Ketogenic diet in pediatric seizures: a randomized controlled trial review and meta-analysis.

Expert Rev Neurother

General Pediatrics and Pediatric Acute and Emergency Unit,Neonatal Intensive Care Unit and Neonatal Accompaniment Unit, Azienda Ospedaliero-Universitaria Policlinico-San Marco, San Marco Hospital, University of Catania, Catania, Italy.

Published: February 2022

AI Article Synopsis

  • The ketogenic diet (KD) is found to be an effective non-drug treatment for children with drug-resistant epilepsy, aiming to reduce seizure frequency.
  • A systematic review identified eight randomized controlled trials, revealing that nearly 48% of kids experienced a significant decrease in seizures after starting the diet.
  • The analysis demonstrated that children on the KD are 5.6 times more likely to have at least a 50% reduction in seizures compared to those not on the diet, indicating its strong efficacy as a treatment option.

Article Abstract

Background: The ketogenic diet is a non-pharmacologic treatment option for children with drug-resistant epilepsy. This systematic review and meta-analysis aimed to assess the efficacy of the ketogenic diet on seizures frequency in children.

Methods: We reviewed the literature using Cochrane, EMBASE, MEDLINE, and highly qualified journals.Randomized controlled trials were chosen to investigate the seizures-free regime or at least 50% seizures reduction after three months from the starting of the ketogenic diet or earlier. We have selected articles from January 2011 to January 2020.Eight articles were eligible. The data show a significant reduction in seizure frequency in the dietary treatment pediatric population. The rate of a seizures-free regime or at least 50% seizures reduction was 48.31% of patients in the intervention group.

Results: Our overall meta-analysis underlined the significant efficacy. The KD group is 5.6 times more likely than the control group to have a 50% reduction of seizures after three months of the diet or earlier.QUADAS and AMSTAR assessments showed a low risk of bias and adequate accuracy.

Conclusion: The results show that the KD reduces seizure frequency in children with drug-refractory epilepsy. KD is an effective treatment option for children and adolescents with refractory epilepsy.

Download full-text PDF

Source
http://dx.doi.org/10.1080/14737175.2022.2030220DOI Listing

Publication Analysis

Top Keywords

ketogenic diet
16
review meta-analysis
8
treatment option
8
option children
8
seizures-free regime
8
regime 50%
8
50% seizures
8
seizures reduction
8
three months
8
seizure frequency
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!