Atkins-Diät
Begutachtet von Dr Toni Hazell, MRCGPZuletzt aktualisiert von Dr Hayley Willacy, FRCGP Last updated 29. März 2023
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In dieser Serie:GewichtsreduktionPaleolithic diet (paleo diet) Dukan-Diät5:2 Diät
Die Atkins-Diät ist ein beliebter Gewichtsverlustplan, der auf dem Verzehr von weniger Kohlenhydraten und mehr fettreichen Lebensmitteln basiert – die Low-Carb-High-Fat (LCHF)-Diät.
At a glance
The Atkins diet is a low-carbohydrate, high-fat, and high-protein weight loss plan.
The diet involves four phases, starting with a strict limit on carbohydrates.
Allowed foods include meat, fish, eggs, low-carb vegetables, and full-fat dairy.
The diet aims to make your body burn fat for energy instead of carbohydrates.
It can cause side effects like headache, weakness, nausea, and dizziness.
Long-term concerns include low fibre intake and potential kidney issues in some people.
It may be helpful for managing certain conditions like type 2 diabetes or epilepsy.
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What is the Atkins diet?
Dr Robert Atkins was an American heart doctor (cardiologist) who first described the diet. Normally our bodies use glycogen (stored carbohydrate) for energy, but the body uses fat stores for energy when the glycogen runs out. Dr Atkins read about a diet low in carbohydrates which could help the body switch to burning fat instead of glucose as fuel.
He tried it out to get to his own goal weight. He then wrote a book, Dr Atkins' Diet Revolution, about his nutritional plan, which was published in 1972. The diet really took off in popularity after Dr Atkins' New Diet Revolution was published in 2002. The new book developed the ideas set out in the first book.
What are the phases of the Atkins diet?
Zurück zum InhaltPhase 1
There is an initial phase 1 induction phase to the diet, lasting about two weeks. During this phase, protein foods such as meat and fish are eaten freely. Carbohydrates are restricted to 20 grams (or fewer) per day. If this is very difficult to manage, a higher intake could be the starting point, but weight loss will be slower. Recommended foods contain much more fat than most dieters are used to, including cheese and cream.
Phase 2
During the second (balancing) phase, the carbohydrate intake is gradually increased, and weight loss continues more gradually.
Phase 3
This is a 'fine tuning' phase when you are approaching your target weight. The carbohydrate intake may be increased and your weight loss will slow down even further.
Phase 4
This is the maintenance phase. When the target weight is reached, carbohydrate intake is gradually increased to find the point at which weight is comfortably maintained, and not increased. This eating plan should be followed indefinitely.
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What can you eat on the Atkins diet?
Zurück zum InhaltYou should build your meals around a high-fat protein source with plenty of low-carbohydrate vegetables and nuts. Include some healthy fats also.
Meat: pork, beef, lamb, chicken, bacon.
Fatty fish und seafood: salmon, trout, sardines, mackerel.
Eier.
Low-carbohydrate vegetables: kale, spinach, broccoli, asparagus, courgette und cucumber.
Full-Fett dairy: butter, cheese, cream, yoghurt.
Nüsse und seeds: almonds, macadamia, walnuts, sunflower seeds.
Oils und fats: extra virgin olive oil, avocado, avocado oil, coconut oil.
Allowable drinks on the Atkins diet include:
Water: water is always Arztpraxis preferred option.
Coffee: Kaffee is high in antioxidants.
Green tea: grün tea is also high in antioxidants.
Alcohol is allowable, but should be very dry wines with little sugar (carbohydrate) in them. Avoid beer which is high in carbohydrates.
How many carbohydrates are allowed on the Atkins diet?
Zurück zum InhaltIf the body does not have carbohydrates, insulin levels remain low and this triggers a process called ketosis. In ketosis, the body uses fat reserves to provide energy. In the original Atkins diet plan, carbohydrates were severely restricted in the initial diet phase and this led to rapid weight loss. More recent updates to the plan allow a small amount of carbohydrate in the diet, and weight loss is generally more gradual. It also means that extreme ketosis is less likely.
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Does the Atkins diet work?
Zurück zum InhaltMany people have found low-carbohydrate:high-fat (LCHF) diets such as the Atkins diet an effective way of weight loss and weight management. This may be because of the induction of ketosis, as described by Atkins. However, since most of our energy intake usually comes from carbohydrates, restricting them may simply have the effect of reducing overall energy intake. Also, high-protein foods increase the feeling of fullness after eating (satiety), so that may reduce hunger pangs and help to reduce weight gain.
Several studies comparing the outcomes of low-fat and low-carbohydrate diets concluded that both are effective for those who are able to stick to the diet plan.
Is the Atkins diet safe?
