Evidence map›Paper›PMID 28970732›Full record

ArticleWorld journal of gastroenterology2017

Ketogenic diet poses a significant effect on imbalanced gut microbiota in infants with refractory epilepsy.

Gan Xie, Qian Zhou, Chuang-Zhao Qiu, Wen-Kui Dai, He-Ping Wang, Yin-Hu Li, Jian-Xiang Liao, Xin-Guo Lu, Su-Fang Lin, Jing-Hua Ye and 2 more

2 registry-linked trialsOpen access · hybridAbstract readComparative Study
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 158 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05119010 naterminatednot on this mapstarted 2023, after this paper: background citation

A Pilot Study Evaluating a Ketogenic Diet Concomitant to Nivolumab and Ipilimumab in Patients With Metastatic Renal Cell Carcinoma

TypeinterventionalSponsorGustave Roussy, Cancer Campus, Grand ParisRan2023 to 2024Enrolled3ConditionsMetastatic Renal Cell CarcinomaArmsContinuous ketogenic diet, Discontinuous ketogenic diet, beta-hydroxybutyrate (BHB) supplementation
NCT05898438 unknown statusnot on this mapstarted 2019, after this paper: background citation

The Role of Gut Microbiota in Children With Epilepsy Following Ketogenic Diet

TypeobservationalSponsorAttikon HospitalRan2019 to 2024Enrolled20ConditionsEpilepsy
3 · Its place in the literature

Who cites it

158 citing papers in PubMed, 4 syntheses or guidelines pooled it, 285 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Ketogenic diet for the treatment of pediatric epilepsy: review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
  5. Trial
  6. Review
  7. Review
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Prolonging Partial Remission in Type 1 Diabetes: The Role of Low-Carbohydrate Diet: A Literature Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Review

98 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Gan XieDepartment of Respiratory Medicine, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Qian ZhouWeHealthGene Institute, Shenzhen 518129, Guangdong Province, China.
Chuang-Zhao QiuWeHealthGene Institute, Shenzhen 518129, Guangdong Province, China.
Wen-Kui DaiWeHealthGene Institute, Shenzhen 518129, Guangdong Province, China.
He-Ping WangDepartment of Respiratory Medicine, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Yin-Hu LiWeHealthGene Institute, Shenzhen 518129, Guangdong Province, China.
Jian-Xiang LiaoDepartment of Pediatric Neurology, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Xin-Guo LuDepartment of Pediatric Neurology, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Su-Fang LinDepartment of Pediatric Neurology, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Jing-Hua YeDepartment of Pediatric Neurology, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Zhuo-Ya MaDepartment of Respiratory Medicine, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China.
Wen-Jian WangDepartment of Respiratory Medicine, Shenzhen Children's Hospital, Shenzhen 518026, Guangdong Province, China. dhbk2005@163.com.
Shenzhen Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate whether patients with refractory epilepsy and healthy infants differ in gut microbiota (GM), and how ketogenic diet (KD) alters GM.

methodsA total of 14 epileptic and 30 healthy infants were recruited and seizure frequencies were recorded. Stool samples were collected for 16S rDNA sequencing using the Illumina Miseq platform. The composition of GM in each sample was analyzed with MOTHUR, and inter-group comparison was conducted by R software.

resultsAfter being on KD treatment for a week, 64% of epileptic infants showed an obvious improvement, with a 50% decrease in seizure frequency. GM structure in epileptic infants (P1 group) differed dramatically from that in healthy infants (Health group). Proteobacteria, which had accumulated significantly in the P1 group, decreased dramatically after KD treatment (P2 group). Cronobacter predominated in the P1 group and remained at a low level both in the Health and P2 groups. Bacteroides increased significantly in the P2 group, in which Prevotella and Bifidobacterium also grew in numbers and kept increasing.

conclusionGM pattern in healthy infants differed dramatically from that of the epileptic group. KD could significantly modify symptoms of epilepsy and reshape the GM of epileptic infants.

Indexed as

BacteroidesChild, PreschoolCronobacterDiet, KetogenicDrug Resistant EpilepsyFemaleFollow-Up StudiesGastrointestinal MicrobiomeHumansInfantInfant, NewbornIntestinesMaleProteobacteriaSeizuresTime FactorsCronobacterEpilepsyGut microbiotaKetogenic dietSeizures

Identifiers

PMID28970732
PMCPMC5597508
OpenAlexW2755991692

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.