Low-carb diet: Can it help you lose weight?
Could a low-carb diet give you an edge in losing weight?
A low-carb diet limits carbohydrates — such as those found in grains, starchy vegetables and fruit — and emphasizes foods high in protein and fat. Many types of low-carb diets exist. Each diet has varying restrictions on the types and amounts of carbohydrates you can eat.
A low-carb diet is generally used for weight loss. Some low-carb diets may have health benefits beyond weight loss, such as reducing your risk of type 2 diabetes and metabolic syndrome.
Why you might follow a low-carb diet
You might choose to follow a low-carb diet because you:
- Want a diet that restricts certain carbs to help you lose weight
- Want to change your overall eating habits
- Enjoy the types and amounts of foods featured in low-carb diets
Check with your doctor before starting any weight-loss diet, especially if you have any health conditions, such as diabetes or heart disease.
A low-carb diet restricts the amount of carbohydrates you eat. Carbohydrates are grouped as simple natural (lactose in milk and fructose in fruit), simple refined (table sugar), complex natural (whole grains or beans) and complex refined (white flour).
Common sources of naturally occurring carbohydrates include:
- Legumes (beans, lentils, peas)
In general, complex carbohydrates are digested more slowly and they have less effect on blood sugar than refined carbohydrates do. They also provide fiber.
Refined carbohydrates such as sugar or white flour are often added to processed foods. Examples of foods with refined carbohydrates are white breads and pasta, cookies, cake, candy, and sugar-sweetened sodas and drinks.
Your body uses carbohydrates as its main energy source. During digestion complex carbs are broken down into simple sugars (glucose) and release into your blood (blood glucose).
Insulin is released to help glucose enter the body’s cells, where it can be used for energy. Extra glucose is stored in the liver and muscles, and some is converted to body fat.
A low-carb diet is intended to cause the body to burn stored fat for energy, which leads to weight loss.
Typical foods for a low-carb diet
In general, a low-carb diet focuses on proteins and some nonstarchy vegetables. A low-carb diet generally limits grains, legumes, fruits, breads, sweets, pastas and starchy vegetables, and sometimes nuts and seeds. However, some low-carb diet plans allow small amounts of fruits, vegetables and whole grains.
A daily limit of 0.7 to 2 ounces (20 to 57 grams) of carbohydrates is typical with a low-carb diet. These amounts of carbohydrates provide 80 to 240 calories. Some low-carb diets greatly restrict carbs during the initial phase of the diet and then gradually increase the number of allowed carbs.
In contrast, the Dietary Guidelines for Americans recommends that carbohydrates make up 45% to 65% of your total daily calorie intake. So if you consume 2,000 calories a day, carbs would account for between 900 and 1,300 calories a day.
Most people can lose weight if they restrict calories and increase physical activity. To lose 1 to 1.5 pounds (0.5 to 0.7 kilogram) a week, you need to eat 500 to 750 fewer calories each day.
Low-carb diets, especially very low-carb diets, may lead to greater short-term weight loss than do low-fat diets. But most studies have found that at 12 or 24 months, the benefits of a low-carb diet are not very large.
Cutting calories and carbs may not be the only reason for the weight loss with low-carb diets. Some studies show that you may shed some weight because the extra protein and fat helps you feel full longer, which helps you eat less.
Low-carb diets that emphasize healthy sources of carbs, fat and protein may help lower the risk of type 2 diabetes and heart disease. In fact, almost any diet that helps you shed excess weight may improve blood sugar and cholesterol levels, at least temporarily.
A sudden and drastic reduction in carbs can cause temporary side effects, such as:
- Muscle cramps
Severe carb restriction can cause your body to break fat down into ketones for energy. This is called ketosis. Ketosis can cause side effects such as bad breath, headache, fatigue and weakness.
It’s not clear what kind of possible long-term health risks a low-carb diet may pose. Restricting carbs in the long term they may result in vitamin or mineral deficiencies and gastrointestinal disturbances.
Some health experts believe that if you eat large amounts of fat and protein from animal sources, your risk of heart disease or certain cancers may actually increase.
If you opt to follow a low-carb diet, pay attention to the fats and proteins you choose. Limit foods with saturated and trans fats, such as meat and high-fat dairy products, which may increase your risk for heart disease.
Nov. 18, 2020
- Ebbeling CB, et al. Effects of a low carbohydrate diet on energy expenditure during weight loss maintenance: Randomized trial. BMJ. 2018; doi:10.1136/bmj.k4583.
- Raynor HA, et al. Position of the Academy of Nutrition and Dietetics: Interventions for the treatment of overweight and obesity in adults. Journal of the Academy of Nutrition and Dietetics. 2016;116:129.
- Duyff RL. Carbs: Sugars, starches, and fiber. In: Academy of Nutrition and Dietetics Complete Food and Nutrition Guide. 5th ed. Houghton Mifflin Harcourt; 2017.
- Westman EC, et al. Using a low-carbohydrate diet to treat obesity and type 2 diabetes mellitus. Current Opinions in Endocrinology, Diabetes and Obesity. 2020; doi:10.1097/MED.0000000000000565.
- Gepner Y, et al. The beneficial effects of Mediterranean diet over low-fat diet may be mediated by decreasing hepatic fat content. Journal of Hepatology. 2019; doi:10.1016/j.hep.2019.04.013.
- 2015-2020 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. https://health.gov/dietaryguidelines/2015/guidelines. Accessed Oct. 22, 2020.
- Kirkpatrick C, et al. Review of current evidence and clinical recommendations on the effects of low-carbohydrate and very-low-carbohydrate (including ketogenic) diets for the management of body weight and other cardiometabolic risk factors: A scientific statement from the National Lipid Association Nutrition and Lifestyle Task Force. Journal of Clinical Lipidology. 2019; doi:10.1016/j.jacl.2019.08.003.
- Perreault L. Obesity in adults: Dietary therapy. https://www.uptodate.com/contents/search. Accessed Oct. 22, 2020.
- Freire R. Scientific evidence of diets for weight loss: Different macronutrient composition, intermittent fasting, and popular diets. Nutrition. 2020; doi:10.1016/j.nut.2019.07.001.
- Shan Z, et al. Association of low-carbohydrate and low-fat diets with mortality among US adults. JAMA Internal Medicine.2020; doi:10.1001/jamainternmed.2019.6980.
- Evert AB, et al. Nutrition therapy for adults with diabetes or prediabetes: A consensus report. Diabetes Care. 2019; doi:10.2337/dci19-0014.
- Gordon B. What is the ketogenic diet? Academy of Nutrition and Dietetics. https://www.eatright.org/health/weight-loss/fad-diets/what-is-the-ketogenic-diet. Accessed Nov. 11, 2020.