Low-Carbohydrate Diets: A Matter of Love or Hate
Abstract
Low-carbohydrate diets (LChD) have become very popular among the general population. These diets have been used to lose body weight and to ameliorate various abnormalities like diabetes, nonalcoholic fatty liver disease, polycystic ovary syndrome, narcolepsy, epilepsy, and others. Reports suggest that body weight reduction and glycemic control could be attained while following LChD. However, these advantages are more notably found in short periods of time consuming an LChD. Indeed, the safety and efficacy of the latter diets in the long term have not been sufficiently explored. In contrast to what has been proposed, other mentioned pathologies are not improved or are even worsened by carbohydrate restriction. Therefore, the aim of this review is to define the concept of LChD and to explain their clinical effects in the short and long term, their influence on metabolism, and the opinion of nutrition or health authorities. Finally, evincing the research gaps of LChD that are here exposed will later allow us to reach a consensus with regard to their utilization.
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Since ~73% of lean mass is water, the observed reduction of LELM in the first year of intervention may have arisen from natriuresis and water loss that occurs during keto-adaptation.
“Since ~73% of lean mass is water, the observed reduction of LELM in the first year of intervention may have arisen from natriuresis and water loss that occurs during keto-adaptation (96, 97).”
From Long-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-randomized Clinical Trial (2019) · cites this paper as [96]
The Effects of LChD section (page unavailable) says ketonuria can increase renal sodium and water loss, supporting the proposed mechanism. It does not give the ~73% water figure or address the observed first-year reduction in LELM. (LLM, conf=0.85)
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- Authors
- Frigolet, M.-E., Ramos Barragán, V.-E., & Tamez González, M.
- Affiliations
- Hospital General Dr. Manuel Gea Gonzalez (MX)
- Venue
- Annals of Nutrition and Metabolism
- Publisher
- S. Karger AG
- Published
- 2011
- Volume
- 58
- Issue
- 4
- Pages
- 320-334
- ISSN
- 0250-6807 (ISSN-L)
- 1421-9697
- OpenAlex
- W1963989993
- Cited by
- 47
- References
- 20
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 1
- FWCI
- 0.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Nutrition and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Diet and metabolism studies
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- low-carbohydrate diet, carbohydrate restriction, weight loss, glycemic control, diabetes mellitus, non-alcoholic fatty liver disease, polycystic ovary syndrome, epilepsy, narcolepsy, long-term efficacy and safety, metabolism, dietary recommendations
- MeSH terms
- Animals, Diabetes Mellitus, Epilepsy, Fatty Liver, Humans, Hyperglycemia, Ketosis, Obesity, Weight Loss, Practice Guidelines as Topic, Carbohydrate Metabolism, Diet, Carbohydrate-Restricted
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