Talk:Low-carbohydrate diet

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Inconsistency in the test

The article says:

"There is no good evidence that low-carbohydrate dieting confers any particular health benefits apart from weight loss, where low-carbohydrate diets achieve outcomes similar to other diets, as weight loss is mainly determined by calorie restriction and adherence.[3]

One form of low-carbohydrate diet called the ketogenic diet was first established as a medical diet for treating epilepsy.[4] It became a popular diet for weight loss through celebrity endorsement, but there is no evidence of any distinctive benefit for this purpose and the diet carries a risk of adverse effects,[4][5] with the British Dietetic Association naming it one of the "top five worst celeb diets to avoid" in 2018.[4]"

"There is no good evidence" of any "health benefits apart from weight loss" is given in one paragraph, but then in the very next paragraph the approach is used to treat medication resistant "epilepsy." How can it say there are no medical benefits beyond weight loss and then contradict that statement subsequently? I suggest editing the text to remove the obviously contradictory statement. Also blood sugar can be more tightly regulated for a diabetic on low carbohydrate diets relative to standard diets, allowing blood sugar regulating medications to be tapered. I think there is some bias in the language stating there are no other benefits beyond weight loss.

134.192.6.40 (talk) 15:10, 25 October 2024 (UTC)[reply]

One could add the qualifier "used as a weight less diet" or the disclaimer ("except in refractive epilepsy treatment"). Bon courage (talk) 15:21, 25 October 2024 (UTC)[reply]

Something like that would work. 134.192.6.40 (talk) 16:09, 25 October 2024 (UTC)[reply]

Keto diet

@Bon courage removed this a while ago:

^[1] Most epilepsy specialists order these children to eat 80% of the diet from fat by weight (90% of calories), plus carbohydrate-free vitamins and minerals to prevent vitamin deficiency.^[2] Although this extreme diet plan can be life-saving compared to the alternative, it is not a harmless diet.^[3] Children on this diet are at risk of broken bones, stunted growth, kidney stones, high cholesterol, and micronutrient deficiency.^[3]^[4] It is not known how long a child can maintain this diet without incurring permanent damage to growth and development.^[4]

What I valued about this was that it:

emphasizes that "keto" is not an inherently healthful, harmless diet that anyone can try, or that's safe to follow for years without medical supervision, and
it provides a comparison between diet that the bodybuilders/social media influencers are talking about and the one done by the kids with epilepsy.

References

^ Martin-McGill KJ, Bresnahan R, Levy RG, Cooper PN (June 2020). "Ketogenic diets for drug-resistant epilepsy". The Cochrane Database of Systematic Reviews. 2020 (6): CD001903. doi:10.1002/14651858.CD001903.pub5. PMC 7387249. PMID 32588435.
^ MD, Eric H. Kossoff; LDN, Zahava Turner, RD, CSP; MD, Mackenzie C. Cervenka; LDN, Bobbie J. Barron, RD (28 December 2020). Ketogenic Diet Therapies for Epilepsy and Other Conditions, Seventh Edition. Springer Publishing Company. p. 51. ISBN 978-0-8261-4959-6.{{cite book}}: CS1 maint: multiple names: authors list (link)
^ ^a ^b Jaminet, Paul; Jaminet, Shou-Ching (11 December 2012). Perfect Health Diet: Regain Health and Lose Weight by Eating the Way You Were Meant to Eat. Simon and Schuster. p. 156. ISBN 978-1-4516-9916-6.
^ ^a ^b Swaiman, Kenneth F.; Ashwal, Stephen; Ferriero, Donna M.; Schor, Nina F.; Finkel, Richard S.; Gropman, Andrea L.; Pearl, Phillip L.; Shevell, Michael (21 September 2017). Swaiman's Pediatric Neurology E-Book: Principles and Practice. Elsevier Health Sciences. p. 80. ISBN 978-0-323-37481-1.

WhatamIdoing (talk) 01:32, 2 March 2024 (UTC)[reply]

Don't feel super-strongly about this; just was wary about overlapping too much with the main article. Bon courage (talk) 06:01, 2 March 2024 (UTC)[reply]

I'm not sure that "the main article" is the right way to think about it. This is "the main article" for voluntary dietary restrictions; that is "the main article" for medically necessary severe dietary restrictions.

I think I'll put back all but the last sentence, and we can see how that feels for a few days. WhatamIdoing (talk) 19:23, 5 March 2024 (UTC)[reply]

@Bon courage This article is about low-carbohydrate dieting as for weight loss, or a lifestyle choice. Is that true for grammar, since the word "or" can be tricky for times. 203.190.54.67 (talk) 09:57, 24 May 2024 (UTC)[reply]

I think 'as' was misplaced; fixed. Bon courage (talk) 11:27, 24 May 2024 (UTC)[reply]

VLCKD's.

The "Ketogenic diet" section says "A very low carbohydrate ketogenic diet...is an effective means for weight loss in those who are overweight or obese, yielding an average weight loss of 10 kg over four weeks," however the study cited actually refers to a "very low calorie ketogenic diet," or VLCKD. This is a diet of 600–800 calories a day. As it stands, this section erroneously gives the impression that people on a Keto diet can expect to lose 10kg in 4 weeks. Sadiemonster (talk) 17:12, 21 November 2024 (UTC)[reply]

[1] Martin-McGill KJ, Bresnahan R, Levy RG, Cooper PN (June 2020). "Ketogenic diets for drug-resistant epilepsy". The Cochrane Database of Systematic Reviews. 2020 (6): CD001903. doi:10.1002/14651858.CD001903.pub5. PMC 7387249. PMID 32588435.

[2] MD, Eric H. Kossoff; LDN, Zahava Turner, RD, CSP; MD, Mackenzie C. Cervenka; LDN, Bobbie J. Barron, RD (28 December 2020). Ketogenic Diet Therapies for Epilepsy and Other Conditions, Seventh Edition. Springer Publishing Company. p. 51. ISBN 978-0-8261-4959-6.{{cite book}}: CS1 maint: multiple names: authors list (link)

[:0-3] Jaminet, Paul; Jaminet, Shou-Ching (11 December 2012). Perfect Health Diet: Regain Health and Lose Weight by Eating the Way You Were Meant to Eat. Simon and Schuster. p. 156. ISBN 978-1-4516-9916-6.

[:1-4] Swaiman, Kenneth F.; Ashwal, Stephen; Ferriero, Donna M.; Schor, Nina F.; Finkel, Richard S.; Gropman, Andrea L.; Pearl, Phillip L.; Shevell, Michael (21 September 2017). Swaiman's Pediatric Neurology E-Book: Principles and Practice. Elsevier Health Sciences. p. 80. ISBN 978-0-323-37481-1.

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