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Is Keto or Paleo Better? A Comprehensive Comparison

6 min read

According to a 2021 review, both ketogenic and paleo diets have shown potential for weight loss and improved metabolic health, but they achieve these results through fundamentally different approaches. The choice of whether is keto or paleo better for you depends heavily on your individual health goals, food preferences, and lifestyle.

Quick Summary

This article compares the keto and paleo diets, detailing their distinct principles, food lists, and nutritional approaches. It explains the metabolic state of ketosis versus the ancestral eating philosophy, helping individuals determine which dietary pattern best aligns with their health and wellness objectives.

Key Points

  • Ketosis vs. Ancestral Eating: The core difference is keto's focus on achieving a metabolic state of ketosis versus paleo's philosophy of eating like hunter-gatherers.

  • Macronutrient Focus: Keto is centered on a specific high-fat, low-carb macro ratio, while paleo emphasizes food quality from whole sources without strict macro counting.

  • Carb and Food Restrictions: Keto is much stricter on carbohydrates, while paleo strictly excludes grains, legumes, and dairy, which keto allows in some forms.

  • Weight Loss Approach: Keto can offer faster initial weight loss due to metabolic shifts, whereas paleo promotes steady, sustainable weight loss through whole foods.

  • Long-Term Sustainability: Paleo is often considered more sustainable long-term due to its wider variety of allowed foods, while keto's strictness can be difficult to maintain.

  • Nutrient Gaps: Both diets can lead to nutrient deficiencies if not carefully planned. Keto may lack fiber, and paleo can be low in calcium and vitamin D.

  • Individual Goals: The best choice depends on personal goals; keto is better for fast metabolic changes, while paleo is suited for a more holistic, whole-foods lifestyle.

In This Article

Keto vs. Paleo: Understanding the Core Principles

At their heart, the keto and paleo diets share a common ground: emphasizing whole, unprocessed foods and eliminating refined sugars and grains. However, their philosophies and strictness diverge significantly when it comes to macronutrient balance and certain food groups. The ketogenic diet's primary objective is metabolic ketosis, while the paleo diet focuses on mimicking the ancestral diet of our hunter-gatherer forebears.

The Ketogenic Diet: A High-Fat, Low-Carb Approach

The ketogenic diet is a high-fat, very low-carbohydrate diet designed to shift the body's primary fuel source from glucose to ketones. This metabolic state, known as ketosis, occurs when carbohydrate intake is severely restricted, forcing the liver to produce ketone bodies from fat for energy. A typical ketogenic diet consists of:

  • Macronutrient ratio: Approximately 70–75% fat, 20–25% protein, and 5–10% carbohydrates.
  • Food focus: Emphasis on healthy fats from sources like avocados, nuts, seeds, olive oil, and dairy, along with moderate protein from meat, fish, and eggs.
  • Strict carb limit: Carbohydrates are typically restricted to 20–50 grams per day, meaning starchy vegetables, most fruits, and all grains are off-limits.
  • Dairy: High-fat dairy, such as butter and full-fat cheese, is permitted as long as it fits within the strict carb limit.

The Paleolithic Diet: Ancestral Eating for Modern Health

The paleo diet is based on the premise that modern diets, full of processed foods, grains, and legumes, are mismatched with our ancient genetic makeup. This dietary pattern emphasizes foods that could have been hunted or gathered by our Paleolithic ancestors. The paleo diet includes:

  • Macronutrient ratio: There are no strict macronutrient limits, with a more balanced intake of protein, fat, and carbohydrates from whole foods.
  • Food focus: Lean meats, fish, eggs, vegetables, fruits, nuts, and seeds are staples.
  • Exclusions: Grains, legumes, and dairy products are strictly excluded.
  • Carbs from whole foods: While it is a lower-carb diet compared to the Standard American Diet, it is not as restrictive as keto and allows carbohydrates from fruits and some starchy vegetables.

