Как распределение БЖУ влияет на похудение

С помощью научных данных Зожник пытается разобраться, влияет ли распределение макронутриентов — белков, жиров и углеводов — на похудение.

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Когда дело касается похудения, одна часть фитнес-энтузиастов встает на защиту низкоуглеводной диеты, при этом другая часть считает, что для похудения абсолютно не обязательно отказываться от углеводов. Что же по этому поводу считает наука?

Пропорция БЖУ и похудение

В 1996 году швейцарскими специалистами из Университета Женевы был проведен эксперимент, целью которого было выявить разницу в потере веса при потреблении высокоуглеводной и низкоуглеводной диет. В испытании приняло участие 43 человека с ожирением, которые получали одинаковое количество калорий, но с разной пропорцией нутриентов. На БЖУ у двух групп приходилось:

  • У первой группы – 32% калорийности из белка, 15% из углеводов и 53% из жиров,
  • У второй группы – 29% из белка, 45% из углеводов и 26% из жиров.

В результате после 6 недель испытания между двумя группами не было выявлено значительной разницы в потере веса. Группа, у которой на углеводы приходилось 15% от общей калорийности, потеряла в среднем 8,9 кг, а группа, у которой на углеводы приходилось 45% – 7,5 кг.

В 2009 году в The New England Journal of Medicine было представлено исследование, в котором приняло участие 811 человек с ожирением. Испытуемых разделили на 4 группы, каждая из которых потребляла калории со следующим распределением нутриентов:

  • Жиры – 20%, белок – 15%, углеводы – 65%,
  • Жиры – 20%, белок – 25%, углеводы – 55%,
  • Жиры – 40%, белок – 15%, углеводы – 45%,
  • Жиры – 40%, белок – 25%, углеводы – 35%.

После 6 месяцев все испытуемые в среднем потеряли 6 кг веса независимо от пропорции потребляемых нутриентов. В своем заключении ученые указали, что снижение калорийности приводит к клинически значимой потере веса независимо от того, какому нутриенту отдается преимущество.

Представим еще одно исследование, которое изучало эффект низкоуглеводной диеты на похудение. В этом рандомизированном контролируемом исследовании, которое длилось 1 год, приняло участие 63 человека с ожирением, которые были разделены на 2 группы. Первая группа придерживалась диеты с низким количеством углеводов и высоким количеством белка и жира, а вторая придерживалась традиционной высокоуглеводной диеты с низким содержанием жиров.

В результате группа с низким потреблением углеводов потеряла больше веса в первые 3 месяца – в среднем 6,8% от общего веса (против 2,7 % у высокоуглеводной группы), а на отметке 6 месяцев – 7% (против 3,2% у высокоуглеводной группы). При этом на отрезке в 12 месяцев разница между группами значительно сократилась и составила всего 2%.

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В выводе исследователей отмечено: «В первые 6 месяцев низкоуглеводная диета обеспечивает более значительную потерю веса, чем диета с высоким содержанием углеводов, однако на отметке в 1 год разница будет незначительной… Для определения безопасности и эффективности долговременных низкоуглеводных диет с высоким содержанием жиров и белка требуются более длительные исследования с участием большего количества участников».

Мнение Examine.com

Ученые из Examine вспоминают о хорошо контролируемом исследовании, которое изучало эффект различных изокалорийных диет (одинаковых по количеству калорий), состоящих на 15% из протеина, от 15 до 85% из углеводов и от 0 до 70% из жиров. В ходе эксперимента было выявлено, что пропорция нутриентов не имеет большого значения для похудения.
И все же, почему именно на низкоуглеводных диетах люди в первое время теряют немного больше веса, чем на диетах со сравнительно высоким количеством углеводов? Причина очень проста – как только человек резко снижает потребление углеводов, вместе с истощением гликогеновых запасов теряется и запасаемая с гликогеном вода. Это и объясняет, почему в исследованиях выше наблюдалась более значительная потеря веса в первые месяцы, но не на отметке в 12 месяцев.

А существует ли идеальное соотношение макронутриентов?

В своем материале «Действительно ли калория равна калории» Лайл МакДоналд подчеркивает, что практически во всех исследованиях, в которых потребление калорий строго контролировалось, независимо от выбранной пропорции нутриентов различия в потере веса были минимальными.

