A letter has been published in the New England Journal of Medicine giving a follow up to a study comparing low carb, low fat and Mediterranean diets, first published after two years, now after an additional four years. The results suggest participants on a low carb diet, who had lost most weight after two years, had put a proportion of this back on after six years but still showed significant weight loss overall – but not as much as those on the Mediterranean diet.
In conclusion, a 2-year workplace intervention trial involving healthy dietary changes had long-lasting, favorable postintervention effects, particularly among participants receiving the Mediterranean and low-carbohydrate diets, despite a partial regain of weight. Huh - is everything we've been told about saturated fat and heart disease the wrong way round?
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A long term study published in the New England Journal of Medicine provides further evidence that it’s not just how much food you eat that causes weight gain but what you eat as well. We’ve discussed these topics here at PH before, so really these findings are nothing new or groundbreaking. What I found to be the most useful bit of information coming from this study was the easy-to-read bar graph accompanying the published article. The low carb and Mediterranean dieters also showed significant improvement in key health markers such as triglycerides, cholesterol and the ratio of HDL to LDL cholesterol.
Maybe the most important finding is that certain foods tend to cause weight gain more than others, while some foods actually promote weight loss.
However, this study was very long term and consisted of nearly 121,000 people, so it’s safe to say that the findings are pretty reliable.

Asian countries,[18] United States (including Hawaii), Canada ,[19] and Scotland)[20] due to bacterial resistance. Participants on the low fat diet showed the least benefit in terms of both weight loss and health markers.

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