Obesity

Impact of other macronutrient composition within high-protein diet on body composition and cardiometabolic health: a systematic review, pairwise, and network meta-analysis of randomized controlled trials

Int J Obes (Lond)Published Systematic review, pairwise and network meta-analysis of randomised controlled trials

Authors' conclusion

HPDs effectively reduce FM and increase LBM, and offers potential cardiometabolic benefits. Additionally, the manipulation of carbohydrate content in HPDs may further influence these outcomes.

Study context

Population
RCTs of High-protein Diets (HPDs); search of PubMed, Embase, CINAHL and Web of Science83 articles
Comparison
High-protein diets vs normal-protein diets
Outcome
Body composition

Pooled result

As reported in the abstract

HPDs vs Normal-protein dietsSMD (95% CI)
Body mass
−0.25(−0.40 to −0.11)
BMI
−0.26(−0.38 to −0.15)
Waist circumference
−0.19(−0.33 to −0.04)
HPDs vs Normal-protein dietsMD, kg (95% CI)
Fat mass
−0.64(−0.98 to −0.29)
Lean body mass
0.34(0.11–0.57)

Further pooled results

Network meta-analysis ranking by macronutrient composition

High-protein, moderate-carbohydrate, high-fat diet ranked best for reducing body mass (BM), body mass index (BMI), waist circumference (WC), fat mass (FM), systolic and diastolic blood pressure and increasing lean body mass (LBM)
High-protein, low-carbohydrate, high-fat diet scored highest for reducing TG and increasing HDL-C

Original publication

Impact of other macronutrient composition within high-protein diet on body composition and cardiometabolic health: a systematic review, pairwise, and network meta-analysis of randomized controlled trials. Int J Obes (Lond). Published 14 May 2025. doi:10.1038/s41366-025-01806-5

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