Therapeutic potential of the ketogenic diet: A metabolic switch with implications for neurological disorders, the gut-brain axis, and cardiovascular diseases

IF 4.8 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Journal of Nutritional Biochemistry Pub Date : 2024-06-14 DOI:10.1016/j.jnutbio.2024.109693
Sheyda Shahpasand , Seyyed Hossein Khatami , Sajad Ehtiati , Parsa Alehossein , Farzaneh Salmani , Alireza Haghbin Toutounchi , Tayebe Zarei , Mohammad Reza Shahmohammadi , Reza Khodarahmi , Vajiheh Aghamollaii , Abbas Tafakhori , Saeed Karima
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Abstract

The Ketogenic Diet (KD) is a dietary regimen that is low in carbohydrates, high in fats, and contains adequate protein. It is designed to mimic the metabolic state of fasting. This diet triggers the production of ketone bodies through a process known as ketosis. The primary objective of KD is to induce and sustain ketosis, which has been associated with numerous health benefits. Recent research has uncovered promising therapeutic potential for KD in the treatment of various diseases. This includes evidence of its effectiveness as a dietary strategy for managing intractable epilepsy, a form of epilepsy that is resistant to medication. We are currently assessing the efficacy and safety of KD through laboratory and clinical studies. This review focuses on the anti-inflammatory properties of the KD and its potential benefits for neurological disorders and the gut-brain axis. We also explore the existing literature on the potential effects of KD on cardiac health. Our aim is to provide a comprehensive overview of the current knowledge in these areas. Given the encouraging preliminary evidence of its therapeutic effects and the growing understanding of its mechanisms of action, randomized controlled trials are warranted to further explore the rationale behind the clinical use of KD. These trials will ultimately enhance our understanding of how KD functions and its potential benefits for various health conditions. We hope that our research will contribute to the body of knowledge in this field and provide valuable insights for future studies.

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生酮饮食的治疗潜力:代谢转换对神经系统疾病、肠脑轴和心血管疾病的影响》。
生酮饮食(KD)是一种低碳水化合物、高脂肪并含有充足蛋白质的饮食方案。它旨在模拟禁食的新陈代谢状态。这种饮食方法通过一个称为酮病的过程来引发酮体的产生。酮病饮食的主要目的是诱导和维持酮病,酮病与许多健康益处有关。最近的研究发现,酮病在治疗各种疾病方面具有广阔的治疗潜力。其中包括有证据表明,它作为一种饮食策略,对控制难治性癫痫(一种对药物有抗药性的癫痫)非常有效。目前,我们正在通过实验室和临床研究评估 KD 的有效性和安全性。本综述将重点关注 KD 的抗炎特性及其对神经系统疾病和肠道-大脑轴的潜在益处。我们还探讨了有关 KD 对心脏健康潜在影响的现有文献。我们的目的是全面概述这些领域的现有知识。鉴于其治疗效果的初步证据令人鼓舞,而且人们对其作用机制的了解也在不断加深,因此有必要进行随机对照试验,以进一步探索 KD 临床应用的合理性。这些试验最终将加深我们对 KD 功能及其对各种健康状况的潜在益处的了解。我们希望我们的研究能够为这一领域的知识体系做出贡献,并为未来的研究提供有价值的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Nutritional Biochemistry
Journal of Nutritional Biochemistry 医学-生化与分子生物学
CiteScore
9.50
自引率
3.60%
发文量
237
审稿时长
68 days
期刊介绍: Devoted to advancements in nutritional sciences, The Journal of Nutritional Biochemistry presents experimental nutrition research as it relates to: biochemistry, molecular biology, toxicology, or physiology. Rigorous reviews by an international editorial board of distinguished scientists ensure publication of the most current and key research being conducted in nutrition at the cellular, animal and human level. In addition to its monthly features of critical reviews and research articles, The Journal of Nutritional Biochemistry also periodically publishes emerging issues, experimental methods, and other types of articles.
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