Есть люди, которые теряют на 1-1,5 кг больше жира на циклической низкоуглеводной диете по сравнению с теми, кто придерживается диеты с умеренным количеством жиров и углеводов. Однако вы также без проблем найдете людей, которые получают такие же результаты на диете с высоким количеством углеводов. Дело в генетических отличиях между людьми и/или в чем-нибудь еще. Кто-то добьется лучшего результата на низкоуглеводной диете с высоким количеством жиров, а кто-то – с высоким количеством углеводов, но малым количеством жиров.

В большинстве случаев в исследованиях, в ходе которых испытуемые потребляют адекватное количество белка (или, по крайней мере, близкое к таковому), разные пропорции углеводов и жиров в условиях одинаковой калорийности, как правило, оказывают минимальное влияние на результаты. Если же иногда какой-либо эффект и отмечается, то, как правило, он очень незначительный и крайне переменный.

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МакДоналд также отмечает, что в своей практике он часто наблюдал, как некоторые люди добиваются немного лучших результатов на одной диете по сравнению с другой, однако подчеркивает, что значительного превосходства какой-либо диеты над другой он не заметил.

Так как же узнать, какая диета будет максимально подходить конкретному человеку? Все тот же МакДоналд в своей серии статей под названием «Сравнение диет» рассуждает о 3 разновидностях диет:

  • Низкоуглеводная/высокожировая (жиры – 40% и более от калорийности, углеводы – менее 20% от общей калорийности),
  • Высокоуглеводная/низкожировая (углеводы – 45% и более, жиры – менее 25-30%),
  • Диета с умеренным количеством жиров и углеводов (20-45% – углеводы, от 25-35% до 40% – жиры).

В целом, выбор пропорции нутриентов должен основываться на таких факторах, как чувствительность к инсулину, уровень физической активности, самочувствие и, конечно же, личные предпочтения.

Если человек с ожирением мало двигается и страдает от резистентности к инсулину (к примеру, человек с преддиабетом или диабетом 2 типа), ему, скорее всего, подойдет низкоуглеводная/высокожировая диета. Для человека, который очень много двигается и тренируется, и при этом его организм прекрасно отзывается на высокое количество углеводов в диете (у него высокая чувствительность к инсулину), подходящей будет высокоуглеводная диета. Если же у человека с умеренным уровнем активности (к примеру, 3 тренировки в неделю умеренной или высокой интенсивности по 1 часу) нет больших проблем с чувствительностью к инсулину, в его случае можно использовать диету с умеренным количеством жиров и углеводов.

Ниже представлена таблица, в которой Лайл попытался предоставить приблизительные рекомендации:

Снимок экрана 2016-03-17 в 8.25.51

Стоит отметить, что эти рекомендации не должны восприниматься слишком буквально, ведь резистентность (низкая чувствительность) к инсулину встречается даже у достаточно худых людей, что обусловлено фактором наследственности. Пробуйте разные подходы при расчете пропорции нутриентов, сравнивайте результаты, отслеживайте свое самочувствие. Недаром в мире фитнеса «ходит» фраза о том, что конкретной диеты, которая идеально бы подходила абсолютно для всех, не существует.

О роли протеина при расчёте пропорции нутриентов

Как вы уже поняли, идеальной пропорции нутриентов для похудения не существует. Однако главным образом это касается углеводов и жиров; в отношении белка у ученых вопросов не возникает, и это подтверждается в исследованиях.

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Специалистами из Университета Пердью было проведено рандомизированное исследование, в котором 2 группы мужчин питались с одинаковым дефицитом калорий (минус 750 ккал от расхода энергии), потребляя либо 0,8 г белка на 1 кг массы тела, либо 1,4 г белка. После 12 недель эксперимента ученые проанализировали данные и выявили, что обе группы испытуемых потеряли приблизительно одинаковое количество веса, однако группа, потреблявшая 1,4 г белка на 1 кг массы тела, потеряла на 1 кг меньше мышечной массы.

Еще одно исследование было представлено в журнале Nutrition & Diabetes в 2012 году. В нем 68 участников были разделены на 2 группы со следующим распределением нутриентов:

  • Протеин – 35%, углеводы – 40%, жиры – 25%,
  • Протеин – 17%, углеводы – 58%, жиры – 25%,

В результате после 12 месяцев обе группы потеряли приблизительно одинаковое количество веса (12,3 кг у первой группы против 10,9 кг у второй), при этом разница в потере жировой массы была более существенной – 9,9 кг у первой группы против 7,3 кг у второй (разница в 2,6 кг).