Zurück zum InhaltWhile you may lose weight and experience other metabolic changes, the Atkins diet can also result in ketosis, particularly in the early phase of the diet. The mild dietary ketosis induced by eating a low-carbohydrate diet should not be confused with the dangerous condition of ketoacidosis. . However, mild ketosis during the initial phase of the Atkins diet can cause some symptoms such as:
Schwäche.
Übelkeit (Übelkeit).
Reizbarkeit.
Some people have found that a low-carbohydrate diet can result in Depressionen, although this may be offset by the effective weight loss.
Risiken
Zurück zum InhaltIncreased saturated fat
There have been some concerns that a high meat intake might increase the body's levels of saturated fat. There were concerns that high-fat low-carbohydrate diets would result in an increased risk of Fettleibigkeit, Herzerkrankungen, Schlaganfall und Diabetes; however, long-term studies suggest the reverse is true..
Low levels of fibre
Other questions concern the low levels of fibre consumed in a low-carbohydrate diet. Fibre is necessary to keep our bowels moving healthily. A diet low in fibre may lead to an increased risk of developing bowel cancer. Fruits and vegetables are carbohydrate-containing foods which are restricted particularly in the initial phase of the Atkins diet.
Other concerns
One study found that a diet high in protein and low in carbohydrate affected the balance of the 'friendly' bacteria in the gut. This could have an effect on the health of the colon (the lower part of the bowel, or 'large intestine').
Other concerns which have been raised include a possible increase in nicht-alkoholische Fettlebererkrankung oder Nierensteine, especially in people who stick to the diet for a long time. One research paper showed that following a high-protein diet could further damage kidneys if they were already failing, or at risk of damage. There was, however, no risk to healthy kidneys.
Another criticism of the diet is that it can be quite expensive to follow. A meat-based diet costs more than one based on starchy vegetables and foods..
Is the Atkins diet safe for people with diabetes?
Ketoacidosis can be life-threatening in those with Diabetes, who are not able to control the levels of the chemical (hormone) called insulin and glucose in their bodies.
Is the Atkins diet safe long-term?
There are concerns that people who stick to a low-carbohydrate diet for a long time may miss out on vitamins and other important nutrients in fruit and vegetables. There seems to be no clear advantage of one over the other in terms of short- or long-term effectiveness. The health risks and benefits are similar.
Benefits of the Atkins diet
Zurück zum InhaltHigh-protein ketogenic diets are used in the management of some medical conditions. Ketogenic diets have been used to treat Epilepsie since about 1920. However, today they are mainly used for children with difficult-to-control epilepsy. Recent studies have confirmed its effectiveness for this purpose, but questions have been raised about its long-term effects on cardiovascular health. The use of this diet in children with epilepsy should only be tried under guidance from a doctor.
Research is continuing into whether low-carbohydrate diets may be helpful for people with Alzheimer-Krankheit und Parkinson-Krankheit.
A low-carbohydrate diet may also benefit those with disorders such as type 2 diabetes, metabolic syndrome and Polyzystisches Ovarialsyndrom. In these conditions one of the problems is the way the body processes sugars and the chemical (hormone) called insulin. Often they find losing weight by following a traditional low-fat diet particularly difficult.
Fazit
Zurück zum InhaltThe Atkins diet seems to be an effective way of losing weight for many people. However, eating a low-carbohydrate and high-protein diet has many different effects on different systems in the body. These are not fully understood and are still being investigated.
Welche anderen Möglichkeiten gibt es, um Gewicht zu verlieren?
Zurück zum InhaltAndere Diätarten sind erhältlich – zum Beispiel:
There are other ways of changing your diet and altering your lifestyle to help you lose weight, such as increasing your körperliche Aktivität.
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Fibre (roughage) is the part of plant food that is not digested. It stays in your gut and is passed in the poo (stool). Fibre adds bulk to the stools. This helps your bowels to work well and helps to prevent some bowel and anal conditions.
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Ein Vitamin-D-Mangel tritt auf, wenn Ihr Körper nicht genügend Vitamin D hat. Dies ist ein Nährstoff, der hilft, Knochen, Zähne und Muskeln gesund zu halten. Ein Vitamin-D-Mangel ist häufig, insbesondere bei Menschen, die wenig Sonnenlicht bekommen oder eine geringe Vitamin-D-Aufnahme über die Ernährung haben.
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Häufig gestellte Fragen
What is the main principle behind the Atkins diet?
The Atkins diet's main principle is to shift the body's energy source from carbohydrates to stored fat. Normally, our bodies use stored carbohydrates (glycogen) for energy. But on the Atkins diet, when carbohydrate intake is significantly reduced, the body runs out of glycogen and starts burning fat reserves for fuel instead.
