Modulation of insulin levels by carbohydrate consumption and effects on adipose tissue during weight loss: a review

Obesity prevention and weight loss are not simple issues, and any accurate model of obesity must include known physiological processes that hinder weight loss and promote weight gain. Despite all the advances in science, there is an increase in obesity, which is still associated with insulin resista...

Full description

Bibliographic Details
Authors: Araujo , Fernanda de Melo Lima, Silva, Leonardo Roberto Bosco da, Souza, Marcio Leandro Ribeiro de
Format: article
Status:Published version
Publication Date:2022
Country:Brasil
Institution:Instituto Brasileiro de Ensino e Pesquisa em Fisiologia do Exercício (IBPEFEX)
Repository:Revista brasileira de obesidade, nutrição e emagrecimento
Language:Portuguese
OAI Identifier:oai:ojs.www.rbone.com.br:article/1967
Online Access:https://www.rbone.com.br/index.php/rbone/article/view/1967
Access Level:Open access
Keyword:Insulin
Carbohydrates restriction
Obesity
Diet
Weight loss
Insulina
Restricción de carboidratos
Obesidad
Dieta
Perdida de peso
Restrizione di carboidrati
Obesità
Perdita di peso
Restrição de carboidratos
Obesidade
Perda de peso
Restrição de hidratos de carbono
Description
Summary:Obesity prevention and weight loss are not simple issues, and any accurate model of obesity must include known physiological processes that hinder weight loss and promote weight gain. Despite all the advances in science, there is an increase in obesity, which is still associated with insulin resistance and metabolic syndrome. There is evidence that low carbohydrate diets help in the remission of Type 2 Diabetes Mellitus, with an improvement in the lipid profile and reduction in liver fat. Insulin has the function of coordinating the use of glucose and free fatty acids, exerting anabolic control, and reducing the circulating concentration of all metabolic fuels. Such physiological action guided the insulin model of obesity to point out that diets rich in carbohydrates would increase weight by increasing insulin secretion. This literature review aimed to study how insulin modulation through the consumption of dietary carbohydrates can promote effects on adipose tissue during weight loss. Based on the available literature, it can be concluded that carbohydrate-restricted diets are useful tools in some clinical situations, but they are overestimated in helping to lose weight. High-quality published meta-analyses point to little or no difference, indirectly discarding the hypothesis that modulation of insulin levels by carbohydrate consumption would further reduce adipose tissue. It is recommended, if this dietary pattern is prescribed, monitoring adherence, in an effort to make it nutritionally complete and to avoid possible emergence of eating disorders.