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Zeman M.: Refeeding syndrome after paleodiet


Authors: M. Kalousová 1;  J. Macášek 2;  M. Zeman 2
Authors place of work: 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 the journal: Klin. Biochem. Metab., 26, 2018, No. 4, p. 185-188

Summary

Objective:

To describe acase of refeeding syndrome in apatient 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 acase 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 apotential 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.


Zdroje

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 asystematic 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 abodybuil-der. Clin Nutr ESPEN., 2018, 23, p. 253-255.

8. Papežová, H. Spektrum poruch příjmu potravy. Praha: Grada, 2010, p.424.

Štítky
Clinical biochemistry Nuclear medicine Nutritive therapist
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