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Effects of the Ketogenic diet in overweight divers breathing Enriched Air Nitrox.

Abstract
Central Nervous System Oxygen Toxicity (CNS-OT) is one of the most harmful effects of Enriched Air Nitrox (EAN) diving. Protective factors of the Ketogenic Diet (KD) are antioxidant activity, the prevention of mitochondrial damage and anti-inflammatory mechanisms. We aimed to investigate if a short-term KD may reduce oxidative stress and inflammation during an hyperoxic dive. Samples from six overweight divers (mean ± SD, age: 55.2 ± 4.96 years; BMI: 26.7 ± 0.86 kg/m2) were obtained a) before and after a dive breathing Enriched Air Nitrox and performing 20-minute mild underwater exercise, b) after a dive (same conditions) performed after 7 days of KD. We measured urinary 8-isoprostane and 8-OH-2-deoxyguanosine and plasmatic IL-1β, IL-6 and TNF-α levels. The KD was successful in causing weight loss (3.20 ± 1.31 Kgs, p < 0.01) and in limiting lipid peroxidation (3.63 ± 1.16 vs. 1.11 ± 0.22; p < 0.01) and inflammatory response (IL-1β = 105.7 ± 25.52 vs. 57.03 ± 16.32, p < 0.05; IL-6 = 28.91 ± 4.351 vs. 14.08 ± 1.74, p < 0.001; TNF-α = 78.01 ± 7.69 vs. 64.68 ± 14.56, p < 0.05). A short-term KD seems to be effective in weight loss, in decreasing inflammation and protective towards lipid peroxidation during hyperoxic diving.
AuthorsGerardo Bosco, Alex Rizzato, Silvia Quartesan, Enrico Camporesi, Devanand Mangar, Matteo Paganini, Lorenzo Cenci, Sandro Malacrida, Simona Mrakic-Sposta, Sara Moretti, Antonio Paoli
JournalScientific reports (Sci Rep) Vol. 8 Issue 1 Pg. 2655 (02 08 2018) ISSN: 2045-2322 [Electronic] England
PMID29422679 (Publication Type: Journal Article)
Chemical References
  • Interleukin-1beta
  • Interleukin-6
  • Tumor Necrosis Factor-alpha
  • 8-epi-prostaglandin F2alpha
  • nitrox
  • Dinoprost
  • Deoxyguanosine
  • Nitrogen
  • Oxygen
Topics
  • Adult
  • Air
  • Decompression
  • Decompression Sickness (diet therapy, drug therapy, urine)
  • Deoxyguanosine (urine)
  • Diet, Ketogenic (methods)
  • Dinoprost (analogs & derivatives, urine)
  • Diving (physiology)
  • Exercise
  • Humans
  • Hyperoxia
  • Interleukin-1beta (blood)
  • Interleukin-6 (analysis, blood)
  • Male
  • Middle Aged
  • Nitrogen (administration & dosage, metabolism)
  • Overweight (metabolism)
  • Oxidative Stress (drug effects)
  • Oxygen (administration & dosage)
  • Pilot Projects
  • Prospective Studies
  • Tumor Necrosis Factor-alpha (blood)

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