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The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance

(1) Background: The aim of our study was to evaluate parental stress after 6 and 12 months of a ketogenic diet, considering demographic and clinical variables (epilepsy type, epilepsy duration, seizure number, antiseizure medications, comorbidities, efficacy, and adverse events). (2) Methods: We con...

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Autores principales: Operto, Francesca Felicia, Labate, Angelo, Aiello, Salvatore, Perillo, Cristina, de Simone, Valeria, Rinaldi, Rosetta, Coppola, Giangennaro, Pastorino, Grazia Maria Giovanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958546/
https://www.ncbi.nlm.nih.gov/pubmed/36839414
http://dx.doi.org/10.3390/nu15041058
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author Operto, Francesca Felicia
Labate, Angelo
Aiello, Salvatore
Perillo, Cristina
de Simone, Valeria
Rinaldi, Rosetta
Coppola, Giangennaro
Pastorino, Grazia Maria Giovanna
author_facet Operto, Francesca Felicia
Labate, Angelo
Aiello, Salvatore
Perillo, Cristina
de Simone, Valeria
Rinaldi, Rosetta
Coppola, Giangennaro
Pastorino, Grazia Maria Giovanna
author_sort Operto, Francesca Felicia
collection PubMed
description (1) Background: The aim of our study was to evaluate parental stress after 6 and 12 months of a ketogenic diet, considering demographic and clinical variables (epilepsy type, epilepsy duration, seizure number, antiseizure medications, comorbidities, efficacy, and adverse events). (2) Methods: We consecutively enrolled 36 children aged between 3 and 10 years who had been diagnosed with various types of drug-resistant epilepsy and who were in therapy with a ketogenic diet for better seizure control. A standardized neuropsychological questionnaire (Parenting Stress Index–PSI) was administered to the parents evaluating parental stress at baseline (T0), after 6 (T1) months, and after 12 months (T2). (3) Results: After 6 and 12 months of dietary treatment, Parental Distress and Total Stress mean scores were statistically significantly increased. Post hoc analysis showed no significant changes in the scores between T0 and T1, although there was a significant increase between T1 and T2. We did not find statistically significant relationships between parental stress and the other variables considered. (4) Conclusions: The ketogenic diet can be challenging for parents and can affect the perception of parental stress, especially in the long term. Parents may feel inadequate in their role; therefore, they should be helped and encouraged through additional supports in order to maximize the adherence to diet therapy.
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spelling pubmed-99585462023-02-26 The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance Operto, Francesca Felicia Labate, Angelo Aiello, Salvatore Perillo, Cristina de Simone, Valeria Rinaldi, Rosetta Coppola, Giangennaro Pastorino, Grazia Maria Giovanna Nutrients Article (1) Background: The aim of our study was to evaluate parental stress after 6 and 12 months of a ketogenic diet, considering demographic and clinical variables (epilepsy type, epilepsy duration, seizure number, antiseizure medications, comorbidities, efficacy, and adverse events). (2) Methods: We consecutively enrolled 36 children aged between 3 and 10 years who had been diagnosed with various types of drug-resistant epilepsy and who were in therapy with a ketogenic diet for better seizure control. A standardized neuropsychological questionnaire (Parenting Stress Index–PSI) was administered to the parents evaluating parental stress at baseline (T0), after 6 (T1) months, and after 12 months (T2). (3) Results: After 6 and 12 months of dietary treatment, Parental Distress and Total Stress mean scores were statistically significantly increased. Post hoc analysis showed no significant changes in the scores between T0 and T1, although there was a significant increase between T1 and T2. We did not find statistically significant relationships between parental stress and the other variables considered. (4) Conclusions: The ketogenic diet can be challenging for parents and can affect the perception of parental stress, especially in the long term. Parents may feel inadequate in their role; therefore, they should be helped and encouraged through additional supports in order to maximize the adherence to diet therapy. MDPI 2023-02-20 /pmc/articles/PMC9958546/ /pubmed/36839414 http://dx.doi.org/10.3390/nu15041058 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Operto, Francesca Felicia
Labate, Angelo
Aiello, Salvatore
Perillo, Cristina
de Simone, Valeria
Rinaldi, Rosetta
Coppola, Giangennaro
Pastorino, Grazia Maria Giovanna
The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance
title The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance
title_full The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance
title_fullStr The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance
title_full_unstemmed The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance
title_short The Ketogenic Diet in Children with Epilepsy: A Focus on Parental Stress and Family Compliance
title_sort ketogenic diet in children with epilepsy: a focus on parental stress and family compliance
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958546/
https://www.ncbi.nlm.nih.gov/pubmed/36839414
http://dx.doi.org/10.3390/nu15041058
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