Category Archives: Specific Conditions

28(4) Phenylketonuria (PKU) and Hyperphenylalaninemia (HPA) – A Review

Phenylketonuria (PKU) and hyperphenylalaninemia (HPA) are metabolic disorders that affect an enzyme required for the conversion of phenylalanine to tyrosine, leading to a build-up of the amino acid phenylalanine (Phe) in the blood. Increased blood levels of Phe are associated … Continue reading

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28(3) Nutrition Management of Cystic Fibrosis

This issue of Nutrition Focus discusses the genetic disease, cystic fibrosis. An overview of the disease will be presented along with nutrition implications, assessment, and intervention. The current evidence-based guidelines for nutrition-related management of infants and adults with cystic fibrosis … Continue reading

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27(4) Update – Attention Deficit/Hyperactivity Disorder and Nutrition Issues

Attention Deficit/Hyperactivity Disorder (ADHD) is one of the more common neurobehavioral chronic disorders of childhood. ADHD is defined by academic or behavioral problems and symptoms of inattention, hyperactivity, or impulsivity. These symptoms must be inappropriate for the child’s developmental level, … Continue reading

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26(4) Feeding Problems in Metabolic Disorders

Feeding problems in childhood are becoming more widely recognized. Metabolic dietitians are likely to encounter concerns regarding eating in their patients. A feeding problem can be viewed from many perspectives. For metabolic dietitians, a feeding problem can be defined as … Continue reading

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25(1) Part 2 – Failure to Thrive: the child with neurological impairment

Children with Neurological Impairment (NI) such as Cerebral Palsy (CP) may meet the definition for Failure to Thrive (FTT), but are they truly failing to thrive? Children with CP grow more slowly than their able bodied counterparts but may still … Continue reading

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24(6) Part 1 – Failure to Thrive

Today’s practitioner faces many challenges when presented with a child who fails to grow at expected rates or is diagnosed as failure-to thrive (FTT). Although it has a documented place in pediatric literature, there is no clear consensus regarding an … Continue reading

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23(6) Nutrition Management of Children with Rett Syndrome: An update

With the identification of the “Rett gene” in 1999, much has been learned in the last decade about the etiology and diagnosis of Rett Syndrome (RTT). RTT, first described in 1966 by Andreas Rett, is now considered a neurodevelopmental disorder, … Continue reading

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22(2) Nutrition Considerations for Children with Seizure Disorders

Seizure disorders and epilepsy that occur in childhood are illnesses which can have a profound influence on cognitive development. Medical intervention is essential to preserve cognitive function, and to stop seizures. These interventions in turn present the registered dietitian (RD) … Continue reading

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21(6) Today’s Ketogenic Diet Revisited

The purpose of this Nutrition Focus Article is to update the reader on the ketogenic diet. Over the past 10-12 years several changes and much progress has been made in initiating and managing the ketogenic diet. Additionally, several new support … Continue reading

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21(1) Nutrition Focus – Third Decade Begins!

This first edition of our 21st year includes a different format than typical for NUTRITION FOCUS. First we share three questions/ answers for specific topics. These Q/ A were taken from the Pediatric Nutrition Consultation On-line listserv – a closed … Continue reading

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