Dietary fat is not the origin of weight accumulation.
Original statement
يؤكد النظام أن قلة الحركة وليس الدهون هي الأصل في تراكم الوزن، ويُشجّع على النشاط اليومي البسيط.
verbatim according to source. Translation by the project; the Arabic wording is authoritative.
Translation
Dietary fat is not the origin of weight accumulation.
Origin
- Source status
- Third-party site (unofficial)
- Attribution
- Third-party site (unofficial)
- Origin
- https://altayybat.com/ar/
- Attribution uncertainty
- Unofficial third-party site; lowest attribution level; page fetched 2026-10-25.
- Population concerned
Adults
- Geographic restriction by Elawady
none found
Scientific assessment
Mostly true – Correct at its core, but with limitations or minor inaccuracies.
Certainty of evidence: moderate – Further research may still affect the assessment.
1. What was claimed?
Fat is not the main cause of weight gain.
2. What is demonstrably correct?
In DIETFITS, a healthy low-fat (29% fat) and a healthy low-carbohydrate (45% fat) diet produced similar 12-month weight loss (-5.3 vs -6.0 kg; I-SYS-05).
3. What is wrong or exaggerated?
Fat is energy-dense, so large amounts of fatty foods can contribute to excess energy intake; 'not fat' should not be read as 'fat intake is irrelevant'.
4. What remains unclear?
Long-term weight effects of diets very high in fat (for example unlimited ghee and butter) were not tested in the trial reviewed (I-SYS-05).
5. Which studies support it?
6. Which studies contradict it?
None directly; the trial compared healthy low-fat and low-carbohydrate diets (I-SYS-05). Fat is energy-dense, so large amounts can add to excess energy intake (general nutrition knowledge, not separately sourced).
7. What applies to Germany and Europe?
DIETFITS is a US trial (I-SYS-05); the energy-balance principle applies in Europe.
8. What is known about Egypt?
Not region-specific; the same physiology and evidence apply.
9. What practical conclusion is appropriate?
Focus on overall diet quality and quantity rather than on fat share alone.
Assessment details
- Rationale for certainty of evidence
A large 12-month RCT found no difference in weight loss between low-fat and low-carbohydrate diets; total energy and diet quality matter more than fat share.
- Source quality
Third-party site.
- Regional transferability
High.
- Regional scope of the claim
- general (biological/medical)
- Last reviewed
- 26 October 2026 provisional
Scientific evidence in detail
Scientifically well supported – The claim agrees with consistent, high-quality evidence.
Research question: Is dietary fat the main cause of weight gain in adults?
Research question in detail (PECO)
- Population
- Adults
- Intervention or exposure
- Higher dietary fat share
- Comparison
- Lower fat share / other diets
- Geographic scope
- universal
- Outcomes
- Body weight
- Body fat
Study results as reported by the authors. Our assessment follows below.
What speaks for the claim?
Low-fat versus other diets for weight
Tobias DK et al.. Lancet Diabetes Endocrinol 2015 · PMID 26527511 · DOI 10.1016/S2213-8587(15)00367-8 Meta-analysisabstract checkednewly addedLow-fat diets are not better than other diets of similar intensity for long-term weight loss.
- Actual result
- Low-carb > low-fat by 1.15 kg (0.52-1.79); low-fat vs other higher-fat 0.36 kg (-0.66 to 1.37).
- Methodological quality
- high (meta-analysis of 53 RCTs)
- Relevance
- direct
- Limitations
- Heterogeneity in some comparisons.
Low-fat and low-carb diets led to similar weight loss
Gardner CD et al.. JAMA 2018 · PMID 29466592 · DOI 10.1001/jama.2018.0245 Randomised controlled trialabstract checkedDIETFITS: healthy low-fat and low-carbohydrate diets gave similar 12-month weight loss.
- Actual result
- -5.3 vs -6.0 kg.
- Methodological quality
- high (RCT, n=609)
- Relevance
- direct
- Limitations
- US population.
What speaks against the claim?
Eating less fat and body weight
Hooper L et al.. Cochrane Database Syst Rev 2020 · PMID 32476140 · DOI 10.1002/14651858.CD013636 Systematic reviewabstract checkednewly addedEating less fat slightly lowers body weight even without trying to lose weight.
- Actual result
- MD -1.4 kg (-1.7 to -1.1), 26 RCTs.
- Methodological quality
- high (Cochrane)
- Relevance
- direct: fat contributes a little
- Limitations
- Small effect.
Low-fat plant diet versus ketogenic animal diet: how much people eat
Hall KD et al.. Nat Med 2021 · PMID 33479499 · DOI 10.1038/s41591-020-01209-1 Randomised controlled trialabstract checkednewly addedA very-high-fat diet increased spontaneous energy intake by about 700 kcal/day vs a very-low-fat diet over 2 weeks.
- Actual result
- -689 kcal/day on low-fat diet.
