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The effects of low-fat, high-carbohydrate diets vs. low-carbohydrate, high-fat diets on weight, blood pressure, serum liquids and blood glucose: a systematic review and meta-analysis
Abstract
Our aim was to determine the relative effectiveness of two dietary macronutrient patterns (LFHC (low-fat, high-carbohydrate) diets and LCHF (low-carbohydrate, high-fat) diets) on weight loss and cardiovascular risk factors. We searched four databases including MEDLINE, EMBASE, Cochrane Library, and Web of Science to identify the eligible studies on March 13, 2020. Randomized clinical trials (RCT) were included which compared the effect of two diets (LFHC and LCHF) on weight loss, blood pressure, serum liquids, and blood glucose in overweight or obesity adults. Standardized mean difference (SMD) and 95% confidence interval (CI) were used for the pooled results. This paper included eleven studies involving 739 participants. Compared with LFHC diets, LCHF diets had a greater effect on weight loss (SMD = -1.01 kg; 95% CI -1.99 to -0.04, p = 0.04) and HDL-cholesterol changes (SMD = 0.82 mmol/l; 95% CI 0.43 to 1.21, p < 0.0001), but a smaller effect on total cholesterol decrease (SMD = 0.63 mmol/l; 95% CI 0.18-1.08, p = 0.006) and LDL-cholesterol decrease (SMD = 0.59 mmol/l; 95% CI 0.11-1.18, p = 0.05). Between the two groups, changes in lean mass, fat mass, systolic blood pressure, diastolic blood pressure, triglycerides, and glucose were non-significant. To conclude, both diets are effective for weight control and reduction of cardiovascular risk factors. And further studies with long-term follow-up are needed to confirm our results.
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Several systematic reviews and meta-analyses over the past decade have unanimously shown that low-carbohydrate diets produce superior weight loss to low-fat diets, with mean differences ranging 1.01-2.64 kg.
“Several systematic reviews and meta-analyses over the past decade have examined the effects of LCDs, unanimously showing superior weight loss to LFDs [136,138–145], with mean differences ranging 1.01–2.64 kg.”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [144]
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Cites
RoB 2: a revised tool for assessing risk of bias in randomised trials
Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., et al. (2019) · BMJ · doi:10.1136/bmj.l4898 · Cited by 34,787
Cumpston, M., Li, T., Page, M. J., Chandler, J., Welch, V. A., Higgins, J. P., & Thomas, J. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.ed000142 · Cited by 7,218
2016 ESC/EAS Guidelines for the Management of Dyslipidaemias
Catapano, A. L., Graham, I., De Backer, G., Wiklund, O., Chapman, M. J., Drexel, H., Hoes, A. W., Jennings, C. S., Landmesser, U., Pedersen, T. R., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw272 · Cited by 3,162
A Randomized Trial of a Low-Carbohydrate Diet for Obesity
Foster, G. D., Wyatt, H. R., Hill, J. O., McGuckin, B. G., Brill, C., Mohammed, B. S., Szapary, P. O., Rader, D. J., Edman, J. S., & Klein, S. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022207 · Cited by 1,794
Carbohydrate quality and human health: a series of systematic reviews and meta-analyses
Reynolds, A., Mann, J., Cummings, J., Winter, N., Mete, E., & Te Morenga, L. (2019) · The Lancet · doi:10.1016/s0140-6736(18)31809-9 · Cited by 1,630
Nordmann, A. J., Nordmann, A., Briel, M., Keller, U., Yancy, W. S., Brehm, B. J., & Bucher, H. C. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.3.285 · Cited by 973
Mansoor, N., Vinknes, K. J., Veierød, M. B., & Retterstøl, K. (2016) · British Journal of Nutrition · doi:10.1017/s0007114515004699 · Cited by 439
