Obesity

Intermittent dietary carbohydrate restriction versus calorie restriction and cardiometabolic profiles: A randomized trial

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

This study found no evidence of differences in changes from baseline in obesity measures, glucose regulation, and inflammation between ILCD and ICR, despite trends in reduction in those parameters. However, there seemed to be some differences in responses in lipids and gut microbiota.

Study context

Population
Participants aged 9 to 30 years with cardiometabolic risk
Participants
34 participants
Comparison
Intermittent low-carbohydrate diet vs intermittent calorie restriction
Methodological detailsself-administered, 2-week intervention
  • Self-administered
  • 2-week intervention

Primary result

As reported in the abstract

Changes in obesity measures, glycemic and lipid profiles and serum biomarkers · 2 weeks
ICR vs ILCDEstimate (95% CI)
Greater increase with ILCD
difference in change in LDL-C −0.36 mmol/L(−0.68 to −0.04)
Greater increase with ILCD
difference in change in total cholesterol −0.40 mmol/L(−0.73 to −0.06)
Greater decrease with ILCD
difference in change in TG 0.20 mmol/L(0.04–0.37)

Further findings

Gut microbiota

Correlation of reductions with change in fasting glucose (both)
r = 0.84
Correlation of reductions with change in LDL-C (Actinobacteria, Bifidobacterium)
r = −0.81 and −0.72
Actinobacteria and Bifidobacterium reduced after intermittent low-carbohydrate diet (ILCD) but not ICR

Original publication

Intermittent dietary carbohydrate restriction versus calorie restriction and cardiometabolic profiles: A randomized trial. Obesity (Silver Spring). Published 7 August 2023. doi:10.1002/oby.23855

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