Ketogenic diet in psychiatry: application in treating depression among athletes

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-carbohy...

Full description

Saved in:
Bibliographic Details
Main Authors: Paulina Kumięga, Zuzanna Kudas, Nikola Perchel, Aleksandra Litwin, Karolina Krzywicka, Paweł Nowocin, Piotr Wasiński, Natalia Dąbrowska, Martyna Koszyk, Dawid Kulczyński
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
Subjects:
Online Access:https://apcz.umk.pl/QS/article/view/56615
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592439021404160
author Paulina Kumięga
Zuzanna Kudas
Nikola Perchel
Aleksandra Litwin
Karolina Krzywicka
Paweł Nowocin
Piotr Wasiński
Natalia Dąbrowska
Martyna Koszyk
Dawid Kulczyński
author_facet Paulina Kumięga
Zuzanna Kudas
Nikola Perchel
Aleksandra Litwin
Karolina Krzywicka
Paweł Nowocin
Piotr Wasiński
Natalia Dąbrowska
Martyna Koszyk
Dawid Kulczyński
author_sort Paulina Kumięga
collection DOAJ
description 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.
format Article
id doaj-art-e5f06878dcd14fca97d567ddf93f7639
institution Kabale University
issn 2450-3118
language English
publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-e5f06878dcd14fca97d567ddf93f76392025-01-21T08:23:01ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.56615Ketogenic diet in psychiatry: application in treating depression among athletesPaulina Kumięga0https://orcid.org/0009-0005-1431-0231Zuzanna Kudas1https://orcid.org/0009-0009-6750-6886Nikola Perchel2https://orcid.org/0009-0005-6489-7480Aleksandra Litwin3https://orcid.org/0009-0004-3221-0085Karolina Krzywicka4https://orcid.org/0009-0001-3248-4674Paweł Nowocin5https://orcid.org/0009-0007-2018-6139Piotr Wasiński6https://orcid.org/0009-0009-3824-3618Natalia Dąbrowska7https://orcid.org/0009-0009-7170-0614Martyna Koszyk8https://orcid.org/0009-0000-9927-6020Dawid Kulczyński9https://orcid.org/0009-0003-3897-1507Medical University of WarsawMedical University of WarsawMedical University of WarsawMedical University of WarsawSPKSO Ophthalmic University Hospital in Warsaw, Józefa Sierakowskiego 13, 03-709 Warszawa, PolandMedical University of WarsawMedical University of WarsawMedical University of WarsawUniwersytet Kardynała Stefana Wyszyńskiego w WarszawieMedical University of Warsaw 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. https://apcz.umk.pl/QS/article/view/56615depressionketogenic dietathletespsychiatrymental health
spellingShingle Paulina Kumięga
Zuzanna Kudas
Nikola Perchel
Aleksandra Litwin
Karolina Krzywicka
Paweł Nowocin
Piotr Wasiński
Natalia Dąbrowska
Martyna Koszyk
Dawid Kulczyński
Ketogenic diet in psychiatry: application in treating depression among athletes
Quality in Sport
depression
ketogenic diet
athletes
psychiatry
mental health
title Ketogenic diet in psychiatry: application in treating depression among athletes
title_full Ketogenic diet in psychiatry: application in treating depression among athletes
title_fullStr Ketogenic diet in psychiatry: application in treating depression among athletes
title_full_unstemmed Ketogenic diet in psychiatry: application in treating depression among athletes
title_short Ketogenic diet in psychiatry: application in treating depression among athletes
title_sort ketogenic diet in psychiatry application in treating depression among athletes
topic depression
ketogenic diet
athletes
psychiatry
mental health
url https://apcz.umk.pl/QS/article/view/56615
work_keys_str_mv AT paulinakumiega ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT zuzannakudas ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT nikolaperchel ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT aleksandralitwin ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT karolinakrzywicka ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT pawełnowocin ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT piotrwasinski ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT nataliadabrowska ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT martynakoszyk ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes
AT dawidkulczynski ketogenicdietinpsychiatryapplicationintreatingdepressionamongathletes