Evidence map›Paper›PMID 37575326›Full record

ArticleFrontiers in nutrition2023

Ketonemia variability through menstrual cycle in patients undergoing classic ketogenic diet.

Ludovica Pasca, Cinzia Ferraris, Monica Guglielmetti, Costanza Varesio, Martina Totaro, Claudia Trentani, Claudia Marazzi, Ilaria Brambilla, Elena Ballante, Marisa Armeno and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05234411 (Ketonemia Through Menstrual Cycle), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

NCT05234411 unknown statusnot on this map

Ketonemia Through Menstrual Cycle

TypeobservationalSponsorUniversity of PaviaRan2020 to 2023Enrolled15ConditionsEpilepsy, Drug Resistant Epilepsy, GLUT1DS1, Ketogenic DietingArmsEvaluation of ketogenic diet impact on ketonemia
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

15 authors at 4 institutions in 2 countries.

Ludovica PascaDepartment of Child Neurology and Psychiatry, IRCCS Mondino Foundation, Pavia, Italy.
Cinzia FerrarisDepartment of Public Health, Experimental and Forensic Medicine, Human Nutrition and Eating Disorder Research Center, University of Pavia, Pavia, Italy.
Monica GuglielmettiDepartment of Public Health, Experimental and Forensic Medicine, Human Nutrition and Eating Disorder Research Center, University of Pavia, Pavia, Italy.
Costanza VaresioDepartment of Child Neurology and Psychiatry, IRCCS Mondino Foundation, Pavia, Italy.
Martina TotaroDepartment of Child Neurology and Psychiatry, IRCCS Mondino Foundation, Pavia, Italy.
Claudia TrentaniDepartment of Public Health, Experimental and Forensic Medicine, Human Nutrition and Eating Disorder Research Center, University of Pavia, Pavia, Italy.
Claudia MarazziDepartment of Public Health, Experimental and Forensic Medicine, Human Nutrition and Eating Disorder Research Center, University of Pavia, Pavia, Italy.
Ilaria BrambillaDepartment of Pediatrics, Pediatric Clinic, Foundation IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Elena BallanteDepartment of Political and Social Sciences, University of Pavia, Pavia, Italy.
Marisa ArmenoDepartment of Nutrition, Ketogenic Therapy Program Coordinator at Hospital Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
Gabriela Reyes ValenzuelaDepartment of Neurology, Hospital Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
Roberto H CaraballoDepartment of Neurology, Hospital Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
Pierangelo VeggiottiChildren Hospital Department Scienze biomediche e cliniche, University of Milan, Milan, Italy.
Anna TagliabueDepartment of Public Health, Experimental and Forensic Medicine, Human Nutrition and Eating Disorder Research Center, University of Pavia, Pavia, Italy.
Valentina De GiorgisDepartment of Child Neurology and Psychiatry, IRCCS Mondino Foundation, Pavia, Italy.
University of Pavia · ITGarrahan Hospital · ARIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ketogenic dietary therapies (KDT) are well-established, safe, non-pharmacologic treatments used for children and adults with drug-resistant epilepsy and other neurological disorders. Ketone bodies (KBs) levels are recognized as helpful to check compliance to the KDT and to attempt titration of the diet according to the individualized needs. KBs might undergo inter-individual and intra-individual variability and can be affected by several factors. Possible variations in glycemia and ketone bodies blood levels according to the menstrual cycle have not been systematically assessed yet, but this time window deserves special attention because of hormonal and metabolic related changes. Methods: This study aims at searching for subtle changes in KBs blood level during menstrual cycle in female patients undergoing a stable ketogenic diet, by analyzing 3-months daily measurement of ketone bodies blood levels and glucose blood levels throughout the menstrual cycle. Results: We report the preliminary results on six female patients affected by GLUT1DS or drug resistant epilepsy, undergoing a stable classic ketogenic diet. A significant increase in glucose blood levels during menstruation was found in the entire cohort. As far as the ketone bodies blood levels, an inversely proportional trend compared to glycemia was noted. Conclusion: Exploring whether ketonemia variations might occur according to the menstrual cycle is relevant to determine the feasibility of transient preventive diet adjustments to assure a continuative treatment efficacy and to enhance dietary behavior support. Clinical trial registration: clinicaltrials.gov, identifier NCT05234411.

Indexed as

classic ketogenic dietdrug resistant epilepsyepilepsyGLUT1-DSketogenic dietary therapies efficacyketonemia variabilitymenstrual cycle

Identifiers

PMID37575326
PMCPMC10413101
OpenAlexW4385363019

What OpenQuestion holds

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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.