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NUTRITIONAL STATUS IN ADOLESCENTS WITH EPILEPSY Presented by V.SWAPNA

NUTRITIONAL STATUS IN ADOLESCENTS WITH EPILEPSY Presented by V.SWAPNA. Co-authors : Drs. K.A. Parvathy, C.V.Harinarayan, B. Vengamma, Bindu Menon, U.V. Prasad,G. Hima Bindu. AIM. To evaluate The anthropometric measurements Dietary parameters and

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NUTRITIONAL STATUS IN ADOLESCENTS WITH EPILEPSY Presented by V.SWAPNA

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  1. NUTRITIONAL STATUS IN ADOLESCENTS WITH EPILEPSYPresentedbyV.SWAPNA Co-authors: Drs. K.A. Parvathy, C.V.Harinarayan, B. Vengamma, Bindu Menon, U.V. Prasad,G. Hima Bindu

  2. AIM To evaluate • The anthropometric measurements • Dietary parameters and • Biochemical markers of Bone Mineral Metabolism

  3. NEED FOR THE STUDY Adolescence, a period of transition, occupies a crucial position in the life of human beings. Under-nutrition reduces growth rate, learning and working capacity amongst adolescents. Epilepsy is the most serious common neurological disorder. Epilepsy treatment leads to nutritional deficiencies, especially vitamin D3 Metabolism.

  4. AED INTERFER WITH 25 OHase AT THE LIVER AND LOWERS THE FORAMTION OF1,25(OH)2 D3. • Low 25(OH)D levels leads to low 1,25(OHD)D levels. • Hence the absorption of calcium from the gut is retarded.

  5. MATERIALS AND METHODS • n= 64 • Anthropometry - • Ht, Wt, BMI, Arm span, U.S, L.S • Skin fold thickness – • Triceps, Biceps, S.Scapular, Suprailliac. • Dietary Intake – • Calories, protein, fat, Ca, Phos, Phy/Ca ratio • Biochemical parameters – • Serum Albumin, Ca, Phos, SAP, Creatinine, 25(OH)D, ntact PTH.

  6. STATISTICALANALYSIS • The results presented as Mean ± SD • Correlation co-efficient (Pearson's) - Value P<0.05 taken as significant. • Statistical package used SPSS software (version 10.0).

  7. DIETARY INTAKE PER DAY

  8. BIOCHEMICALVALUES

  9. *SINCE TREATMENT INCLUDES MORE THAN ONE DRUG, THE PERCENTAGE WILL EXCEED HUNDRED.

  10. DISCUSSION • AED’s can lower the uptake of calcium, worsening the bone health. • Inadequate intake of calcium can lead to a decreased amount of bone calcium reserves. • Adolescent epileptic girls in the rural areas could be greater risk of nutritional stress.

  11. LIMITATIONS OF THE STUDY • The socio-economic aspects have not been dealt Micro study • The data was collected from only SVIMS, Tirupati. • Data from other hospitals and clinics were not collected. • The epilepsy patients approaching SVIMS for treatment mostly belong to lower socio-economic strata.

  12. Strategies • Awareness • Dietary Intake • Supplements • Life Skills Education • Primary Care • Social Stigma

  13. CONCLUSION • Hypo Vitaminosis-D and low dietary calcium intake adversely affect the bone mineral homeostasis in adolescents with epilepsy. • There is a need to treat epilepsy through proper diet & nutrition and reducing the intake of medicines over a period of time

  14. CONCLUSION • Epileptic adolescents to be supplemented with dietary calcium and vitamin-D • Health educators have to be trained to deal with adolescent girls with epilepsy as they are vulnerable for social evils like early marriage

  15. Than Q

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