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The impact of keto-adaptation on exercise performance and the role of metabolic-regulating cytokines
Journal article   Open access   Peer reviewed

The impact of keto-adaptation on exercise performance and the role of metabolic-regulating cytokines

Matthew Sherrier and Hongshuai Li
The American journal of clinical nutrition, Vol.110(3), pp.562-573
09/01/2019
DOI: 10.1093/ajcn/nqz145
PMID: 31347659
url
https://doi.org/10.1093/ajcn/nqz145View
Published (Version of record) Open Access

Abstract

ABSTRACTThe ketogenic diet (KD) is a normocaloric diet composed of high-fat, low-carbohydrate, and adequate protein that induces fasting-like effects and results in the production of ketone bodies. Initially used widely for children with refractory epilepsy, the KD gained popularity due to its beneficial effects on weight loss, diabetes, and cancer. In recent years, there has been a resurgence in interest surrounding the KD and exercise performance. This review provides new insights into the adaptation period necessary for enhancement in skeletal muscle fat and ketone oxidation after sustained nutritional ketosis. In addition, this review highlights metabolically active growth factors and cytokines, which may function as important regulators of keto-adaptation in the setting of exercise and the KD.

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