Effects of ketogenic diet on muscle mass, strength, aerobic metabolic capacity, and endurance in adults: a systematic review and meta-analysis.

ABSTRACT:

Background

The ketogenic diet (KD) has gained popularity as an efficient approach to weight loss and body fat loss. Concerns about reducing muscle mass and performance have been rising during weight loss, as muscle mass and functionality are crucial for health. However, the effects of the KD on muscles not only for athletes or trainers but also for adults with less physical exercise are still controversial.

Methods

We conducted a thorough search of databases including Embase, PubMed, Cochrane Library, and Web of Science up to July 19, 2025. Three aspects of muscle assessment were conducted, including muscle mass, power and strength, aerobic metabolic capacity, and endurance. We included randomized and non-randomized controlled studies that compared the KD with other dietary

SUBMITTER: Wang Y 

PROVIDER: S-EPMC12487320 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature