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Ketogenic Diet: Implications for Treatment and Injury in Neuropsychiatry and Motor Functioning

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Nutrition and Psychiatric Disorders

Abstract

The robust evidence of the ketogenic diet’s (KD) success in the management of epilepsy has encouraged conducting studies on its effects in other neurological diseases. Despite disparities in characteristics, symptoms, and pathogenesis, these diseases share similar mechanisms that can be targeted by KD. The latter has been implicated in various neuroprotection processes, including neuronal energy replenishment, inflammation reduction, and gut microbiota modulation. Here, we review evidence from literature on the role of KD in the management and treatment of neuropsychiatric disorders and motor dysfunction. We provide an overview of preclinical and clinical assessments to identify the current gaps that need to be filled in future research studies. Finally, we summarize the various adverse events that may be associated with KD implementation.

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Abbreviations

ACA:

Acetoacetate

AD:

Alzheimer’s disease

AIS:

Abbreviated Injury Score

ALS:

Amyotrophic lateral sclerosis

AMPK:

AMP-activated protein kinase

ASC:

Apoptosis-associated speck-like protein containing a CARD

ASD:

Autism spectrum disorder

ASIA:

American Spinal Injury Association

BDH:

β-Hydroxybutyrate dehydrogenase

BHB:

Beta-hydroxybutyrate

BMC:

Bone mineral contents

BMD:

Bone mineral density

CARS:

Childhood autism rating scale

CAU:

Care as usual

CNS:

Central nervous system

CPZ:

Cuprizone

DA:

Dopamine

DMD:

Duchenne muscular dystrophy

EAE:

Experimental autoimmune encephalomyelitis

EPM:

Elevated plus maze

FST:

Forced swim test

GERD:

Gastroesophageal reflux disease

GI:

Gastrointestinal

HDL:

high-density lipoprotein

HFD:

High-fat diet

IBM:

Inclusion body myositis

KB:

Ketone bodies

KD:

Ketogenic diet

KDTs:

Ketogenic Dietary Therapies

KME:

Ketone monoester

LDL:

Low-density lipoprotein

LGIT:

Low glycemic index treatment

LPS:

Lipopolysaccharide

MAD:

Modified Atkins diet

MCT:

Medium-chain triglyceride diet,

MDD:

Major depressive disorder

MeS:

Metabolic syndrome

MS:

Multiple sclerosis

OFT:

Open field test

PAS:

Parkinson Anxiety Scale

PCS:

Post-concussion syndrome

PD:

Parkinson’s disease

RES:

Reactive electrophile species

RNS:

Reactive nitrogen species

ROS:

Reactive oxygen species

R-SDS:

Repeated social defeat stress

SCI:

Spinal cord injury

SD:

Standard diet

TBI:

Traumatic brain injury

UPDRS:

Unified Parkinson’s Disease Rating Scale

VHF-KD:

Very-high-fat ketogenic diet

WD:

Western diet

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© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Dakroub, F., Alkalamouni, H., Dakroub, R. (2022). Ketogenic Diet: Implications for Treatment and Injury in Neuropsychiatry and Motor Functioning. In: Mohamed, W., Kobeissy, F. (eds) Nutrition and Psychiatric Disorders. Nutritional Neurosciences. Springer, Singapore. https://doi.org/10.1007/978-981-19-5021-6_3

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