{"id":4409479,"date":"2024-10-24T10:35:33","date_gmt":"2024-10-24T14:35:33","guid":{"rendered":"https:\/\/epithelia.ca\/?p=4409479"},"modified":"2025-01-09T11:14:10","modified_gmt":"2025-01-09T15:14:10","slug":"diet-and-microbiota-the-cetogenic-keto-diet","status":"publish","type":"post","link":"https:\/\/epithelia.ca\/en\/blogue\/regimes-et-microbiote-la-diete-cetogene-keto\/","title":{"rendered":"Diets and microbiota - The ketogenic diet (keto)"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>Dans un monde o\u00f9 les r\u00e9gimes alimentaires se multiplient, la di\u00e8te c\u00e9tog\u00e8ne (ou k\u00e9to) attire de plus en plus d\u2019attention. Mais quels sont ses effets sur le microbiote intestinal et la sant\u00e9 digestive?<\/p>\n<p>Voici une s\u00e9rie de blogues qui traitent de trois r\u00e9gimes et de leurs impacts sur le microbiote intestinal. Celui-ci est en lien avec la di\u00e8te c\u00e9tog\u00e8ne (k\u00e9to).<\/p>\n<p>Les deux autres portent sur les sujets figurant dans les liens suivants :<\/p>\n<ul>\n<li><a href=\"https:\/\/epithelia.ca\/blogue\/regimes-et-microbiote-alimentation-mediterraneenne\/\">Alimentation m\u00e9diterran\u00e9enne<\/a><\/li>\n<li><a href=\"https:\/\/epithelia.ca\/blogue\/regimes-et-microbiote-quen-est-il-du-jeune\/\">Je\u00fbne<\/a><\/li>\n<\/ul>\n<p>Il est \u00e0 noter que les raisons d\u2019adh\u00e9rer \u00e0 ce type de di\u00e8tes, comme leurs effets sur le diab\u00e8te et la perte de poids, ne sont pas trait\u00e9es dans ces blogues. Par contre, une <a href=\"https:\/\/epithelia.ca\/academie-epithelia\/\">conf\u00e9rence m\u00e9dicale<\/a> sur le sujet est disponible. <a href=\"mailto:lfournier@epithelia.ca\">Contactez-nous<\/a> si cela vous int\u00e9resse.<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Qu&rsquo;est-ce que la di\u00e8te c\u00e9tog\u00e8ne (k\u00e9to) ?<\/h3>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x52;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>D\u00e9finition<\/strong> : R\u00e9gime pauvre en glucides et riche en lipides (low carb, high fat) (3)(7). L\u2019efficacit\u00e9 du r\u00e9gime c\u00e9tog\u00e8ne est document\u00e9e depuis plusieurs ann\u00e9es pour l\u2019\u00e9pilepsie r\u00e9fractaire.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x52;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>Objectif<\/strong> : Cr\u00e9er des <strong>corps c\u00e9toniques<\/strong> utilis\u00e9s comme source d\u2019\u00e9nergie \u00e0 partir des acides gras (11).<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x52;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>Proportions alimentaires<\/strong> : Jusqu\u2019\u00e0 60 % des calories proviennent des lipides ou des mati\u00e8res grasses, avec un apport en glucides entre 20 et 50 g par jour (3)(7)(11).<\/p>\n<p>[\/et_pb_blurb][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>Voici un bref aper\u00e7u des aliments cibl\u00e9s dans cette di\u00e8te<\/h4>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; make_equal=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#BDE2D3&Prime; custom_padding=\u00a0\u00bb5%|5%|5%|5%|false|false\u00a0\u00bb border_radii=\u00a0\u00bbon|30px|30px|30px|30px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb0px||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb8px|2px||10px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h5 style=\"text-align: center;\">Aliments \u00e0 favoriser<\/h5>\n<ul>\n<li>Mati\u00e8res grasses : beurre, huiles, cr\u00e8me<\/li>\n<li>Olives, avocat<\/li>\n<li>Viande rouge et charcuteries, volaille, poisson et fruits de mer, \u0153ufs<\/li>\n<li>Noix, graines, beurre de noix<\/li>\n<li>L\u00e9gumes et fruits faibles en glucides (ex. l\u00e9gumes verts, poivrons, petits