{"id":2531,"date":"2024-12-02T10:00:25","date_gmt":"2024-12-02T15:00:25","guid":{"rendered":"https:\/\/okdiario.com\/metabolic\/en\/?p=2531"},"modified":"2024-12-02T10:00:25","modified_gmt":"2024-12-02T15:00:25","slug":"this-is-why-most-people-struggle-to-stick-with-the-keto-diet-long-term-scientist-says","status":"publish","type":"post","link":"https:\/\/okdiario.com\/metabolic\/en\/nutrition\/diets\/this-is-why-most-people-struggle-to-stick-with-the-keto-diet-long-term-scientist-says-2531\/","title":{"rendered":"This is why most people struggle to stick with the keto diet long-term, scientist says"},"content":{"rendered":"<p>The keto diet, often hailed as a fast track to weight loss and improved health, has recently gained significant popularity. With its promise of quick results, it&#8217;s no surprise that about <strong><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0899900724000704\" target=\"_blank\" rel=\"noopener\">7% of Americans adopted the diet in 2022<\/a><\/strong>.<\/p>\n<p>Despite its widespread appeal, experts like Christopher Gardner, a professor of medicine at <a href=\"https:\/\/med.stanford.edu\/profiles\/christopher-gardner\" target=\"_blank\" rel=\"noopener\"><strong>Stanford University<\/strong><\/a>, believe that the diet has <strong>extreme restrictions<\/strong> that make it difficult to follow. Along with other nutrition specialists, Gardner highlights the challenges that keto followers face, including its restrictive nature and lack of long-lasting effects.<\/p>\n<h2>What makes the keto diet so hard to stick to?<\/h2>\n<p>The keto diet operates on the principle of <strong>drastically reducing carbohydrates to about 5% of total calorie intake<\/strong>. Gardner explains that this shift forces the body into a state of <strong>ketosis<\/strong>, where it burns fat for fuel instead of glucose. Achieving ketosis requires not just cutting carbs but also maintaining a <strong>high-fat intake of around 75% of daily calories<\/strong>.<\/p>\n<p>This approach creates an eating plan far removed from the average <strong>American diet<\/strong>, which typically consists of about <strong>50% carbs and 35% fat<\/strong>. Adhering to such a restrictive regimen means giving up bread, pasta, rice, potatoes, and most fruits. Even healthy grains and legumes, known for their fiber content, are off-limits.<\/p>\n<p><a href=\"https:\/\/www.health.harvard.edu\/authors\/nancy-oliveira-ms-rd-ldn-cdces\" target=\"_blank\" rel=\"noopener\"><strong>Nancy Oliveira<\/strong><\/a>, a dietitian at Harvard Medical School&#8217;s Brigham and Women&#8217;s Hospital, notes that the focus on fats and low carbs makes it hard to maintain a balanced diet, as <strong>you miss out on key vitamins and minerals<\/strong>. This can lead to deficiencies and digestive issues, like constipation, especially in the early stages.<\/p>\n<p>The high intake of saturated fats can also raise &#8220;bad&#8221; cholesterol. Gardner cautions that this and the diet&#8217;s low fiber content can risk heart health and gut microbiome diversity.<\/p>\n<h2>Keto diet effects: short-term wins, long-term challenges<\/h2>\n<p>For many, the keto diet&#8217;s biggest draw is its ability to promote <strong>rapid weight loss and improve markers like blood sugar and &#8220;good&#8221; cholesterol<\/strong> in the short term. This can be particularly beneficial for individuals with pre-diabetes or diabetes.<\/p>\n<p>However, the sustainability of these benefits is questionable. A 2019 meta-analysis found that <strong>the diet&#8217;s positive effects often diminish after six months<\/strong>, with most individuals unable to maintain the regimen for a full year. Gardner attributes this to its highly restrictive nature, which leads to diet fatigue.<\/p>\n<p>Beyond weight loss, some people use the ketogenic diet for medical reasons, such as <strong>managing epilepsy<\/strong>. But even in these cases, there are potential long-term side effects like an increased <strong>risk of kidney stones and gout<\/strong> due to elevated uric acid levels.<\/p>\n<h2>An alternative to the keto diet<\/h2>\n<p>If the keto diet isn&#8217;t sustainable for most, what&#8217;s the alternative? Experts like Gardner advocate for less restrictive, nutrient-rich eating plans, such as the <strong>Mediterranean diet<\/strong>. This approach emphasizes <strong>whole foods, healthy fats, and plenty of fiber<\/strong>, making it easier to maintain.<\/p>\n<p>&#8220;The Mediterranean diet is [&#8230;] not restrictive, and allows for more people to follow this pattern for longer periods of time&#8221;, Gardner explains. By reducing processed carbs and incorporating more unsaturated fats and fiber, people can achieve sustainable weight loss and improved health without the extreme sacrifices required by keto.<\/p>\n<p>In the end, while the keto diet may work for some in the short term, its rigid rules and potential health risks make it a challenging choice for most. For long-term success, focusing on <strong>moderation and balance <\/strong>\u2014not restriction\u2014\u00a0 could bring better results.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The keto diet, often hailed as a fast track to weight loss and improved health, has recently gained significant popularity. &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"This is why most people struggle to stick with the keto diet long-term, scientist says\" class=\"read-more button\" href=\"https:\/\/okdiario.com\/metabolic\/en\/nutrition\/diets\/this-is-why-most-people-struggle-to-stick-with-the-keto-diet-long-term-scientist-says-2531\/#more-2531\" aria-label=\"Read more about This is why most people struggle to stick with the keto diet long-term, scientist says\">Read more<\/a><\/p>\n","protected":false},"author":5,"featured_media":2537,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-2531","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diets","resize-featured-image"],"_links":{"self":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/2531","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/comments?post=2531"}],"version-history":[{"count":0,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/2531\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media\/2537"}],"wp:attachment":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media?parent=2531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/categories?post=2531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/tags?post=2531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}