Expert consensus on nutrition and lower-carbohydrate diets: An evidence- and equity-based approach to dietary guidance.

There is a substantial body of clinical evidence supporting the beneficial effects of lower-carbohydrate dietary patterns on multiple established risk factors associated with insulin resistance and cardiovascular diseases in adult populations. Nutrition and health researchers, clinical practitioners, and stakeholders gathered for, "The Scientific Forum on Nutrition, Wellness, and Lower-Carbohydrate Diets: An Evidence- and Equity-Based Approach to Dietary Guidance" to discuss the evidence base around lower-carbohydrate diets, health outcomes, and dietary guidance. Consensus statements were agreed upon to identify current areas of scientific agreement and spotlight gaps in research, education, and practice to help define and prioritize future pathways. Given the evidence base and considering that most American adults are living with at least one nutrition-related chronic disease, there was consensus that including a lower-carbohydrate dietary pattern as one part of the Dietary Guidelines for Americans could help promote health equity among the general population.
Competing Interests: JV has stock options in Virta Health and receives royalties for books on low-carbohydrate diets, and serves as a scientific advisor for SIMPLY GOOD FOODS. BG is a scientific consultant on continuous ketone monitor development for Abbott Laboratories (2020 – present) and serves on the Cook-Keto scientific advisory board (2023). SP is an advisor to, and has equity in, Virta Health. JSl has received research funds in the last 5 years from USDA, NIH, Taiyo, Barilla, and the Institute on the Environment. She serves on the Scientific Advisory Board for SIMPLY GOOD FOODS, the Sustainable Nutrition Scientific Board, and the Quality Carbohydrate Coalition. She owns and manages the Slavin Sisters Farm LLC, a 119 acre mixed-use family farm in Walworth, WI. AK has consulted for SIMPLY GOOD FOODS. MH authored, “The Dietitian’s Dilemma” and receives royalties for the book. JV, WY, BG, SP, MH, and JSp received an honorarium for presenting at the Scientific Forum on Nutrition, Wellness, and Lower-Carbohydrate Diets: An Evidence and Equity-Based Approach to Dietary Guidance. MC and FH have no COI to report.
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