Данные этих исследований говорят о том, что потребление высокого количества белка должно составлять основу любой диеты для похудения, и Лайл МакДоналд подтверждает эту мысль в своей статье о калориях.

При одинаковой калорийности люди, которые потребляют адекватное количество белка (минимум 1,5 г протеина на 1 кг массы тела), всегда сохранят больше мышц по сравнению с теми, кто потребляет очень мало белка. Более того, исследования показывают, что по сравнению с углеводами или жирами белок лучше насыщает, притупляет чувство голода и помогает поддерживать стабильный уровень глюкозы в крови. Это в свою очередь помогает избегать периодов острой тяги к сладкому, ведь сытый человек сохраняет больше шансов на то, что он не сорвется и в результате не выйдет за рамки рассчитанной калорийности.

Главная рекомендация Лайла:
«После того как вы рассчитаете дефицит калорий, потребление адекватного количества белка – это единственный фактор, который играет по-настоящему важную роль в диете».

Выводы:

Рассмотрев вышеизложенные данные и мнения специалистов, можно прийти к следующим выводам:

  • При составлении диеты с дефицитом калорий состав макронутриентов не играет значительной роли для потери веса,
  • Единственный критически важный нутриент, который позволит избавляться от бОльшего количества жира, теряя меньше мышечной ткани – это белок. При расчёте калорийности обязательно убедитесь, что потребляете минимум 1,5 грамма протеина на 1 кг массы тела,
  • Такие факторы, как чувствительность к инсулину и уровень физической активности должны учитываться перед тем, как выбирать низкоуглеводную/высокожировую или высокоуглеводную/низкожировую диеты.

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Источники:

  1. Golay A. et al., Similar weight loss with low- or high-carbohydrate diets, Am J Clin Nutr. 1996 Feb;63(2):174-8,
  2. Frank M. Sacks, George A. Bray et al., Comparison of Weight-Loss Diets with Different Compositions of Fat, Protein, and Carbohydrates, N Engl J Med 2009; 360:859-873, February 26, 2009,
  3. Gary D. Foster, Holly R. Wyatt et al., A Randomized Trial of a Low-Carbohydrate Diet for Obesity, N Engl J Med 2003; 348:2082-2090, May 22, 2003,
  4. Tang M., Armstrong C. L. et al., Normal vs. high-protein weight loss diets in men: effects on body composition and indices of metabolic syndrome, Obesity (Silver Spring). 2013 Mar;21(3):E204-10,
  5. T. P. Wycherley, G. D. Brinkworth et al., Comparison of the effects of 52 weeks weight loss with either a high-protein or high-carbohydrate diet on body composition and cardiometabolic risk factors in overweight and obese males, Nutr Diabetes. 2012 Aug; 2(8): e40,
  6. What should I eat for weight loss, Examine.com,
  7. Is a Calorie a Calorie, Bodyrecomposition. сom,
  8. Comparing the Diets: Part 1, 2, 3, 4, Bodyrecomposition. сom.

 

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Как распределение БЖУ влияет на похудение: 86 комментариев

  1. Марат

    Полезная статья… А все-таки, выходит, что распределение по БЖУ важно по крайней мере по белку?

  2. Андрей Ивченко

    Для человека, который стремится снизить процент жировой прослойки — да.

  3. Alexander Mżelski

    ИМХО, главная проблема в углеводах в том что ты получаешь меньше каллорий за тот же объем еды. Да, можно есть только шоколадки и худеть, но желудок будет постоянно пустой и дикомфорта будет больше и будут срывы.

  4. Марат

    Есть даже, такая диета — только шоколад (правда не много).. получается, что жиры сгорают в пламени углеводов 🙂

  5. zamenator

    «При одинаковой калорийности люди, которые потребляют адекватное количество белка (минимум 1,5 г протеина на 1 кг массы тела), всегда сохранят больше мышц по сравнению с теми, кто потребляет очень мало белка» — вот это мне видится более важным чем равная потеря веса на разных диетах. Ну кому нужно терять мышцы и сохранять жир при диете?

  6. Михаил Кушнир

    Я бы уточнил. Не важно в краткосрочной перспективе, а в долгосрочной может не оч благоприятно сказываться на здоровье.

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