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Published in: Endocrine 1/2022

01-01-2022 | Obesity | Original article

Effect of very low-calorie ketogenic diet in combination with omega-3 on inflammation, satiety hormones, body composition, and metabolic markers. A pilot study in class I obese subjects

Authors: Mariangela Rondanelli, Simone Perna, Zahra Ilyas, Gabriella Peroni, Philip Bazire, Ignacio Sajuox, Roberto Maugeri, Mara Nichetti, Clara Gasparri

Published in: Endocrine | Issue 1/2022

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Abstract

Purpose

This study aims to evaluate the effects of a VLCKD combined with omega-3 supplementation (VLCKD diet only lasted for some weeks, and it was followed by a non-ketogenic LCD for the rest of the study period) on body composition, visceral fat, satiety hormones, inflammatory and metabolic markers.

Methods

It has been performed a pilot open label study lasted 90 days, in a cohort of 12 women with class I obesity aged 18 to 65 years. Data on body composition (evaluated by Dual X-Ray Absorptiometry—DXA), visceral fat, satiety hormones, inflammatory and metabolic markers were recorded.

Results

This study showed a body weight reduction mean difference over time of −13.7 kg and the waist circumference mean difference decrease of −13.3 cm. Also, the fat mass (FM) decreased—9.1 kg and visceral adipose tissue (VAT)—0.41 kg. No effects on fat-free mass (FFM) have been reported. Improvements were observed in the satiety hormones, with increased ghrelin and decreased leptin, and also in the metabolic profiles.

Conclusions

A VLCKD combined with omega-3 supplementation appears to be an effective strategy for promoting an high loss of FM with preservation of FFM in patients with class I obesity.
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Metadata
Title
Effect of very low-calorie ketogenic diet in combination with omega-3 on inflammation, satiety hormones, body composition, and metabolic markers. A pilot study in class I obese subjects
Authors
Mariangela Rondanelli
Simone Perna
Zahra Ilyas
Gabriella Peroni
Philip Bazire
Ignacio Sajuox
Roberto Maugeri
Mara Nichetti
Clara Gasparri
Publication date
01-01-2022
Publisher
Springer US
Keywords
Obesity
Obesity
Published in
Endocrine / Issue 1/2022
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-021-02860-5

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