The Ketogenic Effect of Medium-Chain Triacylglycerides

Medium-chain triacylglycerides (MCTs) are dietary supplements that can induce ketosis without the need for a traditional ketogenic diet or prolonged fasting. They have the potential to marginally delay the progression of neurodegenerative diseases, such as Alzheimer's disease. However, there ha...

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Autores principales: Ting-Yu Lin, Hung-Wen Liu, Tsung-Min Hung
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/ae3dad9719b84c94b4b10e06f176bb57
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spelling oai:doaj.org-article:ae3dad9719b84c94b4b10e06f176bb572021-11-30T14:34:46ZThe Ketogenic Effect of Medium-Chain Triacylglycerides2296-861X10.3389/fnut.2021.747284https://doaj.org/article/ae3dad9719b84c94b4b10e06f176bb572021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnut.2021.747284/fullhttps://doaj.org/toc/2296-861XMedium-chain triacylglycerides (MCTs) are dietary supplements that can induce ketosis without the need for a traditional ketogenic diet or prolonged fasting. They have the potential to marginally delay the progression of neurodegenerative diseases, such as Alzheimer's disease. However, there have been inconsistencies in reports of the MCT dose–response relationship, which may be due to differences in MCT composition, participant characteristics, and other factors that can influence ketone generation. To resolve these discrepancies, we reviewed studies that investigated the ketogenic effect of MCTs in healthy adults. Aside from the treatment dose, other factors that can influence the ketogenic response, such as accompanying meals, fasting duration, and caffeine intake, were assessed. Based on the available literature, four practical recommendations are made to optimize the ketogenic effect of MCTs and reduce unwanted side effects (primarily gastrointestinal discomfort and diarrhea). First, the starting dose should be either 5 g of octanoic acid [caprylic acid (C8); a component of MCTs] or 5 g of a combination of C8 and decanoic or capric acid (C10; another component of MCTs), and the dose should be progressively increased to 15–20 g of C8. Second, MCTs should be consumed after an overnight fast, without an accompanying meal if tolerable, or with a low-carbohydrate meal. Third, the addition of caffeine may slightly increase the ketogenic response. Fourth, emulsifying the MCTs might increase their ketogenic effect and alleviate side effects.Ting-Yu LinHung-Wen LiuTsung-Min HungFrontiers Media S.A.articleaging - old age - seniorscognitionoctanoic acid (caprylic acid) (PubChem CID: 379)decanoic acid (PubChem CID 2969)Tricaprin – Captex® 1000 (PubChem CID: 69310)Tricaprylin – Captex® 8000 (PubChem CID: 10850)Nutrition. Foods and food supplyTX341-641ENFrontiers in Nutrition, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic aging - old age - seniors
cognition
octanoic acid (caprylic acid) (PubChem CID: 379)
decanoic acid (PubChem CID 2969)
Tricaprin – Captex® 1000 (PubChem CID: 69310)
Tricaprylin – Captex® 8000 (PubChem CID: 10850)
Nutrition. Foods and food supply
TX341-641
spellingShingle aging - old age - seniors
cognition
octanoic acid (caprylic acid) (PubChem CID: 379)
decanoic acid (PubChem CID 2969)
Tricaprin – Captex® 1000 (PubChem CID: 69310)
Tricaprylin – Captex® 8000 (PubChem CID: 10850)
Nutrition. Foods and food supply
TX341-641
Ting-Yu Lin
Hung-Wen Liu
Tsung-Min Hung
The Ketogenic Effect of Medium-Chain Triacylglycerides
description Medium-chain triacylglycerides (MCTs) are dietary supplements that can induce ketosis without the need for a traditional ketogenic diet or prolonged fasting. They have the potential to marginally delay the progression of neurodegenerative diseases, such as Alzheimer's disease. However, there have been inconsistencies in reports of the MCT dose–response relationship, which may be due to differences in MCT composition, participant characteristics, and other factors that can influence ketone generation. To resolve these discrepancies, we reviewed studies that investigated the ketogenic effect of MCTs in healthy adults. Aside from the treatment dose, other factors that can influence the ketogenic response, such as accompanying meals, fasting duration, and caffeine intake, were assessed. Based on the available literature, four practical recommendations are made to optimize the ketogenic effect of MCTs and reduce unwanted side effects (primarily gastrointestinal discomfort and diarrhea). First, the starting dose should be either 5 g of octanoic acid [caprylic acid (C8); a component of MCTs] or 5 g of a combination of C8 and decanoic or capric acid (C10; another component of MCTs), and the dose should be progressively increased to 15–20 g of C8. Second, MCTs should be consumed after an overnight fast, without an accompanying meal if tolerable, or with a low-carbohydrate meal. Third, the addition of caffeine may slightly increase the ketogenic response. Fourth, emulsifying the MCTs might increase their ketogenic effect and alleviate side effects.
format article
author Ting-Yu Lin
Hung-Wen Liu
Tsung-Min Hung
author_facet Ting-Yu Lin
Hung-Wen Liu
Tsung-Min Hung
author_sort Ting-Yu Lin
title The Ketogenic Effect of Medium-Chain Triacylglycerides
title_short The Ketogenic Effect of Medium-Chain Triacylglycerides
title_full The Ketogenic Effect of Medium-Chain Triacylglycerides
title_fullStr The Ketogenic Effect of Medium-Chain Triacylglycerides
title_full_unstemmed The Ketogenic Effect of Medium-Chain Triacylglycerides
title_sort ketogenic effect of medium-chain triacylglycerides
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/ae3dad9719b84c94b4b10e06f176bb57
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