Could a low-carb diet shorten your life?

Do you need these carbs?

Do you need some daily carbs?

A new study suggesting that a low-carb diet could shorten your life is all over media today. As usual when it comes to this kind of news piece, it is only based on food questionnaires (from 1987 to 1989 in this case), it’s just a statistical correlation, and it can’t – as the authors themselves say – prove anything.

Furthermore, as has been found in similar studies before, the correlation is not to low carb per se. Because people who eat a low-carb diet based mainly on plant sources have a longer average life than people eating higher-carb diets. So it’s only when looking at people eating higher-fat, meat-heavy diets that there’s a correlation:

Our data suggests that animal-based low carbohydrate diets, which are prevalent in North America and Europe, might be associated with shorter overall life span and should be discouraged.

Many similar studies have been published over the years with similar results. There are all kinds of huge weaknesses with them. The group of people who ate plenty of meat and fat during the 80s in the US – at the height of the fat phobia – appears on average not to have cared much about any healthy lifestyle advice. They smoked more, exercised less, consumed more alcohol, had a higher weight and more often diabetes, etc.

When these statistical studies find a link between a shorter life and a higher-fat, higher-meat diet, that diet often ends up getting blamed for everything, despite the study being completely unable to say what caused what (perhaps it was the smoking, drinking, driving fast, not exercising – who knows?).1

To conclude, the study is based on observational associations, that really can’t prove anything. Yes, people ignoring dietary advice, perhaps eating a “higher-fat” diet at McDonalds etc., or simply not caring about health advice in general, might be more likely to die a few years earlier. But this does not mean that the same applies to people who eat a healthy low-carb diet by choice – that’s a very different thing! And however anyone feels about it, no matter our bias, this study is just based on statistics and it simply can’t prove anything either way.

So how did the media do this time? The headlines below are actually pretty decent today, using words like “could”, “linked to” etc., with only one exception. CNN shows their ignorance with a headline that is simply incorrect, by using causal language. Sorry CNN, you may want to send your editors back to science class 101.

Most importantly, when looking beyond these weak statistical studies to higher-quality intervention trials (you know, where people actually try a low-carb diet), low-carb diets regularly result in more weight loss and improved health markers compared to other diets (list of studies and findings). And – important to at least one person – that’s what happened for me as well.


Dr. Aseem Malhotra does a good job commenting on the study for BBC World News:


Do unhealthy meat eaters live shorter lives?

Who is to blame for the obesity epidemic?

Why is there an obesity epidemic among Thai monks?

Low carb

  1. Sure, the studies do try to adjust for other differences between the groups, but that introduces even more uncertainty, plus it’s impossible to correct for everything.

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  1. Rosemary
    Thank you for addressing this. I was pretty sure the information in Lancet article could be dispelled. Fake news is prevalent everywhere! I would not be surprised if one of the big food corporations didn't pay someone to broadcast this news as much as possible, because I feel sure the new wave of eating responsibly, keto, paleo, etc., are all having an effect on their bottom line.
  2. Gavin
    I read the study and irrespective of any other problems it has (which are many and varied) they used a simple 61 question dietary questionnaire to determine food consumption at the start of the study and again at year six.

    They have no idea what the study participants have been eating for the last 19 years because they did not bother to ask them - unbelievable really.

    The study is of course filled with reams of "impressive" statistical guff which actually means nothing when the raw data is was applied to was questionable at best and 19 years out of date - garbage in garbage out

  3. 1 comment removed
  4. Peter
    I'm on day 9 of my Keto journey. On Day 2, I accidentally measured my blood sugar after drinking some fruit juice. I was surprised to see 92 mg/dl pop up on the meter. That night I took 1000 mg of Metformin. The next morning, Day 3, my blood sugar was 69 mg/dl! I stopped taking the Metformin, and my blood sugar has been less than 95 mg/dl every morning. I started taking Metformin on 2009. 9 years of taking that medicine, and my type 2 diabetes was reversed in 2 days on this diet! Surely that's not going to kill me sooner then remaining a diabetic.
  5. Guy
    I have been on the Keto Diet and have been Fasting for 23 1/2 hours every day for the past month. I feel fantastic!!! I plan on being LCHF and IF for life! The big food and pharmaceutical companies are running scared! I am passing the good news on to everyone I know here in Gatineau, Québec!

    Au revoir!


  6. Shanka
    The news is running with the low carb and mortality story... This one talks about safely coming off keto in 7 easy steps

    How do you all counter this? Considering low carb works very well for lots of people. Are there country research articles in the media?

  7. Stephen
    Please ... could everyone use SI units, as utilised in Canada and Mexico (I think), Europe and almost the entire rest of the world except the USA?

    I understand well that my total cholesterol (TC) is 5.1 mmol/l and of this the HDL is 2.0. The overall situation seems to be fairly healthy for age 65.

    Sorry but I wouldn't have a clue what my TC or HDL are in your units. Nor do I understand US quoted vitamin D or triglyceride levels. It's more than my middle-aged brain wants to deal with.


    By the way, I'm a thin person who struggles to gain weight but just wants to stay healthy. Longevity is said to be linked to strength and hence muscle mass. Yet for thin people, maintaining muscle definitely needs some Cs.

    I react to any discussion of 'weight gain' by thinking 'I'd like some of that'. I feel sorry for people who gain too much weight but I still wonder if I'm doing the right thing even by eating moderately LC @~125-150 g/day.

    My formerly plump friends are often on 25-50 g/day yet weigh more than I do. I tried going lower, on their advice, but started to lose muscle mass and couldn't exercise as before. Apparently I can't cope with VLC.

  8. Olga Frightened by this article. Is it true?
    Replies: #60, #61
  9. Gentiann
    This study is about mice, not humans !
    A mouse reacts very differently on a high fat diet.
  10. Kristin Parker Team Diet Doctor
    Olga, as Gentiann points out, that study was done on mice. There is no current evidence indicating humans would react the same.
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