Reviewer’s report
Title: 
Ketogenic diet may be a new approach to treatment stress urinary
incontinence in obese elderly women: Report of five cases.
Version: 
1 
Date: 
26 Jul 2021
Reviewer's report:
The article presents 5 clinical cases with the use of a ketogenic diet as a dietary
resource for weight loss and consequent improvement in urinary incontinence
symptoms. The reported cases provide little information about the nutritional
characteristics of the diets or the quality of patient adherence to nutritional
education, but they do inform about weight loss and changes in body
composition, which are associated with improvement in symptoms in these
cases.
The biggest criticism is the use of the ketogenic diet as a treatment for urinary
incontinence, when it is not. In fact, the treatment is weight loss, which in these 5
cases, was achieved with the use of a dietary modification. Throughout the text,
starting with the title, the authors should correct all sentences that refer to the
ketogenic diet as a treatment for the clinical condition discussed.
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