Dampak β-Hidroksibutirat (BHB) pada Tubuh Manusia: Tinjauan tentang Badan Keton, Sumber, Metabolisme, Manfaat Kesehatan, dan Kerugian Potensial

  • Muhammad Raka Tresna Universitas Singaperbangsa Karawang
  • Hadi Sudarjat Universitas Singaperbangsa Karawang
Keywords: Ketone bodies, β-Hydroxybutyrate, Ketogenic Diet, Ketone Ester, Ketone Salt

Abstract

Ketone bodies are small lipid-derived molecules that have a function as a circulating energy source for tissues when in glucose deficiency conditions. When glucose in glycogen stores is largely depleted, fatty acid breakdown will occur in the mitochondria through β-oxidation which produces ATP and acetyl-CoA. Fatty acid breakdown in the liver will produce ketone bodies, which then reduce acetoacetate to β-hydroxybutyrate (BHB) that serves as alternative energy. The purpose of this study is to determine the impact of β-hydroxybutyrate (BHB) used in the form of supplements on the body and as an alternative energy source, is expected to provide insight into the impact of β-hydroxybutyrate (BHB) on the body. The method used is a qualitative method using narrative literature review on 5 articles that have been analyzed, and meet the eligibility of 2306 articles found on PubMed between 2014 and 2024. The results of this study β-hydroxybutyrate (BHB) has good effectiveness and safety for the body and is good as an alternative energy source, and has no negative impact on health. The conclusion of this study is that supplementing the body with ketones supports the effectiveness of ketone bodies to provide alternative energy and better resilience. It is recommended that researchers who will take the title of research on β-hydroxybutyrate (BHB) to see the potential given to health and its usefulness in having an impact on the body.

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References

Newman, J. C. & Verdin, E. Ketone bodies as signaling metabolites. Trends Endocrinol. Metab. 25, 42–52 (2014).

Kolb, H. et al. Ketone bodies: from enemy to friend and guardian angel. BMC Med. 19, 1–15 (2021).

Puchalska, P. & Crawford, P. A. Metabolic and Signaling Roles of Ketone Bodies in Health and Disease. Annu. Rev. Nutr. 41, 49–77 (2021).

Nasser, S., Vialichka, V., Biesiekierska, M., Balcerczyk, A. & Pirola, L. Effects of ketogenic diet and ketone bodies on the cardiovascular system: Concentration matters. World J. Diabetes 11, 584–595 (2020).

Poffé, C., Ramaekers, M., Van Thienen, R. & Hespel, P. Ketone ester supplementation blunts overreaching symptoms during endurance training overload. J. Physiol. 597, 3009–3027 (2019).

Norwitz, N. G. et al. A Ketone Ester Drink Enhances Endurance Exercise Performance in Parkinson’s Disease. Front. Neurosci. 14, 1–11 (2020).

Kackley, M. L. et al. The effects of a 6-week controlled, hypocaloric ketogenic diet, with and without exogenous ketone salts, on cognitive performance and mood states in overweight and obese adults. Front. Neurosci. 16, 1–13 (2022).

Buga, A. et al. The Effects of a 6-Week Controlled, Hypocaloric Ketogenic Diet, With and Without Exogenous Ketone Salts, on Body Composition Responses. Front. Nutr. 8, (2021).

Crabtree, C. D. et al. Comparison of ketogenic diets with and without ketone salts versus a low-fat diet: Liver fat responses in overweight adults. Nutrients 13, 1–14 (2021).

Holdsworth, D. A. et al. A Ketone Ester Drink Increases Postexercise Muscle Glycogen Synthesis in Humans. Med. Sci. Sports Exerc. 49, 1789–1795 (2017).

Yalaza, C. et al. Role of acetyl-CoA acetyltransferase 1 expression in the molecular mechanism of adenomyosis. Turkish J. Obstet. Gynecol. 20, 174–178 (2023).

