The current recommendation for protein is 10 to 30 percent of total daily calories. Therefore, diets that were once considered high in protein (e.g. 40/30/30, Zone Diet) are well within recommended guidelines and are widely acceptable among scientists and nutrition professionals.
Low-carb diets (e.g. Atkins) are those that severely restrict daily carbohydrate intake to below recommended levels (< 130 g/d) and allow unlimited protein and fat intake. Protein intake often falls within guidelines while fat intake exceeds guidelines (>35% of total calories). A recent review evaluating the safety and effectiveness of low-carb versus traditional high-carb, low fat diets has found that low-carb diets produce greater weight loss at six months but the diets are equally effective after one year. The effectiveness of low carb/high-protein diets is likely be due to 1) protein’s increased ability to prolong the feeling of satisfaction when compared to carbohydrates and 2) limiting food choices to mostly protein and fat sources which often leads to fewer calories consumed daily. Despite this, widespread use of low-carb diets is not recommended because of adverse changes in LDL (“bad”) and total cholesterol levels. It’s also important to note that drop-out rates were significantly high – almost 50% for both diets -- and that most people who lose weight return to their original weight within three to five years.
Data accumulated through the National Weight Control Registry and other sources has revealed that people use a variety of dieting and food intake strategies to lose and maintain weight loss long-term. While most participants follow a lower fat diet, there is variability in the amount of protein and carbohydrate used. More consistent among successful losers were certain behaviors including eating breakfast daily, tracking food intake, maintaining a high activity level (mostly walking), limiting TV time and self-weighing regularly. Although participants of the National Weight Control Registry represent a model for long-term weight loss success, this population represents a very small percentage of those who attempt weight loss. Therefore, to lose weight individuals should select sustainable eating patterns and activity behaviors that create a calorie deficit and regularly check weight, inches gained/lost or body composition to determine if adjustments are needed. Gaining continuous visibility of weight changes and self-regulating food intake and activity are critical for maintaining losses.
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