Obesity

Adaptive Thermogenesis After Hypocaloric Low‐Carbohydrate Versus Low‐Fat Diets in African American Women: A Secondary Analysis

Obesity (Silver Spring)Published Secondary analysis of a randomised trial

Authors' conclusion

AA women with low S I on low-CHO diets do not experience AT, which can contribute to the superiority of this dietary approach in inducing weight and fat mass loss.

Study context

Population
African American women with obesity40 finished
Participants
69 women
Comparison
Hypocaloric low-CHO vs low-fat diet
Primary endpoint
Magnitude of adaptive thermogenesis (AT)
Follow-up
Week 13
Methodological detailshypocaloric diets, all food provided, 10-week intervention + 4-week weight stabilization
  • Hypocaloric diets
  • All food provided
  • 10-week intervention + 4-week weight stabilization

Primary result

As reported in the abstract

AT (overall cohort)

Adaptive thermogenesis (AT) at level of resting EE (REE)

−75 ± 136 kcal/day, p < 0.003, n = 38

No significant AT at level of TEE

−80 ± 288 kcal/day, p = 0.086, n = 40

Further findings

OutcomeLow-CHOLow-fatP value
AT at level of TEE in women with low insulin sensitivity (S I) · Week 13Greater AT with low-fat127 ± 239 kcal/day−202 ± 213 kcal/dayP < 0.006

Weight loss

Average weight loss, no differences between groups
6.3 ± 3.9 kg

Original publication

Adaptive Thermogenesis After Hypocaloric Low‐Carbohydrate Versus Low‐Fat Diets in African American Women: A Secondary Analysis. Obesity (Silver Spring). Published 10 September 2025. doi:10.1002/oby.70020

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