Evidence map›Paper›PMID 34371817›Full record

ReviewNutrients2021

Applications of Ketogenic Diets in Patients with Headache: Clinical Recommendations.

Cherubino Di Lorenzo, Giovanna Ballerini, Piero Barbanti, Andrea Bernardini, Giacomo D'Arrigo, Gabriella Egeo, Fabio Frediani, Riccardo Garbo, Giulia Pierangeli, Maria Pia Prudenzano and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Fasting and Headache.Current pain and headache reports · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Non-Pharmacological Treatments in Paediatric Migraine.Journal of clinical medicine · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. How Food Choices Impact on Male Fertility.Current nutrition reports · 2023
    Review
  19. Review
  20. Article
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

17 authors at 11 institutions in 2 countries.

Cherubino Di LorenzoDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, 04100 Latina, Italy.ORCID 0000-0003-0845-5694
Giovanna BalleriniMultidisciplinary Center for Pain Therapy, Piero Palagi Hospital, USL Toscana Centro, 50122 Florence, Italy.
Piero BarbantiHeadache and Pain Unit, IRCCS San Raffaele Pisana, 00163 Rome, Italy.
Andrea BernardiniClinical Neurology Unit, Misericordia University Hospital, Santa Maria Della Misericordia University Hospital, 33100 Udine, Italy.ORCID 0000-0002-0227-0659
Giacomo D'ArrigoHeadache Center, Neurology & Stroke Unit, San Carlo Borromeo Hospital, ASST Santi Paolo e Carlo, 20142 Milan, Italy.
Gabriella EgeoHeadache and Pain Unit, IRCCS San Raffaele Pisana, 00163 Rome, Italy.
Fabio FredianiHeadache Center, Neurology & Stroke Unit, San Carlo Borromeo Hospital, ASST Santi Paolo e Carlo, 20142 Milan, Italy.
Riccardo GarboClinical Neurology Unit, Misericordia University Hospital, Santa Maria Della Misericordia University Hospital, 33100 Udine, Italy.ORCID 0000-0002-3193-8726
Giulia PierangeliIRCCS Istituto Delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.
Maria Pia PrudenzanoHeadache Center, Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari, 70124 Bari, Italy.
Nicoletta RebaudengoNeurology Service, Humanitas Gradenigo, 10153 Turin, Italy.
Grazia SemeraroAssociazione Eupraxia, Dietary Section, 00171 Rome, Italy.
Giulio SirianniAssociazione Eupraxia, Dietary Section, 00171 Rome, Italy.
Mariarosaria ValenteClinical Neurology Unit, Misericordia University Hospital, Santa Maria Della Misericordia University Hospital, 33100 Udine, Italy.
Gianluca CoppolaDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome Polo Pontino, 04100 Latina, Italy.ORCID 0000-0002-8510-6925
Mackenzie C CervenkaDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.ORCID 0000-0002-4760-857X
Giovanni SperaDepartment of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinology, Sapienza University of Rome, 00161 Rome, Italy.
Sapienza University of Rome · ITOspedale San Carlo · ITOspedale Santa Maria della Misericordia di Udine · ITAzienda Usl Toscana Centro · ITIRCCS Ospedale San Raffaele · ITIstituto delle Scienze Neurologiche di Bologna · ITJohns Hopkins University · USOspedale Humanitas Gradenigo · ITSan Raffaele University of Rome · ITUniversity of Bari Aldo Moro · ITUniversity of Udine · IT

Funding

Associazione Eupraxia Specific grant
6 · The paper itself

Abstract

Headaches are among the most prevalent and disabling neurologic disorders and there are several unmet needs as current pharmacological options are inadequate in treating patients with chronic headache, and a growing interest focuses on nutritional approaches as non-pharmacological treatments. Among these, the largest body of evidence supports the use of the ketogenic diet (KD). Exactly 100 years ago, KD was first used to treat drug-resistant epilepsy, but subsequent applications of this diet also involved other neurological disorders. Evidence of KD effectiveness in migraine emerged in 1928, but in the last several year's different groups of researchers and clinicians began utilizing this therapeutic option to treat patients with drug-resistant migraine, cluster headache, and/or headache comorbid with metabolic syndrome. Here we describe the existing evidence supporting the potential benefits of KDs in the management of headaches, explore the potential mechanisms of action involved in the efficacy in-depth, and synthesize results of working meetings of an Italian panel of experts on this topic. The aim of the working group was to create a clinical recommendation on indications and optimal clinical practice to treat patients with headaches using KDs. The results we present here are designed to advance the knowledge and application of KDs in the treatment of headaches.

Indexed as

Practice Guidelines as TopicDiet, KetogenicHeadacheHumansclinical recommendationscluster headacheheadacheketogenic dietsketonesketosismigraine

Identifiers

PMID34371817
PMCPMC8308539
OpenAlexW3179109943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.