Low‐carbohydrate (low &amp; high‐fat) versus high‐carbohydrate low‐fat diets in the treatment of obesity in adolescents

Demol, Sharon; Yackobovitch‐Gavan, Michal; Shalitin, Shlomit; Nagelberg, Nessia; Gillon-Keren, Michal; Phillip, Moshe

doi:10.1111/j.1651-2227.2008.01051.x

Cited by 70 publications

(96 citation statements)

References 25 publications

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“…Reduced intake of dietary fat, particularly of saturated fat, is generally recommended as part of a healthy diet to reduce the risk of overweight and cardiovascular disease (Aggett et al, 1994). However, these recommendations have been debated (Silfverdal and Hernell, 2008;Demol et al, 2009), and were disputed in a recent study on 4-year olds, where low-fat intake seemed to be associated with an increased risk of overweight (Garemo and Strandvik, 2006;Garemo et al, 2007a). This study could not confirm the latter conclusion.…”

Section: Discussionmentioning

confidence: 67%

“…There is an ongoing debate whether low-carbohydrate, high-fat and high-protein diets should be recommended for children, rather than the current recommendation on low-fat and high-carbohydrate diets (Silfverdal and Hernell, 2008;Demol et al, 2009). In fact, it has been suggested that low-fat diets are associated with an increased risk of childhood obesity (Garemo and Strandvik, 2006).…”

Section: Introductionmentioning

confidence: 99%

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BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI

et al. 2009

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Objectives: To evaluate possible associations between body mass index (BMI) at 4 years of age, current and previous dietary intakes and parental BMI. Methods: A follow-up of dietary intake and anthropometry in 127 4-year-old children corresponding to 54% of children who completed an initial intervention study at 18 months of age. Results: Fourteen percent of the girls and 13% of the boys were overweight (age-adjusted BMIX25) and 2% of the girls and 3% of the boys were obese (age-adjusted BMIX30). Thirty-four percent and 9% of the fathers and 19 and 7% of the mothers were overweight and obese, respectively. BMI at 6-18 months was a strong predictor of BMI at 4 years. Univariate regression analyses revealed that intake of protein in particular, and also of total energy and carbohydrates at 17/18 months and at 4 years, was positively associated with BMI at 4 years. Although BMI at 6-18 months was the strongest predictor of BMI at 4 years, in the final multivariate models of the child's BMI, protein intake at 17-18 months and at 4 years, energy intake at 4 years and the father's-but not the mother's-BMI were also independent contributing factors. Conclusions: Among these healthy children, BMI at 4 years of age tracked from 6 to 18 months of age and were associated with previous and current protein intake as well as parental BMI, particularly that of the father.

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Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI

et al. 2009

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“…The two trials, in obese adolescents, provide contradictory results of a low carbohydrate diet on BMI and total body fat changes as compared with high carbohydrate diets (Ebbeling et al, 2003;Demol et al, 2009). In one trial in 55 obese adolescents aged 12-18 years all dietary groups lost body fat, and changes in BMI, BMI-percentile or fat mass did not vary by diet group (Demol et al, 2009). All diets were equally effective in reducing body fatness as well as reducing insulin resistance and some fasting blood lipid measurements.…”

Section: Cohort Studiesmentioning

confidence: 99%

“…Two randomised controlled trials were identified that presented evidence on diets differing in the proportion of carbohydrate in relation to change in BMI and body fatness (Ebbeling et al, 2003;Demol et al, 2009).…”

Section: Cohort Studiesmentioning

confidence: 99%

Macronutrients and type 1 diabetes (revision number 6)

Garden¹,

Paterson²

2014

Diapedia

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“…Zu keinem Zeitpunkt gab es zwischen den beiden Gruppen signifikante Unterschiede in den anthropometrischen oder metabolischen Parametern. Es ist deshalb nicht überraschend, dass eine Metaanalyse zu dem Schluss kommt, dass es aktuell keine Evidenz dafür gibt, dass eine bestimmte Kostform für die Gewichtsreduktion adipöser Kinder und Jugendlicher signifikante Vorteile bringt [25].…”

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Therapie der Adipositas aus sozialpädiatrischer, ernährungstherapeutischer und gesundheitswissenschaftlicher Sicht

Wiegand

Bau

Babitsch

2011

Bundesgesundheitsbl.

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The prevalence of obesity and associated comorbidities among children and adolescents has risen worldwide throughout the past 3 decades. To break this trend, population-based activities in health promotion/prevention and health care are necessary. Studies showed that long-term eating behavior improvement with the cooperation of the patient's family together with child-friendly organization support both individual therapeutic improvements as well as a relevant reduction of obesity prevalence. A significant BMI reduction can be achieved with a normal varied diet, whose energetic value is 300-400 kcal/day below the patient's daily energetic needs, due to the lower consumption of fat and sugar. This requires, however, that the entire family be willing to change their unhealthy eating behaviors (e.g., soft drinks and fast food) and to introduce regular meals into their daily routine. Sensibly, most therapies combine diet therapy with increased physical activity and parental training. Controlled media consumption, active leisure-time behavior, and a structured daily routine are further conditions for successful weight reduction. The high-risk groups for pediatric obesity, i.e., families with migration background and/or low socioeconomic status, have been poorly reached by established programs.

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Low‐carbohydrate (low & high‐fat) versus high‐carbohydrate low‐fat diets in the treatment of obesity in adolescents

Cited by 70 publications

References 25 publications

BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI

BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI

Macronutrients and type 1 diabetes (revision number 6)

Therapie der Adipositas aus sozialpädiatrischer, ernährungstherapeutischer und gesundheitswissenschaftlicher Sicht

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