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Clinical Implications for Women of a Low-Carbohydrate or Ketogenic Diet With Intermittent Fasting.

Abstract
Obesity in the United States is pervasive and associated with morbidity, mortality, and increased health care costs. For women, obesity may affect stages of life including early menarche, fertility, pregnancy, and menopause as a result of hormonal imbalances and insulin resistance. The insulin-carbohydrate model of obesity has been proposed as an explanation for growing obesity rates and can be used to target weight loss strategies by increasing insulin sensitivity. Together, low-carbohydrate dietary patterns along with intermittent fasting may help individuals with insulin resistance not only lose weight but also increase their insulin sensitivity. The purpose of this article is to review the epidemiology and physiology of obesity and the indicators for health while outlining strategies for nurses and other clinicians to use when counseling women who are following a low-carbohydrate or ketogenic diet with intermittent fasting for weight management.
AuthorsMegan W Arbour, Melissa Stec, Kelly C Walker, Judith C Wika
JournalNursing for women's health (Nurs Womens Health) Vol. 25 Issue 2 Pg. 139-151 (Apr 2021) ISSN: 1751-486X [Electronic] United States
PMID33838849 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2021 AWHONN. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Blood Glucose
  • Dietary Carbohydrates
  • Insulin
Topics
  • Blood Glucose
  • Diet, Carbohydrate-Restricted
  • Diet, Ketogenic
  • Dietary Carbohydrates (administration & dosage)
  • Fasting (adverse effects)
  • Female
  • Humans
  • Insulin
  • Insulin Resistance
  • Obesity
  • Weight Loss

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