The ketogenic diet, or keto, is a high-fat, low-carb diet that has been used to treat children with epilepsy since the 1920s. The diet is designed to induce ketosis, a metabolic state in which the body uses fat instead of carbohydrates for energy. While keto can be relatively safe for adults, it may not be suitable for children and teens unless prescribed by a healthcare professional for specific medical reasons. This is because children need carbohydrates for growth and development, and the keto diet can affect their focus and concentration while increasing the risk of nutritional deficiencies and high cholesterol.
Characteristics | Values |
---|---|
Used to treat | Epilepsy, brain cancer |
History | Used since the 1920s |
Effectiveness in treating epilepsy | 2/3 of children experience a greater than 50% reduction in seizures; up to 25% can become seizure-free |
Nutritional composition | 90% fat, 6-8% protein, 2-4% carbs |
Length of treatment | About two years |
Side effects | Electrolyte imbalance, digestive issues (nausea, vomiting, diarrhea, constipation), elevated blood cholesterol levels, vitamin and mineral deficiencies, dehydration, low blood sugar, impaired growth |
Appropriate use cases | Only prescribed by a health professional for medical reasons |
What You'll Learn
Keto for kids with epilepsy
The ketogenic diet, or keto diet, is a high-fat, low-carbohydrate diet that has been used to treat epilepsy in children since the 1920s. The diet is typically recommended for children whose seizures have not responded to medication. It is a strict diet that requires careful measurements of calories, fluids, and proteins, and all foods must be weighed and measured. The diet usually begins with a hospital stay of 4-5 days, during which the child's body starts to make ketones, and parents learn how to plan the child's diet.
The ketogenic diet works by changing how the brain gets energy to function. It lowers the amount of carbohydrates consumed and teaches the body to burn fat for energy instead. This state of burning fat for energy is called ketosis, and it is key to the success of the diet. Even one small snack that is high in carbohydrates can stop ketosis.
The ketogenic diet has been shown to be effective in reducing seizures in children with epilepsy. Studies have found that about two-thirds of children on the diet experience at least a 50% reduction in seizures, and some children become seizure-free. The diet is typically followed for about 2 years, after which it is slowly changed back to a regular diet. However, some children may stay on the diet for longer if needed.
While the ketogenic diet has been successful in treating epilepsy, it is not without its risks. The long-term use of the diet can lead to side effects such as chronic constipation, increased risk of bone fractures, and slower growth than typical. It can also be challenging to prepare and may require vitamin and mineral supplements to avoid nutritional deficiencies.
In conclusion, the keto diet can be an effective treatment for children with epilepsy, but it is important to carefully monitor and supervise the diet to ensure the child's health and well-being.
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Keto for kids with brain cancer
The ketogenic diet is a very-low-carb, high-fat diet that has been used to treat refractory epilepsy in children since the 1920s. In recent years, there has been a growing interest in using the keto diet to help manage certain health conditions in children, including brain cancer.
The keto diet is relatively safe for adults, but this may not be the case for children and teens unless prescribed by a health professional. The decision to use the keto diet for children with brain cancer must be made on an individual basis by a physician.
The Ketogenic Diet and Brain Cancer
The ketogenic diet is based on the idea that cancer cells rely on carbohydrates or sugar for energy to grow, and that starving them of glucose can help reduce tumour size when combined with other forms of treatment. This idea is known as the Warburg hypothesis, proposed by Otto Warburg. Normal cells in our body can use carbohydrates or ketones for energy, but it was previously thought that cancer cells could only use carbohydrates because they are too immature. However, recent research suggests that cancer cells can also take up and use ketones for energy.
Some animal studies have found that the ketogenic diet alone showed a modest improvement in survival rates, but when combined with radiation therapy, there was a significant increase in survival. In one study, 9 out of 11 animals were cured of their brain tumours.
Ongoing Research
There are currently a handful of ongoing clinical trials registered at clinicaltrials.gov studying the role of a ketogenic diet in the treatment of glioblastoma. While most of the data is preclinical with few clinical trials, the preclinical studies are encouraging. However, clinical trials have not yet been able to clearly demonstrate a meaningful survival benefit.
Safety and Side Effects
The ketogenic diet is a very restrictive diet that can be challenging to follow and can cause unpleasant side effects such as sickness, tiredness, and constipation. It can also lead to dehydration, low blood sugar, and impaired growth in children. Therefore, it is not recommended for healthy children and teens.
If you wish to try the ketogenic diet for your child with brain cancer, it is important to do so under the supervision and guidance of a doctor and a trained dietitian.
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Side effects of keto for kids
The ketogenic diet is a very-low-carb, high-fat diet that has been used to treat children with epilepsy and brain cancer. While the keto diet is relatively safe for adults, it may not be safe for children and teens unless prescribed by a health professional for medical reasons. Here are some potential side effects of keto for kids:
- Electrolyte imbalance: The keto diet can cause an electrolyte imbalance, leading to dehydration and other issues.
- Digestive issues: Nausea, vomiting, diarrhea, and constipation are common side effects of the keto diet due to the restricted food groups.
