Zeman M.: Refeeding syndrome after paleodiet
Authors:
M. Kalousová 1; J. Macášek 2; M. Zeman 2
Authors‘ workplace:
Ústav lékařské biochemie a laboratorní diagnostiky, 1. lékařská fakulta, Univerzita Karlova a Všeobecná, fakultní nemocnice v Praze
1; IV. interní klinika – klinika gastroenterologie a hepatologie, 1. lékařská fakulta, Univerzita Karlova a Všeobecná, fakultní nemocnice v Praze
2
Published in:
Klin. Biochem. Metab., 26, 2018, No. 4, p. 185-188
Overview
Objective:
To describe a case of refeeding syndrome in a patient after two months of diet with significant restriction or even absence of saccharides and to point out the threat of severe diets and return to common diet.
Design:
Case report.
Setting:
General Teaching Hospital Prague.
Material and Methods:
Description of a case including laboratory results with comments.
Results:
The work shows severe metabolic changes (hypophosphatemia, hypokalemia, elevation of transaminases and of creatine kinase) with clinical consequences after saccharide intake followed by their two-months significant restriction.
Conclusion:
Refeeding syndrome represents a potential problem not only in patients after operations, patients with tumours and in the elderly, but may threat also after enormous changes of the diet.
Keywords:
paleodiet, refeeding syndrome, hypophosphatemia, elevation of transaminases and of creatine kinase.
Sources
1. http://www.paleodieta.cz/
2. Svačina, S., et al. Poruchy metabolismu výživy. Praha: Galén, 2010, s.505.
3. Elia, M., Klepper, J., Leiendecker, B., Hartmann, H. Ketogenic Diets in the Treatment of Epilepsy. Curr Pharm Des., 2017, 23(37), p. 5691-5701.
4. Branco, A.F., Ferreira, A., Simões, R.F., Magalhães-Novais, S., Zehowski, C., Cope, E., Silva, A.M, Pereira, D., Sardão, V.A., Cunha-Oliveira, T. Ketogenic diets: from cancer to mitochondrial diseases and beyond. Eur J Clin Invest., 2016, 46(3), p. 285-98.
5. Friedli, N., Stanga, Z., Sobotka, L., Culkin, A., Kondrup, J., Laviano, A., Mueller, B., Schuetz, P. Revisiting the refeeding syndrome: Results of a systematic review. Nutrition., 2017, 35, p. 151-160.
6. Ševela, S., Novák, F., Kazda, A., Brodská, H. Realimentační syndrom. Čas Lék Čes., 2016, 155(2), p.34-40.
7. Lapinskienė, I., Mikulevičienė, G., Laubner, G., Badaras, R. Consequences of an extreme diet in the professional sport: Refeeding syndrome to a bodybuil-der. Clin Nutr ESPEN., 2018, 23, p. 253-255.
8. Papežová, H. Spektrum poruch příjmu potravy. Praha: Grada, 2010, p.424.
Labels
Clinical biochemistry Nuclear medicine Nutritive therapistArticle was published in
Clinical Biochemistry and Metabolism
2018 Issue 4
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