LDL-C by only 5% generally in most patients, if at all. Since this specific diet is often high in refined sugars (which increases triglycerides), an Atkins diet shows greater reductions in triglycerides often, especially when taking fish essential oil. In contrast, an eating plan containing 10% of calorie consumption with little saturated fat and dietary cholesterol decreased LDL C by typically 40% after twelve months in patients not taking lipid-lowering drugs.
Also, they lost 24 pounds through the first of and held off more than one-half of that weight five years later, whereas randomized control group patients with an AHA/NCEP diet didn’t lose weight. Exercise levels weren’t different significantly. It’s important to distinguish between risk factors such as lipoproteins from direct measures of disease. Only one peer-reviewed study examined the effects of the Atkins diet on coronary disease rather than only risk factors. Myocardial perfusion improved on a very low-fat entire foods diet but worsened on an Atkins diet. The dangerous ramifications of a higher excess fat diet might be mediated through other mechanisms than traditional risk factors.
We need to move beyond simplistic notions that anything which increases HDL-C is beneficial and whatever lowers HDL-C is harmful. Reducing eating cholesterol and body fat may cause a decrease in HDL-C since there is less need for it. You will find no data showing that the physiologic reduced amount of HDL-C levels with a low fat diet is detrimental.
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The debate shouldn’t be “˜low carbohydrate ‘versus “˜low fat.’ Patients have a spectral range of dietary options. To the degree they reduce their intake of refined sugars and excessive body fat and increase their consumption of unrefined carbohydrates (fruits, vegetables, whole grains, legumes), and sufficient omega 3 fatty acids, they may feel better, lose weight, and gain health. Yancy WS, Olsen MK, Guyton JR, Bakst RP, Westman EC. A low- carbohydrate, ketogenic diet pitched against a low-fat diet to treat hyperlipidemia and weight problems. Stern L, Nayyar I, Seshadri P, Chicano KL, Daily DA, McGrory JM, et al.
The ramifications of low-carbohydrate versus regular weight loss diets in severely obese adults: one-year follow-up of the randomized trial. Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, et al. A randomized trial of the low-carbohydrate diet for obesity. N Engl J Med. Ornish D. Concise Review: Intensive changes in lifestyle in the management of cardiovascular system disease.
In: Harrison s Principles of Internal Medicine (online), edited by Eugene Braunwald et al., 1999, and In: Braunwald E. Harrison on Advances in Cardiology. Ornish D, Scherwitz L, Billings J, et al. Intensive changes in lifestyle for reversal of cardiovascular system disease Five-year follow-up of the approach to life Heart Trial. Ornish D. Was Dr. Atkins right?