{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:23:11Z","timestamp":1787750591009,"version":"build-2784847793"},"reference-count":86,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Age-related eating difficulties, combined with restrictive ketogenic diet therapies (KDTs), may contribute to a narrow range of consumed foods and reduced dietary variety in children\u2019s diet. Methods: The study aim is to compare nutritional status, food neophobia (FN), food texture preferences, and eight eating behaviors\u2014including food fussiness (FF)\u2014as well as meal variety and repetitiveness, between children with drug-resistant epilepsy undergoing KDT (KD group; n = 15) and healthy children (n = 100), by the Child Food Texture Preference Questionnaire, the Children\u2019s Eating Behavior Questionnaire and the Modified Children\u2019s Food Neophobia Scale. Results: No significant differences were found in nutritional status (percentile: weight: 53 (31.50\u201378.00) vs. 51.50 (35.50\u201371.25), p &gt; 0.9999; height: 43 (26.5\u201359.5) vs. 51 (31.75\u201370.25), p &gt; 0.9999; BMI: 50 (21.5\u201392.5) vs. 51.5 (33\u201369.5), p &gt; 0.9999) and in most eating behavior domains, although both groups showed a high prevalence of feeding difficulties. The KD group showed significantly greater meal repetition (3 (2\u20133) vs. 2 (1\u20132), p = 0.0468) and lower dietary variety (3 (2\u20133) vs. 4 (4\u20134), p = 0.0004), emotional undereating (4 (4\u20138.5) vs. 10 (9\u201313), p = 0.0059) and overeating (4 (4\u20137) vs. 8 (6\u201310), p = 0.0196) scores. Within the study population, eating behaviors clustered into distinct patterns predisposing toward either an \u201cadaptive\u201d or a \u201cmaladaptive\u201d approach to food. Conclusions: There is a need for an individualized approach to addressing eating difficulties in children following KDT. It seems reasonable to introduce targeted screening assessments for FN and FF to facilitate early identification of patients at risk of unfavorable eating styles.<\/jats:p>","DOI":"10.3390\/nu18172788","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:59:57Z","timestamp":1787749197000},"page":"2788","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Do Children with Drug-Resistant Epilepsy Exhibit the Same Eating Habits and Feeding Difficulties as Their Healthy Peers? A Multifaceted Assessment of Eating Habits, Feeding Behaviors, and Nutritional Status in Pediatric Patients with Drug-Resistant Epilepsy on a Ketogenic Diet Compared with Healthy Children in Lower Silesia"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6429-1105","authenticated-orcid":false,"given":"Katarzyna Daria","family":"Go\u0142\u0105bek","sequence":"first","affiliation":[{"name":"Department of Dietetics and Bromatology, Pharmacy Faculty, Wroclaw Medical University, ul. Borowska 211, 50-556 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Gruna-O\u017carowska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurology, T. Marciniak Lower Silesian Specialist Hospital\u2013Emergency Medicine Center, ul. Gen. August Emil Fieldorfa 2, 54-049 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1454-2068","authenticated-orcid":false,"given":"Jakub","family":"Wronowicz","sequence":"additional","affiliation":[{"name":"Statistical Analysis Centre, Wroclaw Medical University, ul. K. Marcinkowskiego 2-6, 50-368 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5941-1715","authenticated-orcid":false,"given":"Bo\u017cena","family":"Regulska-Ilow","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Bromatology, Pharmacy Faculty, Wroclaw Medical University, ul. Borowska 211, 50-556 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"388","DOI":"10.4140\/TCP.n.2017.388","article-title":"The Ketogenic Diet: Making a Comeback","volume":"32","author":"Walczyk","year":"2017","journal-title":"Consult. Pharm."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1007\/s11064-017-2253-5","article-title":"Ketone Bodies as Anti-Seizure Agents","volume":"42","author":"Simeone","year":"2017","journal-title":"Neurochem. Res."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Yoo, B.M., Kim, S.R., and Lee, B.-W. (2025). Ketone Body Induction: Insights into Metabolic Disease Management. 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