>>>> I personally am convinced that low carb diet is good for some quick weight
>>>> loss. Am not entirely convinced I need it long term, as I don’t seem to
>>>> have the insulin problems.
Yes but most of this weight lost is actually water and is apparently a
common phenomenon with low carb diets. The body is forced to deplete its
stores of glycogen (a sugar storage compound analogous to starch in plants).
There is a lot of water associated with glycogen (3 parts water to each part
glycogen) so 3/4 of the weight lost early on low carb glycogen-burning diets
is actually water, most of therest is glycogen with little fat weight being
lost.
From an energy point of view it is obvious that you can’t have lost
significant fat weight over this week. Think about it this way - A normal
average person burns about 1800 kcal per day during usual activities. Fat
has an energy content of 9 kcal/gram = 3900 kcal per pound. So, to lose 10
pounds of fat you’d have to lose an energy equivalent of 39,000 kcal which
is enough energy to run your body for 22 days! Put another way, you’d have
to eat ABSOLUTELY NOTHING for 22 days to burn off 10 pounds of fat. The
point of this is that if you lost 10 pounds in one week while still eating
it couldn’t possibly have been body fat. It’s simply impossible there’s nothing magic here, you can’t get around the laws of thermodynamics.
Carbohydrates and proteins each have about 4 kcals per gram or about
1730 kcal/pound (less energy density than fat) so to lose 10 pounds of body
protein and/or carbohydrate (glycogen) you’d need to lose 17,300 kcal which
would correspond to the energy requirements for 10 days - that is you’d only
have to starve for 10 days to lose 10 pounds of carbo/protein. But again,
note that you said you lost 10 pounds in only 7 days and, more importantly, you were
eating during this time.
Overall, it soundsl like you lost some weight - probably 2.5 pounds or so of
mostly glycogen, protein and a little fat and that the bulk of your weight
loss - some 7.5 pounds - was probably due to water losses.
>>> If your body is not responding well to the insulin’s role in
>>>digestion and metabolism, then the next claim is that by
>>>reducing the carbohydrates, you reduce insulin production.
This is certainly true for diabetics. They either don’t make
enough insulin or don’t respond well to the insulin that they do make therefore they can’t clear blood glucose when it rises after a carbo meal. One way to deal with this clinicaly is to cut back on the amount of carbos (especially simple sugars) in their diet.
>>> Thanks for the discussion, but I had hoped to learn a >>>little bit more as to specifics of things you don’t >>>agree with in the research.
If I saw some specific research I could better evaluate such claims. I have
searched the biomedical literature and haven’t found any. If there are
specific studies you are aware of I’d love to see them!
All I’ve read in SEVERAL physiology, biochem, and nutrition texts as well as
a few basic research articles and some govt/ papers consistently supports
the view that what is most important in weight management is caloric input
vs caloric output. In fact, I was in the medical bookstore yesterday
browsing and came upon a brand new text full of review articles on the
nutrition literature. This source clearly spelled out in no uncertain terms
that what was most important was the total calories in the diet not the
makeup of the diet.
OK, I have to clear this crap off my desk so I can get to work. here are
some refs concerning high-fat/low carb diets for you… I’m arranging them loosely by topic and including some quotes:
A. Studies indicating that there is no differential weight loss with diet
composition, that is, it’s calories that count, not their partitioning
between fat, protein, and carbs:
- Multifactorial Causation of Obesity: Implications for Prevention S.
Grundy Am J Clin. Nutr 67:563- (1998).
“long-term studies in humans comparing high-fat and high-carbohydrate diets
under controlled conditions fail to show differential effects on body
weight.”
- Manipulation of Dietary Fat and Energy Density and Subsequent Effects on
Substrate Flux and Food Intake A. Prentice Am J Clin Nutr 67:535- (1998).
"Studies using whole body calorimetry show that under these circumstances
there are no perceptible differences in total daily energy expenditure over
a range of diets containing from 10% fat to 80% fat when the diets are
consumed in amounts to maintain energy balance, or when people consumed the
diets ad libitum.
“…total energy expenditure is controlled by the body’s needs rather than
the composition of the diet.”
- Weight-loss With Low or High Carbohydrate Diet? A. Golay, et al Int J
Obesity 20: 1067- (1996).
