SUBJECT CONSULTANT REVIEW

Title of the article
A low-carbohydrate as compared with a low-fat diet in severe obesity.
Authors
Samaha FF, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J, Williams T, Williams M, Gracely EJ, Stern L.
Journal
N Engl J Med. 2003 May 22;348(21):2074-81.
Subject Consultant
F. Mallamaci
Score (1 to 3 stars)
***
Cross referencing
 
Comments
Severely obese subjects with a high prevalence of diabetes or the metabolic syndrome lost more weight during six months on a carbohydrate-restricted diet than on a calorie- and fat-restricted diet, with a relative improvement in insulin sensitivity and triglyceride levels, even after adjustment for the amount of weight lost. Nevertheless future studies evaluating long-term cardiovascular outcomes are needed before a carbohydrate-restricted diet can be endorsed.