, Volume 233, Issue 21–22, pp 3797–3802 | Cite as

Effect of a ketogenic meal on cognitive function in elderly adults: potential for cognitive enhancement

  • Miho OtaEmail author
  • Junko Matsuo
  • Ikki Ishida
  • Kotaro Hattori
  • Toshiya Teraishi
  • Hidekazu Tonouchi
  • Kinya Ashida
  • Takeshi Takahashi
  • Hiroshi Kunugi
Original Investigation



Glucose is the principal energy substrate for the brain, although ketone bodies are an effective alternative. Evidence suggests that elevation of plasma ketone body levels through oral intake of medium chain triglycerides (MCTs) may improve cognitive function.


We tried to examine the possible effects of a ketogenic meal serving on cognition in elderly non-demented subjects.


Subjects were 19 non-demented elderly adults over 60 years old (13 females; mean age: 66.1 ± 2.9 years) who underwent neurocognitive tests 90 and 180 min after oral intake of a ketogenic meal (Ketonformula®) containing 20 g of MCTs and an isocaloric placebo meal without MCTs on separate days.


Elevation of plasma ketone concentration after intake of a single ketogenic meal containing 20 g of MCTs was confirmed (all p < 0.001). As for cognition, improvements were observed in the digit span test, Trail-Making Test B, and the global score (Z = −2.4, p = 0.017) following the ketogenic meal and the change in the executive functioning score was positively correlated with that of the plasma β-hydroxybutyrate level. The cognition-enhancing effect was observed predominantly for individuals who had a relatively low global score at baseline (Z = −2.8, p = 0.005), compared to individuals with a high global score (Z = −0.7, p = 0.51).


Plasma levels of ketone bodies were successfully increased after intake of the ketogenic meal. The ketogenic meal was suggested to have positive effects on working memory, visual attention, and task switching in non-demented elderly.


β-hydroxybutyrate Cognition Elderly Ketogenic meal Medium chain triglycerides 



This study was funded by a research grant from Ryoshoku, the Food Science Institute Foundation, Japan.


K.A., T.T., and H.T. are employees of Meiji Co., Ltd., and Meiji817-B, the ketogenic meal used in the study, was provided by the company.

Compliance with ethical standards

This study was performed in accordance with the Declaration of Helsinki and approved by the ethics committee of the National Center of Neurology and Psychiatry, Japan.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Miho Ota
    • 1
    Email author
  • Junko Matsuo
    • 1
  • Ikki Ishida
    • 1
  • Kotaro Hattori
    • 1
  • Toshiya Teraishi
    • 1
  • Hidekazu Tonouchi
    • 2
  • Kinya Ashida
    • 2
  • Takeshi Takahashi
    • 2
  • Hiroshi Kunugi
    • 1
  1. 1.Department of Mental Disorder ResearchNational Institute of Neuroscience, National Center of Neurology and PsychiatryTokyoJapan
  2. 2.Food Science Research LaboratoriesR & D Division, Meiji Co., Ltd., 540OdawaraJapan

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