Ge, L., Sadeghirad, B., Ball, G. D. C., da Costa, B. R., Hitchcock, C. L., Svendrovski, A., Kiflen, R., Quadri, K., Kwon, H. Y., Karamouzian, M., et al. (2020) · BMJ · doi:10.1136/bmj.m696 · Cited by 426
Davey, J., Turner, R. M., Clarke, M. J., & Higgins, J. P. (2011) · BMC Medical Research Methodology · doi:10.1186/1471-2288-11-160 · Cited by 404
Santos, F. L., Esteves, S. S., da Costa Pereira, A., Yancy Jr, W. S., & Nunes, J. P. L. (2012) · Obesity Reviews · doi:10.1111/j.1467-789x.2012.01021.x · Cited by 318
Increased Protein Intake Reduces Lean Body Mass Loss during Weight Loss in Athletes
METTLER, S., MITCHELL, N., & TIPTON, K. D. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181b2ef8e · Cited by 288
Brinkworth, G. D., Noakes, M., Buckley, J. D., Keogh, J. B., & Clifton, P. M. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2008.27326 · Cited by 284
Meckling, K. A., O’Sullivan, C., & Saari, D. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031606 · Cited by 233
Sackner-Bernstein, J., Kanter, D., & Kaul, S. (2015) · PLOS ONE · doi:10.1371/journal.pone.0139817 · Cited by 220
Schwingshackl, L., & Hoffmann, G. (2013) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2013.07.010 · Cited by 218
A randomized trial of a low-carbohydrate diet vs orlistat plus a low-fat diet for weight loss
Yancy, W. S., Westman, E. C., McDuffie, J. R., Grambow, S. C., Jeffreys, A. S., Bolton, J., Chalecki, A., & Oddone, E. Z. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.492 · Cited by 165
Astrup, A. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801698 · Cited by 140
Ley, S. J., Metcalf, P. A., Scragg, R. K. R., & Swinburn, B. A. (2004) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2003.09.001 · Cited by 43
Flagged first, then by citations
Research works printed but not linked: 26
- Bradley U, Spence M, Courtney CH, McKinley MC, Ennis CN, McCance DR. et al. Low-fat versus low-carbohydrate weight reduction diets: effects on weight loss, insulin resistance, and cardiovascular risk: a randomized control trial. Diabetes. 2009;58:2741–48. · DOI
- García Gabarra A, Castellà Soley M, Calleja Fernández A. [Recommended energy and nutrients intakes in the European Union: 2008-2016]. Nutr Hosp. 2017;34:490–8. · DOI
- Smart NA, Marshall BJ, Daley M, Boulos E, Windus J, Baker N. et al. Low-fat diets for acquired hypercholesterolaemia. Cochrane Database Syst Rev. 2011;2:Cd007957
- Seid H, Rosenbaum M. Low carbohydrate and low-fat diets: what we don’t know and why we should know It. Nutrients. 2019;11:2749. · DOI · Paper page
- Hall KD. A review of the carbohydrate-insulin model of obesity. Eur J Clin Nutr. 2017;71:323–6. · DOI · Paper page
- Bo S, Fadda M, Fedele D, Pellegrini M, Ghigo E, Pellegrini N. A critical review on the role of food and nutrition in the energy balance. Nutrients 2020;12:1161. · DOI
- Ludwig DS, Friedman MI. Increasing adiposity consequence or cause of overeating?. JAMA. 2014;311:2167–8. · DOI · Paper page
- Taubes G. The science of obesity: what do we really know about what makes us fat? An essay by Gary Taubes. BMJ. 2013;346:f1050. · DOI
- Clar C, Al-Khudairy L, Loveman E, Kelly SA, Hartley L, Flowers N. et al. Low glycaemic index diets for the prevention of cardiovascular disease. Cochrane Database Syst Rev. 2017;7:Cd004467
- Naude CE, Schoonees A, Senekal M, Young T, Garner P, Volmink J. Low carbohydrate versus isoenergetic balanced diets for reducing weight and cardiovascular risk: a systematic review and meta-analysis. PLoS ONE. 2014;9:e100652 · DOI · Paper page
- Hu T, Bazzano LA. The low-carbohydrate diet and cardiovascular risk factors: evidence from epidemiologic studies. Nutr Metab Cardiovasc Dis. 2014;24:337–43. · DOI · Paper page
- Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151:264–9. w264. · DOI · Paper page