Are there different stages to the Atkins diet plan?
Yes, the Atkins diet has four distinct phases. Phase 1 is an induction phase with very strict carbohydrate limits. Phase 2 (balancing) gradually increases carbohydrate intake while weight loss continues. Phase 3 (fine-tuning) is for when you are nearing your target weight, with a further increase in carbohydrates. Finally, Phase 4 is the maintenance phase, where you find the right carbohydrate level to maintain your target weight indefinitely.
What kind of drinks can I have on the Atkins diet?
Water is always the preferred drink. Coffee and green tea are also allowable, as they are high in antioxidants. If you choose to drink alcohol, it should be very dry wines with low sugar content. Beer is generally advised against because of its high carbohydrate content.
Does the Atkins diet really help with weight loss, or is it just about cutting calories?
The Atkins diet can be an effective way to lose weight. One reason is that restricting carbohydrates can induce ketosis, where the body burns fat for energy. Additionally, cutting out a major energy source like carbohydrates might naturally reduce overall calorie intake. High-protein foods, which are central to the diet, also help you feel fuller for longer, which can reduce hunger and aid weight management.
What are some of the potential downsides or risks of following the Atkins diet?
While effective for weight loss, the Atkins diet can have some downsides. In the early stages, it can cause mild ketosis symptoms like headache, weakness, nausea, dizziness, and irritability. There are also concerns about low fibre intake, which is important for bowel health, and a potential impact on gut bacteria. Long-term use might increase the risk of non-alcoholic fatty liver disease, kidney stones, and could worsen kidney damage in those with pre-existing kidney problems. It can also be more expensive to follow than diets based on starchy vegetables.
Can the Atkins diet be beneficial for any specific health conditions?
Yes, high-protein ketogenic diets like Atkins have been used in the management of certain medical conditions. For example, they have been used to treat epilepsy, particularly in children with difficult-to-control cases, under medical supervision. Research is also exploring its potential benefits for conditions such as Alzheimer's disease, Parkinson's disease, type 2 diabetes, metabolic syndrome, and polycystic ovary syndrome, especially since individuals with these conditions often struggle to lose weight on traditional low-fat diets.
Weiterführende Literatur und Referenzen
- Johnston BC, Kanters S, Bandayrel K, et al; Comparison of weight loss among named diet programs in overweight and obese adults: a meta-analysis. JAMA. 2014 Sep 3;312(9):923-33. doi: 10.1001/jama.2014.10397.
- Noakes TD, Windt J; Evidence that supports the prescription of low-carbohydrate high-fat diets: a narrative review. Br J Sports Med. 2017 Jan;51(2):133-139. doi: 10.1136/bjsports-2016-096491.
- Martin K, Jackson CF, Levy RG, et al; Ketogenic diet and other dietary treatments for epilepsy. Cochrane Database Syst Rev. 2016 Feb 9;2:CD001903. doi: 10.1002/14651858.CD001903.pub3.
- Gratz SW, Hazim S, Richardson AJ, et al; Dietary carbohydrate rather than protein intake drives colonic microbial fermentation during weight loss. Eur J Nutr. 2018 Feb 20. pii: 10.1007/s00394-018-1629-x. doi: 10.1007/s00394-018-1629-x.
- Hansen CD, Gram-Kampmann EM, Hansen JK, et al; Effect of Calorie-Unrestricted Low-Carbohydrate, High-Fat Diet Versus High-Carbohydrate, Low-Fat Diet on Type 2 Diabetes and Nonalcoholic Fatty Liver Disease : A Randomized Controlled Trial. Ann Intern Med. 2023 Jan;176(1):10-21. doi: 10.7326/M22-1787. Epub 2022 Dec 13.
- Burke LM; Ketogenic low-CHO, high-fat diet: the future of elite endurance sport? J Physiol. 2021 Feb;599(3):819-843. doi: 10.1113/JP278928. Epub 2020 Jun 10.
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About the authorView full bio

Dr Jacqueline Payne, FRCGP
Allgemeinmediziner, Medizinischer Autor
MB, BS, DFFP, DRCOG, FRCGP
Jacqueline war 25 Jahre lang Hausärztin in Kendal, Cumbria, wo sie junge Hausärzte für das RCGP ausbildete und als Ausbilderin für das FSRH tätig war.
About the reviewerView full bio

Dr Toni Hazell, MRCGP
MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)
Dr. Toni Hazell qualified from St. Mary’s Hospital Medical School and did her VTS at Northwick Park Hospital.
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Nächste Überprüfung fällig: 7. Feb. 2028
29. März 2023 | Neueste Version
14 Nov 2014 | Ursprünglich veröffentlicht
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