The ketogenic diet, commonly known as keto, is a popular eating regimen that involves a high-fat, low-carbohydrate approach to food. While it has been praised for its quick weight loss results, there are concerns about its long-term effects on the body. The diet restricts carbohydrates to 20-50 grams per day, which can be challenging to maintain and may result in nutritional deficiencies. Some health experts warn that following keto for an extended period may lead to vitamin or mineral deficiencies, affect athletic performance, and even cause weight regain if the strict guidelines are relaxed. There are also potential risks for specific populations, such as pregnant individuals and those with kidney disease. While keto may offer short-term benefits, the lack of long-term research and potential health complications suggest that it may not be a sustainable diet for everyone.
Characteristics | Values |
---|---|
Vitamin or mineral deficiencies | Possible due to cutting out fruits and vegetables |
Athletic performance | May decrease |
Weight regain | Likely if rules are relaxed |
Blood vessel damage | Possible |
Chronic disease risk | May increase |
Nutritional deficiencies | Possible |
Insufficient fiber | Possible |
Long-term health risks | May outweigh short-term benefits |
Unsuitable for | Pregnant people, people who may become pregnant, and those with kidney disease |
What You'll Learn
May lead to vitamin or mineral deficiencies
The keto diet is highly restrictive, and long-term adherence may result in vitamin and mineral deficiencies. The diet involves cutting out or significantly reducing many healthy foods, including fruits, whole grains, legumes, starchy vegetables, and dairy.
Fruits and vegetables, in particular, are excellent sources of antioxidants, vitamins, and minerals. By eliminating or reducing these food groups, individuals following a keto diet may miss out on essential nutrients over time.
One of the most significant concerns is a potential fibre deficiency, as whole grains are a major source of this nutrient. Fibre has been linked to various health benefits, including a reduced risk of heart disease, stroke, and type 2 diabetes, as well as improved digestive health.
Additionally, the keto diet may be low in certain vitamins and minerals typically obtained from nutrient-rich vegetables, fruits, and whole grains. This can have negative consequences for overall health and well-being.
To mitigate these risks, it is important for individuals following a keto diet to ensure they are still obtaining adequate amounts of essential vitamins and minerals through their diet. This may involve careful planning and supplementation, in consultation with a healthcare professional.
However, the highly restrictive nature of the keto diet makes it challenging to adhere to long-term, and many experts recommend a more balanced and sustainable approach to nutrition and weight management.
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May affect athletic performance
The keto diet has been linked to a decrease in athletic performance. In a 2019 study published in the Journal of Sports Medicine and Physical Fitness, researchers found that participants performed worse on high-intensity cycling and running tasks after four days on a ketogenic diet compared to those who spent the same amount of time on a high-carb diet.
The body is in a more acidic state when it's in ketosis, and this may limit its ability to perform at peak levels. While the keto diet can help athletes lose weight, which can be beneficial for speed and endurance, lead researcher Edward Weiss, PhD, expressed concern that the benefits of weight loss are being attributed to something specific in the ketogenic diet. He suggested that the benefits of weight loss could be at least partially cancelled out by reductions in performance.
The keto diet is extremely restrictive, and it can be challenging to adhere to it for an extended period. It requires cutting back on carbohydrates to 50 grams or less per day, which means cutting out not just unhealthy foods like white bread and refined sugar, but also fruits and certain vegetables. This can lead to vitamin and mineral deficiencies, as well as a lack of fibre in the diet.
Additionally, the keto diet can be difficult to follow due to the restriction of many food groups, and it may not be suitable for everyone. Some people may experience negative side effects such as extreme fatigue and foggy-headedness, also known as "keto flu". It is important to carefully consider your lifestyle and what you are willing to give up before starting the keto diet.
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May cause weight regain if rules are relaxed
Even if you've achieved your desired weight, it may be time to transition off the keto diet. While some people have success staying on keto for an extended period, long-term research is limited, and experts recommend staying on keto for six months maximum before reintroducing more carbs to your diet.
The keto diet is restrictive, and many people find they can't stay on it for very long. Because there are so many banned foods, long-term keto diets can result in nutritional deficiencies.
If you transition off keto, you may find yourself regaining weight. However, this can be done healthily and gradually. You can start by slowly decreasing your fat intake while upping your intake of lean proteins, vegetables, and wholesome carbohydrates, like fresh fruit, whole grains, and beans.
