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Effects of the ketogenic diet on bone health: A systematic review

Garofalo, Vincenzo, Barbagallo, Federica, Cannarella, Rossella, Calogero, Aldo Eugenio, La Vignera, Sandro, Condorelli, Rosita Angela·2023·Frontiers in Endocrinology

Abstract

Objective: To carry out a systematic review of published studies to evaluate the relationship between different type of ketogenic diet (KD) and bone health as supported by the scientific literature. Methods: The study involved all articles that assessed the relationship between the use of KD for the treatment of overweight or obesity and bone health. The quality assessment was evaluated with using the Cambridge Quality Checklists. The search strategy included the following combination of Medical Subjects Headings terms and keywords: “osteoporosis”, ”bone health, ”bone function”, ”bone mineral density”, and “ketogenic diet”. Results: Seven trials were identified and reviewed. No significant changes in bone mass density (BMD) were observed after KD. The results showed no significant effect on bone resorption by measuring urinary N-telopeptide levels, on bone formation by measuring bone-specific alkaline phosphatase, or alterations in overall bone turnover in patients who followed KD. Only in female subject after a 10% weight loss, bone resorption increases while new bone synthesis decreases, but without increasing the risk of osteoporosis. Finally, patients on KD lost significantly more weight than controls, associated with an increase in serum vitamin D levels and a reduction in plasma parathyroid hormone (PTH) levels. Conclusion: No human studies have currently been conducted with adequate and powerful experimental designs to definitively understand the impact of KD therapy on bone health.

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Research works printed but not linked: 31

