Low-carbohydrate–high-protein diets
Autor: | Ezra A. Amsterdam, C. Tissa Kappagoda, Dianne A. Hyson |
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Rok vydání: | 2004 |
Předmět: |
medicine.medical_specialty
Calorie medicine.diagnostic_test business.industry Physiology Blood lipids medicine.disease Micronutrient Malnutrition Human nutrition Endocrinology Weight loss Internal medicine Medicine Ketosis medicine.symptom business Lipid profile Cardiology and Cardiovascular Medicine |
Zdroj: | Journal of the American College of Cardiology. 43(5):725-730 |
ISSN: | 0735-1097 |
DOI: | 10.1016/j.jacc.2003.06.022 |
Popis: | Since the last meeting of the American Heart Association, a great deal of media attention has been focused on low-carbohydrate-high-protein diets (LC-HP) and their potential impact on the practice of cardiology. It has been suggested that these diets, which were introduced originally as weight-loss regimens, also have a significantly beneficial effect on a variety of cardiovascular risk factors. It is clear that people who consume such diets have a reduced intake of calories, resulting in a predictable degree of weight loss. These diets induce a moderate level of ketosis and, in some studies, have been shown to improve the lipid profile overall. There is also a reduction in the number of low-density lipoprotein particles. However, these trends also have been observed over periods of 24 weeks or less with low-calorie diets that already have an established record of safety and efficacy. Although there is a public perception that LC-HP diets have a near-perfect "success rate," the attrition rate on these diets varies from 20% to 43%, which is similar to other conventional weight-loss regimens. Additionally, from a nutritional standpoint, these diets are seriously deficient in several micronutrients and dietary fiber, thus creating a need for nutritional supplements. In contrast, the conventional weight-loss regimens have a favorable impact on serum lipids without the accompanying ketosis and have the potential to provide a nutritionally balanced diet without the need for supplements. Because of the nutritional deficiencies inherent in LC-HP diets and the absence of long-term data on their efficacy and safety, they cannot be recommended in place of currently advocated low-fat, low-calorie diets that have an established record of safety and efficacy. |
Databáze: | OpenAIRE |
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