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Supporters claim the exclusive focus on reducing fat is oversimplified, and that low-fat diets are not automatically healthy ones. The western world is not suffering from a collective failure of will to exercise, but has been encouraged to eat more carbohydrates, which in turn stimulate appetite and more eating.

Critics of low-carbohydrate diets also point out that from an environmental point of view an increased consumption of animal protein places a great burden on the world's natural resources and is not sustainable. They also point out that the explosive growth in global population over the last few centuries was only possible because of grain crops.

The recent rise in western obesity rates has coincided with a widespread belief in low-fat, high-carbohydrate as a healthy way of eating. By contrast traditional, high-fat French cooking has led to a much lower incidence of obesity, morbid obesity and chronic heart disease than the high-sugar American diet, despite overall energy intake and exercise levels being the same.