Energy balance
A ketogenic diet (KD) provides neuroprotective benefits in Alzheimer's disease by serving as an alternative energy substrate (ketone bodies) that bypasses impaired glucose metabolism, thereby improving mitochondrial function, reducing oxidative stress, and lowering neuroinflammation.
Adopting a ketogenic diet shifts the brain's fuel source from glucose to ketone bodies, which may help mitigate Alzheimer's progression by improving mitochondrial efficiency and reducing inflammation. This involves consuming a diet with very high fat (approx. 90% of calories) and very low carbohydrates (≤10%). While promising in animal models for reducing amyloid plaques, human clinical data is still emerging, and lipid profiles should be monitored.
The ketogenic diet is a very high-fat, low-carbohydrate diet, which has a fasting-like effect bringing the body into a state of ketosis. The presence of ketone bodies has a neuroprotective impact on aging brain cells. Moreover, their production may enhance mitochondrial function, reduce the expression of inflammatory and apoptotic mediators.
Why this rating
The paper is a review summarizing preclinical and clinical studies, noting that exact mechanisms remain unknown and clinical trials are limited.
Source
Ketogenic Diet in Alzheimer’s Disease
Marta Rusek et al. · International Journal of Molecular Sciences · 2019
DOI 10.3390/ijms20163892
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