Comparison Table: Keto vs. Paleo at a Glance

Feature Ketogenic (Keto) Diet Paleolithic (Paleo) Diet
Core Philosophy Achieve and maintain metabolic ketosis by burning fat for fuel. Eat whole, unprocessed foods like our hunter-gatherer ancestors.
Carb Restriction Very strict; typically 20–50 grams of net carbs per day. Moderate; excludes grains and legumes, but allows carbs from fruits and vegetables.
Allowed Foods Meat, fish, eggs, high-fat dairy, avocados, oils, nuts, low-carb vegetables. Lean meat, fish, eggs, fruits, vegetables, nuts, seeds, healthy oils.
Excluded Foods Grains, legumes, sugar, most fruits, starchy vegetables. Grains, legumes, dairy, sugar, processed foods.
Food Quality Focus Not explicitly required, though healthier versions exist. Main focus is macronutrient ratios. Strong emphasis on food quality (grass-fed, wild-caught, organic).
Metabolic State Relies on ketosis for energy. Does not specifically target ketosis.
Flexibility Less flexible due to strict macro tracking. More flexible, with greater variety of fruits and vegetables.
Long-Term Adherence Often difficult to sustain long-term due to restrictiveness. Potentially easier to sustain due to wider food variety.

Which is Better for Your Goals?

The answer to "is keto or paleo better?" depends on your specific health objectives and how your body responds to each diet. Both have potential benefits for weight loss, improved blood sugar control, and reduced inflammation, but through different mechanisms.

Benefits of the Ketogenic Diet

  • Rapid weight loss: Many experience quick initial weight loss due to water weight and appetite suppression.
  • Improved blood sugar control: The very low-carb intake is effective at stabilizing blood glucose levels, which can benefit individuals with type 2 diabetes.
  • Neurological benefits: The keto diet was originally developed to treat epilepsy and may offer benefits for certain neurological conditions.
  • Enhanced satiety: High-fat content can increase feelings of fullness, potentially reducing overall calorie intake.

Benefits of the Paleolithic Diet

  • Emphasis on whole foods: By eliminating processed foods, paleo naturally reduces intake of sugar, salt, and unhealthy fats.
  • Reduced inflammation: The diet's focus on anti-inflammatory foods like vegetables, fruits, and healthy fats can help reduce systemic inflammation.
  • Improved digestive health: Eliminating grains and legumes can alleviate digestive issues for some individuals.
  • Nutrient density: Eating a wide variety of plant and animal foods ensures a rich intake of vitamins and minerals, although dairy and whole grain sources are excluded.

Potential Downsides and Considerations

Both diets come with potential risks and side effects. Keto's stringent carbohydrate restriction can lead to nutrient deficiencies, especially for fiber, calcium, and certain vitamins. The initial transition often causes the "keto flu," a period of fatigue and headaches as the body adapts to burning fat for fuel. Long-term adherence is challenging, and concerns exist about high saturated fat intake and its effects on heart health.

Paleo, while less restrictive than keto, also eliminates nutritious food groups like whole grains and legumes, which are excellent sources of fiber and micronutrients. This can lead to deficiencies if not managed properly. The emphasis on high-quality meat and produce can also make the diet more expensive and less accessible for some.

Conclusion

Ultimately, there is no single "better" option between keto and paleo; the best diet is the one you can stick with long-term that supports your health goals. Keto is a powerful tool for rapid weight loss and blood sugar management, but its strictness can be challenging. Paleo is a more sustainable, whole-foods-focused approach that promotes overall wellness by eliminating processed ingredients. For those seeking rapid metabolic change and are comfortable with strict tracking, keto may be a better fit. For a less restrictive, whole-foods lifestyle, paleo offers a flexible and equally beneficial alternative. The key is to assess your own needs and consult a healthcare professional before making a significant dietary change.

To learn more about healthy diet patterns, explore the benefits of the Mediterranean diet, often cited for its long-term benefits in cardiovascular health.

