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Low-fat versus ketogenic diet in Parkinson's disease: A pilot randomized controlled trial.


ABSTRACT:

Background

Preliminary evidence suggests that diet manipulation may influence motor and nonmotor symptoms in PD, but conflict exists regarding the ideal fat to carbohydrate ratio.

Objectives

We designed a pilot randomized, controlled trial to compare the plausibility, safety, and efficacy of a low-fat, high-carbohydrate diet versus a ketogenic diet in a hospital clinic of PD patients.

Methods

We developed a protocol to support PD patients in a diet study and randomly assigned patients to a low-fat or ketogenic diet. Primary outcomes were within- and between-group changes in MDS-UPDRS Parts 1 to 4 over 8 weeks.

Results

We randomized 47 patients, of which 44 commenced the diets and 38 completed the study (86% completion rate for patients commencing the diets). The ketogenic diet group maintained physiological ketosis. Both groups significantly decreased their MDS-UPDRS scores, but the ketogenic group decreased more in Part 1 (-4.58?±?2.17 points, representing a 41% improvement in baseline Part 1 scores) compared to the low-fat group (-0.99?±?3.63 points, representing an 11% improvement) (P?ConclusionsIt is plausible and safe for PD patients to maintain a low-fat or ketogenic diet for 8 weeks. Both diet groups significantly improved in motor and nonmotor symptoms; however, the ketogenic group showed greater improvements in nonmotor symptoms. © 2018 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.

SUBMITTER: Phillips MCL 

PROVIDER: S-EPMC6175383 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Low-fat versus ketogenic diet in Parkinson's disease: A pilot randomized controlled trial.

Phillips Matthew C L MCL   Murtagh Deborah K J DKJ   Gilbertson Linda J LJ   Asztely Fredrik J S FJS   Lynch Christopher D P CDP  

Movement disorders : official journal of the Movement Disorder Society 20180811 8


<h4>Background</h4>Preliminary evidence suggests that diet manipulation may influence motor and nonmotor symptoms in PD, but conflict exists regarding the ideal fat to carbohydrate ratio.<h4>Objectives</h4>We designed a pilot randomized, controlled trial to compare the plausibility, safety, and efficacy of a low-fat, high-carbohydrate diet versus a ketogenic diet in a hospital clinic of PD patients.<h4>Methods</h4>We developed a protocol to support PD patients in a diet study and randomly assign  ...[more]

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