Review Protocol

Scientific literature search for low-carbohydrate studies

Inclusion Criteria

Studies in the English language, published from January 1 2000 to mid-2019 on are low-carbohydrate diet interventions and the following outcome measures: 

  • Efficacy in the treatment of metabolic disorders including type 1 diabetes, type 2 diabetes, metabolic syndrome, pre-diabetes; overweight and obesity; cardiovascular disease and related conditions 
  • Safety of a low-carbohydrate diet interventions; e.g., liver and kidney function 

Study populations: human subjects of any age, all genders, nationalities, and race/ethnicities. 

Study designs

Type of studies included:

  • Trials (single-arm, multiple-arm; randomized, non-randomized; crossover) 
  • Systematic reviews of trials; systematic reviews of meta-analyses of trials. The systematic reviews may or may not include a meta-analysis.
  • Patient and health care provider surveys

Exclusion Criteria

The literature search will exclude studies on a low-carbohydrate diet and the following outcomes:

  • Treatment for neurological conditions and diseases 
  • Gestational diabetes
  • Cancer
  • Exercise and athletic performance 
  • Surgery for obesity

Search terms

  • Low-carbohydrate
  • Lower carbohydrate
  • Ketogenic
  • Carbohydrate restriction
  • Carbohydrate-restricted
  • High protein
  • High fat
  • Restricting carbohydrate
  • Moderate carbohydrate
  • Dietary pattern
  • Diet composition
  • Atkins diet
  • NOT seizures, epilepsy, neurological, brain, neurodegenerative, mice, rats

Search sources:

PubMed

Search summary

The search and summary will follow these steps:

  1. # articles identified through database search (2514) 
  2. # articles excluded based on titles and abstracts and reasons for exclusion per inclusion criteria (2301) =213
  3. removal of any duplicates (2 removed)
  4. 211 full-text articles assessed for appropriateness = 139 kept (99 of these already in database; others for which full article not accessible still need review)
  5. 101 additional articles identified through other sources (includes 99 noted above) + potentially more
  6. # articles included = potential 240 (pending review of some full articles)
  7. # removed b/c full article not available – 2 = 238

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