Fenilquetonuria de diagnóstico neonatal y lactancia materna

Phenylketonuria (PKU) is due to of a defect in the phenylalanine hydroxylase gene (12q22-24.1) leading to hyperphenylalaninemia. Treatment consists in a low phenylalanine (Phe) diet. Aim: To evaluate the evolution of early diagnosed PKU children, receiving direct breast feeding, and a special formul...

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Autores principales: Cornejo E,Verónica, Manríquez E,Viviana, Colombo C,Marta, Mabe S,Paulina, Jiménez M,Mónica, De la Parra C,Alicia, Valiente G,Alf, Raimann B,Erna
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2003
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001100008
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spelling oai:scielo:S0034-988720030011000082004-01-27Fenilquetonuria de diagnóstico neonatal y lactancia maternaCornejo E,VerónicaManríquez E,VivianaColombo C,MartaMabe S,PaulinaJiménez M,MónicaDe la Parra C,AliciaValiente G,AlfRaimann B,Erna Breast feeding Phenylalanine hydroxylase Phenylketonuria Phenylketonuria (PKU) is due to of a defect in the phenylalanine hydroxylase gene (12q22-24.1) leading to hyperphenylalaninemia. Treatment consists in a low phenylalanine (Phe) diet. Aim: To evaluate the evolution of early diagnosed PKU children, receiving direct breast feeding, and a special formula without Phe, during their first six months of life. Patients and methods: Nineteen PKU children diagnosed in the neonatal period (19.29±13.8 days of age), treated with breast feeding and formula without Phe since diagnosis, were studied. Intake of calories, proteins and dietary Phe were quantified. Blood Phe, nutritional status and psychomotor development were also measured. Results: The diet that these children received during the 6 months period of study, had a mean of 127±19.9 Kcal/kg/day, 1.95±0.3 g protein/kg/day and 35.3±9.5 mg Phe/kg/day. Fifteen children maintained the blood level of Phe under 8 mg/dl, considered an excellent metabolic control. Only 4 cases had intermittently high levels, between 10-12 mg/dl. At 6 months of age, 74% of the children maintained breast feeding as the only source of Phe. Sixty three percent had a normal nutritional status, 5.2% were at nutritional risk and 31.6% were overweight. Eighty one percent had a normal mental development. Conclusions: The use of direct breast feeding allows a good metabolic control and improves growth and development of early diagnosed PKU children (Rev Méd Chile 2003; 131: 1280-87)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.11 20032003-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001100008es10.4067/S0034-98872003001100008
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Breast feeding
Phenylalanine hydroxylase
Phenylketonuria
spellingShingle Breast feeding
Phenylalanine hydroxylase
Phenylketonuria
Cornejo E,Verónica
Manríquez E,Viviana
Colombo C,Marta
Mabe S,Paulina
Jiménez M,Mónica
De la Parra C,Alicia
Valiente G,Alf
Raimann B,Erna
Fenilquetonuria de diagnóstico neonatal y lactancia materna
description Phenylketonuria (PKU) is due to of a defect in the phenylalanine hydroxylase gene (12q22-24.1) leading to hyperphenylalaninemia. Treatment consists in a low phenylalanine (Phe) diet. Aim: To evaluate the evolution of early diagnosed PKU children, receiving direct breast feeding, and a special formula without Phe, during their first six months of life. Patients and methods: Nineteen PKU children diagnosed in the neonatal period (19.29±13.8 days of age), treated with breast feeding and formula without Phe since diagnosis, were studied. Intake of calories, proteins and dietary Phe were quantified. Blood Phe, nutritional status and psychomotor development were also measured. Results: The diet that these children received during the 6 months period of study, had a mean of 127±19.9 Kcal/kg/day, 1.95±0.3 g protein/kg/day and 35.3±9.5 mg Phe/kg/day. Fifteen children maintained the blood level of Phe under 8 mg/dl, considered an excellent metabolic control. Only 4 cases had intermittently high levels, between 10-12 mg/dl. At 6 months of age, 74% of the children maintained breast feeding as the only source of Phe. Sixty three percent had a normal nutritional status, 5.2% were at nutritional risk and 31.6% were overweight. Eighty one percent had a normal mental development. Conclusions: The use of direct breast feeding allows a good metabolic control and improves growth and development of early diagnosed PKU children (Rev Méd Chile 2003; 131: 1280-87)
author Cornejo E,Verónica
Manríquez E,Viviana
Colombo C,Marta
Mabe S,Paulina
Jiménez M,Mónica
De la Parra C,Alicia
Valiente G,Alf
Raimann B,Erna
author_facet Cornejo E,Verónica
Manríquez E,Viviana
Colombo C,Marta
Mabe S,Paulina
Jiménez M,Mónica
De la Parra C,Alicia
Valiente G,Alf
Raimann B,Erna
author_sort Cornejo E,Verónica
title Fenilquetonuria de diagnóstico neonatal y lactancia materna
title_short Fenilquetonuria de diagnóstico neonatal y lactancia materna
title_full Fenilquetonuria de diagnóstico neonatal y lactancia materna
title_fullStr Fenilquetonuria de diagnóstico neonatal y lactancia materna
title_full_unstemmed Fenilquetonuria de diagnóstico neonatal y lactancia materna
title_sort fenilquetonuria de diagnóstico neonatal y lactancia materna
publisher Sociedad Médica de Santiago
publishDate 2003
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001100008
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