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Low
carb diets: ketogenic versus non-ketogenic
There is quite
convincing evidence that low carbohydrate
diets result in faster weight loss and better
diabetic control (improved insulin sensitivity)
in the short term than higher carbohydrate/low
fat diets. But how "low" should
one go when it comes to carbohydrate? If
you go very low do you lose more weight
than if you have a moderate but restricted
intake? Do you need to go in to "ketosis"
to lose weight faster?
A study by
Johnston et al (American
Journal of Clinical Nutrition, Vol. 83,
No. 5, 1055-1061) investigated whether
a
low carbohydrate (<50g) diet (which resulted
in ketosis) compared with a moderate carbohydrate
(>100g) (did not result in ketosis) was
more effective at inducing weight loss.
After 6 weeks on the diets, both groups
lost similar amounts of weight (6kg) and
both groups had improvements in insulin
action/sensitivity. However the ketogenic
diet resulted in adverse metabolic effects(increased
inflammatory risk). The authors conclude
that the use of ketogenic diets for weight
loss is not warranted.
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