and exogenous ketones Signup and view all the answers

What is the proposed application of personal fingerstick blood tests?

Determining when to experiment with more carbohydrates for tolerance Signup and view all the answers

What is the primary goal in trials mentioned in the content?

Measuring different diagnoses or features Signup and view all the answers

What is a concern regarding bone health in children on a ketogenic diet?

Increased urinary calcium excretion Signup and view all the answers

What is a potential complication of a ketogenic diet in the absence of impulsive weight loss?

Hyperlipidemia Signup and view all the answers

What is a potential long-term effect of a ketogenic diet on the liver?

Increased liver volume Signup and view all the answers

What is a challenge in implementing a ketogenic diet in children?

High fat to low carbohydrates and proteins ratios Signup and view all the answers

Why may hospital catering services struggle to provide ketogenic diet foods?

They lack the capacity to provide them Signup and view all the answers

What is a negative impact of a ketogenic diet on children's quality of life?

Decreased energy supply Signup and view all the answers

What is a limitation of current research on the ketogenic diet?

Insufficient biomarker identification Signup and view all the answers

What is a concern regarding the long-term effects of a ketogenic diet on children?

No consensus on eligibility Signup and view all the answers

What is a common reason why parents reject the ketogenic diet for their children?

Due to the constant medical care and meal preparation required Signup and view all the answers

What is a potential side effect of starting a ketogenic diet?

Dehydration and keto flu Signup and view all the answers

Why are omega-3 fatty acids important for overall health?

They are involved in various biological processes and promote clotting Signup and view all the answers

What is a potential consequence of not ensuring adequate intake of omega-3 fatty acids?

Short-term symptoms and long-term illnesses Signup and view all the answers

Why is it important to avoid idiopathic or febrile diseases in the first two weeks of starting a ketogenic diet?

To identify infection and intervene early Signup and view all the answers

What is a potential barrier to sustaining the ketogenic diet?

Difficulty in sustaining long-term compliance and the need to manage energy, carbohydrates, and electrolytes Signup and view all the answers

What is the primary reason why children may experience nausea, vomiting, and headache when starting a ketogenic diet?

Due to the loss of water and salts in the first few days of the diet Signup and view all the answers

What is a characteristic of the ketogenic diet that can lead to nutrient deficiencies?

Inadequate provision of essential nutrients Signup and view all the answers

What is a consequence of not consuming sufficient omega-3 fatty acids during periods of severe infection?

Increased loss of plasma essential fatty acids Signup and view all the answers

What is a common symptom of keto flu?

Irritability and dizziness Signup and view all the answers

Study Notes

Keto Diet Cons

Bone health can be affected due to low bone mass estimation, with higher urinary calcium excretion, especially in young children with low calcium intake.
Hyperlipidemia can occur, particularly with LDL-C, and may be associated with weight loss, decreased appetite, and increased risk of liver damage.
The keto diet may lead to NAFLD (Non-Alcoholic Fatty Liver Disease) due to increased hepatic oxidative metabolism and high fat consumption.

Quality of Life and Adherence

Implementing the keto diet can lead to poor quality of life, decreased physical capacity, and low energy supply in some children.
Difficulty in adhering to the high-fat, low-carbohydrate, and protein ratios of the classic keto diet is common.
Hospital catering services often cannot provide keto diet foods, and parents may reject the diet due to the time, expense, and difficulty of meal preparation and food sourcing.

Initial Side Effects

Keto flu can occur, characterized by dehydration, hypoglycemia, nausea, vomiting, headache, lethargy, dizziness, insomnia, and irritability.
Keto flu symptoms usually appear within the first few days of the diet and can last several days.
Dehydration can lead to insomnia and may require close monitoring to prevent serious complications.

Potential Nutrient Deficiencies

Keto diets may be deficient in essential nutrients, including linoleic, α-linolenic, and linoleic acids, which are necessary for life.
Non-essential fatty acids may be absent, unavailable, or insufficient, leading to short-term symptoms and long-term illnesses.
Ensuring adequate intake of omega-3 fatty acids is crucial for maintaining overall health.

Difficulty in Sustaining Long-term Compliance

Dropout rates are high due to the difficulty of sustaining the keto diet, particularly related to managing energy, carbohydrate, and electrolyte loss.
Identifying future risk and ensuring readiness are critical for successful long-term maintenance of the diet.
Counseling, social support, financial assistance, and exogenous ketones may facilitate long-term maintenance of the keto diet.

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Description

This quiz covers the potential side effects of a Keto Diet, including bone health, urinary calcium excretion, and hyperlipidemia.