- Elevated blood cholesterol: The high-fat content of the keto diet can lead to increased blood cholesterol levels, which may have negative health consequences.
- Vitamin and mineral deficiencies: Restricting food groups can make it difficult for children to get all the vitamins and minerals they need, potentially affecting their growth and overall health.
- Nutritional deficiencies: The keto diet may affect a child's nutritional status, leading to deficiencies in essential nutrients.
- High cholesterol and triglycerides: The high-fat content of the keto diet can lead to increased levels of cholesterol and triglycerides in the blood, which may have negative health consequences.
- Weak bones: The keto diet may impact bone health, potentially leading to weak or fragile bones.
- Kidney stones: Dehydration caused by the keto diet can increase the risk of kidney stone formation.
- Impaired growth: The restrictive nature of the keto diet may impact a child's growth and development.
- Low blood sugar: The keto diet can cause low blood sugar, which can affect a child's energy levels and overall health.
- Focus and concentration: The keto diet may affect a child's ability to focus and concentrate, potentially impacting their school performance.
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Keto for weight loss in kids
The ketogenic, or keto, diet is a very-low-carb, high-fat diet that has been shown to deliver several health benefits. While the keto diet is relatively safe for adults, this may not be the case for children and teens unless prescribed by a health professional for medical reasons.
The keto diet has been used to treat children and adolescents with epilepsy and brain cancer. It is also sometimes prescribed for overweight adolescents who have gone through puberty and have tried various types of behavioural weight-loss techniques. However, this is usually done under the supervision of a medical care team.
The keto diet is not recommended for weight loss in children and teens. Adolescents are at a time in their lives when body image may become increasingly important. Adhering to an overly restrictive diet can lead to unhealthy behaviours and significantly affect their relationship with food. These unhealthy behaviours could lead to eating disorders, which are prevalent in the adolescent population.
There are other, less restrictive eating patterns that can aid weight loss in children and teens, such as whole-foods-based diets. These require less restriction and don't carry the same risks as the keto diet.
Therefore, unless a keto diet is recommended and guided by a physician for medical purposes, it is inappropriate for most children and teens.
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Healthy alternatives to keto for kids
The ketogenic diet, or keto, is a very-low-carb, high-fat diet that has been used to treat refractory epilepsy in children since the 1920s. While it has been shown to deliver several health benefits, it is not recommended for healthy children and teens due to its restrictive nature and potential adverse effects. Here are some healthy alternatives to keto for kids:
Eat a Healthy, Well-Balanced Diet
Refer to the MyPlate guidelines to provide children with a wide variety of nutritious foods. This ensures that they are getting all the necessary nutrients to grow and thrive. A healthy, well-balanced diet typically includes:
- Carbohydrates: Children on a healthy diet should eat about 130 grams of carbohydrates per day (approximately 45-65% of their calories). Focus on complex carbohydrates such as whole grains, fruits, and vegetables, which provide energy and important nutrients like fiber.
- Protein: Include a variety of protein sources such as lean meats, poultry, fish, eggs, dairy, beans, and nuts.
- Healthy fats: Include moderate amounts of healthy fats like avocados, nuts, and olive oil.
- Limit processed foods and added sugars: Avoid sugary drinks, cookies, candy, chips, and other highly processed foods.
Choose Nutritious Snacks
Offer healthy snacks when children are truly hungry, and encourage small portions. Some ideas include:
- Half a peanut butter sandwich on whole grain bread.
- Sliced veggies with hummus or bean dip.
- Unsweetened yogurt with fruit.
Encourage Physical Activity
In addition to a healthy diet, it's important to encourage children to be physically active. Let them pick an activity they love, such as walking, running, biking, or dancing. If they enjoy video games, download a game that requires them to be active.
Stay Positive and Educate Your Child
Instead of focusing on weight or body image, educate your child about the importance of eating nutritious foods for their overall health and well-being. Explain how different foods can help them concentrate at school, give them energy, and make them feel better.
Offer a Variety of Foods and Repeat Offerings
Children's tastes change as they grow, so even if they didn't like certain nutritious foods in the past, offer them again. Repeated exposure to a variety of healthy foods can help expand their palate and increase their acceptance of different foods.
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Frequently asked questions
No, keto is not considered safe for children unless it is for specific medical reasons and is prescribed and monitored by a healthcare professional.
Keto is a very restrictive diet that removes three of the five food groups that have essential vitamins and minerals that children need for growth. The main potential side effects associated with the keto diet in children are electrolyte imbalance, digestive issues (such as nausea, vomiting, diarrhea, and constipation), elevated blood cholesterol levels, vitamin and mineral deficiencies, dehydration, low blood sugar, and impaired growth.
The keto diet has been used to treat children with epilepsy since the 1920s. It is also being researched as a possible treatment for other conditions, such as autism, oncology, psychiatric disorders, brain cancer, ALS, Alzheimer's, Parkinson's disease, type 2 diabetes, and more.
Instead of restrictive fad diets, dietitians recommend that children and teens focus on establishing healthy habits, such as eating a well-balanced diet, limiting processed foods and added sugars, choosing nutritious snacks, and staying active.