The ketogenic diet as an intervention to improve the quality of life in patients diagnosed with West Syndrome: A systematic review
DOI:
https://doi.org/10.33448/rsd-v12i11.43767Keywords:
Ketogenic diet; Infantile spasms; West syndrome; Atkins Diet.Abstract
The present study aims to evaluate the effectiveness of the ketogenic diet in improving the quality of life of patients with West Syndrome, in the control of spasms and convulsions, the benefits of its use alone and as an adjunct to conservative therapies, and its short-term consequences. and long term regarding its tolerance and side effects. This is a Systematic Literature Review of a qualitative nature, with a search strategy for the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Critical Appraisal Skill Program (CASP) methodological evaluation, analyzing a total of 6 articles. The articles were searched in the PubMed and SciELO databases, excluding simple literature reviews. Articles published in the last 10 years (2013-2023) and available in English were included. After a systematic analysis of the studies, it appears that the ketogenic diet is effective in reducing infantile spasms, especially in cases refractory to combined drug treatments. In addition, the side effects and relapses to the condition were lower than in patients who used adrenocorticotropic hormone. The Atkins diet approach has also been successful in stopping spasms. The ketogenic diet was well tolerated, with minimal side effects when combined with Vigabatrin. Side effects included increased triglycerides and ketone body. It is hoped that future studies will continue to highlight the benefits and improvements in the quality of life of patients with West Syndrome.
References
Andia Berazain, C., & Sanz Arrazola, H. (2014). Impacto del Síndrome de West en pacientes del Hospital del Niño Manuel Ascencio Villarroel. Revista Científica Ciencia Médica, 17(2), 9–13. http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1817-74332014000200003.
Armeno, M. L., & Kossoff, E. H. (2023). Let Food be thy medicine. The Interaction between Ketogenic Diet Therapy and Antiseizure Medications: A systematic review. Epileptic Disorders. https://doi.org/10.1002/epd2.20055.
Calderón Romero, M., Arce Portillo, E., López Lobato, M., Muñoz Cabello, B., Blanco Martínez, B., Madruga Garrido, M., & Alonso Luego, O. (2018). Síndrome de West criptogénico: perfil clínico, respuesta al tratamiento y factores pronósticos. Anales de pediatria (Barcelona, Spain: 2003), 89(3), 176–182. doi:10.1016/j.anpedi.2017.10.012.
Díez-Arroyo, C., García-García, M., Soto-Méndez, M. J., Molina-Montes, E., Gil-Campos, M., Gil, Á., Gutiérrez-Jimeno, M., & Hernández-Ruiz, Á. (2023). Effect of the ketogenic diet as a treatment for refractory epilepsy in children and adolescents: a systematic review of reviews. Nutrition Reviews, nuad071. https://doi.org/10.1093/nutrit/nuad071.
Dressler, A., Benninger, F., Trimmel-Schwahofer, P. Gröppel, G., Porsche, B., Abraão, K., Mühlebner, A., Samueli, S., Male, C., Feucht, M. (2019). Efficacy and tolerability of the ketogenic diet versus high‐dose adrenocorticotropic hormone for infantile spasms: A single‐center parallel‐cohort randomized controlled trial. Epilepsia, 00:1–11. https://doi.org/10.1111/epi.14679.
Estrela, C. (2018). Metodologia científica: ciência, ensino, pesquisa. Artes Médicas.
Fernández-Romero, E., Camino León, R., Arjona Padillo, A., & Barcia Ruiz, J. M. (2000). Síndrome de West asociado a displasia frontal calcificada. Evolución favorable. Anales de Pediatría, 52(4), 385–388. https://doi.org/10.1016/s1695-4033(00)77364-4.
Gowda, V. K., Narayanaswamy, V., Shivappa, S. K., Benakappa, N., & Benakappa, A. (2018). Corticotrophin-ACTH in Comparison to Prednisolone in West Syndrome – A Randomized Study. The Indian Journal of Pediatrics, 86(2), 165–170. https://doi.org/10.1007/s12098-018-2782-1.
