Cargando…

Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements

In phenylketonuria (PKU), variable dietary advice provided by health professionals and social media leads to uncertainty for patients/caregivers reliant on accurate, evidence based dietary information. Over four years, 112 consensus statements concerning the allocation of foods in a low phenylalanin...

Descripción completa

Detalles Bibliográficos
Autores principales: Evans, Sharon, Adam, Sarah, Adams, Sandra, Allen, Heather, Ashmore, Catherine, Bailey, Sarah, Banks, Janette, Churchill, Harriet, Cochrane, Barbara, Cook, Jennifer, Dale, Clare, Daly, Anne, Dixon, Marjorie, Dunlop, Carolyn, Ellerton, Charlotte, Emm, Anita, Firman, Sarah, Ford, Suzanne, French, Moira, Gribben, Joanna, Grimsley, Anne, Herlihy, Ide, Hill, Melanie, Judd, Shirley, Lang, Karen, Males, Jo, McDonald, Joy, McStravick, Nicola, Millington, Chloe, Newby, Camille, Noble, Catharine, Pereira, Rachel, Pinto, Alex, Robertson, Louise, Robotham, Abigail, Ross, Kathleen, Singleton, Kath, Skeath, Rachel, Terry, Allyson, Van Wyk, Karen, White, Fiona, White, Lucy, Wildgoose, Jo, Woodall, Alison, MacDonald, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7468820/
https://www.ncbi.nlm.nih.gov/pubmed/32722073
http://dx.doi.org/10.3390/nu12082205
_version_ 1783578298245185536
author Evans, Sharon
Adam, Sarah
Adams, Sandra
Allen, Heather
Ashmore, Catherine
Bailey, Sarah
Banks, Janette
Churchill, Harriet
Cochrane, Barbara
Cook, Jennifer
Dale, Clare
Daly, Anne
Dixon, Marjorie
Dunlop, Carolyn
Ellerton, Charlotte
Emm, Anita
Firman, Sarah
Ford, Suzanne
French, Moira
Gribben, Joanna
Grimsley, Anne
Herlihy, Ide
Hill, Melanie
Judd, Shirley
Lang, Karen
Males, Jo
McDonald, Joy
McStravick, Nicola
Millington, Chloe
Newby, Camille
Noble, Catharine
Pereira, Rachel
Pinto, Alex
Robertson, Louise
Robotham, Abigail
Ross, Kathleen
Singleton, Kath
Skeath, Rachel
Terry, Allyson
Van Wyk, Karen
White, Fiona
White, Lucy
Wildgoose, Jo
Woodall, Alison
MacDonald, Anita
author_facet Evans, Sharon
Adam, Sarah
Adams, Sandra
Allen, Heather
Ashmore, Catherine
Bailey, Sarah
Banks, Janette
Churchill, Harriet
Cochrane, Barbara
Cook, Jennifer
Dale, Clare
Daly, Anne
Dixon, Marjorie
Dunlop, Carolyn
Ellerton, Charlotte
Emm, Anita
Firman, Sarah
Ford, Suzanne
French, Moira
Gribben, Joanna
Grimsley, Anne
Herlihy, Ide
Hill, Melanie
Judd, Shirley
Lang, Karen
Males, Jo
McDonald, Joy
McStravick, Nicola
Millington, Chloe
Newby, Camille
Noble, Catharine
Pereira, Rachel
Pinto, Alex
Robertson, Louise
Robotham, Abigail
Ross, Kathleen
Singleton, Kath
Skeath, Rachel
Terry, Allyson
Van Wyk, Karen
White, Fiona
White, Lucy
Wildgoose, Jo
Woodall, Alison
MacDonald, Anita
author_sort Evans, Sharon
collection PubMed
description In phenylketonuria (PKU), variable dietary advice provided by health professionals and social media leads to uncertainty for patients/caregivers reliant on accurate, evidence based dietary information. Over four years, 112 consensus statements concerning the allocation of foods in a low phenylalanine diet for PKU were developed by the British Inherited Metabolic Disease Dietitians Group (BIMDG-DG) from 34 PKU treatment centres, utilising 10 rounds of Delphi consultation to gain a majority (≥75%) decision. A mean of 29 UK dietitians (range: 18–40) and 18 treatment centres (range: 13–23) contributed in each round. Statements encompassed all foods/food groups divided into four categories based on defined protein/phenylalanine content: (1) foods high in protein/phenylalanine (best avoided); (2) foods allowed without restriction including fruit/vegetables containing phenylalanine ≤75 mg/100 g and most foods containing protein ≤0.5 g/100 g; (3) foods that should be calculated/weighed as an exchange food if they contain protein exchange ingredients (categorized into foods with a protein content of: >0.1 g/100 g (milk/plant milks only), >0.5 g/100 g (bread/pasta/cereal/flours), >1 g/100 g (cook-in/table-top sauces/dressings), >1.5 g/100 g (soya sauces)); and (4) fruit/vegetables containing phenylalanine >75 mg/100 g allocated as part of the protein/phenylalanine exchange system. These statements have been endorsed and translated into practical dietary management advice by the medical advisory dietitians for the National Society for PKU (NSPKU).
format Online
Article
Text
id pubmed-7468820
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-74688202020-09-04 Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements Evans, Sharon Adam, Sarah Adams, Sandra Allen, Heather Ashmore, Catherine Bailey, Sarah Banks, Janette Churchill, Harriet Cochrane, Barbara Cook, Jennifer Dale, Clare Daly, Anne Dixon, Marjorie Dunlop, Carolyn Ellerton, Charlotte Emm, Anita Firman, Sarah Ford, Suzanne French, Moira Gribben, Joanna Grimsley, Anne Herlihy, Ide Hill, Melanie Judd, Shirley Lang, Karen Males, Jo McDonald, Joy McStravick, Nicola Millington, Chloe Newby, Camille Noble, Catharine Pereira, Rachel Pinto, Alex Robertson, Louise Robotham, Abigail Ross, Kathleen Singleton, Kath Skeath, Rachel Terry, Allyson Van Wyk, Karen White, Fiona White, Lucy Wildgoose, Jo Woodall, Alison MacDonald, Anita Nutrients Article In phenylketonuria (PKU), variable dietary advice provided by health professionals and social media leads to uncertainty for patients/caregivers reliant on accurate, evidence based dietary information. Over four years, 112 consensus statements concerning the allocation of foods in a low phenylalanine diet for PKU were developed by the British Inherited Metabolic Disease Dietitians Group (BIMDG-DG) from 34 PKU treatment centres, utilising 10 rounds of Delphi consultation to gain a majority (≥75%) decision. A mean of 29 UK dietitians (range: 18–40) and 18 treatment centres (range: 13–23) contributed