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Low-Carb vs. Low-Fat Diets

Sep 09 09:52pm

Will the debate about the relative virtues of low-carbohydrate vs. low-fat diets for weight loss never end? All the chatter is doubly annoying since, until now, all the talk is backed up by little data comparing the two diets.

A recent review of multiple scientific studies (a "meta-analysis") examined the findings of five controlled clinical trials involving 222 people on low-carbohydrate diets and 225 on low-fat diets. On the low-carb diet, carbohydrates were limited to 60 grams a day; on the low-fat diet, total fat was less than 30 percent of calories.

The results? At the six-month mark, those on the low-carbohydrate diet had lost more weight but, by the end of one year, followers of both diets had lost comparable amounts.

The results from this meta-analysis also showed that people on the low-carbohydrate diet had small but statistically significant increases in both total and harmful LDL cholesterol; on the plus side, their protective HDL cholesterol rose significantly while their triglycerides fell. (One major concern about following a low-carb diet for an extended time: their high protein and fat content can potentially cause a rise in cholesterol levels.)

These results will not end the debate because it's still unclear which variable will have the greater impact on coronary heart disease among low-carbohydrate dieters: the higher LDL cholesterol (harmful) or the increased HDL cholesterol (helpful). Indeed, neither of these changes may have any long-term impact, since most people discontinue low-carbohydrate-and other-diets after a relatively short time.

Perhaps the most important finding is that following either type of diet led to comparable amounts of weight loss.

16 Comments Report Abuse
11. mrconservative56 - Sep 29 08:44am
If you are on a low carb diet you do not have to eat fatty foods. You can choose to eat leaner cuts of meat.

Dave
http://health-pictures.com/
12. lgreenwald54 - Oct 17 04:02am
After having lost 60lbs on a low-carb diet, my HDL was increased, Triglycerides were almost nil and my LDL dropped, and my blood pressure stabilized. Unfortunately, I ran into the new situation: a "fatty liver". I understand liver biopsies are considered among those in the medical world as routine, but aren't they also considered invasive? Are the really necessary? Wouldn't it make more sense to have a low-carb/fat diet instead, with a balance there somewhere? I am intolerant to carbs, so for me, there's no such thing as a low-carb diet - now I have to find them in salads, nuts, and veggies. Eating fats, however, as some of these diets encourage produces negative health effects far worse than taking too long to lose those unhealthy pounds! Isn't there a balance somewhere?
13. dcards912 - Oct 18 12:02am
5 years ago I went on the South Beach diet and lost 40 pounds over 6 months. This went along with increased exercise, especially, moderate running 3-4 times a week. I eliminated breads, pasta, potatoes and cereals high in carbs. In the 5 years since I have been able to keep 37 lbs off while still introducing limited carbs and continuing to exercise. It is all a mind set and a matter of determination.
14. barbarawhitt1952 - Oct 21 04:12am
Ihave been on the low carb diet for six month and i have lost alot of inches.
15. mdeanda67 - Dec 22 06:22am
It's all about finding what works for you. If the low fat diet works, go with it. If the low carb works, go with it. If you are committied to lose weight, you will.
16. radioflyr - Feb 24 05:56am
56/male, struggling with weight loss yoyo syndrome all my life. Went on Atkins type low carb diet three years ago. I lost 100lbs. and for the first time in my life have not regained it after all this time. I consume aprox 50grms carb per day. Cholesterol has always been low regardless of weight, 150; HDL 150, LDL 100. Triglycerides low, 60ish. Probably genetic. After this time, choly rates are unchanged. Check liver and protein every 6mths with no change. MD put me on symvastatin figuring what the hell why not. Choly dropped to 120, best part, LDL dropped to 40, ratio 2.5. Triglyc dropped to 50. Can't argue with sucess. Just hope I don't get hit by a bus, then all this wouldn't matter much.
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