Diet Approaches Based on Macronutrient Composition

Low Calorie

Low-Energy Diet

Low-energy diets have a low number of total calories, about 800 to 1,200 kilocalories per day (kcal/ d). Those less than 800 kcal/d are known as very low-energy diets.

Advantages

  • Rapid weight loss
  • Useful for overweight/obese populations
  • May improve health markers

Disadvantages

  • Increased risk of muscle loss
  • Decreased athletic performance
  • Increased risk for micronutrient deficiencies
  • Increased hunger and difficult adherence

Low Fat

Low-Fat Diet

A diet with fat intake around 20 to 35% of total calories.

Advantages

  • Reduced body weight and body fat
  • Improved health markers

Disadvantages

  • Limits food choices
  • May decrease certain sex hormones

  • Potentially difficult adherence

Low-Carb

Low-Carbohydrate Diet

A diet where carbohydrate content is 40% or less of total calories.

Advantages

  • Reduced body weight and body fat
  • Improved health markers
  • Avoidance of hyperpalatable (sugary) foods

Disadvantages

  • Suboptimal diet for certain athletes
  • Potential for increased cholesterol consumption

  • Potentially difficult adherence

Ketogenic

Ketogenic Diet

A diet where carbohydrate content is less than 5% of total calories, protein intake is moderate (20 to 30%) and fat intake is high (65 to 75%).

Advantages

  • Effective for patients with epilepsy
  • Weight loss
  • Improved health markers
  • Avoidance of hyperpalatable (sugary) foods

Disadvantages

  • Potential for increased LDL cholesterol
  • Potential nausea and vomiting at initiation of diet

  • Potential fatigue and headaches at initiation of diet
  • Potentially difficult adherence

High-Protein

High-Protein Diet

A diet containing more than 25% of total calories from protein.

Advantages

  • Weight loss
  • Muscle gain when combined with resistance training
  • Improved health markers

Disadvantages

  • Potentially dangerous for people with existing kidnev disorders
  • May restrict fiber intake if fiber-rich foods are not consumed

  • Potentially difficult adherence