Keto vs. Paleo: Key Takeaways

Keto is Macronutrient-Focused: The diet's core principle revolves around a strict ratio of high fat, moderate protein, and very low carbs to achieve ketosis. Paleo is Whole Food-Focused: The diet prioritizes eating like a hunter-gatherer, emphasizing unprocessed meats, fish, vegetables, fruits, nuts, and seeds. Keto is More Restrictive on Carbs: While both limit carbs, keto's cap is far lower, excluding most fruits and starchy vegetables that are allowed in paleo. Paleo Excludes Dairy and Legumes: These food groups are strictly off-limits in paleo but are permitted on keto if they fit the macros. Keto Can Lead to Faster Weight Loss: The metabolic state of ketosis often results in quicker initial weight loss, but adherence is challenging. Paleo May Be Easier to Sustain Long-Term: Its greater food variety and less stringent tracking make it potentially more sustainable for a lifestyle change.

FAQs

What is the main difference between keto and paleo? The main difference lies in their primary goals and restrictions. Keto aims for a metabolic state of ketosis by severely limiting carbs, while paleo focuses on eating whole, unprocessed foods like our ancestors did, excluding modern foods like grains and dairy.

Which diet is better for weight loss? Both diets can be effective for weight loss. Keto may lead to faster initial weight loss due to its effect on appetite and metabolism, while paleo can lead to more gradual, sustainable weight loss by promoting a whole-foods approach.

Can you combine the paleo and keto diets? Yes, a hybrid approach, often called "keto-paleo," is possible. This involves eating a very low-carb diet focused exclusively on whole, unprocessed foods that are compliant with both diet plans, excluding dairy and legumes.

Is the paleo diet truly based on what our ancestors ate? No, the modern paleo diet is an approximation based on archaeological evidence and hypotheses. Prehistoric diets varied widely depending on geography and season, and likely included some plants often excluded in modern paleo interpretations.

Which diet is easier to follow long-term? Many people find the paleo diet easier to follow long-term due to its greater flexibility with carbohydrates from fruits and vegetables. Keto's strict macro tracking and very low carb count make it more challenging to maintain over extended periods.

Are there any major nutritional deficiencies on either diet? Yes, both diets carry risks of nutrient deficiencies. Paleo can lack sufficient calcium and vitamin D due to dairy exclusion, while keto can lead to low fiber and other micronutrient intake due to severe carb restriction. Supplementation is often recommended.

Which diet is better for athletes? For high-intensity athletes, the paleo diet's moderate carbohydrate intake from whole food sources may be more suitable for performance. Keto can be beneficial for endurance athletes but may not provide enough fuel for explosive, high-intensity workouts.

Frequently Asked Questions

The main difference lies in their primary goals and restrictions. Keto aims for a metabolic state of ketosis by severely limiting carbs, while paleo focuses on eating whole, unprocessed foods like our ancestors did, excluding modern foods like grains and dairy.

Both diets can be effective for weight loss. Keto may lead to faster initial weight loss due to its effect on appetite and metabolism, while paleo can lead to more gradual, sustainable weight loss by promoting a whole-foods approach.

Yes, a hybrid approach, often called "keto-paleo," is possible. This involves eating a very low-carb diet focused exclusively on whole, unprocessed foods that are compliant with both diet plans, excluding dairy and legumes.

No, the modern paleo diet is an approximation based on archaeological evidence and hypotheses. Prehistoric diets varied widely depending on geography and season, and likely included some plants often excluded in modern paleo interpretations.

Many people find the paleo diet easier to follow long-term due to its greater flexibility with carbohydrates from fruits and vegetables. Keto's strict macro tracking and very low carb count make it more challenging to maintain over extended periods.

Yes, both diets carry risks of nutrient deficiencies. Paleo can lack sufficient calcium and vitamin D due to dairy exclusion, while keto can lead to low fiber and other micronutrient intake due to severe carb restriction. Supplementation is often recommended.

For high-intensity athletes, the paleo diet's moderate carbohydrate intake from whole food sources may be more suitable for performance. Keto can be beneficial for endurance athletes but may not provide enough fuel for explosive, high-intensity workouts.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.