New US guidelines for the management of overweight and obesity have disregarded robust evidence from intervention trials demonstrating the importance of dietary factors for weight control and disease prevention. This omission implies that diet composition does not matter, a stance that is potentially counterproductive for prevention and treatment strategies.
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References
Jensen, M. D. et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J. Am. Coll. Cardiol. http://dx.doi.org/10.1016/j.jacc.2013.11.004.
Larsen, T. M. et al. Diets with high or low protein content and glycemic index for weight-loss maintenance. N. Engl. J. Med. 363, 2102–2113 (2010).
Santos, F. L., Esteves, S. S., da Costa Pereira, A., Yancy, W. S. Jr & Nunes, J. P. Systematic review and meta-analysis of clinical trials of the effects of low carbohydrate diets on cardiovascular risk factors. Obes. Rev. 13, 1048–1066 (2012).
Krieger, J. W., Sitren, H. S., Daniels, M. J. & Langkamp-Henken, B. Effects of variation in protein and carbohydrate intake on body mass and composition during energy restriction: a meta-regression. Am. J. Clin. Nutr. 83, 260–274 (2006).
Livesey, G., Taylor, R., Livesey, H. & Liu, S. Is there a dose-response relation of dietary glycemic load to risk of type 2 diabetes? Meta-analysis of prospective cohort studies. Am. J. Clin. Nutr. 97, 584–596 (2013).
Mirrahimi, I. A. et al. Associations of glycemic index and load with coronary heart disease events: a systematic review and meta-analysis of prospective cohorts. J. Am. Heart Assoc. 1, e000752 (2012).
Thomas, D. E., Elliott, E. J. & Baur, L. Low glycaemic index or low glycaemic load diets for overweight and obesity. Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD005105. http://dx.doi.org/10.1002/14651858.CD005105.pub2.
McMillan-Price, J. et al. Comparison of 4 diets of varying glycemic load on weight loss and cardiovascular risk reduction in overweight and obese young adults: a randomised controlled trial. Arch. Intern. Med. 166, 1466–1475 (2006).
Ebbeling, C. B., Leidig, M. M., Feldman, H. A., Lovesky, M. M. & Ludwig, D. S. Effects of a low-glycemic load vs low-fat diet in obese young adults: a randomized trial. JAMA 297, 2092–2102 (2007).
Ebbeling, C. B. et al. Effects of dietary composition on energy expenditure during weight-loss maintenance. JAMA 307, 2627–2634 (2012).
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Arne Astrup has conducted research funded by meat and dairy organizations, and currently acts as consultant for the following companies with interests in the food marketing sector: Gerson Lehrman Group, USA (ad hoc consultant for clients), Global Dairy Platform, USA, Jenny Craig, USA, McCain Foods Limited, USA and McDonald's, USA.
Jennie Brand-Miller is President of the Glycemic Index Foundation, a not-for-profit health promotion charity that educates consumers and health professionals about the benefits of a healthy low-GI diet.
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Astrup, A., Brand-Miller, J. Have new guidelines overlooked the role of diet composition?. Nat Rev Endocrinol 10, 132–133 (2014). https://doi.org/10.1038/nrendo.2013.271
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DOI: https://doi.org/10.1038/nrendo.2013.271
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