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All Calories Are Not Equal
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In response to the letter by Seshadri,1 we agree that emphasis on intake of complex carbohydrates over simple carbohydrates may be preferred in fat-reduced diets owing to their greater effects on satiety2; however, we believe that certain points regarding our article3 and study have been misinterpreted. We examined the effects of an ad libitum highcomplex carbohydrate diet on body weight and body composition. The subjects in this study were provided 150% of estimated energy needs, not estimated prestudy energy intake; that is, our goal was to provide a surfeit of food that would not be consumed in its entirety. In this way, we were able to measure actual food intake by weighing all food provided to each subject before and after each day. Assessment of free-living energy intake is difficult due to frequent underreporting,4 and as described in our results, the apparent 1000 kcal/d increase in intake during the . . . [Full Text of this Article] AUTHOR INFORMATION
William J. Evans, PhD;
Nicholas P. Hays, PhD
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Effects of an Ad Libitum Low-Fat, High-Carbohydrate Diet on Body Weight, Body Composition, and Fat Distribution in Older Men and Women: A Randomized Controlled Trial
Nicholas P. Hays, Raymond D. Starling, Xiaolan Liu, Dennis H. Sullivan, Todd A. Trappe, James D. Fluckey, and William J. Evans
Arch Intern Med. 2004;164(2):210-217.
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