Evidence map›Paper›PMID 33076399›Full record

ArticleNutrients2020

A 3 Year Longitudinal Prospective Review Examining the Dietary Profile and Contribution Made by Special Low Protein Foods to Energy and Macronutrient Intake in Children with Phenylketonuria.

Anne Daly, Sharon Evans, Alex Pinto, Catherine Ashmore, Júlio César Rocha, Anita MacDonald

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Anne DalyDietetic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.ORCID 0000-0003-2579-8699
Sharon EvansDietetic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.ORCID 0000-0002-7654-3621
Alex PintoDietetic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
Catherine AshmoreDietetic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
Júlio César RochaNutrition and Metabolism, NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal.ORCID 0000-0002-4977-8345
Anita MacDonaldDietetic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
Birmingham Children's Hospital · GBCentre for Health Technology and Services Research · PT

Funding

Vitaflo International Ltd 001
6 · The paper itself

Abstract

The nutritional composition of special low protein foods (SLPFs) is controlled under EU legislation for 'Foods for Special Medical Purposes (FSMP)'. They are designed to meet the energy needs of patients unable to eat a normal protein containing diet. In phenylketonuria (PKU), the macronutrient contribution of SLPFs has been inadequately examined.

aimA 3-year longitudinal prospective study investigating the contribution of SLPFs to the macronutrient intake of children with early treated PKU.

methods48 children (27 boys) with a mean recruitment age of 9.3 y were studied. Semi-quantitative dietary assessments and food frequency questionnaires (FFQ) were collected three to four times/year for 3 years.

resultsThe mean energy intake provided by SLPFs was 33% (SD ± 8), and this figure was 42% (SD ± 13) for normal food and 21% (SD ± 5) for protein substitutes (PS). SLPFs supplied a mean intake of 40% carbohydrate (SD ± 10), 51% starch (SD ± 18), 21% sugar (SD ± 8), and 38% fat (SD ± 13). Fibre intake met 83% of the Scientific Advisory Committee on Nutrition (SACN) reference value, with 50% coming from SLPFs with added gums and hydrocolloids. Low protein bread, pasta and milk provided the highest energy contribution, and the intake of sweet SLPFs (e.g., biscuits, cakes, and chocolate) was minimal. Children averaged three portions fruit/vegetable daily, and children aged ≥ 12 y had irregular meal patterns.

conclusionSLPFs provide essential energy in phenylalanine restricted diets. Optimising the nutritional quality of SLPFs deserves more attention.

Indexed as

Diet, Protein-RestrictedFoods, SpecializedNutritive ValueChildChild Nutritional Physiological PhenomenaDietary ProteinsEatingEnergy IntakeFemaleHumansLongitudinal StudiesMaleNutritional RequirementsPhenylketonuriasProspective StudiesSurveys and QuestionnairesDietary Proteinsglycomacropeptidemacronutrient intakephenylketonuriaPKUprotein substitutespecial low protein foods

Identifiers

PMID33076399
PMCPMC7602523
OpenAlexW3092774889

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.