fruits)<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#BDE2D3&Prime; custom_padding=\u00a0\u00bb5%|5%|5%|5%|false|false\u00a0\u00bb border_radii=\u00a0\u00bbon|30px|30px|30px|30px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb6px||28px|10px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h5 style=\"text-align: center;\">Aliments \u00e0 \u00e9viter<\/h5>\n<ul>\n<li>F\u00e9culents et grains : riz, pain, p\u00e2tes, quinoa, craquelins<\/li>\n<li>Lait, yogourt<\/li>\n<li>L\u00e9gumineuses<\/li>\n<li>Sucres ajout\u00e9s : biscuits, desserts, p\u00e2tisseries<\/li>\n<li>L\u00e9gumes-racines et fruits riches en glucides (ex. carotte, courge, banane)<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/epithelia.ca\/wp-content\/uploads\/2024\/10\/charlie-solorzano-utTJUcvNXXo-unsplash-scaled.avif\u00a0\u00bb title_text=\u00a0\u00bbcharlie-solorzano-utTJUcvNXXo-unsplash\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb94%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/epithelia.ca\/wp-content\/uploads\/2024\/10\/kelly-neil-omEpnvmwWz0-unsplash-scaled.avif\u00a0\u00bb title_text=\u00a0\u00bbkelly-neil-omEpnvmwWz0-unsplash\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb84%\u00a0\u00bb custom_margin=\u00a0\u00bb|||12px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/epithelia.ca\/wp-content\/uploads\/2024\/10\/food-photographer-jennifer-pallian-8pUjhBm4cLw-unsplash-scaled.avif\u00a0\u00bb title_text=\u00a0\u00bbfood-photographer-jennifer-pallian-8pUjhBm4cLw-unsplash\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>Risques possibles de la di\u00e8te c\u00e9tog\u00e8ne<\/h4>\n<p>L&rsquo;adh\u00e9sion \u00e0 la di\u00e8te c\u00e9tog\u00e8ne comporte certains risques et effets secondaires pour la sant\u00e9 intestinale et globale, notamment (2)(3)(4)(5)(6)(7)(9)(11) :<\/p>\n<ul>\n<li>Troubles digestifs : constipation, diarrh\u00e9e (keto flu), ballonnements, naus\u00e9es, vomissements, gastrite;<\/li>\n<li>Fatigue, maux de t\u00eate, crampes musculaires;<\/li>\n<li>H\u00e9patite, pancr\u00e9atite;<\/li>\n<li>Augmentation de l\u2019acide urique s\u00e9rique (goutte), d\u00e9sordres des \u00e9lectrolytes comme hyponatr\u00e9mie ou hypomagn\u00e9s\u00e9mie;<\/li>\n<li>Hypoglyc\u00e9mie, hypotension, changement de l\u2019haleine, d\u00e9shydratation;<\/li>\n<li>Effets potentiels \u00e0 long terme sur les reins, le c\u0153ur, les os;<\/li>\n<li>Carences nutritionnelles : Vitamines A, B, C, D, E, min\u00e9raux Ca, Fe, K, Mg et fibres<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Contre-indications de la di\u00e8te c\u00e9tog\u00e8ne<\/h3>\n<p>Il existe \u00e9galement certaines contre-indications \u00e0 suivre la di\u00e8te c\u00e9tog\u00e8ne. En voici quelques-unes (3)(5)(7) :<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; make_equal=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#BDE2D3&Prime; custom_padding=\u00a0\u00bb5%|5%|5%|5%|false|false\u00a0\u00bb border_radii=\u00a0\u00bbon|30px|30px|30px|30px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb5px|3px||7px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h5 style=\"text-align: center;\">Contre-indications absolues<\/h5>\n<ul>\n<li>D\u00e9ficit en carnitine palmitoyltransf\u00e9rase I ou II<\/li>\n<li>D\u00e9ficit en carnitine translocase<\/li>\n<li>D\u00e9fauts de la b\u00eata-oxydation des acides gras<\/li>\n<li>D\u00e9ficit en 3-hydroxyacyl-CoA \u00e0 cha\u00eene longue<\/li>\n<li>Aciduries organiques<\/li>\n<li>Porphyrie<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#BDE2D3&Prime; custom_padding=\u00a0\u00bb5%|5%|5%|5%|false|false\u00a0\u00bb border_radii=\u00a0\u00bbon|30px|30px|30px|30px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb5px||26px|8px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h5 