Low-carbohydrate, Healthy-fat Eating: A Cost Comparison with National Dietary Guidelines
Overview
Affiliations
Aim: A low-carbohydrate, healthy-fat (LCHF) dietary approach has been demonstrated as an effective strategy for improving metabolic health; however, it is often criticised for being more expensive than following a dietary approach guided by the national, Ministry of Health nutrition guidelines. This study compared the cost of these two nutritionally replete dietary approaches for one day for a family of four.
Methods: In this descriptive case study, one-day meal plans were designed for a hypothetical family of four representing the average New Zealand (NZ) male and female weight-stable adult and two adolescent children. National documented heights, a healthy body mass index range (18.5-25.0 kg/m ), and a 1.7-activity factor was used to estimate total energy requirements using the Schofield equation. Total daily costs were compared based on food prices from a popular Auckland supermarket. Meal plans were analysed for their nutritional adequacy using FoodWorks 8 dietary analysis software against national Australian and NZ nutrient reference value thresholds.
Results: The total daily costs were $43.42 (national guidelines) and $51.67 (LCHF) representing an $8.25 difference, or $2.06 per person, with the LCHF meal plan being the costlier option.
Conclusions: We consider this increased cost for an LCHF approach to be negligible. In practice, less costly food items with similar nutrition qualities can be substituted to reduce costs further should this be a goal. The LCHF approach should therefore not be disregarded as a viable dietary approach for improving health outcomes, based on its perceived expense.
Francini-Pesenti F, Favaretto S, DAngelo M, Cacciapuoti M, Calo L Nutrients. 2025; 16(24.
PMID: 39770945 PMC: 11676244. DOI: 10.3390/nu16244324.
The nutrient profile and cost of specialty dietary patterns: a hypothetical case study.
Lenferna De La Motte K, Zinn C Public Health Nutr. 2023; 26(12):2995-3004.
PMID: 37955108 PMC: 10755393. DOI: 10.1017/S1368980023002537.
Adherence to Low-Carbohydrate Diets in Patients with Diabetes: A Narrative Review.
Kumar N, Merrill J, Carlson S, German J, Yancy Jr W Diabetes Metab Syndr Obes. 2022; 15:477-498.
PMID: 35210797 PMC: 8863186. DOI: 10.2147/DMSO.S292742.
Bracci E, Milte R, Keogh J, Murphy K BMC Public Health. 2022; 22(1):23.
PMID: 34991538 PMC: 8734134. DOI: 10.1186/s12889-021-12447-4.
Kabisch S, Wenschuh S, Buccellato P, Spranger J, Pfeiffer A Nutrients. 2021; 13(9).
PMID: 34578915 PMC: 8472114. DOI: 10.3390/nu13093037.