Low-carbohydrate diets cause obesity, low-carbohydrate diets reverse obesity: a metabolic mechanism resolving the paradox

Appetite. 2007 Mar;48(2):135-8. doi: 10.1016/j.appet.2006.06.007. Epub 2006 Dec 1.

Abstract

High-fat diets produce obesity in part because, per calorie, glucose produces greater post-prandial thermogenesis than lipids, an effect probably mediated by glucose-sensing neurons. A very low-carbohydrate/high-fat/high-protein Atkins-type diet produces obesity but is marginally ketogenic in mice. In contrast, high-sucrose/low-fat diets, and very low-carbohydrate/high-fat/low-protein (anti-epileptic) ketogenic diets reverse diet-induced obesity independent of caloric intake. We propose that a non-ketogenic high-fat diet reduces glucose metabolism and signaling in glucose-sensing neurons, thereby reducing post-prandial thermogenesis, and that a ketogenic high-fat diet does not reduce glucose signaling, thereby preventing and/or reversing obesity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Blood Glucose / metabolism
  • Caloric Restriction
  • Diet, Carbohydrate-Restricted* / adverse effects
  • Diet, Reducing*
  • Dietary Carbohydrates / administration & dosage
  • Energy Intake / physiology
  • Energy Metabolism / physiology*
  • Humans
  • Obesity / diet therapy*
  • Obesity / epidemiology
  • Obesity / etiology*
  • Obesity / metabolism
  • Treatment Outcome

Substances

  • Blood Glucose
  • Dietary Carbohydrates