Chrysafi · Nutrients 2024 · narrative review · n=?

The Potential Effects of the Ketogenic Diet in the Prevention and Co-Treatment of Stress, Anxiety, Depression, Schizophrenia, and Bipolar Disorder: From the Basic Research to the Clinical Practice.

Cited 27 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative literature review of preclinical and clinical studies without systematic review methodology or meta-analysis

PubMed 38892480 · doi:10.3390/nu16111546 · record verified 2026-08-28

What was done

The authors conducted a narrative literature review searching PubMed, Scopus, and Web of Science to evaluate preclinical animal research and human clinical studies examining the ketogenic diet for the prevention and co-treatment of stress, anxiety, depression, schizophrenia, and bipolar disorder.

What was found

The abstract reports no quantitative data or effect sizes. Preclinical animal studies consistently showed symptom reductions in models of stress, anxiety, depression, schizophrenia, and bipolar disorder. Human clinical studies were characterized as mostly uncontrolled, short-term, methodologically heterogeneous, and limited by high dropout rates and lack of dietary compliance measurements.

Why it matters

The paper summarizes emerging interest in metabolic interventions for mental health while highlighting the substantial gap between animal findings and rigorous clinical trial evidence.

Limits

The review provides no quantitative synthesis, meta-analysis, or specific study counts in the abstract. Clinical evidence is limited by non-randomized designs, short durations, small sample sizes, high attrition, and unverified dietary adherence.

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