Obesity

Gut‐derived appetite hormones do not explain energy intake differences in humans following low‐carbohydrate versus low‐fat diets

Obesity (Silver Spring)Published Randomised crossover trial

Authors' conclusion

In the short term, endogenous gut-derived appetite hormones do not necessarily determine ad libitum energy intake.

Study context

Population
Adults, mean (SEM) age 30 (1) years, BMI 27.8 (1.3) kg/m²; 8 normal weight, 6 overweight, 6 with obesitycrossover
Participants
20 adults
Comparison
Low-carbohydrate vs low-fat diet
Primary endpoint
6-h postprandial appetite hormone responses to isocaloric macronutrient-representative breakfast test meals and subsequent ad libitum energy intake
Follow-up
End of each 2-week diet
Methodological detailsinpatient, randomized crossover
  • Inpatient
  • Randomized crossover

Primary result

As reported in the abstract

Mean postprandial appetite hormones (6 h) · end of each diet
  • Low-carbohydrate (LC) vs low-fat (LF): P < 0.0001
  • LC vs LF: P = 0.0004
  • LC vs LF: P = 0.02
  • LC vs LF: P = 0.0009
  • LC vs LF: P < 0.0001
  • LC vs LF: P = 0.01
  • Values mean (SEM)

Further findings

OutcomeDifference (kcal)P value
Subsequent ad libitum energy intake · rest of test dayLC vs LF · total daily intake; SEM 103; higher with LC551P < 0.0001
Subsequent ad libitum energy intake · rest of test dayLC vs LF · lunch; SEM 85; higher with LC244P = 0.01
Subsequent ad libitum energy intake · rest of test dayLC vs LF · dinner; SEM 86; higher with LC193P = 0.04

Original publication

Gut‐derived appetite hormones do not explain energy intake differences in humans following low‐carbohydrate versus low‐fat diets. Obesity (Silver Spring). Published 7 August 2024. doi:10.1002/oby.24104

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