Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy

Diet has been proven to have significant impacts on the pathogenesis and treatment of osteoporosis. This review attempts to elucidate the current progress and controversy surrounding the ketogenic diet (KD) and β-hydroxybutyrate (BHB) in osteoporosis and offers a novel perspective on the prevention...

Full description

Saved in:
Bibliographic Details
Main Authors: Changfang Luo, Zhuojun Dai, Wanhong He, Yanqiu He, Ping Yang, Mengting Huang, Junle Li, Yong Xu, Wei Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1508695/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832591035343044608
author Changfang Luo
Changfang Luo
Changfang Luo
Changfang Luo
Zhuojun Dai
Zhuojun Dai
Zhuojun Dai
Zhuojun Dai
Wanhong He
Wanhong He
Wanhong He
Wanhong He
Yanqiu He
Yanqiu He
Yanqiu He
Yanqiu He
Ping Yang
Ping Yang
Ping Yang
Ping Yang
Mengting Huang
Mengting Huang
Mengting Huang
Mengting Huang
Junle Li
Junle Li
Junle Li
Junle Li
Yong Xu
Yong Xu
Yong Xu
Yong Xu
Wei Huang
Wei Huang
Wei Huang
Wei Huang
author_facet Changfang Luo
Changfang Luo
Changfang Luo
Changfang Luo
Zhuojun Dai
Zhuojun Dai
Zhuojun Dai
Zhuojun Dai
Wanhong He
Wanhong He
Wanhong He
Wanhong He
Yanqiu He
Yanqiu He
Yanqiu He
Yanqiu He
Ping Yang
Ping Yang
Ping Yang
Ping Yang
Mengting Huang
Mengting Huang
Mengting Huang
Mengting Huang
Junle Li
Junle Li
Junle Li
Junle Li
Yong Xu
Yong Xu
Yong Xu
Yong Xu
Wei Huang
Wei Huang
Wei Huang
Wei Huang
author_sort Changfang Luo
collection DOAJ
description Diet has been proven to have significant impacts on the pathogenesis and treatment of osteoporosis. This review attempts to elucidate the current progress and controversy surrounding the ketogenic diet (KD) and β-hydroxybutyrate (BHB) in osteoporosis and offers a novel perspective on the prevention and treatment of osteoporosis. The ketogenic diet has been broadly used in the treatment of epilepsy, diabetes, obesity, and certain neoplasms by triggering ketone bodies, mainly BHB. However, in most osteoporosis-related clinical and preclinical studies, the ketogenic diet has demonstrated the detrimental effects of inhibiting bone accumulation and damaging bone microarchitecture. In contrast, BHB is thought to ameliorate osteoporosis by promoting osteoblastogenesis and inhibiting osteoclastogenesis. The main purpose of this review is to summarize the current research progress and hope that more basic and clinical experiments will focus on the similarities and differences between ketogenic diet (KD) and BHB in osteoporosis.
format Article
id doaj-art-72f108c6b1d74c428164a463bfb2f12b
institution Kabale University
issn 2296-861X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Nutrition
spelling doaj-art-72f108c6b1d74c428164a463bfb2f12b2025-01-23T05:10:16ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011210.3389/fnut.2025.15086951508695Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversyChangfang Luo0Changfang Luo1Changfang Luo2Changfang Luo3Zhuojun Dai4Zhuojun Dai5Zhuojun Dai6Zhuojun Dai7Wanhong He8Wanhong He9Wanhong He10Wanhong He11Yanqiu He12Yanqiu He13Yanqiu He14Yanqiu He15Ping Yang16Ping Yang17Ping Yang18Ping Yang19Mengting Huang20Mengting Huang21Mengting Huang22Mengting Huang23Junle Li24Junle Li25Junle Li26Junle Li27Yong Xu28Yong Xu29Yong Xu30Yong Xu31Wei Huang32Wei Huang33Wei Huang34Wei Huang35Department of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaMetabolic Vascular Diseases Key Laboratory of Sichuan Province, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, Sichuan, ChinaSichuan Clinical Research Center for Diabetes and Metabolic Diseases, Luzhou, Sichuan, ChinaDiet has been proven to have significant impacts on the pathogenesis and treatment of osteoporosis. This review attempts to elucidate the current progress and controversy surrounding the ketogenic diet (KD) and β-hydroxybutyrate (BHB) in osteoporosis and offers a novel perspective on the prevention and treatment of osteoporosis. The ketogenic diet has been broadly used in the treatment of epilepsy, diabetes, obesity, and certain neoplasms by triggering ketone bodies, mainly BHB. However, in most osteoporosis-related clinical and preclinical studies, the ketogenic diet has demonstrated the detrimental effects of inhibiting bone accumulation and damaging bone microarchitecture. In contrast, BHB is thought to ameliorate osteoporosis by promoting osteoblastogenesis and inhibiting osteoclastogenesis. The main purpose of this review is to summarize the current research progress and hope that more basic and clinical experiments will focus on the similarities and differences between ketogenic diet (KD) and BHB in osteoporosis.https://www.frontiersin.org/articles/10.3389/fnut.2025.1508695/fullketogenic dietβ-hydroxybutyrateosteoporosisosteoblastosteoclast
spellingShingle Changfang Luo
Changfang Luo
Changfang Luo
Changfang Luo
Zhuojun Dai
Zhuojun Dai
Zhuojun Dai
Zhuojun Dai
Wanhong He
Wanhong He
Wanhong He
Wanhong He
Yanqiu He
Yanqiu He
Yanqiu He
Yanqiu He
Ping Yang
Ping Yang
Ping Yang
Ping Yang
Mengting Huang
Mengting Huang
Mengting Huang
Mengting Huang
Junle Li
Junle Li
Junle Li
Junle Li
Yong Xu
Yong Xu
Yong Xu
Yong Xu
Wei Huang
Wei Huang
Wei Huang
Wei Huang
Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy
Frontiers in Nutrition
ketogenic diet
β-hydroxybutyrate
osteoporosis
osteoblast
osteoclast
title Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy
title_full Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy
title_fullStr Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy
title_full_unstemmed Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy
title_short Ketogenic diet and β-hydroxybutyrate in osteoporosis: current progress and controversy
title_sort ketogenic diet and β hydroxybutyrate in osteoporosis current progress and controversy
topic ketogenic diet
β-hydroxybutyrate
osteoporosis
osteoblast
osteoclast
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1508695/full
work_keys_str_mv AT changfangluo ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT changfangluo ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT changfangluo ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT changfangluo ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT zhuojundai ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT zhuojundai ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT zhuojundai ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT zhuojundai ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT wanhonghe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT wanhonghe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT wanhonghe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT wanhonghe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yanqiuhe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yanqiuhe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yanqiuhe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yanqiuhe ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT pingyang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT pingyang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT pingyang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT pingyang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT mengtinghuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT mengtinghuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT mengtinghuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT mengtinghuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT junleli ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT junleli ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT junleli ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT junleli ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yongxu ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yongxu ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yongxu ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT yongxu ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT weihuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT weihuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT weihuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy
AT weihuang ketogenicdietandbhydroxybutyrateinosteoporosiscurrentprogressandcontroversy