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13.12.2015
Some believe that increased fat in the diet is a leading cause of all kinds of health problems, especially heart disease. These organizations generally recommend that people restrict dietary fat to less than 30% of total calories (a low-fat diet). However… in the past 11 years, an increasing number of studies have been challenging the low-fat dietary approach.
Many health professionals now believe that a low-carb diet (higher in fat and protein) is a much better option to treat obesity and other chronic, Western diseases.
In this article, I have analyzed the data from 23 of these studies comparing low-carband low-fat diets.
The main outcomes measured are usually weight loss, as well as common risk factors like Total Cholesterol, LDL Cholesterol, HDL Cholesterol, Triglycerides and Blood Sugar levels. Insulin levels went down by 27% in the LC group, but increased slightly in the LF group. Overall, the low-carb diet had significantly more beneficial effects on weight and key biomarkers in this group of severely obese individuals. Overall, the low-carb group lost more weight and had much greater improvements in several important risk factors for cardiovascular disease. Many other health markers like blood pressure and triglycerides improved in both groups, but the difference between groups was not statistically significant.
On the LC diet, the LDL particles partly shifted from small to large (good), while they partly shifted from large to small on LF (bad). The majority of studies achieved statistically significant differences in weight loss (always in favor of low-carb). Despite the concerns expressed by many people, low-carb diets generally do not raise Total and LDL cholesterol levels on average. There have been some anecdotal reports by doctors who treat patients with low-carb diets, that they can lead to increases in LDL cholesterol and some advanced lipid markers for a small percentage of individuals. Having higher HDL levels is correlated with improved metabolic health and a lower risk of cardiovascular disease. You can see that low-carb diets generally raise HDL levels, while they don’t change as much on low-fat diets and in some cases go down. Triglycerides are an important cardiovascular risk factor and another key symptom of the metabolic syndrome.
It is clear that both low-carb and low-fat diets lead to reductions in triglycerides, but the effect is much stronger in the low-carb groups. In non-diabetics, blood sugar and insulin levels improved on both low-carb and low-fat diets and the difference between groups was usually small.
Only one of those studies had good compliance and managed to reduce carbohydrates sufficiently.


In this study, over 90% of the individuals in the low-carb group managed to reduce or eliminate their diabetes medications. However, the difference was small or nonexistent in the other two studies, because compliance was poor and the individuals ended up eating carbs at about 30% of calories (10, 23). A common problem in weight loss studies is that many people abandon the diet and drop out of the studies before they are completed. I did an analysis of the percentage of people who made it to the end of the study in each group. The reason may be that low-carb diets appear to reduce hunger (9, 11) and participants are allowed to eat until fullness.
This is an important point, because low-fat diets are usually calorie restricted and require people to weigh their food and count calories. Keep in mind that all of these studies are randomized controlled trials, the gold standard of science.
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There was no difference in triglycerides, blood pressure or HbA1c (a marker for blood sugar levels) between groups. Both groups had similar improvements in mood, but speed of processing (a measure of cognitive performance) improved further on the low-fat diet. Triglycerides, HDL, C-Reactive Protein, Insulin, Insulin Sensitivity and Blood Pressure improved in both groups. Various biomarkers improved in both groups, but there was no significant difference between groups. There was significant improvement in glycemic control at 6 months for the low-carb group, but compliance was poor and the effects diminished at 24 months as individuals had increased their carb intake.


The few studies that looked at advanced lipid markers (5, 19) only showed improvements. For this reason, it is not surprising to see that low-carb diets (higher in fat) raise HDL significantly more than low-fat diets.
This lead various improvements and a drastic reduction in HbA1c, a marker for blood sugar levels (15). Sign up for our free report "How to Start a Paleo Diet" and get started on the road to a healthier you today. A full Scarsdale Low Carb Diet review in a series of Health Reviews on the site HealthReviewCenter indicates if the program is worth buying.
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In other words, it will convert people’s metabolism into a fat burning cycle from a fat storing cycle.
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