style=\"text-align: center;\">Contre-indications possibles<\/h5>\n<ul>\n<li>Cancer<\/li>\n<li>Diab\u00e8te<\/li>\n<li>Troubles de conduites alimentaires (TCA)<\/li>\n<li>Hypercholest\u00e9rol\u00e9mie familiale<\/li>\n<li>Reflux gastro-\u0153sophagien (RGO)<\/li>\n<li>Goutte, lithiases (pierres) r\u00e9nales<\/li>\n<li>Enfants, femmes enceintes<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Impact de la di\u00e8te c\u00e9tog\u00e8ne sur le microbiote intestinal<\/h3>\n<p>La litt\u00e9rature scientifique pointe plusieurs <span style=\"text-decoration: underline;\"><strong>effets n\u00e9gatifs<\/strong><\/span> de la di\u00e8te c\u00e9tog\u00e8ne sur le microbiote intestinal :<\/p>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x52;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>R\u00e9duction de l\u2019abondance totale de bact\u00e9ries et de leur diversit\u00e9<\/strong> : Un microbiote riche et diversifi\u00e9 est associ\u00e9 \u00e0 une bonne <strong>sant\u00e9 digestive<\/strong> (4)(9)(10)(11).<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x52;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>Diminution des bact\u00e9ries b\u00e9n\u00e9fiques<\/strong> : Bifidobacteria, Firmicutes, Lactobacillus, et Faecalibacterium prausnitzii, qui soutiennent la <strong>sant\u00e9 intestinale et globale<\/strong> (1)(4)(8)(9)(10)(11).<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x52;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>R\u00e9duction des acides gras \u00e0 cha\u00eene courte (<a href=\"https:\/\/epithelia.ca\/lexique-de-la-sante-intestinale\/\">AGCC<\/a>) totaux f\u00e9caux<\/strong> : Ces compos\u00e9s b\u00e9n\u00e9fiques pour la sant\u00e9 intestinale, produits par la fermentation des fibres (8)(9).<\/p>\n<p>[\/et_pb_blurb][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Diff\u00e9rents m\u00e9canismes possibles<\/h3>\n<p>Pourquoi la di\u00e8te c\u00e9tog\u00e8ne a-t-elle un tel effet n\u00e9gatif sur le microbiote ?<\/p>\n<p>[\/et_pb_text][et_pb_toggle title=\u00a0\u00bbR\u00e9duction des glucides\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; closed_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_radii=\u00a0\u00bbon|14px|14px|14px|14px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La baisse de la consommation de <a href=\"https:\/\/epithelia.ca\/blogue\/les-fibres-au-dela-des-legumes-et-des-fruits\/\">fibres alimentaires<\/a> (pr\u00e9sentes dans les f\u00e9culents, les fruits et les l\u00e9gumes qui sont \u00e0 r\u00e9duire\/\u00e9viter dans le r\u00e9gime c\u00e9tog\u00e8ne) limite la <a href=\"https:\/\/epithelia.ca\/blogue\/comment-la-fermentation-affecte-les-symptomes-digestifs\/\">fermentation par les bact\u00e9ries intestinale<\/a> (8)(9). En fermentant moins les fibres, les \u00ab bonnes \u00bb bact\u00e9ries sont moins pr\u00e9sentes (ex. Bifidobacteria, Firmicutes) et produisent ainsi \u00ab moins \u00bb de mol\u00e9cules b\u00e9n\u00e9fiques comme les <a href=\"https:\/\/epithelia.ca\/lexique-de-la-sante-intestinale\/\">AGCC<\/a> (1)(4)(8)(9)(10)(11).<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbAugmentation des bact\u00e9ries potentiellement nuisibles\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; closed_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_radii=\u00a0\u00bbon|14px|14px|14px|14px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Une prolif\u00e9ration de bact\u00e9ries potentiellement nuisibles comme Bacteroidetes et Alistipes est souvent observ\u00e9e (1)(4)(9)(10).