Guang, S., Mao, L., Zhong, L., Liu, F., Pan, Z., Yin, F., Peng, J. (2022). Hormonal Therapy for Infantile Spasms: A Systematic Review and Meta-Analysis. Frontiers in Neurology. https://doi.org/10.3389/fneur.2022.772333.
Jain, P., Sahu, J. K., Horn, P. S., Chau, V., Go, C., Mahood, Q., & Arya, R. (2022). Treatment of children with infantile spasms: A network meta‐analysis. Developmental Medicine & Child Neurology, 64(11), 1330–1343. https://doi.org/10.1111/dmcn.15330.
Martin-McGill, K. J., Jackson, C. F., Bresnahan, R., Levy, R. G., & Cooper, P. N. (2018). Ketogenic diets for drug-resistant epilepsy. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd001903.pub.
O’Callaghan, F. J. K., Edwards, S. W., Alber, F. D., Cortina Borja, M., Hancock, E., Johnson, A. L., … Tandy, A. (2018). Vigabatrin with hormonal treatment versus hormonal treatment alone (ICISS) for infantile spasms: 18-month outcomes of an open-label, randomised controlled trial. The Lancet. Child & Adolescent Health, 2(10), 715–725. https://doi:10.1016/s2352-4642(18)30244-x.
Pozo Alonso, A. J., Pozo Lauzán, D., & Pozo Alonso, D. (2002). Síndrome de West: etiología, fisiopatología, aspectos clínicos y pronósticos. Revista Cubana de Pediatría, 74(2), 151–161. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312002000200009.
Prezioso, G., Carlone, G., Zaccara, G., & Verrotti, A. (2017). Efficacy of ketogenic diet for infantile spasms: A systematic review. Acta Neurologica Scandinavica, 137(1), 4–11. https://doi.org/10.1111/ane.12830.
Sahu, J. K., Madaan, P., & Prakash, K. (2023). The landscape of infantile epileptic spasms syndrome in South Asia: peculiarities, challenges, and way forward. The Lancet Regional Health - Southeast Asia, 12, 100170. https://doi.org/10.1016/j.lansea.2023.100170.
Shah, L. M., Turner, Z., Bessone, S. K., Winesett, S. P., Stanfield, A., & Kossoff, E. H. (2019). How often is antiseizure drug-free ketogenic diet therapy achieved? Epilepsy & Behavior, 93, 29–31. https://doi.org/10.1016/j.yebeh.2019.01.042.
Sharma, S., Goel, S., Kapoor, D., Garg, D., Panda, I., Elwadhi, A., Patra, B., Mukherjee, S. B., & Pemde, H. (2021). Evaluation of the Modified Atkins Diet for the Treatment of Epileptic Spasms Refractory to Hormonal Therapy: A Randomized Controlled Trial. Journal of Child Neurology, 36(8), 686–691. https://doi.org/10.1177/08830738211004747.
Song, J. M., Hahn, J., Kim, S. H., & Chang, M. J. (2017). Efficacy of treatments for infantile spasms: a systematic review. Clinical neuropharmacology, 40(2), 63-84.
Treadwell, J. R., Kessler, S. K., Wu, M., Abend, N. S., Massey, S., & Tsou, A. Y. (2022). Pharmacologic and Dietary Treatments for Epilepsies in Children Aged 1-36 Months: A Systematic Review. Neurology, 10.1212/WNL.0000000000201026. https://doi.org/10.1212/wnl.0000000000201026.
Van Berkel, A. A., IJff, D. M., & Verkuyl, J. M. (2018). Cognitive benefits of the ketogenic diet in patients with epilepsy: A systematic overview. Epilepsy & Behavior, 87, 69–77. https://doi.org/10.1016/j.yebeh.2018.06.004.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rayanne da Cunha Mendes; Sâmara Pesqueira Souza; Luis Claudio Almeida da Silva Junior; Jordy Silva de Carvalho; Victor Hugo Oliveira Martins Coelho ; Wagner Gonçalves Horta
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.