causal
negative effect
No Evidence

Eating very few carbs and more fats for 12 weeks makes the dangerous belly fat around organs shrink by about a quarter in people who have too much body fat.

Scientific Claim

A very low-carbohydrate high-fat diet significantly reduces visceral adipose tissue mass by approximately 23% in overfat adults after 12 weeks, independent of exercise intervention.

Evidence Quality Assessment

Claim Status

overstated

Study Design Support

Design supports claim

Appropriate Language Strength

probability

Can suggest probability/likelihood

Assessment Explanation

The study shows association between VLCHF diet and VAT reduction, but total energy intake also decreased in VLCHF groups, so the effect may be partly due to caloric deficit rather than macronutrient composition alone. Authors acknowledge this limitation.

More Accurate Statement

A very low-carbohydrate high-fat diet is associated with a significant reduction in visceral adipose tissue mass by approximately 23% in overfat adults after 12 weeks, though this effect may be partly due to reduced caloric intake.

Source Excerpt

VAT mass (g) reduced by 23.2 % (median; 95% CI: [25.9; 17.0] %) in the VLCHF group and 17.6 % [23.9; 12.0] in the VLCHF+HIIT group while these changes were not significant after 12 weeks in both the HIIT and Control groups.

Evidence from Studies

Supporting Evidence (1)

Why it supports

The RCT design with randomization and control group shows a statistically significant VAT reduction specifically in VLCHF groups compared to HIIT and control groups. The study measured VAT mass using DXA, which has high reliability (ICC > 0.98), and found consistent reductions across multiple time points.

⚠️ Overstated

The study shows association between VLCHF diet and VAT reduction, but total energy intake also decreased in VLCHF groups, so the effect may be partly due to caloric deficit rather than macronutrient composition alone. Authors acknowledge this limitation.

More accurate phrasing:

A very low-carbohydrate high-fat diet is associated with a significant reduction in visceral adipose tissue mass by approximately 23% in overfat adults after 12 weeks, though this effect may be partly due to reduced caloric intake.