- Methodological quality
- moderate (inpatient crossover, n=20)
- Relevance
- indirect, short-term
- Limitations
- Extreme diets; 2 weeks.
What does the overall evidence say?
Editorial assessment based on the studies above – not itself a study result.
Which position is better supported?
Dietary fat is not the origin of weight gain: total energy intake and diet quality matter more, and low-fat diets are not superior for weight loss. Fat is energy-dense and contributes modestly (about 1-1.5 kg differences).
Why some studies weigh more
Two large meta-analyses and a large RCT agree on the size of the effect.
Is a causal relationship established? Probable Fat contributes via energy density; not a unique cause.
Remaining uncertainty
Effects of very high fat intakes (e.g. unlimited ghee).
Justified conclusion
Mostly true with the caveat that fat is not irrelevant.
Why do studies seem to disagree?
Hooper (less fat -> slightly lower weight) and Tobias (low-fat not superior) answer different questions (non-weight-loss populations vs weight-loss interventions of similar intensity); both find small differences.
Does this depend on the country?
- General biological effects
- Universal energy balance.
- Eating habits
- Not region-specific; energy density of fats applies to any cuisine.
- Origin of the food
- Not applicable.
- Contaminants
- Not applicable.
- National production conditions
- Not applicable.
- Legal rules
- Not applicable.
- Actual monitoring data
- No monitoring data relevant.
A regional difference that changes the conclusion is not supported by robust data.
Statistical re-check
- CI symmetry for both meta-analyses – All consistent; effects 1-1.5 kg. recalculated
Certainty of the overall evidence (GRADE, simplified)
- Main outcome
- Body weight difference attributable to fat share
- Starting level
- high (randomised trials)
- Reasons for downgrading
- inconsistency (I2 75%, explained)
- Result
- moderate
Simplified assessment by a single reviewer, following the GRADE approach; not a formal GRADE panel. GRADE rates the body of evidence for one outcome, not individual studies.
Search strategy
Documented literature searches for this review (search strings in the original database syntax).
| Database | Date | Search | Looking for | Hits | Included |
|---|---|---|---|---|---|
| Europe PMC | 26 October 2026 | JOURNAL:"Cochrane Database Syst Rev" AND TITLE:("total fat" OR "fat intake") AND TITLE:(body OR weight OR fatness) | both directions | 2 | |
| Europe PMC | 26 October 2026 | TITLE:("low-fat") AND TITLE:("weight loss" OR "weight change") AND ("meta-analysis") AND (randomised OR randomized) | supporting evidence | 15 | |
| Europe PMC | 26 October 2026 | ("ultra-processed" OR "low-fat" OR "low-carbohydrate") AND ("energy intake") AND ("inpatient" OR "metabolic ward") AND (randomized OR crossover) AND (Hall) | contradicting evidence | 226 |
How deeply was this checked?
4 linked studies: 0 checked in full text (0 of them with a structured risk-of-bias assessment), 4 on the basis of the abstract, 0 bibliographically only. No formal assessment with two independent reviewers and no independent human expert review has taken place yet.
Last scientific review: 26 October 2026
History of the verdict
- 25 October 2026 · Phase 1 · Initial assessment: Mostly true (moderate)
- 26 October 2026 · Phase 4 (systematic evidence review) · Re-examined with extended evidence; verdict unchanged: Mostly true (moderate)
New high-quality evidence confirms the verdict and quantifies the small contribution of fat.
New sources: I-LIFE-101 I-LIFE-102 I-INS-119
In plain language
A third-party site says that fat in the diet is not what makes people gain weight. A large trial found that low-fat and low-carbohydrate diets led to similar weight loss. So dietary fat is not uniquely fattening, though fatty foods are rich in energy.
Studies on this claim
Studies supporting the claim (2)
-
Low-fat and low-carb diets led to similar weight loss
Gardner CD et al.. JAMA 2018 · PMID 29466592 · DOI 10.1001/jama.2018.0245Randomised controlled trialindependent cross-checkabstract checkedAfter a year, weight loss was 5.3 kg vs 6.0 kg - no real difference.
Fat share did not change weight loss
Does the study support the specific claim? Yes · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Compare diets.
- How was the study done?
RCT.
- How many people, animals or samples were studied?
609.
- What was actually found?
No difference.
- How large was the observed effect?
0.7 kg.
- What do the results mean in everyday life?
Total diet quality and quantity matter more than fat share.
- What are the study's limitations?
Adherence.
- What does it say about Elawady's specific claim?
Supports 'fat is not the origin'.
- Do the results apply to Germany and Europe?
High.
- What can explicitly not be concluded from this study?
Long-term weight maintenance.
-
Low-fat versus other diets for weight
Tobias DK et al.. Lancet Diabetes Endocrinol 2015 · PMID 26527511 · DOI 10.1016/S2213-8587(15)00367-8Meta-analysisindependent cross-checkabstract checked★ key studyOver a year or more, low-fat diets did not cause more weight loss than other diets of similar intensity.
