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. 1986 Nov;76(11):1293–1296. doi: 10.2105/ajph.76.11.1293

A randomized controlled trial of low carbohydrate and low fat/high fiber diets for weight loss.

J A Baron, A Schori, B Crow, R Carter, J I Mann
PMCID: PMC1646726  PMID: 3021006

Abstract

Among 135 overweight subjects, we conducted a three-month randomized controlled trial of two sets of dietary advice, each providing approximately 1,000 calories per day but differing in fiber, carbohydrate, and fat content. Information on weight and eating habits, as well as measures of lipoprotein and glucose metabolism were obtained at entry and one and three months later. We found that dieters given low carbohydrate/low fiber dietary advice tended to lose more weight than those given a higher carbohydrate/higher fiber regimen (5.0 vs 3.7 kg on average at three months). This pattern was particularly marked among women, and among participants who were under age 40 or of lower social class. There were no differences between the diet groups in the proportion complaining of hunger but, in general, members of the low carbohydrate group complained of more problems in dieting. There were only minor differences in the serum lipoprotein patterns during the diet period. In view of these results, we believe previous claims of the benefits of fiber for weight loss may have been overstated.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bistrian B. R. The medical treatment of obesity. Arch Intern Med. 1981 Mar;141(4):429–430. [PubMed] [Google Scholar]
  2. Burstein M., Scholnick H. R., Morfin R. Rapid method for the isolation of lipoproteins from human serum by precipitation with polyanions. J Lipid Res. 1970 Nov;11(6):583–595. [PubMed] [Google Scholar]
  3. Eggstein M., Kreutz F. H. Eine neue Bestimmung der Neutralfette im Blutserum und Gewebe. I. Prinzip, Durchführung und Besprechung der Methode. Klin Wochenschr. 1966 Mar 1;44(5):262–267. doi: 10.1007/BF01747716. [DOI] [PubMed] [Google Scholar]
  4. Gear J. S., Ware A., Fursdon P., Mann J. I., Nolan D. J., Brodribb A. J., Vessey M. P. Symptomless diverticular disease and intake of dietary fibre. Lancet. 1979 Mar 10;1(8115):511–514. doi: 10.1016/s0140-6736(79)90942-5. [DOI] [PubMed] [Google Scholar]
  5. Hossain M., Campbell D. B. Fenfluramine and methylcellulose in the treatment of obesity: the relationship between plasma drug concentrations and therapeutic efficacy. Postgrad Med J. 1975;51 (Suppl 1):178–182. [PMC free article] [PubMed] [Google Scholar]
  6. Jenkins D. J., Reynolds D., Leeds A. R., Waller A. L., Cummings J. H. Hypocholesterolemic action of dietary fiber unrelated to fecal bulking effect. Am J Clin Nutr. 1979 Dec;32(12):2430–2435. doi: 10.1093/ajcn/32.12.2430. [DOI] [PubMed] [Google Scholar]
  7. Kelsay J. L. A review of research on effects of fiber intake on man. Am J Clin Nutr. 1978 Jan;31(1):142–159. doi: 10.1093/ajcn/31.1.142. [DOI] [PubMed] [Google Scholar]
  8. Onongbu I. C., Lewis B. Lipoprotein fractionation by a precipitation method. A simple quantitative procedure. Clin Chim Acta. 1976 Sep 20;71(3):397–402. doi: 10.1016/0009-8981(76)90090-5. [DOI] [PubMed] [Google Scholar]
  9. Story J. A. The role of dietary fiber in lipid metabolism. Adv Lipid Res. 1981;18:229–246. doi: 10.1016/b978-0-12-024918-3.50012-5. [DOI] [PubMed] [Google Scholar]
  10. Ullrich I. H., Albrink M. J. Lack of effect of dietary fiber on serum lipids, glucose, and insulin in healthy young men fed high starch diets. Am J Clin Nutr. 1982 Jul;36(1):1–9. doi: 10.1093/ajcn/36.1.1. [DOI] [PubMed] [Google Scholar]
  11. Van Itallie T. B. Dietary fiber and obesity. Am J Clin Nutr. 1978 Oct;31(10 Suppl):S43–S52. doi: 10.1093/ajcn/31.10.S43. [DOI] [PubMed] [Google Scholar]
  12. Weight F. F., Padjen A. Slow synaptic inhibition: evidence for synaptic inactivation of sodium conductance in sympathetic ganglion cells. Brain Res. 1973 May 30;55(1):219–224. doi: 10.1016/0006-8993(73)90505-2. [DOI] [PubMed] [Google Scholar]
  13. Yang M. U., Van Itallie T. B. Composition of weight lost during short-term weight reduction. Metabolic responses of obese subjects to starvation and low-calorie ketogenic and nonketogenic diets. J Clin Invest. 1976 Sep;58(3):722–730. doi: 10.1172/JCI108519. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. van Berge-Henegouwen G. P., Huybregts A. W., van de Werf S., Demacker P., Schade R. W. Effect of a standardized wheat bran preparation on serum lipids in young healthy males. Am J Clin Nutr. 1979 Apr;32(4):794–798. doi: 10.1093/ajcn/32.4.794. [DOI] [PubMed] [Google Scholar]

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