Macro partitioning
Isocaloric restriction of dietary fructose (replacing sugar with starch) improves metabolic syndrome parameters in children with obesity, independent of weight loss.
For children with obesity and metabolic issues, simply reducing sugary foods and replacing them with starchy foods (like bread, pasta, cereal) without changing the total amount of food eaten can significantly improve blood pressure, blood sugar control, and cholesterol levels, even if their weight doesn't change immediately.
Isocaloric fructose restriction improved surrogate metabolic parameters in children with obesity and metabolic syndrome irrespective of weight change.
Why this rating
Randomized controlled trial with isocaloric control and sensitivity analysis for non-responders, though short duration (9 days).
Source
Isocaloric fructose restriction and metabolic improvement in children with obesity and metabolic syndrome
Robert H. Lustig et al. · Obesity · 2015
DOI 10.1002/oby.21371
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