{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:35:00Z","timestamp":1790753700537,"version":"4.1.0"},"reference-count":19,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nutrition"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.nut.2026.113222","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T07:52:28Z","timestamp":1774338748000},"page":"113222","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Metabolic, adherence, and sustainability outcomes of plant-based low-carbohydrate and ketogenic diets: A systematic review of clinical evidence"],"prefix":"10.1016","volume":"148","author":[{"given":"Giuseppe","family":"Mazzola","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"Rondanelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Cabrini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Perna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.nut.2026.113222_bib0001","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1038\/ejcn.2013.116","article-title":"Beyond weight loss: a review of the therapeutic uses of very-low-carbohydrate (ketogenic) diets","volume":"67","author":"Paoli","year":"2013","journal-title":"Eur J Clin Nutr"},{"issue":"7","key":"10.1016\/j.nut.2026.113222_bib0002","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1017\/S0007114513000548","article-title":"Very-low-carbohydrate ketogenic diet v. low-fat diet for long-term weight loss: a meta-analysis of randomised controlled trials","volume":"110","author":"Bueno","year":"2013","journal-title":"Br J Nutr"},{"issue":"1","key":"10.1016\/j.nut.2026.113222_bib0003","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.nut.2014.06.011","article-title":"Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base","volume":"31","author":"Feinman","year":"2015","journal-title":"Nutrition"},{"issue":"2","key":"10.1016\/j.nut.2026.113222_bib0004","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1136\/bjsports-2016-096491","article-title":"Evidence that supports the prescription of low-carbohydrate high-fat diets: a narrative review","volume":"51","author":"Noakes","year":"2017","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.nut.2026.113222_bib0005","doi-asserted-by":"crossref","first-page":"75","DOI":"10.3389\/fnut.2018.00075","article-title":"Ketogenic ratio determines metabolic effects of macronutrients and prevents interpretive bias","volume":"5","author":"Zilberter","year":"2018","journal-title":"Front Nutr"},{"issue":"2","key":"10.1016\/j.nut.2026.113222_bib0006","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1111\/j.1528-1167.2008.01765.x","article-title":"Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group","volume":"50","author":"Kossoff","year":"2009","journal-title":"Epilepsia"},{"key":"10.1016\/j.nut.2026.113222_bib0007","doi-asserted-by":"crossref","DOI":"10.1016\/j.arr.2023.101997","article-title":"Overall, plant-based, or animal-based low carbohydrate diets and all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective cohort studies","volume":"90","author":"Ghorbani","year":"2023","journal-title":"Ageing Res Rev"},{"issue":"Suppl 7","key":"10.1016\/j.nut.2026.113222_bib0008","doi-asserted-by":"crossref","first-page":"S44","DOI":"10.1093\/aje\/kws264","article-title":"Effects of low-carbohydrate diets versus low-fat diets on metabolic risk factors: a meta-analysis of randomized controlled clinical trials","volume":"176 Suppl 7","author":"Hu","year":"2012","journal-title":"Am J Epidemiol"},{"issue":"11","key":"10.1016\/j.nut.2026.113222_bib0009","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1001\/archinternmed.2009.115","article-title":"The effect of a plant-based low-carbohydrate (\u201cEco-Atkins\u201d) diet on body weight and blood lipid concentrations in yperlipidemic individuals","volume":"169","author":"Jenkins","year":"2009","journal-title":"Arch Intern Med"},{"issue":"2","key":"10.1016\/j.nut.2026.113222_bib0010","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-003505","article-title":"Effect of a 6-month vegan low-carbohydrate (\u201cEco Atkins\u201d) diet on cardiovascular risk factors and body weight in hyperlipidaemic adults: a randomized controlled trial","volume":"4","author":"Jenkins","year":"2014","journal-title":"BMJ Open"},{"key":"10.1016\/j.nut.2026.113222_bib0011","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1093\/ajcn\/nqac203","article-title":"Low-carbohydrate vegan diets in diabetes for weight loss and sustainability: A randomized controlled trial","volume":"116","author":"Jenkins","year":"2022","journal-title":"Am J Clin Nutr"},{"issue":"10170","key":"10.1016\/j.nut.2026.113222_bib0012","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/S0140-6736(18)31788-4","article-title":"Food in the Anthropocene: the EAT-lancet commission on healthy diets from sustainable food systems","volume":"393","author":"Willett","year":"2019","journal-title":"Lancet (London, England)"},{"issue":"46","key":"10.1016\/j.nut.2026.113222_bib0013","doi-asserted-by":"crossref","first-page":"23357","DOI":"10.1073\/pnas.1906908116","article-title":"Multiple health and environmental impacts of foods","volume":"116","author":"Clark","year":"2019","journal-title":"Proc Natl Acad Sci USA"},{"issue":"10","key":"10.1016\/j.nut.2026.113222_bib0014","doi-asserted-by":"crossref","first-page":"e451","DOI":"10.1016\/S2542-5196(18)30206-7","article-title":"Health and nutritional aspects of sustainable diet strategies and their association with environmental impacts: a global modelling analysis with country-level detail","volume":"2","author":"Springmann","year":"2018","journal-title":"Lancet. Planet Health"},{"key":"10.1016\/j.nut.2026.113222_bib0015","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"9","key":"10.1016\/j.nut.2026.113222_bib0016","first-page":"2939","article-title":"Very-low-calorie ketogenic diets with whey, vegetable, or animal protein in patients with obesity: a randomized pilot study","volume":"105","author":"Basciani","year":"2020","journal-title":"Clin Res Article"},{"issue":"2","key":"10.1016\/j.nut.2026.113222_bib0017","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1038\/s41591-020-01209-1","article-title":"Effect of a plant-based, low-fat diet versus an animal-based, ketogenic diet on ad libitum energy intake","volume":"27","author":"Hall","year":"2021","journal-title":"Nat Med"},{"issue":"10","key":"10.1016\/j.nut.2026.113222_bib0018","doi-asserted-by":"crossref","first-page":"3625","DOI":"10.3390\/nu13103625","article-title":"Changes in quantity and sources of dietary fiber from adopting healthy low-fat vs. healthy low-carb weight loss diets: secondary analysis of DIETFITS weight loss diet study","volume":"13","author":"Offringa","year":"2021","journal-title":"Nutrients"},{"issue":"1","key":"10.1016\/j.nut.2026.113222_bib0019","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s12937-024-01056-7","article-title":"The effects of portfolio moderate-carbohydrate and ketogenic diets on anthropometric indices, metabolic status, and hormonal levels in overweight or obese women with polycystic ovary syndrome: a randomized controlled trial","volume":"23","author":"Sharifi","year":"2024","journal-title":"Nutr J"}],"container-title":["Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899900726001309?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899900726001309?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:10:59Z","timestamp":1778839859000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0899900726001309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":19,"alternative-id":["S0899900726001309"],"URL":"https:\/\/doi.org\/10.1016\/j.nut.2026.113222","relation":{},"ISSN":["0899-9007"],"issn-type":[{"value":"0899-9007","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Metabolic, adherence, and sustainability outcomes of plant-based low-carbohydrate and ketogenic diets: A systematic review of clinical evidence","name":"articletitle","label":"Article Title"},{"value":"Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nut.2026.113222","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"113222"}}