Synergistic effects of a ketogenic diet and interval exercise on vascular function in obese female undergraduate students: a randomised controlled trial demonstrating accelerated improvement

Ketogenic diet-exercise synergy substantially improves vascular function within 2 months in obese female undergraduate students. However, long-term lipid monitoring remains essential due to heterogeneous LDL-C responses to KDs. This study uniquely addresses the research gap regarding the synergistic vascular effects of KDs combined with structured interval training, highlighting its novelty as the first trial in obese young women linking endothelial biomarkers with haemodynamic adaptations.