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Is the Keto Diet the Old Atkins Diet?

5 min read

The ketogenic diet was originally developed in the 1920s to treat epilepsy in children, decades before cardiologist Robert Atkins popularized his low-carb approach for weight loss. While both diets operate on the principle of carbohydrate restriction, the keto diet and the Atkins diet are not simply the same thing.

Quick Summary

This article explores the fundamental differences and key similarities between the keto diet and the Atkins diet, covering macronutrient composition, stages, and health considerations to clarify common misconceptions.

Key Points

  • Not the Same: The keto diet and Atkins diet are distinct approaches, despite both restricting carbohydrates for weight loss.

  • Keto's Goal is Ketosis: The keto diet's primary objective is to maintain a continuous state of ketosis by consistently limiting carbs and consuming high amounts of fat.

  • Atkins is Phased: The Atkins diet uses a phased approach, beginning with very low carbs but gradually reintroducing them over time for a more sustainable, long-term plan.

  • Macronutrient Differences: Keto emphasizes a very high fat percentage, whereas Atkins generally allows for more protein, particularly in later phases.

  • Atkins Offers More Variety Long-Term: Because the Atkins diet reintroduces a wider variety of foods, it is often seen as less restrictive and more sustainable than the very strict keto diet.

  • Potential Health Risks: Both diets carry risks like nutrient deficiencies and digestive issues, so consulting a healthcare professional is recommended before starting.

In This Article

A Tale of Two Low-Carb Diets

Both the keto diet and the Atkins diet are built on the foundation of carbohydrate restriction, but they diverge significantly in their structure and long-term goals. The perception that the keto diet is simply the "old Atkins" stems from the shared focus on reducing carbs, but this overlooks the crucial metabolic and procedural distinctions.

The Keto Diet's Core Principles

The standard ketogenic diet is a high-fat, moderate-protein, and very low-carbohydrate eating plan designed to induce and maintain a state of ketosis. In ketosis, the body shifts its primary fuel source from glucose (derived from carbohydrates) to ketones (produced from stored fat).

To achieve this metabolic state, followers of a typical keto diet adhere to a strict macronutrient ratio:

  • Fat: 70–80% of daily calories.
  • Protein: 15–20% of daily calories.
  • Carbohydrates: 5–10% of daily calories, often under 50 grams per day.

This is a long-term, consistent approach without phases. The goal is to remain in ketosis to maximize fat burning and maintain the benefits, which can include weight loss, reduced appetite, and improved blood sugar control.

The Atkins Diet's Phased Approach

The Atkins diet, popularized in the 1970s, is also a low-carb diet but is fundamentally different due to its phased structure. It does not aim for a continuous state of deep ketosis but rather a gradual reintroduction of carbohydrates to find a personal tolerance level for lifelong maintenance. The original plan, often called Atkins 20, includes four distinct phases:

  • Phase 1 (Induction): A very strict carbohydrate limit (under 20 grams of net carbs daily) to kickstart fat burning and weight loss. This initial phase is the most similar to the keto diet and can induce ketosis.
  • Phase 2 (Balancing): Carbohydrate intake is slowly increased by adding nutrient-dense carbs like nuts, seeds, and berries.
  • Phase 3 (Fine-Tuning): As the individual nears their goal weight, more carbs are added, including some fruits and starchy vegetables.
  • Phase 4 (Maintenance): The individual has found their personal carbohydrate balance and continues to follow this plan for life to maintain their weight loss.

Comparison of Keto vs. Atkins

Feature Keto Diet Atkins Diet
Carb Intake Very low and consistent (typically <50g net carbs/day) to maintain ketosis. Starts very low (<20g net carbs/day), then gradually increases over phases.
Macronutrient Ratio High fat, moderate protein, very low carb (approx. 75% fat, 20% protein, 5% carbs). Varies by phase, generally allows more protein and less fat than keto, especially in later stages.
Goal Achieve and maintain a continuous state of ketosis. Promote weight loss and find a personal carb intake for long-term maintenance.
Structure A consistent, non-phased approach. A four-phase plan that progressively reintroduces more carbohydrates.
Food Variety More restrictive due to the need to maintain ketosis; often relies on whole foods. Becomes less restrictive over time, eventually allowing for a wider variety of foods, including some grains and fruits.
Long-Term Adherence Can be difficult for some due to the extreme restriction. Often considered more sustainable long-term due to the increasing food variety.

