Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy

Introduction: Epilepsy is a chronic, non-infectious and one of the most common neurological disease. About 70 million people worldwide suffer from it and these are patients of all ages. Despite the existence of many anticonvulsants and multiple lines of treatment, some patients still experience sym...

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Main Authors: Natalia Domańska, Małgorzata Bojarska, Julia Bogucka, Anna Brzyska, Michalina Kosowska, Halina Piecewicz-Szczęsna
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-01-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/56870
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author Natalia Domańska
Małgorzata Bojarska
Julia Bogucka
Anna Brzyska
Michalina Kosowska
Halina Piecewicz-Szczęsna
author_facet Natalia Domańska
Małgorzata Bojarska
Julia Bogucka
Anna Brzyska
Michalina Kosowska
Halina Piecewicz-Szczęsna
author_sort Natalia Domańska
collection DOAJ
description Introduction: Epilepsy is a chronic, non-infectious and one of the most common neurological disease. About 70 million people worldwide suffer from it and these are patients of all ages. Despite the existence of many anticonvulsants and multiple lines of treatment, some patients still experience symptoms of the epilepsy. International league against epilepsy says that one-third of people with epilepsy fail to control it with anti-epileptic drugs (AED) and continue to have seizures. Purpose: The aim of the study is to analyze the impact of using a ketogenic diet in patients with epilepsy that meets the criteria for drug-resistant epilepsy. Materials and method: In April 2024, articles found in the Medline (Pubmed) databases were selected by using the following keywords: ketogenic diet in drug-resistant epilepsy, drug-resistant epilepsy, ketogenic diet and selected articles from 2018-2023. Conclusions: In the ketogenic diet, ketones formed from the oxidation of fatty acids are the source of energy instead of glucose. Ketones increase the amount of inhibitory neurotransmitters and glutathione. It improves neuronal hemostasis and increases cells’ resistance during excessive electrical discharges in the brain. These qualities are responsible for the antiepileptic profile of the ketogenic diet. Patients who follow a ketogenic diet experience fewer seizures attacks. We do not know the long-term side effects of the ketogenic diet yet and it is impossible to make a definitive thesis. Scientists are working to prove the validity of ketogenic diet in drug-resistant epilepsy.
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spelling doaj-art-41ac90d9c6154d6092a97425044eb4a12025-01-04T08:16:29ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-01-017710.12775/JEHS.2025.77.56870Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsyNatalia Domańska0https://orcid.org/0000-0003-3474-3710Małgorzata Bojarska1https://orcid.org/0000-0003-1526-0991Julia Bogucka2https://orcid.org/0000-0002-4617-3850Anna Brzyska3https://orcid.org/0000-0002-8724-1645Michalina Kosowska4https://orcid.org/0009-0001-8966-342XHalina Piecewicz-Szczęsna5https://orcid.org/0000-0002-0573-7226Uniwersytet Medyczny w LublinieStudents’ Research Group at the Department of Epidemiology and Clinical Research Methodology, Medical University of LublinStudents’ Research Group at the Department of Epidemiology and Clinical Research Methodology, Medical University of LublinStudents’ Research Group at the Department of Epidemiology and Clinical Research Methodology, Medical University of LublinMilitary Institute of Medicine- National Research Instute, ul. Szaserów 128, Warszawa, PolandChair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin Introduction: Epilepsy is a chronic, non-infectious and one of the most common neurological disease. About 70 million people worldwide suffer from it and these are patients of all ages. Despite the existence of many anticonvulsants and multiple lines of treatment, some patients still experience symptoms of the epilepsy. International league against epilepsy says that one-third of people with epilepsy fail to control it with anti-epileptic drugs (AED) and continue to have seizures. Purpose: The aim of the study is to analyze the impact of using a ketogenic diet in patients with epilepsy that meets the criteria for drug-resistant epilepsy. Materials and method: In April 2024, articles found in the Medline (Pubmed) databases were selected by using the following keywords: ketogenic diet in drug-resistant epilepsy, drug-resistant epilepsy, ketogenic diet and selected articles from 2018-2023. Conclusions: In the ketogenic diet, ketones formed from the oxidation of fatty acids are the source of energy instead of glucose. Ketones increase the amount of inhibitory neurotransmitters and glutathione. It improves neuronal hemostasis and increases cells’ resistance during excessive electrical discharges in the brain. These qualities are responsible for the antiepileptic profile of the ketogenic diet. Patients who follow a ketogenic diet experience fewer seizures attacks. We do not know the long-term side effects of the ketogenic diet yet and it is impossible to make a definitive thesis. Scientists are working to prove the validity of ketogenic diet in drug-resistant epilepsy. https://apcz.umk.pl/JEHS/article/view/56870drug-resistant epilepsyketogenic dietdiet in drug-resistant epilepsy
spellingShingle Natalia Domańska
Małgorzata Bojarska
Julia Bogucka
Anna Brzyska
Michalina Kosowska
Halina Piecewicz-Szczęsna
Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy
Journal of Education, Health and Sport
drug-resistant epilepsy
ketogenic diet
diet in drug-resistant epilepsy
title Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy
title_full Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy
title_fullStr Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy
title_full_unstemmed Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy
title_short Beyond the seizures: Ketogenic Diets in the battle against drug-resistant epilepsy
title_sort beyond the seizures ketogenic diets in the battle against drug resistant epilepsy
topic drug-resistant epilepsy
ketogenic diet
diet in drug-resistant epilepsy
url https://apcz.umk.pl/JEHS/article/view/56870
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