Evidence map›Paper›PMID 34395478›Full record

ArticleFrontiers in medicine2021

Case Report: Ketogenic Diet Is Associated With Improvements in Chronic Obstructive Pulmonary Disease.

Nicholas G Norwitz, Russell Winwood, Brianna J Stubbs, Dominic P D'Agostino, Peter J Barnes

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07664111 (Effects of an 8-Week Ketogenic Dietary Intervention on Pulmonary Function, Systemic Inflammation, Body Composition, and Functional Exercise Capacity in Men With Mild-to-Moderate Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 24% 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.

NCT07664111 nacompletednot on this mapstarted 2026, after this paper: background citation

Effects of an 8-Week Ketogenic Dietary Intervention on Pulmonary Function, Systemic Inflammation, Body Composition, and Functional Exercise Capacity in Men With Mild-to-Moderate Chronic Obstructive Pulmonary Disease: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorAgri Ibrahim Cecen UniversityRan2026 to 2026Enrolled34ConditionsChronic Obstructive Pulmonary Disease (COPD)ArmsKetogenic diet, Standard Dietary Advice
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. 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

5 authors at 5 institutions in 3 countries.

Nicholas G NorwitzDepartment of Nutrition, Harvard Medical School, Boston, MA, United States.
Russell WinwoodRespiratory Network, Ministry of Health Agency for Clinical Innovation, St Leonards, NSW, Australia.
Brianna J StubbsBuck Institute for Research on Aging, Novato, CA, United States.
Dominic P D'AgostinoMorsani College of Medicine, University of South Florida, Tampa, FL, United States.
Peter J BarnesNational Heart and Lung Institute, Imperial College, London, United Kingdom.
Buck Institute for Research on Aging · USHarvard University · USImperial College London · GBNew South Wales Department of Health · AUUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a debilitating inflammatory respiratory condition that presents with worsening breathing difficulties and it is assumed to be progressive and incurable. As an inflammatory disease, COPD is associated with recruitment of immune cells to lung tissue and increased levels of pro-inflammatory cytokines, including TNF-α, IL-1β, IL-6, IL-8, and GM-CSF. Low-carbohydrate ketogenic diets have anti-inflammatory properties that could, in theory, improve COPD symptoms and progression. Herein, we report on a 54-year-old patient (C.A.) with COPD who adopted a ketogenic diet (70% calories from fat). Subsequently, C.A. experienced a reduction in inflammatory markers in association with a meaningful improvement in lung function. His inflammatory markers decreased into the normal range and his forced expiratory volume increased by 37.5% relative to its pre-ketogenic diet value. Future research should explore nutritional ketosis and ketogenic diets as possible therapeutic options for individuals with COPD.

Indexed as

case reportchronic objective pulmonary diseaseforced expiratory volume 1inflammationketogenic diet

Identifiers

PMID34395478
PMCPMC8358145
OpenAlexW3187935558

What OpenQuestion holds

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LicenceCC BY
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.