The Health and Sustainability Debate

Both diets can be effective for weight loss and may offer benefits like improved blood sugar control and cholesterol levels. However, their restrictive nature raises some concerns. For example, some keto adherents report nutrient deficiencies and digestive issues due to the lack of high-fiber foods. The Atkins diet, particularly in its later phases, tends to offer a broader spectrum of nutrients as more food groups are added back. Long-term adherence is a major factor, with studies suggesting lower dropout rates for phased approaches like Atkins compared to the perpetually restrictive keto. Ultimately, the more sustainable diet is the one an individual can stick to and that supports their health goals without causing adverse effects. Medical News Today offers a detailed look into the long-term viability and health considerations of various low-carb diets.

Conclusion

While the keto and Atkins diets share the goal of restricting carbohydrates for weight loss, they are distinct eating plans. Keto is a consistent, very low-carb approach focused on maintaining ketosis, while Atkins is a phased plan that gradually reintroduces carbohydrates. Therefore, the keto diet is not simply the "old Atkins diet," but a more consistently restrictive relative. The choice between them depends on an individual's personal goals, tolerance for dietary restriction, and long-term health outlook. As with any significant dietary change, it is best to consult a healthcare provider to determine the safest and most effective approach for your body.

Frequently Asked Questions

What is ketosis, and do both diets rely on it?

Ketosis is a metabolic state where the body produces ketone bodies from fat to use for energy instead of glucose. The keto diet aims to maintain this state continuously, while the Atkins diet only uses ketosis as a tool in its initial induction phase to kickstart weight loss.

Is one diet healthier than the other?

Both diets have potential benefits like weight loss and improved blood sugar, but also carry risks like nutrient deficiencies. The healthiness depends on how well-formulated and monitored the diet is. The phased reintroduction of carbs in Atkins can make it a more balanced and sustainable long-term option for some.

Can I eat as much protein as I want on these diets?

On the keto diet, protein intake is moderate (around 20% of calories) to prevent the body from converting excess protein to glucose, which can hinder ketosis. The Atkins diet, particularly in the past, allowed for higher protein, but modern versions encourage more lean protein sources.

Which diet is better for quick weight loss?

Many people experience rapid initial weight loss on both diets, largely due to shedding water weight as carb stores are depleted. The stricter nature of the keto diet may lead to quicker results initially, but the long-term effectiveness of either depends heavily on adherence.

Do I need to track calories on the keto or Atkins diet?

Neither diet strictly requires calorie counting, but you must track your carbohydrate intake to stay within the recommended limits. On keto, you also need to ensure you are meeting the high-fat macro targets, while on Atkins, you track net carbs across the different phases.

What are some common side effects of these diets?

Common side effects, particularly during the initial low-carb phase, can include fatigue, headache, weakness, and constipation. These are often referred to as the "keto flu" or "carb flu" and typically subside as the body adapts.

Can vegetarians or vegans follow these diets?

Yes, but it requires careful planning to ensure adequate protein and nutrient intake, especially for vegans who need to find suitable plant-based protein and fat sources. Some vegetarian and vegan versions, like the "Eco-Atkins" diet, have been developed to address these challenges.

Frequently Asked Questions

Ketosis is a metabolic state where the body produces ketone bodies from fat to use for energy instead of glucose. The keto diet aims to maintain this state continuously, while the Atkins diet only uses ketosis as a tool in its initial induction phase to kickstart weight loss.

Both diets have potential benefits like weight loss and improved blood sugar, but also carry risks like nutrient deficiencies. The healthiness depends on how well-formulated and monitored the diet is. The phased reintroduction of carbs in Atkins can make it a more balanced and sustainable long-term option for some.

On the keto diet, protein intake is moderate (around 20% of calories) to prevent the body from converting excess protein to glucose, which can hinder ketosis. The Atkins diet, particularly in the past, allowed for higher protein, but modern versions encourage more lean protein sources.

Many people experience rapid initial weight loss on both diets, largely due to shedding water weight as carb stores are depleted. The stricter nature of the keto diet may lead to quicker results initially, but the long-term effectiveness of either depends heavily on adherence.

Neither diet strictly requires calorie counting, but you must track your carbohydrate intake to stay within the recommended limits. On keto, you also need to ensure you are meeting the high-fat macro targets, while on Atkins, you track net carbs across the different phases.

Common side effects, particularly during the initial low-carb phase, can include fatigue, headache, weakness, and constipation. These are often referred to as the "keto flu" or "carb flu" and typically subside as the body adapts.

Yes, but it requires careful planning to ensure adequate protein and nutrient intake, especially for vegans who need to find suitable plant-based protein and fat sources. Some vegetarian and vegan versions, like the "Eco-Atkins" diet, have been developed to address these challenges.

The Atkins diet's phased structure, which allows for a gradual reintroduction of more food variety, is often considered more sustainable for long-term adherence compared to the consistently strict carb limitation of the keto diet.

References

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Medical Disclaimer

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