Authors
Johnston CS. Tjonn SL. Swan PD.
Institution
Department of Nutrition, Arizona State University, Mesa, AZ 85212, USA.
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Title
High-protein, low-fat diets are effective for weight loss and favorably
alter biomarkers in healthy adults.
Source
Journal of Nutrition. 134(3):586-91, 2004 Mar.
Abstract
Although popular and effective for weight loss, low-carbohydrate,
high-protein, high-fat (Atkins) diets have been associated with adverse
changes in blood and renal biomarkers. High-protein diets low in fat may
represent an equally appealing diet plan but promote a more healthful
weight loss. Healthy adults (n = 20) were randomly assigned to 1 of 2
low-fat (<30% energy), energy-restricted groups: high-protein (30% energy)
or high-carbohydrate (60% energy); 24-h intakes were strictly controlled
during the 6-wk trial. One subject from each group did not complete the
trial due to out-of-state travel; two subjects in the high-carbohydrate
group withdrew from the trial due to extreme hunger. Body composition and
metabolic indices were assessed pre- and post-trial. Both diets were
equally effective at reducing body weight (-6%, P < 0.05) and fat mass (-9
to -11%, P < 0.05); however, subjects consuming the high-protein diet
reported more satisfaction and less hunger in mo 1 of the trial. Both
diets significantly lowered total cholesterol (-10 to -12%), insulin
(-25%), and uric acid (-22 to -30%) concentrations in blood from fasting
subjects. Urinary calcium excretion increased 42% in subjects consuming
the high-protein diet, mirroring the 50% increase in dietary calcium with
consumption of this diet; thus, apparent calcium balance was not adversely
affected. Creatinine clearance was not altered by diet treatments, and
nitrogen balance was more positive in subjects consuming the high-protein
diet vs. the high-carbohydrate diet (3.9 +/- 1.4 and 0.7 +/- 1.7 g N/d,
respectively, P < 0.05). Thus, low-fat, energy-restricted diets of varying
protein content (15 or 30% energy) promoted healthful weight loss, but
diet satisfaction was greater in those consuming the high-protein diet.
http://www.nutrition.org/cgi/content/full/134/3/586
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