Evidence map›Paper›PMID 34449000›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

Effect of ketogenic diet for drug-resistant epilepsy on immunological cells.

May Fouad Nassar, Yasmin Gamal Abdou El-Gendy, Mohamed Tarif Hamza, Marwa Nasser Mohamed, Nesrine Radwan

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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. The Interplay between the Gut and Ketogenic Diets in Health and Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  3. Article
  4. Review
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 3 institutions in 1 country.

May Fouad NassarPediatric Clinical Nutrition Unit, Children's Hospital, Ain Shams University, Cairo, Egypt. maie_nassar@yahoo.co.uk.ORCID http://orcid.org/0000-0002-6960-1336
Yasmin Gamal Abdou El-GendyPediatric Clinical Nutrition Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-4956-1031
Mohamed Tarif HamzaClinical Pathology Department, Ain Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-2513-1002
Marwa Nasser MohamedMinistry of Health Hospitals, Cairo, Egypt.
Nesrine RadwanPediatric Allergy, Immunology and Rheumatology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-4334-4589
Ain Shams University Hospital · EGAin Shams University · EGMinistry of Health and Population · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and aim of the workKetogenic diet (KD) is one of the treatments in drug-resistant epilepsy (DRE). The current study aimed at assessing the effect of KD-induced ketosis on different immunological cells since ketosis is reported to affect neutrophil function. METHODOLOGY: We recruited 21 pediatric patients diagnosed with DRE assigned to start KD. Anthropometric measurements, complete blood picture with differential count, phagocytic function, lymphocyte subsets, and IgG estimation were estimated initially and after 6 months of KD.

resultsThere were no differences between the initial total leucocytic, neutrophil, and lymphocytic counts as well as the lymphocyte subsets, and the values after 6 months of KD. IgG values showed significant increase yet the values were still within the reference ranges. For the innate immune system, the phagocytic index was assessed and it showed a marked statistical reduction in patients after KD.

conclusionKD has no effect on neutrophil and lymphocytic counts as well as the number of adaptive and immune cells; nevertheless, it causes a reduction in phagocytic index in DRE. Accordingly, further detailed study for the full immunological profile and function is needed to ensure the safety of this therapeutic line and correlate it with the clinical history.

Indexed as

Diet, KetogenicDrug Resistant EpilepsyPharmaceutical PreparationsChildHumansReference ValuesTreatment OutcomePharmaceutical PreparationsEpilepsyFungal infectionKetogenic dietPhagocytic function

Identifiers

PMID34449000
OpenAlexW3194750830

What OpenQuestion holds

Textmetadata
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.