Carbohydrate-Insulin Model In Obesity- An Updated Review

The prevalence of obesity is increasing rapidly worldwide and represents a serious public health problem. In order to prevent obesity, the causes of obesity should be identified and appropriate interventions developed. In this review, the carbohydrate-insulin model, which is one of the causal perspectives to obesity, and recent studies on this approach are discussed and evaluated together with the energy balance model. Reduced total energy expenditure when adhering to healthy dietary recommendations without energy restriction or dietary energy restriction interventions makes it difficult to understand the energy-independent insulinemic effect of diet. Although more studies are needed on the causal approaches to obesity, it was concluded that high-fibre and low-glycaemic load diets, rather than carbohydrate-restricted diets in the carbohydrate-insulin model, may give more favorable results in trials. In addition, individualized nutritional and dietary models should be developed under the guidance of a dietician in the treatment of obesity.