Genetic variants for personalised management of very low carbohydrate ketogenic diets

The ketogenic diet (KD) is a low-carbohydrate, high-fat, adequate-protein diet proven to be effective for the reversal of obesity, metabolic syndrome and type 2 diabetes, and holding therapeutic potential for the prevention and treatment of other chronic diseases. Genetic and dynamic markers of KD r...

Full description

Bibliographic Details
Main Authors: Lucia Aronica, Jeff Volek, Angela Poff, Dominic P D'agostino
Format: Article
Language:English
Published: BMJ Publishing Group
Series:BMJ Nutrition, Prevention & Health
Online Access:https://nutrition.bmj.com/content/early/2020/12/10/bmjnph-2020-000167.full
_version_ 1818566135794106368
author Lucia Aronica
Jeff Volek
Angela Poff
Dominic P D'agostino
author_facet Lucia Aronica
Jeff Volek
Angela Poff
Dominic P D'agostino
author_sort Lucia Aronica
collection DOAJ
description The ketogenic diet (KD) is a low-carbohydrate, high-fat, adequate-protein diet proven to be effective for the reversal of obesity, metabolic syndrome and type 2 diabetes, and holding therapeutic potential for the prevention and treatment of other chronic diseases. Genetic and dynamic markers of KD response may help to identify individuals most likely to benefit from KD and point to individuals at higher risk for adverse health outcomes. Here, we provide a clinician-friendly review of state-of-the-art research on biomarkers of KD response for a variety of outcomes including weight loss, body composition and cognitive performance drawing data from both intervention trials and case reports of rare inborn errors of metabolism. We also present a selection of the most promising candidate genes to evaluate in future studies and discuss key aspects of study design and variant interpretation that may help accelerate the implementation of these biomarkers in clinical practice.
first_indexed 2024-12-14T01:49:52Z
format Article
id doaj.art-369499d7ac8940e6a5ea5a812fe4da4c
institution Directory Open Access Journal
issn 2516-5542
language English
last_indexed 2024-12-14T01:49:52Z
publisher BMJ Publishing Group
record_format Article
series BMJ Nutrition, Prevention & Health
spelling doaj.art-369499d7ac8940e6a5ea5a812fe4da4c2022-12-21T23:21:25ZengBMJ Publishing GroupBMJ Nutrition, Prevention & Health2516-554210.1136/bmjnph-2020-000167Genetic variants for personalised management of very low carbohydrate ketogenic dietsLucia Aronica0Jeff Volek1Angela Poff2Dominic P D'agostino3Nutrition Science, Metagenics Inc, Gig Harbor, Washington, USAHuman Sciences, The Ohio State University, Columbus, Ohio, USAMedicine Molecular Pharmacology & Physiology, University of South Florida, Tampa, Florida, USAMedicine Molecular Pharmacology & Physiology, University of South Florida, Tampa, Florida, USAThe ketogenic diet (KD) is a low-carbohydrate, high-fat, adequate-protein diet proven to be effective for the reversal of obesity, metabolic syndrome and type 2 diabetes, and holding therapeutic potential for the prevention and treatment of other chronic diseases. Genetic and dynamic markers of KD response may help to identify individuals most likely to benefit from KD and point to individuals at higher risk for adverse health outcomes. Here, we provide a clinician-friendly review of state-of-the-art research on biomarkers of KD response for a variety of outcomes including weight loss, body composition and cognitive performance drawing data from both intervention trials and case reports of rare inborn errors of metabolism. We also present a selection of the most promising candidate genes to evaluate in future studies and discuss key aspects of study design and variant interpretation that may help accelerate the implementation of these biomarkers in clinical practice.https://nutrition.bmj.com/content/early/2020/12/10/bmjnph-2020-000167.full
spellingShingle Lucia Aronica
Jeff Volek
Angela Poff
Dominic P D'agostino
Genetic variants for personalised management of very low carbohydrate ketogenic diets
BMJ Nutrition, Prevention & Health
title Genetic variants for personalised management of very low carbohydrate ketogenic diets
title_full Genetic variants for personalised management of very low carbohydrate ketogenic diets
title_fullStr Genetic variants for personalised management of very low carbohydrate ketogenic diets
title_full_unstemmed Genetic variants for personalised management of very low carbohydrate ketogenic diets
title_short Genetic variants for personalised management of very low carbohydrate ketogenic diets
title_sort genetic variants for personalised management of very low carbohydrate ketogenic diets
url https://nutrition.bmj.com/content/early/2020/12/10/bmjnph-2020-000167.full
work_keys_str_mv AT luciaaronica geneticvariantsforpersonalisedmanagementofverylowcarbohydrateketogenicdiets
AT jeffvolek geneticvariantsforpersonalisedmanagementofverylowcarbohydrateketogenicdiets
AT angelapoff geneticvariantsforpersonalisedmanagementofverylowcarbohydrateketogenicdiets
AT dominicpdagostino geneticvariantsforpersonalisedmanagementofverylowcarbohydrateketogenicdiets