In the past we posted a page on Ketogenic diet and weight loss which you can referred to in the link below. Also, we had given detailed information on the mechanism of KD in weight loss.
Today we will share 2 case studies of our patients.
- Ketogenic therapy in Epilepsy and weight loss.
- Ketogenic therapy (Modified Atkins diet) in weight loss.
Case study -1
Name :-MZ
Age: 17 yrs
Sex: Male
Diagnosis:- Epilepsy and Class III obesity – extreme obesity
On Examination:
Reduced concentration
Temperamental
Duration of KD: 24 months
| Before Ketogenic diet | Post Ketogenic diet | |
| Height (cm) | 170 | 170 |
| Weight ( Kg) | 120 | 71 |
| IBW ( Kg) | 70 | 70 |
| BMI | 41.5 | 24.5 |
| Obesity Grade | Class III obesity – extreme obesity | Normal weight |
| Seizure | 1-2 per month | No seizures |
WHO classification of obesity:
| BMI (range) | Classification |
| < 18.5 kg/m2 | Underweight |
| 18.5-24.9 kg/m2 | normal weight |
| 25.0-29.9 kg/m2 | class I obesity – overweight |
| 30.0-39.9 kg/m2 | class II obesity – obesity |
| BMI > 40 kg/m2 | class III obesity – extreme obesity |
Diet Summary
- Ketogenic diet started on 05/04/2017
- Home Recall- 1620 Kcal
- CHOW recall- 2235 Kcal
- 75 % RDA- 2740 Kcal
- We started him on 25 kcal per kg IBW i.e. 1800 Kcal, 2.5:1 keto ratio
Post-diet:
- Seizures have stopped
- Diet has been stopped.
- Has lost 49 kg in 24 months on KD. His current weight is 71 kg which is closer to his IBW of 70 kg
- Concentration has improved and doing well in academics. Currently pursuing diploma in graphic designing.
- More calm and composed
Modified Atkins Diet in weight loss:-
Case study -2
Name :-JT
Age: 39 yrs
Sex: Male
Diagnosis:- class II obesity – obesity
Duration of KD: 13 months
| Before Ketogenic diet | Post Ketogenic diet | |
| Height (cm) | 180 | 180 |
| Weight ( Kg) | 109 | 83 |
| IBW ( Kg) | 80 | 80 |
| BMI | 33.6 | 25.6 |
| Obesity Grade | class II obesity – obesity | class I obesity – overweight |
Diet Summary
- Modified Atkins diet recall -started on 1900 kcal , 1:1 ratio and now on 1750 Kcal, 1:1 ratio.
- Ideal calorie should be 25kcal X kg IBW i.e. 2000 Kcal.
(Irit T. et al 2014)
Post-diet:
- Has lost 26 kg in 13 months on Modified Atkins diet. His current weight is 83 kg which is closer to his IBW of 80 kg
Reference:-
Irit T. et al. The obesity paradox- BMI and Beyond. Nutrition in Obesity.ESPEN 2014.
More related reference articles can be found on the above mentioned link of our previous post.