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Low Carbohydrate Diets the Future for Weight Loss in Obesity 

Oct 6, 2020
Editor: David L. Joffe, BSPharm, CDE, FACA

Author: Tarshay Boyd, PharmD. Candidate, LECOM School of Pharmacy

Is a very low carbohydrate diet (VLCD) superior to an essential carbohydrate/low-fat diet (LFD) for improving body mass and insulin sensitivity? 

Many Americans suffer from overweight or obesity, and there is a high risk of cardio-metabolic disease seen in older adults with obesity. Many different diets are recommended by health care professionals, dieticians, and nutritionists to control weight loss. One standard diet is a very low carbohydrate diet (VLCD). Insulin resistance and buildup of visceral adipose tissue (VAT) and intermuscular adipose tissue (IMAT) hinder older adults with obesity. The purpose of this study was to evaluate older adults with obesity to identify if a VLCD generates a much more significant decrease of fat, conserves lean mass, and improves insulin sensitivity as compared to an essential carbohydrate/low-fat diet (LFD). Past studies state that weight loss with a caloric restriction decreases the resting metabolic rate and causes losses in lean tissue, leading to declining physical function in aging adults. Other studies recommend changing the diet quality to improve weight loss while preventing the loss of skeletal tissues.  Previous studies measuring the insulin sensitivity reported that VLCD resulted in much lower insulin resistance and improved insulin sensitivity....

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