A Standard Lipid Panel Is Insufficient for the Care of a Patient on a High-Fat, Low-Carbohydrate Ketogenic Diet

Frontiers in Medicine

article

Nicholas G. Norwitz¹  Vyvyane Loh³ 

[1] Department of Physiology, University of Oxford, United Kingdom;Harvard Medical School, United States;Transform Alliance for Health, United States

关键词: cholesterol;    HDL;    LDL;    Lp(a);    ketogenic diet;    subfractionation;    vitamin C;   

DOI  :  10.3389/fmed.2020.00097

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

High-fat, low-carbohydrate ketogenic diets have recently become popular for weight loss and the treatment of numerous chronic diseases; however, the general medical community still expresses concern regarding the impact of high-fat diets on serum lipids and cardiovascular risk. Herein, we report on a young man who adopted a ketogenic diet to treat his inflammatory bowel disease. Incidentally, changes in his serum lipids that would be considered adverse by current standards were noted. A more critical analysis of his lipid profile suggests that the changes he experienced may not be dangerous and may, at least with regard to several parameters, represent improvements. This case study demonstrates how the manner in which lipid panels are often reported and reviewed can lead to misleading conclusions and highlights that, at least in the care of those on a ketogenic diet, more nuanced analyses of lipid subfractionations should be conducted in order for physicians to provide optimal care and clinical recommendations.

【 授权许可】

CC BY