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Quality in Sport

Ketogenic diet in psychiatry: application in treating depression among athletes
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Ketogenic diet in psychiatry: application in treating depression among athletes

Authors

  • Paulina Kumięga Medical University of Warsaw https://orcid.org/0009-0005-1431-0231
  • Zuzanna Kudas Medical University of Warsaw https://orcid.org/0009-0009-6750-6886
  • Nikola Perchel Medical University of Warsaw https://orcid.org/0009-0005-6489-7480
  • Aleksandra Litwin Medical University of Warsaw https://orcid.org/0009-0004-3221-0085
  • Karolina Krzywicka SPKSO Ophthalmic University Hospital in Warsaw, Józefa Sierakowskiego 13, 03-709 Warszawa, Poland https://orcid.org/0009-0001-3248-4674
  • Paweł Nowocin Medical University of Warsaw https://orcid.org/0009-0007-2018-6139
  • Piotr Wasiński Medical University of Warsaw https://orcid.org/0009-0009-3824-3618
  • Natalia Dąbrowska Medical University of Warsaw https://orcid.org/0009-0009-7170-0614
  • Martyna Koszyk Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie https://orcid.org/0009-0000-9927-6020
  • Dawid Kulczyński Medical University of Warsaw https://orcid.org/0009-0003-3897-1507

DOI:

https://doi.org/10.12775/QS.2025.37.56615

Keywords

depression, ketogenic diet, athletes, psychiatry, mental health

Abstract

Depression is a prevalent mental health challenge, particularly in athletes, where the interplay of high-performance demands, physical stress, and injury exacerbates psychological vulnerabilities. Emerging evidence suggests that the ketogenic diet (KD), a high-fat, moderate-protein, and low-carbohydrate dietary intervention, holds therapeutic potential for managing depression. KD induces ketosis, a metabolic state that enhances brain energy metabolism, reduces neuroinflammation, and stabilizes neurotransmitter function, all of which are implicated in the pathophysiology of depression.

This review synthesizes findings from recent clinical trials, meta-analyses, and case studies focusing on KD's neurological and psychological effects. The results indicate significant improvements in depressive symptoms, mood stabilization, and mental resilience among individuals adhering to KD. Moreover, KD’s modulation of the gut-brain axis introduces an additional pathway for improving mental health by fostering a diverse gut microbiome and reducing systemic inflammation.

For athletes, KD offers dual benefits: alleviating depressive symptoms while supporting cognitive function and recovery. However, adherence to the diet and potential side effects such as fatigue and gastrointestinal discomfort pose challenges. Current research is limited by a lack of large-scale, randomized controlled trials specifically targeting athletic populations.

In conclusion, KD demonstrates promise as an adjunctive therapy for depression in athletes. Its multifaceted effects on brain health and performance metrics underscore its potential role in sports psychiatry. Further research is necessary to optimize KD protocols and establish evidence-based guidelines for its clinical application in athletic populations.

References

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Published

2025-01-20

How to Cite

1.
KUMIĘGA, Paulina, KUDAS, Zuzanna, PERCHEL, Nikola, LITWIN, Aleksandra, KRZYWICKA, Karolina, NOWOCIN, Paweł, WASIŃSKI, Piotr, DĄBROWSKA, Natalia, KOSZYK, Martyna and KULCZYŃSKI, Dawid. Ketogenic diet in psychiatry: application in treating depression among athletes. Quality in Sport. Online. 20 January 2025. Vol. 37, p. 56615. [Accessed 8 July 2025]. DOI 10.12775/QS.2025.37.56615.
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Vol. 37 (2025)

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Medical Sciences

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Copyright (c) 2025 Paulina Kumięga, Zuzanna Kudas, Nikola Perchel, Aleksandra Litwin, Karolina Krzywicka, Paweł Nowocin, Piotr Wasiński, Natalia Dąbrowska, Martyna Koszyk, Dawid Kulczyński

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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