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. 2018 Apr;7(2):CNS17.
doi: 10.2217/cns-2017-0030. Epub 2018 Apr 16.

The role of ketogenic diets in the therapeutic management of adult and paediatric gliomas: a systematic review

Affiliations

The role of ketogenic diets in the therapeutic management of adult and paediatric gliomas: a systematic review

Kirsty J Martin-McGill et al. CNS Oncol. 2018 Apr.

Abstract

Aim: We performed a systematic review of the evidence for effectiveness and acceptability of different ketogenic diets (KDs) in the therapeutic management of gliomas.

Methods: The search strategy included searches of seven electronic databases. Data extraction and quality assessment were undertaken independently by two authors.

Results: No randomized clinical trials were identified. Six studies (n = 39) met the eligibility criteria for this review - all were case series or reports and therefore at high risk of bias. All studies reported overall or progression-free survival; however the effectiveness of KD interventions could not be established. Dietary acceptability was not reported.

Conclusion: The effectiveness and acceptability of KDs in the management of gliomas is unknown and high quality randomized controlled trials are needed.

Keywords: glioblastoma; glioma; ketogenic diet; systematic review.

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Conflict of interest statement

Financial & competing interests disclosure

MD Jenkinson, AG Marson, C Tudur Smith, KJ Martin-McGill receive funding from Vitaflo (International) Ltd for KJ Martin-McGill PhD studies. However, Vitaflo did not contribute to or influence this review. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

Writing assistance was utilized in the production of this manuscript – funded by Vitaflo (International) Ltd.

Figures

<b>Figure 1.</b>
Figure 1.. PRISMA flow diagram.
Adapted with permission from [8] Moher et al. (2009).

References

    1. Ostrom QT, Gittleman H, Fulop J, et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2008–2012. Neuro Oncol. 2015;17(Suppl. 4):IV1–IV62. - PMC - PubMed
    1. Stupp R, Brada M, van den Bent M, Tonn J, Pentheroudakis G. High-grade glioma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann. Oncol. 2014;25(Suppl. 3):III93–III101. - PubMed
    1. Warburg O, Wind F, Negelein E. The metabolism of tumors in the body. J. Gen. Physiol. 1926;309(2):397–519. - PMC - PubMed
    1. Maurer GD, Brucker DP, Bähr O, et al. Differential utilization of ketone bodies by neurons and glioma cell lines: a rationale for ketogenic diet as experimental glioma therapy. BMC Cancer. 2011;11(1):315. - PMC - PubMed
    1. Seyfried TN, Mukherjee P. Targeting energy metabolism in brain cancer: review and hypothesis. Nutr. Metab. 2005;2:30. - PMC - PubMed

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