Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

© 2019 The Author(s) Ketone bodies are energetically efficient metabolic substrates, which are synthesised from lipids during prolonged caloric deprivation. Once considered a simple metabolite to fuel the brain during starvation, ketone bodies are now recognised as having pleiotropic effects on metabolism, including modulating the availability and catabolism of other substrates. The combination of improved energetics and fuel sparing observed during ketosis is pivotal to maintaining energy homeostasis during starvation or fasting. Harnessing these actions may also offer a method to enhance human endurance. Owing to the necessity of depleting carbohydrate stores to induce ketogenesis, exercising during an endogenous ketosis is unlikely to be advantageous. In contrast, the delivery of exogenous ketones creates a novel physiological state, where high circulating ketone concentrations and replete carbohydrate stores are present. Here, we discuss the current understanding of how exogenous ketosis may mimic advantageous aspects of starvation physiology and in doing so, be used to enhance human exercise endurance performance.

Original publication




Journal article


Current Opinion in Physiology

Publication Date





81 - 89