Review Article

Medium-Chain Triglycerides (MCTs) for the Symptomatic Treatment of Dementia-Related Diseases: A Systematic Review

Table 1

Inclusion and exclusion criteria of the systematic literature search.

CategoryInclusion criteriaExclusion criteria

PopulationHuman, dementia diagnosed according to guidelines or accepted criteria, no or constant medicationIn vitro or animal model studies, self-diagnosis, asymptomatic Alzheimer’s disease

InterventionDietary intervention with intake or dietary enrichment with MCT- or MCFA-containing products such as special oils, supplements, formula, or also foods such as coconut, mono- and multidose approaches, specific definition of the dosage available, and constant dosage1Ketogenic diets without MCT, ketone body salts, ketone body esters, change in dose, or new medication during the study

ComparisonControlled trials (placebo, standard diet without supplementation, or standard drug therapy), uncontrolled trialsObservational studies

OutcomesEfficacy or effectiveness in terms of cognitive, functional, and mental health using validated tools, disease progression and severity, plasma ketone body concentration, effects on metabolism, functionality, and physiology of the brainNo use of validated tools and outcomes that do not meet the inclusion criteria
Secondary outcomes: side effects, impact on quality of life, compliance or adherence

Types of studiesFully completed and published studies, English or German language, no distinction made regarding the study designUncompleted and unpublished studies, languages other than English and German, reviews (narrative, scoping, systematic), meta-analyses, poster abstracts, in vitro or animal studies

1Exception: build-up phases to increase gastrointestinal tolerance.