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Definition of Low-Fat Diets
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Nordmann et al1(p293) wrote "We conclude that low-carbohydrate diets appear to be at least as effective as low-fat diets in inducing weight loss." This conclusion is misleading because it is biased by their questionable decision to define a low-fat diet "as a diet allowing a maximum of 30% of the daily energy intake from fat."1(p286) Such a subjective definition reflects a conformist adherence to old ideas that emerge to be untenable in light of new powerful insights derived from evolutionary biology.
As Nesse et al2 have correctly remarked in their timely editorial "Medicine Needs Evolution," recently published in Science, "evolutionary thinking can help both biomedical researchers and clinicians ask useful questions that they might not otherwise pose."2(p1071) One of these "new questions whose answers will help improve human health"2(p1071) may well be as follows: Can diets containing 30% of energy as fat be reasonably defined "low fat"? Evolutionary considerations . . . [Full Text of this Article] AUTHOR INFORMATION
Riccardo Baschetti, MD
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