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This study examined the long\u2010term effects of an LC diet on psychological health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      One hundred and fifteen obese adults [age: 58.5 \u00b1 7.1 years; body mass index: 34.6 \u00b1 4.3 kg m\n                      <jats:sup>\u22122<\/jats:sup>\n                      ; HbA\n                      <jats:sub>1c<\/jats:sub>\n                      : 7.3 \u00b1 1.1%] with T2DM were randomized to consume either an energy\u2010restricted (~6 to 7 MJ), planned isocaloric LC or high\u2010carbohydrate, low\u2010fat (HC) diet, combined with a supervised exercise programme (3 days week\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) for 1 year. Body weight, psychological mood state and well\u2010being [Profile of Mood States (POMS), Beck Depression Inventory (BDI) and Spielberger State Anxiety Inventory (SAI)] and diabetes\u2010specific emotional distress [Problem Areas in Diabetes (PAID) Questionnaire] and quality of life [QoL Diabetes\u201039 (D\u201039)] were assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall weight loss was 9.5 \u00b1 0.5 kg (mean \u00b1 SE), with no difference between groups (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.91 time \u00d7 diet). Significant improvements occurred in BDI, POMS (total mood disturbance and the six subscales of anger\u2010hostility, confusion\u2010bewilderment, depression\u2010dejection, fatigue\u2010inertia, vigour\u2010activity and tension\u2010anxiety), PAID (total score) and the D\u201039 dimensions of diabetes control, anxiety and worry, sexual functioning and energy and mobility,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05 time. SAI and the D\u201039 dimension of social burden remained unchanged (\n                      <jats:italic>P<\/jats:italic>\n                      \u2265 0.08 time). Diet composition had no effect on the responses for the outcomes assessed (\n                      <jats:italic>P<\/jats:italic>\n                      \u2265 0.22 time \u00d7 diet).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In obese adults with T2DM, both diets achieved substantial weight loss and comparable improvements in QoL, mood state and affect. These results suggest that either an LC or HC diet within a lifestyle modification programme that includes exercise training improves psychological well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joim.12501","type":"journal-article","created":{"date-parts":[[2016,3,23]],"date-time":"2016-03-23T22:25:39Z","timestamp":1458771939000},"page":"388-397","source":"Crossref","is-referenced-by-count":53,"title":["Long\u2010term effects of very low\u2010carbohydrate and high\u2010carbohydrate weight\u2010loss diets on psychological health in obese adults with type 2 diabetes: randomized controlled trial"],"prefix":"10.1111","volume":"280","author":[{"given":"G. D.","family":"Brinkworth","sequence":"first","affiliation":[{"name":"Commonwealth Scientific and Industrial Research Organisation \u2013 Food and Nutrition Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. 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