A ketogenic drink can improve brain metabolism and cognition in early dementia

Adapted from Alzheimer’s and Dementia 15(2019) 625-634

A ketogenic drink improves brain energy and some measures
of cognition in mild cognitive impairment

Melanie Fortiera, *, Christian-Alexandre Castellanoa et al.

Research Center on Aging, CIUSSS de l’Estrie – CHUS, Sherbrooke, Quebec, Canada.

Abstract Introduction:

Unlike for glucose, uptake of the brain’s main alternative fuel, ketones, remains normal in mild cognitive impairment (MCI). Ketogenic medium chain triglycerides (kMCTs) could improve cognition in MCI by providing the brain with more fuel.

Methods: Fifty-two subjects with MCI were blindly randomized to 30 g/day of kMCT or matching placebo. Brain ketone and glucose metabolism (quantified by positron emission tomography; primary outcome) and cognitive performance (secondary outcome) were assessed at baseline and 6 months later.

Results: Brain ketone metabolism increased by 230% for subjects on the kMCT (P ,.001) whereas
brain glucose uptake remained unchanged.

Measures of episodic memory, language, executive function, and processing speed improved on the kMCT versus baseline. Increased brain ketone uptake was positively related to several cognitive measures. Seventy-five percent of participants completed the intervention.

Discussion: A dose of 30 g/day of kMCT taken for 6 months bypasses a significant part of the brain
glucose deficit and improves several cognitive outcomes in MCI.

2019 the Alzheimer’s Association. Published by Elsevier Inc. All rights reserved.

My comments: Providing a daily ketogenic drink seems to have been easy to implement and have a worthwhile positive effect on brain function in patients with early dementia. I would welcome more studies and information on how such drinks could be made commercially available out with the research setting.