Advancing Obesity Management: the Very Low-Energy Ketogenic therapy (VLEKT) as an Evolution of the “Traditional” Ketogenic Diet DOI Creative Commons
Francesco Balestra, Maria De Luca,

G. Panzetta

et al.

Current Obesity Reports, Journal Year: 2025, Volume and Issue: 14(1)

Published: April 3, 2025

This narrative review comprehensively analyzes VLEKT as an advanced nutritional strategy for obesity management. The focus is on the beneficial effects key disease organs, such adipose tissue and liver, well modulation of intestinal permeability its fundamental role in influencing gut microbiota inflammatory pathways. impact obesity-related comorbidities, including metabolic syndrome, cardiovascular disease, endocrine disorders, dysfunction-associated steatotic liver (MASLD), neurological kidney alterations, also investigated. Moreover, to assess wider application treatment, combination ketogenic regimes with additional strategies physical activity, bariatric surgery, digital health technologies examined. Despite promising clinical results, adherence potential deficiencies require careful follow-up individualized programming monitored by specialists. Future research should elucidating molecular mechanisms underlying physiological systems, long-term safety. Nevertheless, innovative approach offering a target-oriented highly effective people fighting against overweight associated medical complications. Obesity multifactorial chronic numerous comorbidities; given increasing prevalence, personalized intervention are crucial inhibit "obesity pandemic" according "food re-educational" protocol. Among dietary interventions, diet (KD) has attracted attention effectiveness weight management benefits. A variant, very low-calorie (VLCKD), more recently defined low-energy (VLEKD), combines benefits ketosis substantial calorie restriction, improving overall health.

Language: Английский

Epigenetic Aging Acceleration in Obesity Is Slowed Down by Nutritional Ketosis Following Very Low-Calorie Ketogenic Diet (VLCKD): A New Perspective to Reverse Biological Age DOI Open Access
Andrea G. Izquierdo,

Paula M. Lorenzo,

Nicolás Costa‐Fraga

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(6), P. 1060 - 1060

Published: March 18, 2025

Background/Objectives: Epigenetic clocks have emerged as a tool to quantify biological age, providing more accurate estimate of an individual’s health status than chronological helping identify risk factors for accelerated aging and evaluating the reversibility therapeutic strategies. This study aimed evaluate potential association between epigenetic acceleration age obesity, well determine whether nutritional interventions body weight loss could slow down this acceleration. Methods: Biological was estimated using three (Horvath (Hv), Hannum (Hn), Levine (Lv)) based on leukocyte methylome analysis individuals with normal (n = 20), obesity 24), patients following VLCKD 10). We analyzed differences in estimates, relationship impact VLCKD. Correlations were assessed acceleration, BMI, various metabolic parameters. Results: Analysis revealed (Hv +3.4(2.5), Hn +5.7(3.2), Lv +3.9(2.7)) compared slight deceleration weight. correlated BMI (p < 0.0001). Interestingly, showed both ketosis −3.3(4.0), −6.3(5.3), −8.8(4.5)) at endpoint −1.1(4.3), −7.4(5.6), −8.2(5.3)). Relevantly, slowdown is associated 0.0001), ketonemia ≤ 0.001), parameters 0.05). Conclusions: Our findings highlight applicability monitor obesity-related precision medicine show efficacy slowing aging.

Language: Английский

Citations

0

Advancing Obesity Management: the Very Low-Energy Ketogenic therapy (VLEKT) as an Evolution of the “Traditional” Ketogenic Diet DOI Creative Commons
Francesco Balestra, Maria De Luca,

G. Panzetta

et al.

Current Obesity Reports, Journal Year: 2025, Volume and Issue: 14(1)

Published: April 3, 2025

This narrative review comprehensively analyzes VLEKT as an advanced nutritional strategy for obesity management. The focus is on the beneficial effects key disease organs, such adipose tissue and liver, well modulation of intestinal permeability its fundamental role in influencing gut microbiota inflammatory pathways. impact obesity-related comorbidities, including metabolic syndrome, cardiovascular disease, endocrine disorders, dysfunction-associated steatotic liver (MASLD), neurological kidney alterations, also investigated. Moreover, to assess wider application treatment, combination ketogenic regimes with additional strategies physical activity, bariatric surgery, digital health technologies examined. Despite promising clinical results, adherence potential deficiencies require careful follow-up individualized programming monitored by specialists. Future research should elucidating molecular mechanisms underlying physiological systems, long-term safety. Nevertheless, innovative approach offering a target-oriented highly effective people fighting against overweight associated medical complications. Obesity multifactorial chronic numerous comorbidities; given increasing prevalence, personalized intervention are crucial inhibit "obesity pandemic" according "food re-educational" protocol. Among dietary interventions, diet (KD) has attracted attention effectiveness weight management benefits. A variant, very low-calorie (VLCKD), more recently defined low-energy (VLEKD), combines benefits ketosis substantial calorie restriction, improving overall health.

Language: Английский

Citations

0