Low-fat diets do not beat other diets of similar intensity for long-term weight loss.
Does the study support the specific claim? Yes · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Compare low-fat with other diets.
- How was the study done?
Meta-analysis of 53 RCTs.
- How many people, animals or samples were studied?
68,128 adults.
- What was actually found?
Low-fat not superior; low-carb slightly better in weight-loss trials.
- How large was the observed effect?
1.15 kg favouring low-carb.
- What do the results mean in everyday life?
Total diet quality and energy matter more than fat share.
- What are the study's limitations?
Heterogeneity.
- What does it say about Elawady's specific claim?
Supports the claim.
- Do the results apply to Germany and Europe?
Applies; same physiology.
- What can explicitly not be concluded from this study?
Health effects beyond weight.
No study in this group is marked as key.
Studies contradicting or limiting the claim (1)
-
Eating less fat and body weight
Hooper L et al.. Cochrane Database Syst Rev 2020 · PMID 32476140 · DOI 10.1002/14651858.CD013636Systematic reviewindependent cross-checkabstract checked★ key studyPeople who ate less fat weighed about 1.4 kg less on average than those who ate more fat, even without trying to lose weight.
Lower fat intake leads to slightly lower weight (-1.4 kg), so fat contributes, though modestly.
Does the study support the specific claim? Partly · Methodological quality: high · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Assess fat intake and body fatness.
- How was the study done?
Cochrane review of 37 RCTs.
- How many people, animals or samples were studied?
57,079 adults.
- What was actually found?
Small weight reduction with less fat.
- How large was the observed effect?
MD -1.4 kg (-1.7 to -1.1).
- What do the results mean in everyday life?
Fat is not the main driver of weight gain, but it is not irrelevant either.
- What are the study's limitations?
Small effect.
- What does it say about Elawady's specific claim?
Partly limits the claim.
- Do the results apply to Germany and Europe?
Applies; same physiology.
- What can explicitly not be concluded from this study?
Effects of very high fat intakes such as unlimited ghee.
No study in this group is marked as key.
Studies with mixed or unclear results (1)
-
Low-fat plant diet versus ketogenic animal diet: how much people eat
Hall KD et al.. Nat Med 2021 · PMID 33479499 · DOI 10.1038/s41591-020-01209-1Randomised controlled trialindependent cross-checkabstract checked★ key studyOn a high-carbohydrate low-fat diet people ate about 690 fewer calories per day than on a ketogenic diet.
A very-high-fat diet led to 689 kcal/day more ad libitum intake than a very-low-fat diet over 2 weeks.
Does the study support the specific claim? No · Methodological quality: moderate · Certainty of evidence: see overall assessment of the claim
Original publication · Scientific details
Study explained simply
- What did the researchers want to find out?
Test the carbohydrate-insulin model on food intake.
- How was the study done?
Inpatient crossover trial.
- How many people, animals or samples were studied?
20 adults.
- What was actually found?
Low-fat diet: 689 kcal/d less intake.
- How large was the observed effect?
-689 kcal/d.
- What do the results mean in everyday life?
Insulin is not the only factor in weight gain.
- What are the study's limitations?
Short and small.
- What does it say about Elawady's specific claim?
Contradicts 'insulin is the only cause of obesity'.
- Do the results apply to Germany and Europe?
Applicable.
- What can explicitly not be concluded from this study?
Cannot predict long-term weight change.
No study in this group is marked as key.
Regional context
Germany / EU
DIETFITS is a US trial (I-SYS-05); the energy-balance principle applies in Europe.
Egypt
Not region-specific; the same physiology and evidence apply.
What applies in my country?
General scientific assessment
Mostly true Dietary fat share does not by itself determine weight.
This statement concerns biological or medical relationships. The scientific assessment above applies regardless of the country; country-specific food data do not change it.
References
- Effect of Low-Fat vs Low-Carbohydrate Diet on 12-Month Weight Loss in Overweight Adults and the Association With Genotype Pattern or Insulin Secretion: The DIETFITS Randomized Clinical Trial.. Gardner CD et al.. JAMA 2018 · PMID 29466592 · DOI 10.1001/jama.2018.0245
- Effect of low-fat diet interventions versus other diet interventions on long-term weight change in adults: a systematic review and meta-analysis.. Tobias DK et al.. Lancet Diabetes Endocrinol 2015 · PMID 26527511 · DOI 10.1016/S2213-8587(15)00367-8
- Effects of total fat intake on body fatness in adults.. Hooper L et al.. Cochrane Database Syst Rev 2020 · PMID 32476140 · DOI 10.1002/14651858.CD013636
- Effect of a plant-based, low-fat diet versus an animal-based, ketogenic diet on ad libitum energy intake.. Hall KD et al.. Nat Med 2021 · PMID 33479499 · DOI 10.1038/s41591-020-01209-1