{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:51:46Z","timestamp":1785768706441,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epileptic Disorders"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate dietary patterns in children with epilepsy and compare them with age\u2010 and sex\u2010matched healthy siblings living in the same household environment. Associations between clinical characteristics and dietary adequacy were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 58 participants (37 with epilepsy and 21 sibling controls), aged 2\u201318\u2009years, recruited from a tertiary epilepsy clinic. Dietary intake was assessed using validated, age\u2010specific food frequency questionnaires and classified according to national recommendations. Regression models were used to identify predictors of dietary intake and adequacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both groups exhibited inadequate consumption of cereals, fruits, and vegetables, and excessive intake of sugary and ultra\u2010processed foods. No significant differences in dietary intake or adequacy were found between children with epilepsy and their siblings. Within the epilepsy group, motor impairment, and constipation were associated with higher vegetable intake. Conversely, intellectual disability and developmental delay were linked to lower vegetable and fruit intake respectively. Autism spectrum disorder decreased the odds of inadequate vegetable intake, while intellectual disability and younger age increased it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>Children and adolescents with epilepsy exhibited similar dietary patterns to their healthy siblings, while within the epilepsy group, clinical characteristics, and comorbidities were associated with significant variations in dietary intake and adequacy. These findings suggest that nutritional counseling in pediatric epilepsy should be tailored to clinical comorbidities and family context rather than epilepsy diagnosis alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/epd2.70362","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:56:43Z","timestamp":1785765403000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietary patterns in children with epilepsy: The role of household environment and clinical comorbidities"],"prefix":"10.1002","author":[{"given":"Ana Claudia C\u00e2ndido","family":"Oliveira","sequence":"first","affiliation":[{"name":"Child Neurology Service, Department of Neurology University of Campinas (UNICAMP)  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Eduarda Pereira","family":"Santana","sequence":"additional","affiliation":[{"name":"Child Neurology Service, Department of Neurology University of Campinas (UNICAMP)  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuliane V. M.","family":"Zanin","sequence":"additional","affiliation":[{"name":"Child Neurology Service, Department of Neurology University of Campinas (UNICAMP)  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5482-141X","authenticated-orcid":false,"given":"Jaqueline Lamas","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of Statistics Federal University of Juiz de Fora (UFJF)  Juiz de Fora Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1042-7425","authenticated-orcid":false,"given":"Camila Borelli","family":"Zeller","sequence":"additional","affiliation":[{"name":"Department of Statistics Federal University of Juiz de Fora (UFJF)  Juiz de Fora Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2888-929X","authenticated-orcid":false,"given":"Ana Carolina","family":"Coan","sequence":"additional","affiliation":[{"name":"Child Neurology Service, Department of Neurology University of Campinas (UNICAMP)  Campinas Brazil"},{"name":"Brazilian Institute of Neuroscience and Neurotechnology, BRAINN at UNICAMP  Campinas SP Brazil"},{"name":"Neuroimaging Laboratory UNICAMP  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20103908"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/epi.12550"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20100921"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2023.109090"},{"key":"e_1_2_14_6_1","doi-asserted-by":"crossref","first-page":"1525S","DOI":"10.1093\/jn\/nxy171","article-title":"Food consumption patterns of infants and toddlers: findings from the feeding infants and toddlers study (FITS) 2016","volume":"148","author":"Roess AA","year":"2018","journal-title":"J Nutr"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366\u2010024\u201001657\u20106"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311XEN081422"},{"key":"e_1_2_14_9_1","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1590\/S1415-790X2004000400003","article-title":"Desenvolvimento de um question\u00e1rio de frequ\u00eancia alimentar para avalia\u00e7\u00e3o do consumo alimentar de crian\u00e7as de 2 a 5 anos de idade","volume":"7","author":"Colucci ACA","year":"2004","journal-title":"Rev Bras Epidemiol"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1678\u20109865202235e210020"},{"key":"e_1_2_14_11_1","isbn-type":"print","first-page":"156","volume-title":"Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade. Departamento de Aten\u00e7\u00e3o B\u00e1sica. Guia alimentar para a popula\u00e7\u00e3o brasileira","author":"BRASIL. Minist\u00e9rio da Sa\u00fade","year":"2014","ISBN":"https:\/\/id.crossref.org\/isbn\/9788533421769"},{"issue":"6","key":"e_1_2_14_12_1","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1111\/j.1528-1167.2009.02397.x","article-title":"Definition of drug resistant epilepsy: consensus proposal by the ad hoc task force of the ILAE commission on therapeutic strategies","volume":"51","author":"Kwan P","year":"2010","journal-title":"Epilepsia"},{"key":"e_1_2_14_13_1","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1111\/j.1528-1167.2007.01159.x","article-title":"Link between epilepsy and malnutrition in a rural area of Benin","volume":"48","author":"Crepin S","year":"2007","journal-title":"Epilepsia"},{"key":"e_1_2_14_14_1","doi-asserted-by":"crossref","first-page":"1973","DOI":"10.1111\/epi.13207","article-title":"Health\u2010related behaviors and comorbidities in people with epilepsy: changes in the past decade","volume":"56","author":"Roberts 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results from a nationally representative sample","volume":"13","author":"Muthiah N","year":"2023","journal-title":"Sci Rep"},{"issue":"9","key":"e_1_2_14_18_1","doi-asserted-by":"crossref","first-page":"2159","DOI":"10.1007\/s10803-013-1771-5","article-title":"Feeding problems and nutrient intake in children with autism spectrum disorders: a meta\u2010analysis and comprehensive review of the literature","volume":"43","author":"Sharp WG","year":"2013","journal-title":"J Autism Dev Disord"},{"key":"e_1_2_14_19_1","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.pedn.2013.01.008","article-title":"Eating behaviors, diet quality, and gastrointestinal symptoms in children with autism spectrum disorders: a brief review","volume":"28","author":"Kral TVE","year":"2013","journal-title":"J Pediatr Nurs"},{"issue":"4","key":"e_1_2_14_20_1","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1111\/epi.18209","article-title":"The epilepsy\u2013autism phenotype associated with developmental and epileptic encephalopathies: new mechanism\u2010based therapeutic options","volume":"66","author":"Specchio N","year":"2025","journal-title":"Epilepsia"},{"issue":"1","key":"e_1_2_14_21_1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s13052-024-01619-8","article-title":"Etiological analysis of 167 cases of drug\u2010resistant epilepsy in children","volume":"50","author":"Zuo RR","year":"2024","journal-title":"Ital J Pediatr"}],"container-title":["Epileptic 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