Background: obesity and its complications are a worldwide problem.
Methods to reduce obesity and its associated metabolic disorders often emphasize the limitation of fat and energy, but it is difficult for many to achieve and maintain weight loss.
A diet that focuses on changing the distribution of large amounts of nutrients rather than limiting energy is a promising alternative, but usually includes a large amount of protein, fiber, or fat.
Objective: to compare the effects of dietary advice, including a moderate increase in protein and fiber without specifying a standard low energy intakefat, high-
Carbohydrate diet advice on body composition and metabolic risk factors.
Methods: 89 overweight or obese women aged 18-65 were randomly assigned to the standard diet with the aim of low fat content and relatively high carbohydrate content (n=42)
Or to a higher-protein (
Energy up to 30%)
Relatively high-fiber (>35u2009g per day; HPHF)diet (n=47)for 10 weeks.
No advice was given on strict compliance with energy intake targets.
Results: Participants in the HPHF diet lost more weight (1. 3u2009kg; 95% CI, 0. 7, 1. 9; P
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