Adherence
Adherence to an ultra low-fat diet (ULF) leads to a compensatory increase in refined grain intake, which may undermine the cardioprotective potential of fat restriction.
If you choose a low-fat diet, be aware that your body may crave carbohydrates. You must actively replace the calories from fat with vegetables and whole foods, not refined grains or sugars. If you find yourself eating more bread or pasta to feel full, your heart health benefits may be negated by the increased refined carbohydrate intake.
ULF participants reported a 50% increase in refined grains intake from baseline to 12-months... Our finding that a very low-fat diet may lead to a compensatory increase in refined grain intake is in line with what was reported by the Women’s Health Initiative...
Why this rating
Based on self-reported dietary recalls in a small subset of a secondary analysis.
Source
Weight, insulin resistance, blood lipids, and diet quality changes associated with ketogenic and ultra low-fat dietary patterns: a secondary analysis of the DIETFITS randomized clinical trial
Lucia Aronica et al. · Frontiers in Nutrition · 2023
DOI 10.3389/fnut.2023.1220020
More from this paper
- Adherence to a ketogenic-like diet (KLD) results in a transient increase in LDL cholesterol but a sustained improvement in the triglyceride-to-HDL ratio (log(TG/HDL)), indicating a shift toward a less atherogenic LDL profile compared to ultra low-fat diets (ULF).Moderate
- Both ketogenic-like (KLD) and ultra low-fat (ULF) diets produce similar weight loss and improvements in insulin resistance when adhered to, regardless of macronutrient composition.Moderate
Related findings · Adherence
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- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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