in each round. Statements encompassed all foods/food groups divided into four categories based on defined protein/phenylalanine content: (1) foods high in protein/phenylalanine (best avoided); (2) foods allowed without restriction including fruit/vegetables containing phenylalanine ≤75 mg/100 g and most foods containing protein ≤0.5 g/100 g; (3) foods that should be calculated/weighed as an exchange food if they contain protein exchange ingredients (categorized into foods with a protein content of: >0.1 g/100 g (milk/plant milks only), >0.5 g/100 g (bread/pasta/cereal/flours), >1 g/100 g (cook-in/table-top sauces/dressings), >1.5 g/100 g (soya sauces)); and (4) fruit/vegetables containing phenylalanine >75 mg/100 g allocated as part of the protein/phenylalanine exchange system. These statements have been endorsed and translated into practical dietary management advice by the medical advisory dietitians for the National Society for PKU (NSPKU). MDPI 2020-07-24 /pmc/articles/PMC7468820/ /pubmed/32722073 http://dx.doi.org/10.3390/nu12082205 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Evans, Sharon
Adam, Sarah
Adams, Sandra
Allen, Heather
Ashmore, Catherine
Bailey, Sarah
Banks, Janette
Churchill, Harriet
Cochrane, Barbara
Cook, Jennifer
Dale, Clare
Daly, Anne
Dixon, Marjorie
Dunlop, Carolyn
Ellerton, Charlotte
Emm, Anita
Firman, Sarah
Ford, Suzanne
French, Moira
Gribben, Joanna
Grimsley, Anne
Herlihy, Ide
Hill, Melanie
Judd, Shirley
Lang, Karen
Males, Jo
McDonald, Joy
McStravick, Nicola
Millington, Chloe
Newby, Camille
Noble, Catharine
Pereira, Rachel
Pinto, Alex
Robertson, Louise
Robotham, Abigail
Ross, Kathleen
Singleton, Kath
Skeath, Rachel
Terry, Allyson
Van Wyk, Karen
White, Fiona
White, Lucy
Wildgoose, Jo
Woodall, Alison
MacDonald, Anita
Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements
title Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements
title_full Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements
title_fullStr Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements
title_full_unstemmed Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements
title_short Uniformity of Food Protein Interpretation Amongst Dietitians for Patients with Phenylketonuria (PKU): 2020 UK National Consensus Statements
title_sort uniformity of food protein interpretation amongst dietitians for patients with phenylketonuria (pku): 2020 uk national consensus statements
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7468820/
https://www.ncbi.nlm.nih.gov/pubmed/32722073
http://dx.doi.org/10.3390/nu12082205
work_keys_str_mv AT evanssharon uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT adamsarah uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT adamssandra uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT allenheather uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT ashmorecatherine uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT baileysarah uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT banksjanette uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT churchillharriet uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT cochranebarbara uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT cookjennifer uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT daleclare uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT dalyanne uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT dixonmarjorie uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT dunlopcarolyn uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT ellertoncharlotte uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT emmanita uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT firmansarah uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT fordsuzanne uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT frenchmoira uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT gribbenjoanna uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT grimsleyanne uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT herlihyide uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT hillmelanie uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT juddshirley uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT langkaren uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT malesjo uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT mcdonaldjoy uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT mcstravicknicola uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT millingtonchloe uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT newbycamille uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT noblecatharine uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT pereirarachel uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT pintoalex uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT robertsonlouise uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT robothamabigail uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT rosskathleen uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT singletonkath uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT skeathrachel uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT terryallyson uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT vanwykkaren uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT whitefiona uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT whitelucy uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT wildgoosejo uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT woodallalison uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements
AT macdonaldanita uniformityoffoodproteininterpretationamongstdietitiansforpatientswithphenylketonuriapku2020uknationalconsensusstatements