Just Read: The Metabolic Advantages of a Lower Carbohydrate Diet

2018.11.20 Low Carb and Low Carbon 591
2018.11.20 Low Carb and Low Carbon 591 (View on Flickr.com)

In English: following weight loss, people on lower carbohydrate diets were able to eat more food to keep their weight stable than people on high carb low-fat diets, putting another nail in the coffin of low fat diets and “calories-in/calories-out” – weight may be more dependent on hormonal interaction with food (insulin/ghrelin/leptin) than on simple number of calories eaten.

“Change in total energy expenditure, the primary outcome, in intention-to-treat (top) and per protocol (bottom) analyses. Data are shown as mean change from start of test phase, with whiskers representing 1 standard error above and below the mean. P tests uniformity across diet groups for average of changes at midpoint and end of test phase.”Ebbeling CB, Feldman HA, Klein GL, Wong JMW, Bielak L, Steltz SK, et al. Effects of a low carbohydrate diet on energy expenditure during weight loss maintenance: randomized trial. BMJ [Internet]. 2018;363:4583. Available from: dx.doi.org/10.1136/bmj.k4583

Since this paper has been published, there’s been a lot of back and forth, first on social media, and now nicely organized in the response section on bmj.com, so best to learn about the different points of view.

In addition to the energy expenditure differences it’s worth noting two additional findings:

Helpful reminder from study authors

This is not a study of plant-based or plant-free nutrition.

Reference

Ebbeling CB, Feldman HA, Klein GL, Wong JMW, Bielak L, Steltz SK, et al. Effects of a low carbohydrate diet on energy expenditure during weight loss maintenance: randomized trial. BMJ [Internet]. 2018;363:4583. Available from: dx.doi.org/10.1136/bmj.k4583

Images Used under – CC BY-NC-SA license.

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