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10.1016/j.nut.2021.111236

http://scihub22266oqcxt.onion/10.1016/j.nut.2021.111236
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suck abstract from ncbi


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pmid33895559      Nutrition 2021 ; 89 (ä): 111236
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  • Clinical efficacy of eucaloric ketogenic nutrition in the COVID-19 cytokine storm: A retrospective analysis of mortality and intensive care unit admission #MMPMID33895559
  • Sukkar SG; Cogorno L; Pisciotta L; Pasta A; Vena A; Gradaschi R; Dentone C; Guiddo E; Martino E; Beltramini S; Donini LM; Carmisciano L; Sormani MP; Bassetti M
  • Nutrition 2021[Sep]; 89 (ä): 111236 PMID33895559show ga
  • OBJECTIVES: Our primary objective was to explore the effect of a eucaloric ketogenic diet (EKD) on mortality, admission to the intensive care unit, and need for non-invasive ventilation in hospitalized patients with COronaVIrus Disease 19 (COVID-19), in comparison to a eucaloric standard diet. Secondary objectives were verification of the safety and feasibility of the diet and its effects on inflammatory parameters, particularly interleukin-6. METHODS: The study is a retrospective analysis of 34 patients fed with an EKD in comparison to 68 patients fed with a eucaloric standard diet, selected and matched using propensity scores 1:2 to avoid the confounding effect of interfering variables. Our hypothesis was that an EKD would reduce mortality, admission to the intensive care unit, and need for non-invasive ventilation in patients with COVID-19. RESULTS: The preliminary multivariate analysis showed a statistically significant difference in survival (P = 0.046) and need for the intensive care unit (P = 0.049) for the EKD compared with a eucaloric standard diet. Even considering the EKD start day as a time-dependent variable, the results maintain a positive trend for application of the diet, and it is not possible to reject the null hypothesis (P < 0.05). Interleukin-6 concentrations between t0 and t7 (7 d after the beginning of the diet) in the ketogenic nutrition group show a trend that is almost significant (P = 0.062). The EKD was safe and no adverse events were observed. CONCLUSIONS: These results show a possible therapeutic role of an EKD in the clinical management of COVID-19. Currently, a prospective controlled randomized trial is running to confirm these preliminary data.
  • |*COVID-19[MESH]
  • |*Cytokine Release Syndrome[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Prospective Studies[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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