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. 2020 Dec 25;11(1):24. doi: 10.3390/diagnostics11010024

Table 2.

Selected systematic reviews and meta-analyses comparing macronutrient diets for weight loss effectiveness.

Reference Sample Size Duration Comparison Result
Hooper et al. (2012) [49] 73,589 adults with normal weight, overweight or obesity 6 m–7.5 years Low fat (>30%) vs. Normal Fat Low fat diets produced greater weight loss by 1.57 kg (95% CI −2.0 to −1.2 kg)
Wycherley et al. (2012) [50] 1063 adults, BMI status not specified >12 weeks High protein (27–35%) vs. Low fat High protein diets produced greater weight loss by 0.79 kg (95% CI −1.5 to −0.08 kg)
Ajala et al. (2013) [51] 3073 adults with normal weight, overweight or obesity with or without diabetes >6 months Low carbohydrate vs. Mediterranean diet vs. High protein Mediterranean diet and low carbohydrate diets produced greater weight loss than high protein by 1.84 and 0.69 kg respectively
Bueno et al. (2013) [52] 1415 adults, BMI status not specified ≥12 months Very low carbohydrate (<50 g) vs. low fat (<30%, energy restricted) Very low carbohydrate diets achieved greater weight loss by 0.91 (95% CI −1.65 to −0.17 kg)
Naude et al. (2014) [53] 3209 adults with overweight or obesity with or without diabetes >12 weeks Low carbohydrate vs. isocaloric balanced diets No difference
Clifton et al. (2014) [54] 3492 adults with overweight or obesity >12 months High protein (>25%) vs. usual diet High protein diets produced greater weight loss by 1 kg
Tobias et al. (2015) [55] 68,128 adults, BMI status not specified ≥12 months Low fat vs. usual diets, low carbohydrate, high fat Low carbohydrate diets produced greater weight loss by 1.15 kg (95% CI −0.52 to −1.79)
Boaz et al. (2015) [56] 1161 adults with normal weight, overweight or obesity >12 weeks Low carbohydrate vs. Low fat No difference
Mansoor et al. (2016) [57] 1369 adults, BMI status not specified ≥6 months Low fat vs. low carbohydrates Low carbohydrate diets produced greater weight loss by 2.17 kg (95% CI −0.99 to −3.36 kg)
Ge et al. (2020) [58] 21,942 adults with overweight or obesity 6–12 m 14 popular diets including low fat, low carbohydrate, Mediterranean Diet Low carbohydrate and low-fat diets produced similar weight loss, greater than Mediterranean diet