Evidence map›Paper›PMID 35979062›Full record

ArticleFrontiers in neurology2022

Efficacy and Safety of the Ketogenic Diet for Mitochondrial Disease With Epilepsy: A Prospective, Open-labeled, Controlled Study.

Lijuan Huang, Hua Li, Jianmin Zhong, Liming Yang, Guohong Chen, Dong Wang, Guo Zheng, Hong Han, Xiong Han, Yiqin Long and 8 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Therapies for Mitochondrial Disease: Past, Present, and Future.Journal of inherited metabolic disease · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Mitochondrial Epilepsy, a Challenge for Neurologists.International journal of molecular sciences · 2022
    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

18 authors at 15 institutions in 1 country.

Lijuan HuangDepartment of Neurology, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan, China.
Hua LiDepartment of Epilepsy Center, Guangdong 999 Brain Hospital, Guangzhou, China.
Jianmin ZhongDepartment of Neurology, Jiangxi Provincial Children's Hospital, Nanchang, China.
Liming YangDepartment of Neurology, Hunan Provincial Children's Hospital, Changsha, China.
Guohong ChenDepartment of Neurology, Henan Provincial Children's Hospital, Zhengzhou, China.
Dong WangDepartment of Neurology, Xi'an Children's Hospital, Xi'an, China.
Guo ZhengDepartment of Neurology, Nanjing Children's Hospital, Nanjing, China.
Hong HanDepartment of Neurology, Children's Hospital of Shanxi, Taiyuan, China.
Xiong HanDepartment of Neurology, Henan Provincial People's Hospital, Zhengzhou, China.
Yiqin LongDepartment of Neurology, Liuzhou Maternal and Child Healthcare Hospital, Liuzhou, China.
Xu WangDepartment of Neurology, Changchun Children's Hospital, Changchun, China.
Jianmin LiangDepartment of Neurology, The First Bethune Hospital of Jilin University, Changchun, China.
Mei YuDepartment of Neurology, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan, China.
Xiaoyun ShenDepartment of Neurology, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan, China.
Mengke FanDepartment of Neurology, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan, China.
Fang FangDepartment of Neurology, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Jianxiang LiaoDepartment of Neurology, Shenzhen Children's Hospital, Shenzhen, China.
Dan SunDepartment of Neurology, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan, China.
Huazhong University of Science and Technology · CNWuhan Children's Hospital · CNBeijing Children’s Hospital · CNChangchun Children's Hospital · CNFirst Bethune Hospital of Jilin University · CNGuangdong 999 Brain Hospital · CNHenan Provincial People's Hospital · CNHunan Children's Hospital · CNJiangxi Provincial Children's Hospital · CNLiuzhou Maternal and Child Health Hospital · CNNanjing Children's Hospital · CNShanxi Provincial Children's Hospital · CNShenzhen Children's Hospital · CNXi’an Children’s Hospital · CNZhengzhou Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The ketogenic diet (KD) is increasingly used to treat drug-resistant epilepsy because of its favorable effect on seizure reduction. Patients with mitochondrial diseases tend to experience seizures. Therefore, this study aimed to test the efficacy of the KD on participants with mitochondrial diseases in a controlled trial. Methods: Participants from fourteen clinical centers who were diagnosed with mitochondrial disease were semi-randomized to either the intervention (KD) or control group. The KD group followed a 3-month KD intervention, while the control group received a 1-month normal diet initially and then a 3-month KD intervention. The primary outcome measure was seizure reduction. Biomarker changes, cognitive impairments, and side effects were also recorded, if available. Result: A total of 33 participants were assigned to the KD ( Conclusion: The KD is a safe and effective therapy for seizure control in mitochondrial diseases, especially MELAS and pathogenic variants of mtDNA. KD intervention can be considered in the management of these patients.

Indexed as

epilepsygeneketogenic dietMELASmitochondrial diseases

Identifiers

PMID35979062
PMCPMC9377015
OpenAlexW4289337213

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.