Ketogenic diet for schizophrenia: clinical implication

Sarnyai, Zoltan, Kraeuter, Ann-Katrin, and Palmer, Christopher (2019) Ketogenic diet for schizophrenia: clinical implication. Current Opinion in Psychiatry, 32 (5). pp. 394-401.

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Purpose of review: The aim of this article is to review recent findings on the efficacy of ketogenic diet in preclinical models and in patients with schizophrenia. This review will also highlight emerging evidence for compromised glucose and energy metabolism in schizophrenia, which provides a strong rationale and a potential mechanism of action for ketogenic diet.

Recent findings: Recent transcriptomic, proteomic and metabolomic evidence from postmortem prefrontal cortical samples and in-vivo NMR spectroscopy results support the hypothesis that there is a bioenergetics dysfunction characterized by abnormal glucose handling and mitochondrial dysfunctions resulting in impaired synaptic communication in the brain of people with schizophrenia. Ketogenic diet, which provides alternative fuel to glucose for bioenergetic processes in the brain, normalizes schizophrenia-like behaviours in translationally relevant pharmacological and genetic mouse models. Furthermore, recent case studies demonstrate that ketogenic diet produces improvement in psychiatric symptoms as well as metabolic dysfunctions and body composition in patients with schizophrenia.

Summary: These results support that ketogenic diet may present a novel therapeutic approach through restoring brain energy metabolism in schizophrenia. Randomized controlled clinical trials are needed to further show the efficacy of ketogenic diet as a co-treatment to manage both clinical symptoms and metabolic abnormalities inherent to the disease and resulted by antipsychotic treatment.

Item ID: 61276
Item Type: Article (Research - C1)
ISSN: 1473-6578
Keywords: energy metabolism, glycolysis, ketogenic diet, mitochondria, schizophrenia
Copyright Information: Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Funders: James Cook University
Projects and Grants: James Cook University International Postgraduate Scholarship
Date Deposited: 25 Dec 2019 07:35
FoR Codes: 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520302 Clinical psychology @ 100%
Downloads: Total: 3
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