[They evaluated the effects of two hypocaloric diets of 1200 cal/day either
25% carbs or 45% carbs…]
"This study shows that the composition of a hypocaloric diet does not, in
itself, influence weigfht loss or loss of adipose tissue. Weight loss after
12 w of diet was not different between the two diets containing respectively
25% and 45% carbohydrates. These results are in accordance with a recently
published study by Alford et al who compared diets of 25%, 45% , and 75%
carbohydrates. [ The effects of Variations in carbohydrate, Protein, and Fat
Content of the Diet Upon Weight Loss, Blood values, and Nutrient intake of
Adult Obese Women J Am Diet Assoc 90:534- 1990] "
[The study by Alford mentioned above looked at effects on three different
1200 cal diets over a 10 wk period and found “No significant differences
were found in the parameters except for BUN, which was significantly greater
in the 25% carbohydrate group.” note: BUN = blood urea nitrogen, other
parameters measured included body composition, cholesterol, triglycerides,
uric acid, and % body fat.]
- Very-low-calorie Diets With High and Low Protein Content : Impact on
Triodothyronine, Energy Expenditure, and Nitrogen Balance R. Hendler, et al
Am J Clin Nutr 48:1239 - (1988)
[compared 440 cal/d diets either 41% protein plus 55% carbohydrate or 95%
protein over 3 weeks. ]
“There were no significant diet effects in weight loss, loss of lean mass,
metabolic rate reduction, or meal-stimulated thermogenesis.”
- Dietary Fat Intake Does Affect Obesity G. Bray, et al Am J Clin Nutr
68:1157- (1998).
[the authors review the available data relating dietary fat intake and
obesity.]
They conclude, in part, that “Ultimately, obesity is caused by an energy
imbalance and the focus on dietary fat may have been overemphasized at the
expense of total energy intake. This is a crucial point when it comes to
placing the role of dietary fat intake into its proper context. Total energy
balance is what matters most and the focus on dietary fat consumption must
be seen through its effects on total energy intake.”
- Lipoprotein Response to a National Cholesterol Education Program Step II
Diet With and Without
Energy Restriction. M. Flynn, et al Metabolism 48:822- (1999)
[ No weight differences seen in either low-fat or high-fat subjects on
isocaloric diets.]
- The National Diet-Heart Study Final Report. Circulation 37:I1- (1968).
[Essentially no difference in low fat vs high fat diet groups long-term (one
year).]
- Metabolic and Behavioral Effects of a High-Sucrose Diet During Weight
Loss R. Surwit, et al Am J Clin Nutr 65:908- (1997).
[Compared high vs low sucrose hypoenergetic diets over a 6 week period]
“Results showed that a high sucrose content in a hypoenergetic, low-fat diet
did not adversely affect weight loss, metabolism, plasma lipids, or
emotional affect.”
Note: the following 3 studies are listed among the small handful of older
studies Atkins himself cites in his book.
- Comparison between weight Reduction on a High-Calorie High-Fat Diet and
on an Isocaloric Regimen High in Carbohydrate S. Werner, et al New Eng J
Med 252:661- (1955).
" Studies were therefore undertaken on patients admitted to the metabolism
ward, where intake could be quantitated; the effects on weight loss of a
high-fat diet providing 2870 calories daily were compared with those of an
isocaloric high-carbohydrate low-fat diet of approximately the same protein
content. The weight changes with both diets were the same."
- Fatty Foods and Obesity E. Olsen, et al Lancet, May 14, (1960) 1048-
“Classical reports on the specific-dynamic action of foodstuffs do not point
to any increase of metabolism due to fat; on the contrary, the action of fat
seems to be smaller than that of carbohydrate, and this has recently been
confirmed by Hawthorne et al. Swift et al found no appreciable difference in
the energy utilization by man of equicaloric diets containing widely
differing amounts of fat.”
"We were led to the following conclusions:
- A high-fat/low-carbohydrate diet may reduce the weight of obese people
considerably. But this weight loss ceases after a few days and it may be
explained largely - perhaps wholly - by release of water from deposits in
the body.
- Continued intake of a high-fat/low-carbohydrate diet affects body weight
in the way expected from the number of calories ingested.
- A diet containing a relatively high proportion of carbohydrate, but with
a calorie intake below the theoretical minimum, may be compatible with a
stable body weight - at any rate if taken after a period of fatty diet. This
is most likely attributable to simultaneous increase of the body’s fluid
content.
- In a single experiment such a high-carbohydrate, continued for 3 weeks,
produced a loss of weight which was identical with that produced, during the
next 3 weeks, by an equicaloric, high-fat diet.
- The oxygen consumption of our obese patients, measured during rest and
during standardized exertion, was no higher on the fatty diet than on an
ordinary composite diet."
