Javier Gonzalez Profile picture
Nov 3, 2022 11 tweets 6 min read Read on X
Restricting total carbs has a much bigger effect than just restricting sugars in the first 24 hours

Check out our latest study (led by @AaronHengist) on carb and sugar restriction 🧵 (1/11)

doi.org/10.1007/s00394…

#lchf #lowcarb #carbs #highfat #keto #ketogenic #diet #health
The main aim was to see if restricting sugars or total carbs alters physical activity levels

This is because previous studies suggested fasting can lower physical activity & this can happen quickly

We wanted to know if this was due to carbs or energy

What did we find?
2/11
25 people (15 female) ate 3 diets for 24 hours with a variety of metabolic and energy balance measures
3/11
Fuel use changed rapidly

Low-carb increase fat oxidation 🔥 and decreased carb oxidation within hours

Restricting just sugars made little difference 🍬
4/11
Similarly, blood sugar and insulin responses didnt differ much with sugar restriction but were much lower with total carb restriction.

This might be surprising but makes sense with the knowledge that table sugar has a lower glycemic index than many non-sugar carbs 🍬🍚
5/11
One of the only differences with sugar restriction was blood lactate concentrations

Probably because fructose is converted into lactate by the liver and thereby provides fuel for the brain and muscle 🧠 💪🏻
6/11
Levels of fat in the blood were higher after the low-carb, high-fat breakfast, and were lower the following morning when fasted

This likely reflects increased fat oxidation 🔥
7/11
Ketosis was rapidly induced by the low-carb diet, especially in women

Remarkably, women also showed increased LDL-cholesterol within 24 h of low-carb 🍳🥓
8/11
Despite these large changes in metabolism, differences in physical activity and energy intake were pretty much absent

9/11
Summary

Restricting total carbs affects metabolism rapidly and more drastically than just restricting sugars

Some effects were larger in women than men

Energy balance (short-term) was unaffected

Stay tuned for the 12-week data!
10/11
Thanks to @rankprize @UniofBath & Cosun Nutrition Center for funding, and participants for their efforts!

11/11

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More from @Gonzalez_JT

Feb 26
HOW ACCURATE IS YOUR GLUCOSE MONITOR?

Our latest paper shows that a continuous glucose monitor (CGM) can overestimate blood glucose, and the size of this bias varies by person and the meal/beverage ingested… see below for more



@AJCNutrition ajcn.nutrition.org/article/S0002-…Image
CGMs measure glucose in interstitial fluid, then use algorithms to estimate what the blood glucose concentration is

Many factors could affect the ability for a CGM to accurately estimate blood glucose, and these could vary between people and when glucose fluxes are changing Image
In this study we compared CGM to capillary samples across a range of test foods/beverages Image
Read 10 tweets
Dec 5, 2024
INDUSTRY BIAS IN NUTRITION RESEARCH?

One type of bias is publication bias (aka desk draw bias)

Not publishing some studies due to the direction or strength of their findings

eg. if findings do not conform to a hypothesis

Is there evidence of this bias in nutrition research? Image
Funnel plots are an objective way to assess for evidence of publication bias

Asymmetry of association strength/effect size versus precision of estimate = evidence of publication bias Image
Data here are from a meta-analysis of the association between sugar-sweetened beverages (SSBs) and obesity

Looks like asymmetry (open circles)

Take a guess in the poll below what type of studies the open circles are then read on to find out the answer
doi.org/10.2105/ajph.2…Image
Read 9 tweets
Aug 5, 2024
What happens if people restrict either dietary #sugar or all carbohydrates (#ketogenic diet)?

🍝vs🍬vs🥓

Our latest 📝 assessed energy expenditure 🏃‍♀️, energy intake 🍽️ metabolism 🩸💪🏻 and other outcomes

A 🧵

🔗

#lowcarb #keto #diet #food doi.org/10.1016/j.xcrm…

Image
Image
What did we ask people to do and did they do it?

People were asked to stick to these 3 diets

They could eat as much/as little as they liked as long as they stuck to these ratios

Urinary ketones confirmed people were in ketosis on the low carb (LOWCHO) diet Image
Another compliance marker was respiratory exchange ratio (RER)

This was lowered by lowcarb in
1)the fasted state 🍽️
2) postprandial state 🥘
and 3) during exercise 🏃‍♀️

doi.org/10.1016/j.xcrm…
Image
Read 19 tweets
Apr 18, 2024
Are women more or less variable than men when it comes to metabolism?

Are there implications for excluding men/women from specific studies?

Check out our latest paper led by @lfbradshaw @JariyaBuniam exploring this

🔗
#sex #gender #female #women
🧵 👇 doi.org/10.1152/japplp…Image
The idea that males display more between-individual variance than females has been considered for >150 years

In humans, this might be (partly) due to averaging of two parental copies in the homogametic sex but not in the heterogametic sex. Image
Since (premenopausal) women display greater day-to-day variance in sex hormones, it is reasonable to assume that women may display greater day-to-day variance in metabolic outcomes affected by sex hormones.

But do data support this?

And first, why does this matter?
Read 8 tweets
Mar 31, 2023
Should people be concerned with blood glucose concentrations if they don’t have prediabetes or diabetes?
1/10

#glucose #health #biohack #science #metabolism #cgms #hba1c #sugarspikes
For context, the relationship between LDL-cholesterol concentration and coronary heart disease risk appears linear across the entire physiological range

What about glucose?
2/10
For glucose, it might depend how it’s measured:

STANDARDISED TESTS (reflect underlying physiology)
-Fasting [glucose]
-2-h [glucose] post-OGTT

FREE-LIVING MEASURES (reflect underlying physiology x acute behaviour)
-HbA1c
-CGMS variables

What do the data show?
3/10
Read 10 tweets
Feb 23, 2023
If you start running daily and burn 500 kcals on the🏃‍♀️will this increase total daily calorie burn by 500 kcals or not?

Yes = ADDITIVE (Panel A)
No = CONSTRAINED (Panel B)

Take the poll👇 & read the 🧵to find out more
1/14
#metabolism #energy
Does increasing physical activity directly add to total energy expenditure (ADDITIVE)

or

is total energy expenditure constrained by compensatory reductions in other components (CONSTRAINED)?
2/14
This question has become increasingly discussed over recent years.

Our latest paper critiques the evidence for and against these models.

🔗doi.org/10.1016/j.advn…

Big team effort from @DrDylanThompson @GregLJMU @Alan_Batterham
3/14
Read 14 tweets

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