Review: Evidence is inconclusive about the role of lower-carbohydrate diets in weight loss in the outpatient setting: COMMENTARY

Wilson, Stephen A.
November 2003
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p70
Academic Journal
Various random controlled trials have found greater weight loss, without adverse effect, for low-carbohydrate diets over 6 months. At one year, comparative weight loss changes does not differ between groups. Even when the right diet and patient are aligned, adherence is still the key to long-term success for safe, effective, lasting weight loss. Low-carbohydrate diets seems to be no more or less effective at safely attaining and maintaining weight loss than the gold standard, a traditional low-fat diet. Physiologic effects of the glycemic index provides some theoretical construct for low-carbohydrate diets and may be why people who successfully use low-carbohydrate diets consume fewer calories. Scant evidence exists that low-carbohydrate diets advance weight loss through increased calorie use via ketogenesis.


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