The Study
Habitual low carbohydrate high fat diet compared with omnivorous, vegan, and vegetarian diets
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.'
Analysis score
Maximum 44 for a cross-sectional study.
Where the score came from
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 100Randomized Trials
Max 90Reviews of Cohort Studies
Max 85Cohort Studies
Max 72Reviews of Case-Control Studies
Max 63Case-Control Studies
Max 58Cross-Sectional & Case Series
Max 50Expert Opinion
Max 544 / 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.
Key takeaways
Summary
Based on the study abstract and findings.
- 1Yes—high LDL increases heart disease risk over time, even if short-term markers look okay.
- 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
Related Content
Claims (6)
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).
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.
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.
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.
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.
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.
Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.