  1. Vargas, 2018, Efficacy of ketogenic diet on body composition during resistance training in trained men: a randomized controlled trial, J IntSoc Sports Nutr, 15, 31, 10.1186/s12970-018-0236-9 · DOI
  2. Egan, 2016, Fueling performance: ketones enter the mix, Cell Metab, 24, 10.1016/j.cmet.2016.08.021 · DOI
  3. Kosinski, 2017, Efects of ketogenic diets on cardiovascular risk factors: Evidence from animal and human studies, Nutrients, 9, 10.3390/nu9050517 · DOI
  4. McArtney, 2017, What is a ketogenic diet and how does it afect the use of medicines, Arch Dis Child Educ Pract Ed, 102, 10.1136/archdischild-2014-307000 · DOI
  5. Stubbs, 2017, On the metabolism of exogenous ketones in humans, Front Physiol, 8, 10.3389/fphys.2017.00848 · DOI · Paper page
  6. Barrea, 2022, Clinical and nutritional management of very-low-calorie ketogenic diet (VLCKD) in patients with psoriasis and obesity: a practical guide for the nutritionist, Crit Rev Food Sci Nutr, 1, 10.1080/10408398.2022.2083070 · DOI
  7. Barrea, 2022, Phase angle as an easy diagnostic tool for the nutritionist in the evaluation of inflammatory changes during the active stage of a very low-calorie ketogenic diet, Int J Obes (Lond)., 46, 10.1038/s41366-022-01152-w · DOI
  8. Rondanelli, 2022, Effect of very low-calorie ketogenic diet in combination with omega-3 on inflammation, satiety hormones, body composition, and metabolic markers. a pilot study in class I obese subjects, Endocrine, 75, 10.1007/s12020-021-02860-5 · DOI
  9. Barrea, 2022, Impact of a very low-calorie ketogenic diet (VLCKD) on changes in handgrip strength in women with obesity, Nutrients, 14, 10.3390/nu14194213 · DOI
  10. Bergqvist, 2008, Progressive bone mineral content loss in children with intractable epilepsy treated with the ketogenic diet, Am J Clin Nutr, 88, 10.3945/ajcn.2008.26099 · DOI
  11. Hawkes, 2014, Ketotic hypercalcemia: a case series and description of a novel entity, J Clin Endocrinol Metab, 99, 10.1210/jc.2013-4275 · DOI
  12. Barzel, 1998, Excess dietary protein can adversely affect bone, J Nutr, 128, 10.1093/jn/128.6.1051 · DOI · Paper page
  13. Stroup, 2000, Meta-analysis of observational studies in epidemiology: a proposal for reporting. meta-analysis of observational studies in epidemiology (MOOSE) group, J Am Med Associat., 283, 10.1001/jama.283.15.2008 · DOI · Paper page
  14. Shamseer, 2015, Preferred reporting items for systematic review and meta-analysis protocols (prisma-p): Elaboration and explanation, BMJ, 349, q7647, 10.1136/bmj.g7647 · DOI · Paper page
  15. Yu, 2022, Effects of weight loss on bone turnover, inflammatory cytokines, and adipokines in Chinese overweight and obese adults, J Endocrinol Invest., 45, 10.1007/s40618-022-01815-5 · DOI
  16. Perissiou, 2020, The effect of an 8 week prescribed exercise and low-carbohydrate diet on cardiorespiratory fitness, body composition and cardiometabolic risk factors in obese individuals: A randomised controlled trial. randomized controlled trial, Nutrients, 12, 10.3390/nu12020482 · DOI
  17. Colica, 2017, Efficacy and safety of very-low-calorie ketogenic diet: a double blind randomized crossover study, Eur Rev Med Pharmacol Sci, 21
  18. Brinkworth, 2016, Long-term effects of a very-low-carbohydrate weight-loss diet and an isocaloric low-fat diet on bone health in obese adults, Nutrition, 32, 10.1016/j.nut.2016.03.003 · DOI
  19. Carter, 2006, The effect of a low-carbohydrate diet on bone turnover, Osteoporos Int, 17, 10.1007/s00198-006-0134-x · DOI
  20. Jensen, 2001, Bone minerals changes in obese women during a moderate weight loss with and without calcium supplementation, J Bone Miner Res, 16, 10.1359/jbmr.2001.16.1.141 · DOI
  21. Daniel, 2013, A complications-based clinical staging of obesity to guide treatment modality and intensity, Curr Opin Endocrinol Diabetes Obes, 20, 10.1097/01.med.0000433067.01671.f5 · DOI
  22. Carnauba, 2017, Diet-induced low-grade metabolic acidosis and clinical outcomes: A review, Nutrients, 9, 10.3390/nu9060538 · DOI
  23. Yuan, 2016, The roles of acidosis in osteoclast biology, Front Physiol, 7, 10.3389/fphys.2016.00222 · DOI
  24. Saito, 2016, Enhanced and suppressed mineralization by acetoacetate and β-hydroxybutyrate in osteoblast cultures, Biochem Biophys Res Commun, 473, 10.1016/j.bbrc.2016.03.109 · DOI
  25. Merlotti, 2021, Energy metabolism and ketogenic diets: What about the skeletal health? a narrative review and a prospective vision for planning clinical trials on this issue, Int J Mol Sci, 22, 10.3390/ijms22010435 · DOI
  26. Buscemi, 2021, Obesity and circulating levels of vitamin d before and after weight loss induced by a very low-calorie ketogenic diet, Nutrients, 13, 10.3390/nu13061829 · DOI · Paper page
  27. Van Loan, 1998, Effect of weight loss on bone mineral content and bone mineral density in obese women, Am J Clin Nutr, 67, 10.1093/ajcn/67.4.734 · DOI
  28. Hahn, 1979, Disordered mineral metabolism produced by ketogenic diet therapy, Calcif Tissue Int, 28, 17, 10.1007/BF02441213 · DOI
  29. Fuleihan, 2008, Predictors of bone density in ambulatory patients on antiepileptic drugs, Bone, 43, 10.1016/j.bone.2008.03.002 · DOI
  30. Ding, 2019, Bone loss and biomechanical reduction of appendicular and axial bones under ketogenic diet in rats, Exp Ther Med, 17, 10.3892/etm.2019.7241 · DOI
  31. Liu, 2019, Metformin alleviates the bone loss induced by ketogenic diet: An In vivo study in mice, Calcif Tissue Int, 104, 59, 10.1007/s00223-018-0468-3 · DOI

Metadata

Authors
Garofalo, V., Barbagallo, F., Cannarella, R., Calogero, A. E., La Vignera, S., & Condorelli, R. A.
Venue
Frontiers in Endocrinology
Published
2023-02-02
Volume
14
ISSN
1664-2392
Cited by
33
References
6

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