Ketogenic diet for mental health: Come for the weight loss, stay for the mental health benefits?
End Notes
- Psychiatry 2006: A review of bipolar disorder in adults [overview article; ungraded]
- [anecdotal report; very weak evidence ]
- Frontiers in Psychiatry 2017: The current status of the ketogenic diet in psychiatry [narrative review of mechanisms, case studies, and animal reports; very weak evidence]; The International Journal of Neuropsychopharmacology 2020: Induced ketosis as a treatment for neuroprogressive disorders: Food for thought? [overview article; ungraded]; Neuroscience and Biobehavioral Reviews 2018: Ketogenic diet as a metabolic therapy for mood disorders: evidence and developments [overview article; ungraded]
- International Journal of Epidemiology 2014: The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013 [systematic review of observational studies; weak evidence]
- According to the most recent data, depression in the US affects from 6.6% to 7.3% of people overall, and as many as 12.7% of those younger than 18: Psychological Medicine 2018: Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups [observational study; weak evidence]
- JAMA Psychiatry 2015: Mortality in mental disorders and global disease burden implications [systematic review of observational studies; weak evidence]; World Psychiatry 2011: Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. [overview article; ungraded]
- PLoS One 2019: Prediction of cardiovascular disease risk among people with severe mental illness: A cohort study [longitudinal study with RR < 2: very weak evidence]; BMC Medicine 2011: Mental illness related disparities in diabetes prevalence, quality of care and outcomes: a population-based longitudinal study [longitudinal study with RR < 2: very weak evidence]; Cancer 2013: Analyzing excess mortality from cancer among individuals with mental illness [cross-sectional study with RR > 2; weak evidence]
- [Individual opinion; very weak evidence]
- The American Journal of Clinical Nutrition 2011: Low to moderate sugar-sweetened beverage consumption impairs glucose and lipid metabolism and promotes inflammation in healthy young men: a randomized controlled trial [randomized trial; moderate evidence]; Medicinal Research Reviews 2015: Postprandial dysmetabolism and oxidative stress in type 2 diabetes: pathogenetic mechanisms and therapeutic strategies [overview article; ungraded]; Journal of Nutrition and Metabolism 2012: Health implications of high dietary omega-6 polyunsaturated fatty acids [overview article; ungraded]
- Journal of the Academy of Nutrition & Dietetics 2012: Effect of dietary linoleic acid on markers of inflammation in healthy persons: a systematic review of randomized controlled trials [strong evidence]
- Journal of Neuroinflammation 2013: Neuroinflammation and psychiatric illness [Review article of clinical trials and observational studies; weak to moderate evidence]; Current Topics in Behavioral Neurosciences 2017: Evidence for inflammation-associated depression [overview article; ungraded]; International Journal of Molecular Sciences 2017: Neuroinflammation and oxidative stress in psychosis and psychosis risk [overview article; ungraded]; Psychiatric Clinics of North America 2016: Bipolar disorder and inflammation [overview article; ungraded]
- [anecdotal reports; very weak evidence]
- [clinical experience; weak evidence]
- Nutrition & Metabolism 2009: Schizophrenia, gluten, and low-carbohydrate, ketogenic diets: a case report and review of the literature [case study; very weak evidence]
- [anecdotal report; very weak evidence] Please do not stop medications on your own. Consult with your doctor before starting or stopping meds. See more in our guide on low carb with mental health medications.
- Journal of Cerebral Blood flow and Metabolism 2017: Inverse relationship between brain glucose and ketone metabolism in adults during short-term moderate dietary ketosis: A dual tracer quantitative positron emission tomography study [observational study, weak evidence]
- BBA Clinical 2016: Glycogen metabolism in humans [overview article; ungraded]
- Journal of Cerebral Blood flow and Metabolism 2017: Inverse relationship between brain glucose and ketone metabolism in adults during short-term moderate dietary ketosis: A dual tracer quantitative positron emission tomography study [nonrandomized study; weak evidence]; Journal of Clinical Investigations 1967: Brain metabolism during fasting [nonrandomized study; weak evidence]; Critical Care 2011: Clinical review: Ketones and brain injury [overview article; ungraded]
- Frontiers in Psychiatry 2017: The current status of the ketogenic diet in psychiatry [overview article; ungraded]
- Neurochemistry International 2018: Neuroketotherapeutics: a modern review of a century-old therapy [overview article; ungraded]
- American Journal of Psychiatry 1965: A pilot study of the ketogenic diet in schizophrenia [non-controlled study; weak evidence]
- Epilepsia 2008: History of the ketogenic diet [overview article; ungraded]
- Epilepsia 2018: Effect of modified Atkins diet in adults with drug-resistant focal epilepsy: a randomized controlled trial [moderate evidence]; Acta Neurologica Scandinavica 2017: A randomized controlled trial of the ketogenic diet in refracatory childhood epilepsy [moderate evidence]; Epilepsy Research 2016: Evaluation of a simplified modified Atkins diet for use by parents with low levels of literacy in children with refractory epilepsy: a randomized controlled trial [moderate evidence]
- Expert Review of Neurotherapeutics 2010: Epilepsy and bipolar disorders [overview article; ungraded]; Neuroscientist 2007: Bipolar disorder and epilepsy: a bidirectional relation? Neurobiological underpinnings, current hypotheses, and future research directions [overview article; ungraded]
- Journal of Mental Health 2010: Anticonvulsants in bipolar disorder [overview article; ungraded]
- Frontiers in Genetics 2013: Major channels involved in neuropsychiatric disorders and therapeutic perspectives. [overview article; ungraded]; Frontiers in Genetics 2013: A review of potassium channels in bipolar disorder [overview article; ungraded]; Cold Spring Harbor Perspectives in Medicine 2016: Role of sodium channels in epilepsy [overview article; ungraded]; Frontiers in Physiology 2016: ATP1A2 mutations in migraine: seeing through the facets of an ion pump onto the neurobiology of disease [overview article; ungraded]
- Bipolar Disorders 2013: Brain gamma-aminobutyric acid (GABA) abnormalities in bipolar disorder [case-control study; very weak evidence]; Journal of Magnetic Resonance Imaging 2015: Investigation of glutamine and GABA levels in patients with idiopathic generalized epilepsy using MEGAPRESS [case-control study; very weak evidence] Frontiers in Psychiatry 2017: GABAergic mechanisms in schizophrenia: linking postmortem and in vivo studies. [overview article; ungraded]
- Molecular Psychiatry 2017: Ankyrin-G isoform imbalance and interneuronopathy link epilepsy and bipolar disorder [mouse and test tube study; very weak evidence]
- Neurocase 2013: The ketogenic diet for type II bipolar disorder [case study; very weak evidence]
- The American Journal of Clinical Nutrition 1966: Wheat βconsumptionβ and hospital admissions for schizophrenia during World War II. A preliminary report [cross-sectional observational study: very weak evidence]
- The Psychiatric Quarterly 2012: Neurologic and psychiatric manifestations of celiac disease and gluten sensitivity [overview article; ungraded]
- Clinical Gastroenterology and Hepatology 2018: Global prevalence of celiac disease: systematic review and meta-analysis [systematic review of observational data; moderate evidence]
- World Journal of Gastroenterology 2017: Non-celiac gluten sensitivity: all wheat attack is not celiac [overview article; ungraded]
- Autoimmunity Highlights 2014: Celiac and non-celiac gluten sensitivity: a review on the association with schizophrenia and mood disorders [review article; ungraded]
- Frontiers in Human Neuroscience 2016: Bread and other edible agents of mental disease [opinion; no evidence]
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