DietCommercial examplesCalorie restriction?Fat intakeFruit and vegetable intakeSaturated and trans -fat intakeChallengesSummary
Very low-carbohydrate211 Atkins dietNoUnlimitedSeverely limitedUnlimited, but discouragedRequires urine ketone monitoringNo patient-oriented outcomes or long-term data; may improve triglyceride and HDL levels; better for short-term weight loss
Low-carbohydrate/low-glycemic index9,1115 South Beach Diet, the Zone, Sugar Busters!NoUnlimitedLimitedLimitedRequires knowledge of glycemic indexOffers sound principles without ample patient-oriented data
Very low-fat9,11,1622 Ornish dietNoLess than 10 percent of total caloriesVegetarian-based dietNoneRequires meditation, vegetarian diet, smoking cessationPerfusion improvements and symptom reductions; very strict diet; lowers HDL levels
Mediterranean diet2331 NANoUnlimitedUnlimitedLimitedCostly, limited in some populations because of lack of produce or fatty acid sourcesExcellent mortality data, but limited study populations
American Heart Association guidelines32 NAYesUnlimitedUnlimitedSaturated fat: less than 7 percent of total calories Trans-fat: Less than 1 percent of total caloriesBroad guidelinesSame as TLC Diet, but with a greater emphasis on overall cardiovascular risk reduction and population health improvements