Women with obesity who follow an 8-week low-energy diet with partial meal replacement lose an average of 7.5 kilograms, with 80% of the weight loss coming from fat mass and 20% from fat-free mass,...
Mechanism
Synthesis from 1 study
When the body gets less food than it needs, it burns fat for energy and saves muscle by using protein to make sugar instead of burning it. This happens no matter how much protein or carbs you eat, as long as the total calories are low.
Most probable mechanism
When the body gets less energy than it needs, it breaks down stored fat for fuel, and the amount of muscle lost stays low because the body slows down muscle breakdown and uses amino acids to make new glucose instead of burning them for energy.
A sustained energy deficit reduces circulating insulin levels and increases glucagon secretion, shifting metabolism from glucose storage to fat breakdown.
Lower insulin and elevated glucagon activate hormone-sensitive lipase in adipose tissue, releasing free fatty acids into the bloodstream for oxidation in liver and muscle.
Amino acids from dietary protein and tissue turnover are preferentially directed toward gluconeogenesis in the liver to maintain blood glucose, sparing muscle protein from degradation.
Ketone bodies are produced from fatty acid oxidation in the liver, providing an alternative fuel for the brain and reducing the need for glucose derived from muscle breakdown.
The combined effect of fat mobilization and preserved amino acid utilization results in a consistent ratio of fat mass loss to fat-free mass loss, regardless of macronutrient distribution.
Evidence from Studies
Supporting (1)
Community contributions welcome
Does a Higher Protein Diet Promote Satiety and Weight Loss Independent of Carbohydrate Content? An 8-Week Low-Energy Diet (LED) Intervention
Contradicting (0)
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Gold Standard Evidence Needed
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