Effects of a high-protein, low-carbohydrate v. high-protein, moderate-carbohydrate weight-loss diet on antioxidant status, endothelial markers and plasma indices of the cardiometabolic profile

Br J Nutr. 2011 Jul;106(2):282-91. doi: 10.1017/S0007114511000092.

Abstract

There are concerns that weight-loss (WL) diets based on very low carbohydrate (LC) intake have a negative impact on antioxidant status and biomarkers of cardiovascular and metabolic health. Obese men (n 16) participated in a randomised, cross-over design diet trial, with food provided daily, at approximately 8.3 MJ/d (approximately 70 % of energy maintenance requirements). They were provided with two high-protein diets (30 % of energy), each for a 4-week period, involving a LC (4 % carbohydrate) and a moderate carbohydrate (MC, 35 % carbohydrate) content. Body weight was measured daily, and weekly blood samples were collected. On average, subjects lost 6.75 and 4.32 kg of weight on the LC and MC diets, respectively (P < 0.001, SED 0.350). Although the LC and MC diets were associated with a small reduction in plasma concentrations of retinol, vitamin E (α-tocopherol) and β-cryptoxanthin (P < 0.005), these were still above the values indicative of deficiency. Interestingly, plasma vitamin C concentrations increased on consumption of the LC diet (P < 0.05). Plasma markers of insulin resistance (P < 0.001), lipaemia and inflammation (P < 0.05, TNF-α and IL-10) improved similarly on both diets. There was no change in other cardiovascular markers with WL. The present data suggest that a LC WL diet does not impair plasma indices of cardiometabolic health, at least within 4 weeks, in otherwise healthy obese subjects. In general, improvements in metabolic health associated with WL were similar between the LC and MC diets. Antioxidant supplements may be warranted if LC WL diets are consumed for a prolonged period.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antioxidants / metabolism*
  • Ascorbic Acid / blood
  • Biomarkers / blood
  • Cardiovascular Diseases / blood
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control
  • Cross-Over Studies
  • Cryptoxanthins
  • Diet, Carbohydrate-Restricted*
  • Diet, Reducing / methods*
  • Dietary Carbohydrates / administration & dosage*
  • Dietary Proteins / administration & dosage*
  • Endothelium, Vascular / drug effects
  • Energy Intake
  • Humans
  • Hyperlipidemias / blood
  • Inflammation Mediators / blood
  • Insulin Resistance
  • Male
  • Metabolic Diseases / blood
  • Metabolic Diseases / etiology
  • Metabolic Diseases / prevention & control
  • Middle Aged
  • Nutritional Requirements
  • Obesity / blood
  • Obesity / diet therapy*
  • Risk Factors
  • Vitamin A / blood
  • Weight Loss / physiology*
  • Xanthophylls / blood
  • alpha-Tocopherol / blood

Substances

  • Antioxidants
  • Biomarkers
  • Cryptoxanthins
  • Dietary Carbohydrates
  • Dietary Proteins
  • Inflammation Mediators
  • Xanthophylls
  • Vitamin A
  • alpha-Tocopherol
  • Ascorbic Acid