Pinckaers, P. J. M., Churchward-Venne, T. A., Bailey, D. & van Loon, L. J. C. Ketone Bodies and Exercise Performance: The Next Magic Bullet or Merely Hype? Sport. Med. 47, 383–391 (2017).

Paoli, A., Bianco, A. & Grimaldi, K. A. The Ketogenic Diet and Sport: A Possible Marriage? Exerc. Sport Sci. Rev. 43, 153–162 (2015).

Volek, J. S., Noakes, T. & Phinney, S. D. Rethinking fat as a fuel for endurance exercise. Eur. J. Sport Sci. 15, 13–20 (2015).

Mizuno, Y. et al. The diabetic heart utilizes ketone bodies as an energy source. Metabolism. 77, 65–72 (2017).

Murashige, D. et al. Comprehensive quantification of fuel use by the failing and nonfailing human heart. Science (80-. ). 370, 364–368 (2020).

Jensen, N. J., Wodschow, H. Z., Nilsson, M. & Rungby, J. Effects of ketone bodies on brain metabolism and function in neurodegenerative diseases. Int. J. Mol. Sci. 21, 1–17 (2020).

Muddapu, V. R., Dharshini, S. A. P., Chakravarthy, V. S. & Gromiha, M. M. Neurodegenerative Diseases – Is Metabolic Deficiency the Root Cause? Front. Neurosci. 14, 1–19 (2020).

Mikkelsen, K. H., Seifert, T., Secher, N. H., Grøndal, T. & Van Hall, G. Systemic, cerebral and skeletal muscle ketone body and energy metabolism during acute hyper-D-β-hydroxybutyratemia in post-absorptive healthy males. J. Clin. Endocrinol. Metab. 100, 636–643 (2015).

Chung, N. Impact of the ketogenic diet on body fat, muscle mass, and exercise performance: a review. Phys. Act. Nutr. 27, 1–7 (2023).

Paoli, A. Ketogenic diet for obesity: Friend or foe? Int. J. Environ. Res. Public Health 11, 2092–2107 (2014).

Müller, T. D. et al. Ghrelin. Mol. Metab. 4, 437–460 (2015).

Stubbs, B. J. et al. A Ketone Ester Drink Lowers Human Ghrelin and Appetite. Obesity 26, 269–273 (2018).

Calcaterra, V. et al. Metabolic derangement in pediatric patient with obesity: The role of ketogenic diet as therapeutic tool. Nutrients 13, (2021).

Bolla, A. M., Caretto, A., Laurenzi, A., Scavini, M. & Piemonti, L. Low-carb and ketogenic diets in type 1 and type 2 diabetes. Nutrients 11, 1–14 (2019).

Yuan, X. et al. Effect of the ketogenic diet on glycemic control, insulin resistance, and lipid metabolism in patients with T2DM: a systematic review and meta-analysis. Nutr. Diabetes 10, (2020).

Kellar, D. & Craft, S. Brain insulin resistance in Alzheimer’s disease and related disor_ders: mechanisms and therapeutic approaches. Lancet Neurol 19, 758–766 (2020).

Chung, J. Y., Kim, O. Y. & Song, J. Role of ketone bodies in diabetes-induced dementia: sirtuins, insulin resistance, synaptic plasticity, mitochondrial dysfunction, and neurotransmitter. Nutr. Rev. 80, 774–785 (2022).

Kawon, K. et al. Ketogenic diet influence on the elemental homeostasis of internal organs is gender dependent. Sci. Rep. 13, 1–11 (2023).
Published
2024-12-31
How to Cite
Tresna, M., & Sudarjat, H. (2024). Dampak β-Hidroksibutirat (BHB) pada Tubuh Manusia: Tinjauan tentang Badan Keton, Sumber, Metabolisme, Manfaat Kesehatan, dan Kerugian Potensial. Jurnal Sehat Mandiri, 19(2), 131-145. https://doi.org/https://doi.org/10.33761/jsm.v20i1.1583