El Karkafi Roy, Gebara Tammy, Salem Michael, Kamel Jessica, El Khoury Ghinwa, Zalal Marilynn, Fakhoury Marc
Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Byblos, Lebanon.
Adv Exp Med Biol. 2023;1411:537-554. doi: 10.1007/978-981-19-7376-5_23.
The ketogenic diet, known as a low-carbohydrate, high-protein, and high-fat diet, drastically restrains the major source of energy for the body, forcing it to burn all excess fat through a process called ketosis-the breaking down of fat into ketone bodies. First suggested as a medical treatment for children suffering from epilepsy, this diet has gained increased popularity as a rapid weight loss strategy. Over the past few years, there have been numerous studies suggesting that the ketogenic diet may provide therapeutic effects for several psychiatric conditions such as mood- and anxiety-related disorders. However, despite significant progress in research, the mechanisms underlying its therapeutic effects remain largely unexplored and are yet to be fully elucidated. This chapter provides an in-depth overview of preclinical and clinical evidence supporting the use of a ketogenic diet in the management of mood and anxiety disorders and discusses its relationship with inflammatory processes and potential mechanisms of actions for its therapeutic effects.
生酮饮食,即一种低碳水化合物、高蛋白和高脂肪的饮食,极大地限制了身体的主要能量来源,迫使身体通过一种称为酮症的过程燃烧所有多余脂肪,即把脂肪分解成酮体。这种饮食最初被提议作为治疗癫痫儿童的一种医学疗法,如今作为一种快速减肥策略越来越受欢迎。在过去几年里,有大量研究表明生酮饮食可能对几种精神疾病有治疗作用,比如与情绪和焦虑相关的障碍。然而,尽管研究取得了重大进展,但其治疗效果背后的机制在很大程度上仍未被探索,也尚未得到充分阐明。本章深入概述了支持将生酮饮食用于治疗情绪和焦虑障碍的临床前和临床证据,并讨论了其与炎症过程的关系以及治疗效果的潜在作用机制。