Obesity is reaching epidemic proportions and is a strong risk factor for a number of cardiovascular and metabolic disorders such as hypertension, type 2 diabetes, dyslipidemia, atherosclerosis, and also certain types of cancers. Despite the constant recommendations of health care organizations regarding the importance of weight control, this goal often fails. Genetic predisposition in combination with inactive lifestyles and high caloric intake leads to excessive weight gain. Even though there may be agreement about the concept that lifestyle changes affecting dietary habits and physical activity are essential to promote weight loss and weight control, the ideal amount and type of exercise and also the ideal diet are still under debate. For many years, nutritional intervention studies have been focused on reducing dietary fat with little positive results over the long-term. One of the most studied strategies in the recent years for weight loss is the ketogenic diet. Many studies have shown that this kind of nutritional approach has a solid physiological and biochemical basis and is able to induce effective weight loss along with improvement in several cardiovascular risk parameters. This review discusses the physiological basis of ketogenic diets and the rationale for their use in obesity, discussing the strengths and the weaknesses of these diets together with cautions that should be used in obese patients. Obesity is a rapidly growing epidemic worldwide [ 1 ] that has nearly doubled since For family physicians, obesity is one of the most challenging problems confronted in daily practice and despite the efforts of both patients and physicians, this disorder is increasing in prevalence. Obesity is one of the principle risk factors for cardiovascular disease and along with dyslipidaemia, hypertension and diabetes contributes to the metabolic syndrome [ 3 ].
Metrics details. The ketogenic diet has become popular among endurance athletes as a performance enhancer. PubMed and Web of Science searches were conducted through November Articles were excluded if they were not a primary source or hypotheses were not tested with endurance athletes i. Two of five trials reported significant increases in VO 2 max across all diets; while three trials and one case study reported no significant VO 2 max findings. Limited and heterogeneous findings prohibit definitive conclusions regarding efficacy of the EAKD for performance benefit. When compared to a high carbohydrate diet, there are mixed findings for the effect of EAKD consumption on VO 2 max and other performance outcomes. More randomized trials are needed to better understand the potentially nuanced effects of EAKD consumption on endurance performance. Researchers may also consider exploring the impact of genetics, recovery, sport type, and sex in moderating the influence of EAKD consumption on performance outcomes. The ketogenic diet prescribes a significant reduction in carbohydrate intake, which facilitates physiological changes that promote the utilization of ketones [ 1 ]. Despite evidence-based guidance for athletes to consume adequate carbohydrates [ 2 ], it has been proposed that the biological constraints of carbohydrate storage may limit athletes who compete over extended time periods [ 3, 4 ]. As a result, endurance athletes must replenish their glycogen stores every one to three hours during activity [ 5 ].
Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost years to treat drug-resistant epilepsy, especially in children. In the s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss.
|Peer reviewed articles that support the ketogenic diet ready help||Fuel metabolism in starvation. I strongly encourage the author of the article to take one class via The Institute for Functional Medicine. In both cases, the low-fat diet showed no benefit, even though the comparison groups were given lower-intensity interventions.|
|Are peer reviewed articles that support the ketogenic diet very pity can||The therapeutic implications of ketone bodies: The effects of ketone bodies in pathological conditions: Ketosis, ketogenic diet, redox states, insulin resistance, and mitochondrial metabolism. It has been previously established that KDs generate a decrease in appetite [ 46, 47 ], which can be conducive to reducing FM. Nat Rev Drug Discov. You can dispute the traditional Okinawan diet if you like but the facts are there for everyone that knows how to read.|
|Peer reviewed articles that support the ketogenic diet apologise||Carr et al. Biochemical and nutritional overview of diet-induced metabolic syndrome models in rats: what is the best choice? Introduction Obesity is a rapidly growing epidemic worldwide [ 1 ] that has nearly doubled since|
|Consider peer reviewed articles that support the ketogenic diet apologise but opinion||Increases in cholesterol levels need discussion too. JMIR Diabetes. Viswanathan Mohan 2 Dr. After a brief transitional period 46, a ketogenic diet can also improve general mood, although findings vary among studies|