ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

Mitochondria-Booster NIAGEN® Shows Promise in First Human Clinical Trial

Exploring the association between Morgellons disease and Lyme disease: identification of Borrelia bu...

New Envita Study Shows Chronic Lyme Disease "Fools" Immune System, Resistant to Antibiotics

Safely Burn Away Body Fat

Omega-3 fatty acids boost B vitamin brain benefit

Substantial health threat: Never-before-seen tick-borne disease

Trigger identified that likely unleashes autoimmune disease

Lyme Advocates Call on IDSA to Focus on Patient Care Instead of Attacking Those in Distress

Zinc deficiency linked to chronic inflammation

New records of the Lyme disease bacterium in ticks collected from songbirds in central and eastern C...

 
Print Page
Email Article

A Randomized Trial of a Low-Carbohydrate Diet vs Orlistat Plus a Low-Fat Diet for Weight Loss - Source: Archives of Internal Medicine, Jan 25, 2010

  [ 19 votes ]   [ Discuss This Article ]
By William S. Yancy Jr, MD, MHS, et al. • www.ProHealth.com • February 5, 2010


[Note: The ketogenic “Atkins-type” diet used in this trial is high-fat, adequate-protein, low-carb. It is called ketogenic because it forces the body to burn fats rather than carbs for energy. While carbs are converted into glucose for energy, fats are converted by the liver into fatty acids and “ketone bodies,” which replace glucose as an energy source. Orlistat is a prescription drug that acts to limit the digestive tract’s ability to digest and absorb fats consumed in the diet.]

Background:  Two potent weight loss therapies...

• A low-carbohydrate, ketogenic diet (LCKD),

• And orlistat therapy combined with a low-fat diet (O + LFD),

…are available to the public but, to our knowledge, have never been compared.

Methods: Overweight or obese outpatients (n = 146) from the Department of Veterans Affairs primary care clinics in Durham, North Carolina, were randomized to either LCKD instruction (initially, less than 20 grams of carbohydrate daily) or orlistat therapy, 120 mg orally 3 times daily, plus low-fat diet instruction (less than 30% energy from fat, 500 to 1000 kcal/d deficit) delivered at group meetings over 48 weeks.

Main outcome measures were body weight, blood pressure, fasting serum lipid, and glycemic parameters.

Results: The mean age was 52 years and mean body mass index was 39.3 (calculated as weight in kilograms divided by height in meters squared); 72% were men, 55% were black, and 32% had type 2 diabetes mellitus. Of the study participants, 57 of the LCKD group (79%) and 65 of the O + LFD group (88%) completed measurements at 48 weeks.

• Weight loss was similar for the low-carbohydrate, ketogenic diet (expected mean change, –9.5%) and the orlistat plus low-fat diet (–8.5%) (P = .60 for comparison) groups.

• The low-carbohydrate, ketogenic diet had a more beneficial impact than orlistat plus low-fat diet on systolic (–5.9 vs 1.5 mm Hg) and diastolic (–4.5 vs 0.4 mm Hg) blood pressures (P < .001 for both comparisons).

• High-density lipoprotein [so-called ‘good’] cholesterol and triglyceride levels improved similarly within both groups.

• Low-density lipoprotein [so-called ‘bad’] cholesterol levels improved within the orlistat plus low-fat diet group only,

• Whereas glucose, insulin, and hemoglobin A1c levels improved within the low-carbohydrate, ketogenic diet group only; comparisons between groups, however, were not statistically significant.

Conclusion: In a sample of medical outpatients, a low-carbohydrate, ketogenic diet led to similar improvements as orlistat plus low-fat diet for weight, serum lipid, and glycemic parameters and was more effective for lowering blood pressure.

Trial Registration: clinicaltrials.gov Identifier: NCT00108524

Source: Archives of Internal Medicine, Jan 25, 2010;170(2):136-145. PMID: 20101008, by Yancy WS, Westman EC, McDuffie JR, Grambow SC, Jeffreys AS, Bolton J, Chalecki A, Oddone EZ. Center for Health Services Research in Primary Care, Department of Veterans Affairs Medical Center; Departments of Medicine and Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina, USA. [E-mail: yancy006@mc.duke.edu]




Please Discuss This Article:   Post a Comment 



[ Be the first to comment on this article ]




 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Save on Nutritional Supplement Orders

Featured Products

Vitamin D3 Extreme™ by ProHealth Vitamin D3 Extreme™ by ProHealth
50,000 IU Vitamin D3 - Prescription Strength
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function

Natural Remedies

How Glutathione Can Save Your Life How Glutathione Can Save Your Life
Breaking Through the Mental Fog Breaking Through the Mental Fog
Rejuvenating the Brain - How PQQ Helps Power Up Mental Processing Rejuvenating the Brain - How PQQ Helps Power Up Mental Processing
Are You Obtaining the Proper Enzymes? Are You Obtaining the Proper Enzymes?
Cocoa's Polyphenol Riches – All the Health Benefits without the Sugar, Calories and Guilt Cocoa's Polyphenol Riches – All the Health Benefits without the Sugar, Calories and Guilt

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia Diagnosis
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS Diagnosis
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE  |  PRIVACY
CONTACT US
LIBRARY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing