In overweight or obese adults, eating a short-term diet high in protein and restricted in calories lowers LDL cholesterol from 3.3 to 2.8 mmol/L, while a low-glycemic-index diet does not lower LDL...
Mechanism
Synthesis from 1 study
Eating more protein while cutting calories tells the liver to pull more bad cholesterol out of the blood by making more receptors that grab it. This happens quickly and specifically with protein, not just because of weight loss or eating fewer carbs.
Most probable mechanism
Eating more protein while cutting calories causes the liver to make more receptors that grab LDL cholesterol from the blood and remove it, lowering the amount of bad cholesterol in the body.
Dietary protein increases amino acid availability, particularly leucine, in the bloodstream
Elevated leucine and other amino acids modulate hepatic SREBP-2 transcription factor activity
SREBP-2 activation upregulates expression of LDL receptors on hepatocyte surfaces
Increased LDL receptor density enhances uptake and catabolism of circulating LDL particles by the liver
Reduced plasma LDL concentration results from accelerated clearance of LDL particles
Less supported by current evidence, but not ruled out
More protein in the diet prevents muscle loss during calorie restriction, which keeps the body's resting metabolism higher, leading to more fat burning and indirectly improving cholesterol levels.
Increased dietary protein elevates plasma branched-chain amino acids, especially leucine
Leucine activates mTORC1 signaling in skeletal muscle, stimulating protein synthesis
mTORC1 activation suppresses ubiquitin-proteasome-mediated muscle breakdown during energy deficit
Preserved muscle mass maintains higher resting energy expenditure
Higher energy expenditure increases reliance on fat stores for fuel, reducing lipid accumulation and improving lipid profile
More protein triggers gut hormones that signal fullness, causing people to eat less food without trying, which deepens the calorie deficit and helps lower cholesterol.
Dietary protein stimulates L-cells in the distal intestine to release glucagon-like peptide-1 and peptide YY
GLP-1 and PYY bind to receptors in the hypothalamus to suppress appetite and prolong satiety
Reduced ghrelin secretion decreases hunger signals from the stomach
Sustained satiety leads to lower spontaneous food intake beyond prescribed caloric restriction
Greater negative energy balance increases mobilization and oxidation of adipose tissue lipids
Evidence from Studies
Supporting (1)
Community contributions welcome
High-Protein or Low Glycemic Index Diet—Which Energy-Restricted Diet Is Better to Start a Weight Loss Program?
Contradicting (0)
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Gold Standard Evidence Needed
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