Meta-analytic evidence suggests that self-regulatory behavior change strategies, such as self-monitoring, play a crucial role in increasing adherence to diet and healthy behaviors. Adherence to a diet requires considerable cognitive and self-regulatory resources daily at every meal or eating opportunity. The effectiveness of any diet is limited by an individual’s ability to adhere. When compared to other dietary approaches, the ketogenic diet also provides a unique opportunity to follow and track a biomarker in the form of ketone levels that may provide useful and actionable information. A ketogenic or low-carbohydrate diet may also be beneficial because it can potentially increase energy expenditure during weight loss maintenance. Accumulating evidence suggests that ketones mediate reduced feelings of hunger when individuals follow a ketogenic diet, which could help facilitate sustained weight loss.
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On a ketogenic diet, when carbohydrate intake is kept very low (<50 g/day), high rates of lipolysis increase delivery of free fatty acids to the liver, which converts them into ketone bodies (β-hydroxybutyrate, acetoacetate, and acetone) that the brain and body can use as an alternative fuel source. Therefore, novel dieting techniques must be explored in order to successfully treat obesity and lower disease risk.Īlthough many different dietary approaches can lead to weight loss, increasing evidence suggests that a very low–carbohydrate ketogenic diet may have superior metabolic and weight loss effects.
Unfortunately, conventional calorie restriction diets often fail to produce long-term weight loss. It is estimated that over 40% of adults worldwide attempt weight loss diets each year. Obesity is a major risk factor for a variety of diseases, including type 2 diabetes, cardiovascular diseases, musculoskeletal disorders, and some cancers.
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