Pezeshki · Frontiers in nutrition 2021 · narrative review · n=?

Low Protein Diets and Energy Balance: Mechanisms of Action on Energy Intake and Expenditure.

Cited 36 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing preclinical mechanistic and animal research without systematic review methodology or new human data.

PubMed 34055853 · doi:10.3389/fnut.2021.655833 · record verified 2026-08-31

What was done

This mini-review synthesized literature examining the effects of low-protein diets (with varied carbohydrate and lipid content) on energy intake, energy expenditure, body weight, and adiposity, focusing on the underlying neuroendocrine and metabolic mechanisms.

What was found

The abstract reports no numerical data or effect sizes. It qualitatively notes that moderate-to-severe protein restriction induces hyperphagic feeding responses while also elevating energy expenditure and thermogenesis through enhanced sympathetic flux to brown adipose tissue, fibroblast growth factor-21 (FGF21), and serotonergic signaling, often resulting in decreased body weight and adiposity in animal models.

Why it matters

Clarifying the neuroendocrine pathways connecting dietary protein dilution to thermogenesis and caloric compensation highlights potential therapeutic targets, such as FGF21 pathways, for managing human metabolic disease.

Limits

The review relies primarily on preclinical rodent experiments, limiting direct generalizability to human nutrition. It is a non-systematic narrative review, and the abstract provides no quantitative data, search parameters, or study selection criteria.

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