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The Study

Habitual low carbohydrate high fat diet compared with omnivorous, vegan, and vegetarian diets

In simple terms

This study looked at what people ate and checked their blood, but didn’t make anyone change their diet. So it can say, 'People who ate more fat had higher cholesterol,' but it can’t say, 'Eating more fat causes higher cholesterol.'

44%

Analysis score

44/ 44

Maximum 44 for a cross-sectional study.

Where the score came from

Reporting0
Methodology43
Publication100
Statistical77
Study type (basis of the score)
Cross-Sectional Study
Level 4 - Case series
What’s the bottom line?

People eating lots of meat, cheese, and fat but little bread or fruit had higher bad cholesterol than vegans or omnivores—even though their blood sugar and inflammation were fine.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cross-Sectional & Case Series
Level 4
44

44 / 100

Quality score

Snapshots of a population at a single point in time, or descriptions of small groups. Can identify correlations and prevalence, but cannot determine cause and effect.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes—high LDL increases heart disease risk over time, even if short-term markers look okay.
  2. 271% of LCHF eaters had high LDL cholesterol; only 8% got enough fiber; saturated fat raised cholesterol, monounsaturated fat lowered it; fiber intake was 40% lower than other diets.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Frontiers in Nutrition

Year

2023

Authors

N. Bogataj Jontez, S. Kenig, K. Šik Novak, A. Petelin, Z. Jenko Pražnikar, N. Mohorko

Open Access
7 citations
Analysis v5

Related Content

Claims (6)

Assertion

It’s not just about eating less fat or less carbs—it’s more about whether the foods you eat are healthy (like veggies and whole grains) or unhealthy (like sugary snacks and processed meats).

Causal
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Assertion

People eating low-carb, high-fat food have about the same blood fat, sugar, and inflammation levels as those eating plant-based or meat-inclusive diets, so it doesn’t seem to hurt their short-term metabolism or blood sugar.

Descriptive
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Assertion

People who eat a lot of fat and very few carbs tend to have higher cholesterol numbers than those who eat plant-based or mixed diets, and more than 7 in 10 of them have cholesterol levels that doctors consider too high—especially if they’re eating super low-carb.

Descriptive
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Assertion

If you eat a lot of fat and very few carbs for half a year or more, the saturated fats in your diet tend to raise your bad cholesterol, while the monounsaturated fats might lower it — together, these fats explain about 40% of why your cholesterol levels go up or down.

Correlational
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Assertion

People who eat low-carb, high-fat diets tend to eat way less fiber than vegans, vegetarians, or meat-eaters, and only 8% of them get enough fiber — but they still get enough vitamins because they take supplements.

Descriptive
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Assertion

People who choose to eat very little carbs and lots of fat tend to have worse eating habits than vegans, vegetarians, and regular meat-eaters—mainly because they eat fewer whole grains, fruits, and healthy fats.

Correlational
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Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.