- Kriston L. Dealing with clinical heterogeneity in meta-analysis. Assumptions, methods, interpretation. Int J Methods Psychiatr Res. 2013;22:1–15. · DOI
- Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34. · DOI · Paper page
- DerSimonian R, Laird N. Meta-analysis in clinical trials revisited. Contemp Clin Trials. 2015;45:139–45. · DOI · Paper page
- Aude YW, Agatston AS, Lopez-Jimenez F, Lieberman EH, Marie Almon N, Hansen M. et al. The national cholesterol education program diet vs a diet lower in carbohydrates and higher in protein and monounsaturated fat: a randomized trial. Arch Intern Med. 2004;164:2141–6. · DOI · Paper page
- Fleming RM. The effect of high-, moderate-, and low-fat diets on weight loss and cardiovascular disease risk factors. Prev Cardiol. 2002;5:110-8. · DOI
- Hu T, Yao L, Reynolds K, Whelton PK, Niu T, Li S. et al. The effects of a low-carbohydrate diet vs. a low-fat diet on novel cardiovascular risk factors: a randomized controlled trial. Nutrients. 2015;7:7978–94. · DOI
- Petrisko M, Kloss R, Bradley P, Birrenkott E, Spindler A, Clayton ZS, et al. Biochemical, anthropometric, and physiological responses to carbohydrate-restricted diets versus a low-fat diet in obese adults: a randomized crossover trial. J Med. Food 2020;23:206-14. · DOI
- Ruth MR, Port AM, Shah M, Bourland AC, Istfan NW, Nelson KP. et al. Consuming a hypocaloric high fat low carbohydrate diet for 12 weeks lowers C-reactive protein, and raises serum adiponectin and high density lipoprotein-cholesterol in obese subjects. Metab: Clin Exp. 2013;62:1779–87. · DOI
- Tay J, Brinkworth GD, Noakes M, Keogh J, Clifton PM. Metabolic effects of weight loss on a very-low-carbohydrate diet compared with an isocaloric high-carbohydrate diet in abdominally obese subjects. J Am Coll Cardiol. 2008;51:59–67. · DOI · Paper page
- Utz W, Engeli S, Haufe S, Kast P, Böhnke J, Haas V. et al. Moderate dietary weight loss reduces myocardial steatosis in obese and overweight women. Int J Cardiol. 2013;167:905–9. · DOI
- Bueno NB, de Melo IS, de Oliveira SL, da Rocha Ataide T. Very-low-carbohydrate ketogenic diet v. low-fat diet for long-term weight loss: a meta-analysis of randomised controlled trials. Br J Nutr. 2013;110:1178–87. · DOI · Paper page
- Brehm BJ, Seeley RJ, Daniels SR, D’Alessio DA. A randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy women. J Clin Endocrinol Metab. 2003;88:1617–23. · DOI · Paper page
- Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the atkins, ornish, weight watchers, and zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA. 2005;293:43–53. · DOI · Paper page
- Tipton KD. Efficacy and consequences of very-high-protein diets for athletes and exercisers. Proc Nutr Soc. 2011;70:205–14. · DOI
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Sorted by citations
Soltani, S., Jayedi, A., Abdollahi, S., Vasmehjani, A. A., Meshkini, F., & Shab-Bidar, S. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1287987 · Cited by 32
Jacob, E., Moura, A., & Avery, A. (2024) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2024.08.001 · Cited by 7
International Society of Sports Nutrition position stand: diets for body weight reduction
Aragon, A. A., Campbell, B. I., Schoenfeld, B. J., Stout, J. R., Kalman, D., Arciero, P. J., Arent, S. M., Kreider, R. B., Taylor, L. W., Bannock, L., et al. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2740266
Metadata
- Authors
- Yang, Q., Lang, X., Li, W., & Liang, Y.
- ORCID
- Venue
- European Journal of Clinical Nutrition
- Published
- 2021-06-24
- Volume
- 76
- Issue
- 1
- Pages
- 16-27
- ISSN
- 0954-3007
- 1476-5640
- Cited by
- 45
- References
- 18
- Language
- en
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