Adherence
Long-term adherence to a Low-Carb High-Fat (LCHF) diet is difficult for most patients, leading to decreased efficacy over time compared to low-fat diets, although it may offer short-term benefits for diabetes management.
If you choose a low-carb diet, be aware that sticking to it strictly (e.g., <30g carbs) for more than a year is very difficult for most people and may lead to weight regain or increased LDL cholesterol. Focus on finding a carbohydrate level you can maintain socially and psychologically for years, rather than aiming for extreme ketosis if it causes you to quit.
저탄고지 치료를 1년 이상 지속하였을 때 보인 체중 감소 정도가 전통적인 식이 조절 연구의 결과와 비교하였을 때 차이가 없었던 반면, 전통적인 방법에 비해 저탄고지는 낮은 순응도, LDL-C 증가 등 단점이 확인되었다. 즉 장점보다는 단점이 더 컸던 것이다.
Why this rating
Based on meta-analyses and multiple RCTs (A TO Z, DIETFITS) cited in the review.
Source
Current Treatments on Obesity
Chul Jin Lee et al. · Daehan imsang geon-gang jeungjin hakoeji/Daehan imsang geon'gang jeungjin haghoeji · 2019
DOI 10.15384/kjhp.2019.19.4.171
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Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- 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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