Compared with an energy-restricted SP diet , an isocalorically prescribed HP diet provides modest benefits for reductions in body weight , FM , and triglycerides and for mitigating reductions in FFM and REE
BACKGROUND It is currently unclear whether altering the carbohydrate-to-protein ratio of low-fat , energy-restricted diets augments weight loss and cardiometabolic risk markers .
OBJECTIVE The objective was to conduct a systematic review and meta- analysis of studies that compared energy-restricted , isocaloric , high-protein , low-fat ( HP ) diets with st and ard-protein , low-fat ( SP ) diets on weight loss , body composition , resting energy expenditure ( REE ) , satiety and appetite , and cardiometabolic risk factors .
Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity
OBJECTIVE : To study the effect on weight loss in obese subjects by replacement of carbohydrate by protein in ad libitum consumed fat-reduced diets . DESIGN : R and omized dietary intervention study over six months comparing two ad libitum fat reduced diets ( 30 % of total energy ) strictly controlled in composition : High-carbohydrate ( HC , protein 12 % of total energy ) or high-protein ( HP , protein 25 % of total energy ) . SETTING AND PARTICIPANTS : Subjects were 65 healthy , overweight and obese subjects ( 50 women , 15 men , aged 18–55 y ) r and omly assigned to HC ( n=25 ) , HP ( n=25 ) or a control group ( C , n=15 ) . All food was provided by self- selection in a shop at the department , and compliance to the diet composition was evaluated by urinary nitrogen excretion . MAIN OUTCOME MEASURE : Change in body weight , body composition and blood lipids . RESULTS : More than 90 % completed the trial . Weight loss after six months was 5.1 kg in the HC group and 8.9 kg in the HP group ( difference 3.7 kg , 95 % confidence interval (CI)(1.3–6.2 kg ) P<0.001 ) , and fat loss was 4.3 kg and 7.6 kg , respectively ( difference 3.3 kg ( 1.1–5.5 kg ) P<0.0001 ) , whereas no changes occurred in the control group . More subjects lost > 10 kg in the HP group ( 35 % ) than in the HC group ( 9 % ) . The HP diet only decreased fasting plasma triglycerides and free fatty acids significantly . CONCLUSIONS : Replacement of some dietary carbohydrate by protein in an ad libitum fat-reduced diet , improves weight loss and increases the proportion of subjects achieving a clinical ly relevant weight loss . More freedom to choose between protein-rich and complex carbohydrate-rich foods may allow obese subjects to choose more lean meat and dairy products , and hence improve adherence to low-fat diets in weight reduction programs
Compared with an energy-restricted SP diet , an isocalorically prescribed HP diet provides modest benefits for reductions in body weight , FM , and triglycerides and for mitigating reductions in FFM and REE
BACKGROUND It is currently unclear whether altering the carbohydrate-to-protein ratio of low-fat , energy-restricted diets augments weight loss and cardiometabolic risk markers .
OBJECTIVE The objective was to conduct a systematic review and meta- analysis of studies that compared energy-restricted , isocaloric , high-protein , low-fat ( HP ) diets with st and ard-protein , low-fat ( SP ) diets on weight loss , body composition , resting energy expenditure ( REE ) , satiety and appetite , and cardiometabolic risk factors .