Effect of ketosis induced by on delayed-onset muscle soreness, inflammation and redox status: a randomized, open-label, crossover pilot study

BACKGROUND: Previous studies show that ketosis caused by the consumption of low-carbohydrate diets improves cognitive functions and that ketogenic diets can be used to treat epilepsy. In vivo and in vitro experiments have shown that ketosis regulates pain, inflammation, and oxidative stress. Thus, we investigated the effects of ketosis induced by a low-carbohydrate diet on muscle soreness, inflammation, and redox status in human subjects. METHODS: The research method was an open-label, crossover, pilot study. The study included eight men with no exercise habits associated with muscle soreness and consumed a low-carbohydrate and a normal diet for 6 days. Each dietary intake was for 3 days, and the participants performed the isotonic exercise on the fourth day. Before and after the exercise (immediately after, 24 h later, and 48 h later), the subjective value of muscle soreness, interleukin-6 level, tumor necrosis factor-alpha level, total ketone bodies, and redox status biomarkers were measured. RESULTS: The results revealed that the low-carbohydrate-diet group showed no significant difference in the subjective value of muscle soreness, whereas the normal diet group showed a significant increase in the subjective muscle soreness scale after 24 h. There were no significant changes in biomarkers of inflammation and redox status in either group. CONCLUSIONS: This result suggests that ketosis caused by consuming a low-carbohydrate diet suppresses delayed-onset muscle soreness. However, the ketosis state did not suppress inflammation or oxidative stress markers.