<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbCons\u00e9quences sur la perm\u00e9abilit\u00e9 intestinale\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; closed_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_radii=\u00a0\u00bbon|14px|14px|14px|14px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Une r\u00e9duction des AGCC a un effet potentiel de d\u00e9t\u00e9rioration de la barri\u00e8re du mucus intestinal, rendant la barri\u00e8re intestinale plus \u00ab perm\u00e9able \u00bb (8)(10). Une perm\u00e9abilit\u00e9 intestinale accrue est associ\u00e9e \u00e0 des troubles digestifs et une inflammation chronique.<\/p>\n<p>[\/et_pb_toggle][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Limites des recherches actuelles<\/h3>\n<p>[\/et_pb_text][et_pb_toggle title=\u00a0\u00bbManque d\u2019\u00e9tudes humaines\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; closed_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_radii=\u00a0\u00bbon|14px|14px|14px|14px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Les recherches se basent principalement sur des \u00e9tudes \u00e0 petite \u00e9chelle, souvent de courte dur\u00e9e (8).<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbAdh\u00e9rence difficile \u00e0 long terme\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; closed_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_radii=\u00a0\u00bbon|14px|14px|14px|14px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La di\u00e8te c\u00e9tog\u00e8ne est difficile \u00e0 suivre \u00e0 long terme, notamment en raison des \u00e9v\u00e9nements sociaux et des repas en famille (4).<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbH\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 des \u00e9tudes\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; closed_toggle_background_color=\u00a0\u00bb#BDE2D3&Prime; _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb border_radii=\u00a0\u00bbon|14px|14px|14px|14px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Les impacts de la di\u00e8te peuvent varier d\u2019un individu \u00e0 l\u2019autre selon son profil bact\u00e9rien initial (8). Plusieurs facteurs influencent le microbiote (ex. alimentation, environnement, \u00e2ge, maladies) et certaines \u00e9tudes ne les ont pas tous consid\u00e9r\u00e9s (8).<\/p>\n<p>[\/et_pb_toggle][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Vers de nouvelles recherches<\/h3>\n<p>Des \u00e9tudes suppl\u00e9mentaires \u00e0 plus long terme chez des humains sont n\u00e9cessaires pour comprendre l&rsquo;impact de la di\u00e8te c\u00e9tog\u00e8ne sur diff\u00e9rentes conditions comme le <a href=\"https:\/\/epithelia.ca\/blogue\/syndrome-de-lintestin-irritable-au-dela-des-fodmap-quelles-sont-les-differentes-pistes-dintervention\/\">syndrome de l\u2019intestin irritable<\/a> (SII), les maladies inflammatoires de l\u2019intestin (MII) et <a href=\"https:\/\/epithelia.ca\/blogue\/nutrition-et-sante-mentale\/\">probl\u00e8mes de sant\u00e9 mentale<\/a> (ex. d\u00e9pression).<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>En conclusion<\/h3>\n<ul>\n<li>La di\u00e8te c\u00e9tog\u00e8ne semble avoir des effets plus n\u00e9fastes sur le microbiote intestinal, r\u00e9duisant la diversit\u00e9 et la richesse bact\u00e9rienne, avec des risques pour la sant\u00e9 digestive.<\/li>\n<li>Avant d\u2019adopter ce r\u00e9gime, il est essentiel de consulter un <a href=\"https:\/\/epithelia.ca\/consultations\/\">professionnel de la sant\u00e9<\/a> pour \u00e9valuer les risques et d\u00e9terminer s&rsquo;il convient \u00e0 vos besoins sp\u00e9cifiques, notamment en cas de troubles digestifs et d\u2019inconforts intestinaux comme les reflux gastro-\u0153sophagien (RGO).<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_divider _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.27.