- Gradually increase your carb intake by adding in around 50-75 grams of daily carbs each week at most.
- Find your desired carb range by aiming for a number of carbohydrates that allows you to eat a greater variety of foods so that you don't feel restricted but can still maintain your weight and feel good.
- Add more protein to your plate with beans, tofu, chicken, fish, and lean cuts of red meat.
Remember, the key to keeping weight off post-keto is to adopt some of the healthy behaviours you developed while on the diet.
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May damage blood vessels
The ketogenic diet may damage blood vessels, according to researchers from the University of British Columbia. In a 2019 study, they found that indulging in a high-sugar treat while on a high-fat, low-carb diet can damage blood vessels. Senior author Jonathan Little, an associate professor at the School of Health and Exercise Sciences, warned that "blasting" blood vessels with glucose could undo some of the positive impacts of the keto diet.
The study found that a "cheat day" on the ketogenic diet can have long-term consequences. Little cautioned that the ketogenic diet is not something that can be followed for six days a week with a break on the seventh day. The researchers' findings suggest that a strict adherence to the diet is necessary to maintain its benefits.
The potential damage to blood vessels is a concern for health experts, who warn that the long-term effects of the keto diet are still unknown. While the diet has been shown to be effective for weight loss, there may be negative health consequences that outweigh the benefits.
The keto diet is characterised by a high intake of fat and a very low intake of carbohydrates. This typically includes the consumption of meats, fish, nuts, and fibrous vegetables, while eliminating most fruits, grains, beans, starchy vegetables, and sweets. The diet aims to reach a state of ketosis, where the body uses fat for fuel instead of glucose from carbohydrates.
However, the restriction of carbohydrates can lead to nutritional deficiencies and a lack of fibre. The diet may also increase the risk of heart disease, with studies showing that low-carb diets are associated with a higher risk of atrial fibrillation and higher cholesterol levels.
Therefore, the potential damage to blood vessels is a serious concern for those considering the keto diet. While it may be effective for weight loss, the long-term health consequences are still unknown and may include damage to blood vessels.
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May increase risk of chronic disease
The ketogenic diet, or keto, is a high-fat, low-carbohydrate diet that has gained popularity for its weight loss results. However, health experts warn that following this diet for an extended period may have negative consequences. One concern is the potential increase in the risk of chronic diseases, such as cancer, heart disease, and Alzheimer's Disease.
The keto diet typically involves consuming large amounts of red meat, animal products, and processed foods, while limiting fruits, vegetables, whole grains, and other nutrient-rich sources. This imbalance can lead to a higher risk of developing chronic diseases.
Research has found that the keto diet may be especially unsafe for certain groups, such as pregnant people, those who may become pregnant, and individuals with kidney disease. The restriction of carbohydrates in these populations is linked to an increased risk of birth defects, gestational diabetes, and complications for those with kidney disease.
Additionally, the high consumption of animal products and processed foods on the keto diet is associated with an increased risk of cancer. A study by Neal Barnard, MD, FACC, found that the keto diet contains food types that are linked to cancer risks.
Furthermore, the long-term maintenance of a keto diet may also impact heart health. The diet can lead to an increase in total cholesterol levels, including low-density lipoprotein cholesterol ("bad cholesterol"), which is a risk factor for cardiovascular disease.
While the keto diet may be beneficial for short-term weight loss, the potential risks associated with long-term adherence to this diet, such as the increased risk of chronic diseases, should be carefully considered.
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Frequently asked questions
There is limited long-term research on the keto diet, but health experts have warned that it could be dangerous. Potential risks include vitamin or mineral deficiencies, damage to blood vessels, and an increased risk of heart disease, cancer, and Alzheimer's Disease.
If you are experiencing extreme fatigue and fogginess, you may be suffering from "keto flu", which can occur when your body starts to rely on ketones from burnt fat instead of glucose from carbohydrates. Other symptoms include irritability and decreased athletic performance.
If you are thinking of stopping the keto diet, it is recommended that you do so gradually. You can start by slowly increasing your carbohydrate intake by 50-75 grams each week, while continuing to eat healthy, organic whole foods. It is also important to monitor your weight, how you feel, and other health markers such as blood sugar and physical performance.
If you are looking for alternatives to the keto diet, you may want to consider plant-based or vegan diets, which can be lower in cholesterol, blood pressure, and blood sugar. The Mediterranean diet is also a popular alternative that includes more variety in foods.