Impacts of carbohydrate-restricted diets on micronutrient intakes and status: a systematic review

Churuangsuk, C. , Griffiths, D., Lean, M. E.J. and Combet, E. (2019) Impacts of carbohydrate-restricted diets on micronutrient intakes and status: a systematic review. Obesity Reviews, 20(8), pp. 1132-1147. (doi: 10.1111/obr.12857) (PMID:31006978)

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A systematic review of published evidence on micronutrient intake/status with carbohydrate‐restricted diets (CRD) was conducted in Web of Science, Medline, Embase, Scopus, CENTRAL, and up to October 2018. We identified 10 studies: seven randomized controlled trials (RCTs) (“Atkins”‐style, n = 5; “Paleolithic” diets, n = 2), two Atkins‐style noncontrolled trials and one cross‐sectional study. Prescribed carbohydrate varied 4% to 34% of energy intake. Only one noncontrolled trial prescribed multivitamin supplements. Dietary intakes/status were reported over 2 to 104 weeks, with weight losses from 2 to 9 kg. No diagnoses of deficiency were reported. Intakes of thiamine, folate, magnesium, calcium, iron, and iodine all decreased significantly (−10% to −70% from baseline) with any CRD types. Atkins diet trials (n = 6; 4%‐34%E carbohydrate) showed inconsistent changes in vitamin A, E, and β‐carotene intakes, while a single “Paleolithic” diet trial (28%E carbohydrate) reported increases in these micronutrients. One other “Paleolithic” diet (30%E carbohydrate) reported a rise in moderate iodine deficiency from 15% to 73% after 6 months. In conclusion, few studies have assessed the impacts of CRD on micronutrients. Studies with different designs point towards reductions in several vitamins and minerals, with potential risk of micronutrient inadequacies. Trial reporting standards are expected to include analysis of micronutrient intake/status. Micronutrients in foods and/or supplements should be considered when designing, prescribing or following CRDs.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Lean, Professor Michael and Combet Aspray, Professor Emilie and Churuangsuk, Chaitong
Authors: Churuangsuk, C., Griffiths, D., Lean, M. E.J., and Combet, E.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Obesity Reviews
ISSN (Online):1467-789X
Published Online:22 April 2019
Copyright Holders:Copyright © 2019 World Obesity Federation
First Published:First published in Obesity Reviews 20(8):1132-1147
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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