Moderate carbohydrate, moderate protein weight loss diet reduces cardiovascular disease risk compared to high carbohydrate, low protein diet in obese adults: A randomized clinical trial
Background
To evaluate the metabolic effects of two weight loss diets differing in macronutrient composition on features of dyslipidemia and post-prandial insulin (INS) response to a meal challenge in overweight/obese individuals.
Methods
This study was a parallel-arm randomized 4 mo weight loss trial. Adults (n= 50, 47+/-7 y) matched on BMI (33.6+/-0.6 kg/m2, P=0.79) consumed energy restricted diets (deficit ~ 500 kcal/d): PRO (1.6 g.kg-1.d-1 protein and < 170 g/d carbohydrate) or CHO (0.8 g.kg-1.d-1 protein and > 220 g/d carbohydrate) for 4 mos. Meal challenges of respective diets were utilized for determination of blood lipids and post-prandial INS and glucose response at the beginning and end of the study.
Results
There was a trend for PRO to lose more weight (-9.1% vs. -7.3%, P=0.07) with a significant reduction in percent fat mass compared to CHO (-8.7% vs. -5.7%; P=0.03). PRO also favored reductions in triacylglycerol (-34% vs -14%; P<0.05) and increases in HDL-C (+5% vs. -3%; P=0.05); however, CHO favored reduction in LDL-C (-7% vs. +2.5%; P<0.05). INS responses to the meal challenge were improved in PRO compared to CHO (P<0.05) at both 1 hr (-34.3% vs. -1.0%) and 2hr (-9.2% vs. +46.2%), an effect that remained significant after controlling for weight or fat loss (both P<0.05).
Conclusion
A weight loss diet with moderate carbohydrate, moderate protein results in more favorable changes in body composition, dyslipidemia, and post-prandial INS response compared to a high carbohydrate, low protein diet suggesting an additional benefit beyond weight management to include augmented risk reduction for metabolic disease.
Low protein/high carb diets suck for fat loss/cardio health
fwah.. high carbs, low protein diet... PIZZA!!!
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