Evidence map›Paper›PMID 39260854›Full record

ArticleBMJ open2024

Effect of ketogenic diets on lipid metabolism in adults: protocol for a systematic review.

Serene Hilary, Linda Östlundh, Carine Platat, Rami H Al-Rifai, Osha Almehairbi, Fayeza Alshamsi, Habiba I Ali, Ayesha S Al Dhaheri, Leila Cheikh Ismail, Lily Stojanovska

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  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

10 authors.

Serene HilaryDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.ORCID 0000-0003-0441-7391
Linda ÖstlundhÖrebro University Library, Örebro University, Örebro, Sweden.ORCID 0000-0001-5091-604X
Carine PlatatDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE platatcarine@uaeu.ac.ae lily.stojanovska@uaeu.ac.ae.
Rami H Al-RifaiInstitute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.ORCID 0000-0001-6102-0353
Osha AlmehairbiDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Fayeza AlshamsiDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Habiba I AliDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Ayesha S Al DhaheriDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Leila Cheikh IsmailDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Lily StojanovskaDepartment of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE platatcarine@uaeu.ac.ae lily.stojanovska@uaeu.ac.ae.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe ketogenic diet is a very low carbohydrate diet known for its ability to reduce weight and counteract hyperglycaemia. However, ketogenic diets recommend an increased intake of fats, raising concerns about cardiometabolic risk in adults. Due to the higher intake of fats in the ketogenic diet, there is significant variability in outcomes of lipid metabolism in the population. Interventions have reported improvements in lipid profile while other studies did not find changes, and there are reports of increased low density lipoprotein (LDL) and triglyceride values. Hence, this is a protocol for a systematic review of the published literature and a summary of the effect of ketogenic diets on lipid metabolism in adults. METHODS AND ANALYSIS: Five databases (PubMed, Embase, Scopus, Cochrane Library and Web of Science) will be searched for studies on ketogenic diets in adult populations. Studies will be included if they report results from ketogenic diet interventions among adults. Exclusion is populations with diagnosed neurological disorders. Two reviewers will independently screen retrieved citations, extract data and appraise the risk of bias. Quantitative estimates (eg, standardised mean difference) measuring the change in the total cholesterol, LDL and triglyceride concentration will be pooled using random effects meta-analysis to produce one summarised weighted estimate. Sources of heterogeneity will be explored using subgroup analysis. This protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis for Protocols (PRISMA), and the final review will be reported following the PRISMA 2020 guidelines. ETHICS AND DISSEMINATION: The present protocol and the systematic review to be carried out do not require ethics clearance. The data source will be published studies. This review will provide estimates to inform the public about the effect of ketogenic diets on lipid metabolism and the possible peril of increasing cardiometabolic risk. The results will be published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42022309665.

Indexed as

Diet, KetogenicLipid MetabolismAdultHumansResearch DesignSystematic Reviews as TopicTriglyceridesTriglyceridesNUTRITION & DIETETICSObesitySystematic Review

Identifiers

PMID39260854
PMCPMC11409393

What OpenQuestion holds

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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.