Acta Pediátrica de México (Jul 2014)
Nutritional evaluation of the patient with phenylketonuria (PKU)
Abstract
In order to diagnose the nutritional status and to provide a personalized treatment in PKU patients, an evaluation of nutritional status should be conducted. Several components are involved in the nutritional assessment; among the parameters there are anthropometric evaluation: weight, height, head circumference; biochemical: proteins, amino acids, vitamins, inorganic nutrients, essential fatty acids; clinical: deficiencies in hair, skin, oral cavity , eyes, etc.; dietary assessment: quantification of energy intake, macronutrients and micronutrients through several tools such as the 24-hour recall; finally it must be taken into account the interaction of nutrients such as carnitine, fatty acids, vitamin B complex, among others, with drugs, which are often anticonvulsants, in order to plan the diet and prevent a future nutritional deficiency. It is important to perform the nutritional status assessment frequently in patients with PKU because the dietary management is essential to prevent neurological problems.
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