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>R\u00e9f\u00e9rences<\/h4>\n<p>(1) Borrego-Ruiz et Borrego (2024) Human gut microbiome, diet, and mental disorders. Int Microbiol Apr 1. https:\/\/pubmed.ncbi.nlm.nih.gov\/38561477\/ <br \/>(2) Dy\u0144ka et al. (2023) Effect of the Ketogenic Diet on the Prophylaxis and Treatment of Diabetes Mellitus: A Review of the Meta-Analyses and Clinical Trials. Nutrients Jan 18;15(3):500. https:\/\/pubmed.ncbi.nlm.nih.gov\/36771207\/ <br \/>(3) Hull et al. (2019) Evidence-based Keto Your no-hype guide to the ketogenic diet. Examine. <br \/>(4) Mohammadifard et al. (2022) The Effect of Ketogenic Diet on Shared Risk Factors of Cardiovascular Disease and Cancer. Nutrients Aug 25;14(17):3499. https:\/\/pubmed.ncbi.nlm.nih.gov\/36079756\/ <br \/>(5) Muscogiuri et al. (2021) Obesity Management Task Force (OMTF) of the European Association for the Study of Obesity (EASO). European Guidelines for Obesity Management in Adults with a Very Low-Calorie Ketogenic Diet: A Systematic Review and Meta-Analysis. Obes Facts 14( 2 ):222-245. https:\/\/pubmed.ncbi.nlm.nih.gov\/33882506\/ <br \/>(6) Nuwaylati et al. (2022) Low-Carbohydrate High-Fat Diet: A SWOC Analysis. Metabolites Nov 17;12(11):1126. https:\/\/pubmed.ncbi.nlm.nih.gov\/36422267\/ <br \/>(7) Patel (2019) Ketogenic diet. Examine.<br \/>(8) Rew et al. (2022) The ketogenic diet: its impact on human gut microbiota and potential consequent health outcomes: a systematic literature review. Gastroenterol Hepatol Bed Bench 15( 4 ):326-342. https:\/\/pubmed.ncbi.nlm.nih.gov\/36762214\/ <br \/>(9) Rinninella et al. (2019) Food Components and Dietary Habits: Keys for a Healthy Gut Microbiota Composition. Nutrients Oct 7;11(10):2393. https:\/\/pubmed.ncbi.nlm.nih.gov\/31591348\/ <br \/>(10) Rinninella et al. (2023) The role of diet in shaping human gut microbiota. Best Pract Res Clin Gastroenterol Feb-Mar;62-63:101828. https:\/\/pubmed.ncbi.nlm.nih.gov\/37094913\/ <br \/>(11) Santangelo et al. (2023) The Influence of Ketogenic Diet on Gut Microbiota: Potential Benefits, Risks and Indications. Nutrients Aug 22;15(17):3680. https:\/\/pubmed.ncbi.nlm.nih.gov\/37686712\/<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dans un monde o\u00f9 les r\u00e9gimes alimentaires se multiplient, la di\u00e8te c\u00e9tog\u00e8ne (ou k\u00e9to) attire de plus en plus d\u2019attention. Mais quels sont ses effets sur le microbiote intestinal et la sant\u00e9 digestive? Voici une s\u00e9rie de blogues qui traitent de trois r\u00e9gimes et de leurs impacts sur le microbiote intestinal. Celui-ci est en lien [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":4409480,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","wprm-recipe-roundup-name":"","wprm-recipe-roundup-description":"","footnotes":""},"categories":[24,1710,1706,1704],"tags":[],"class_list":["post-4409479","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogue","category-gestion-de-poids","category-inflammation","category-sante-digestive"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/posts\/4409479","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/comments?post=4409479"}],"version-history":[{"count":7,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/posts\/4409479\/revisions"}],"predecessor-version":[{"id":4410666,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/posts\/4409479\/revisions\/4410666"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/media\/4409480"}],"wp:attachment":[{"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/media?parent=4409479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/categories?post=4409479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/epithelia.ca\/en\/wp-json\/wp\/v2\/tags?post=4409479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}