- Diet and Weight-Reduction in the Obese T. Pilkington, et al Lancet,
April 16, (1960) 856-
“From this study it may be concluded that, over the periods studied,
isocaloric sub-maintenance diets are equally effective in weight reduction
whatever their composition.”
“On 800-calorie and 1000-calorie diets very obese patients lose weight
steadily over periods of up to four months. If the periods of study are long
enough to achieve a :steady state” the rate of weight loss on a diet
consisting mainly of fat does not differ significantly from the rate of
weight loss on an isocaloric diet consisting mainly of carbohydrate. When
these diets are interchanged, deviations from the weight curve occur,
lasting up to ten days. These can be accounted for mainly by changes in the
fluid balance."
- Energy Balance and Body Composition Changes: A Critical Study of Three
Recent Publications F. Grande Annal Int Med 68:467- (1968).
[A critique of three contemporaneous studies studies purporting to show
increased weight loss on high-fat low-carbohydrate diets, this was the same
time period where Atkins cites literature supporting his “calories don’t
count” theory.]
- Shadow, Substance, and The Zone: A review. J. Kenney Nutrition and
Health Forum 15:4916- (1996).
Kenney, a member of the National Council Against Health Fraud, discussing
barry Sears’ Zone diet states that the plan is "a thinly disguised
calorie-restricted diet. Sears has somehow reached the conclusion that a
diet high in carbohydrates, rather than fat, is the main cause of heart
disease and obesity. The author further contends that ‘you can burn more fat
watching TV than by exercising’ (!)
B. Adverse health relationships and meat/fat consumption
-
Dietary Fat and Risk of Chronic Disease: Mechanistic Insights from
Experimental Studies J. Weisburger J Am Diet Assoc 97:16- (1997).
-
Well-Done Meat Intake and the Risk of Breast Cancer W. Zheng J Nat
Cancer Inst 90:1724- (1998)
-
Cornary Heart Disease Mortality Among Seventh-Day Adventists With
Differing Dietary Habits R. Phillips et al, Am J Clin Nutr 31:191-
(1978).
-
Relation of Meat, Fat, and Fiber Intake to the Risk of Colon Cancer in a
Prospective Study Among Women W. Willett et al, N Eng J Med 323:1664-
(1990).
-
Animal Fat Consumption and Prostate cancer: a Prospective Study in Hawaii
L Le marchand Epidemiology 5:276- (1994).
-
International patterns of Osteoporosis B. Nordin Clin Ortho 45: 17-
(1966).
-
Calcium Metabolism in Postmenopausal and Osteoporotic Women Consuming Two
Levels of Protein J Lutz et al, Am LJ Clin Nutr 34:2178- (1981).
Note that, as I’ve discussed previously, “fat” is too general a term - not
all fats are created equal in terms of their impacts on human health (see
below also) so it is important to take this into account. Also, the results
from studies linking increased protein intake to potential increased calcium
loss are mixed. I’m only including a couple of these here as examples to
show that the research is not as one-sided as the high-protein diet authors
might have you believe. True, the jury is still out, but that’s no excuse
for selectively citing only those studies showing little or no effect on
calcium metabolism therefore concluding there is no risk.
C. All fats are not created equal when it comes to human health
- Individual Fatty Acid Effects on Plasma Lipids and Lipoproteins: Human
Studies P. Kris-Etherton et al Am J Clin Nutr 65:1628- (1997).
[This is a very good recent detailed review of the effects various lipids
have on plasma lipoprotein and cholesterol levels in humans. If you’re at
all interested in this topic this would be a good place to start.] A few
highlights:
"…clear that saturated fatty acids are hypercholesterolemic and that
unsaturated fatty acids elicit a hypocholesterolemic effect compared with
saturated fatty acids… it appears that myristic acid is the most potent
saturated fatty acid… stearic acid is uniquely different in that it
appears to be a neutral fatty acid. Monounsaturated fatty acids appear to
exert a neutral effect or to be mildly hypocholesterolemic. trans Fatty
acids elicit effects that are intermediate to those of hypercholesterolemic
saturated fatty acids and the cis-monounsaturated and cis-polyunsaturated
fatty acids. Polyunsaturated fatty acids elicit the most potent
hypocholesterolemic effects. "
- Dietary Fat and Obesity: An Unconvincing Relation W. Willett Am J Clin
Nutr editorial 68:1149- (1998).
“Unfortunately, a focus on fat intake alone distracts from the more
appropriate focus on total energy intake and physical activity levels. Bray
and Popkin do agree that total energy intake, not fat per se, in relation to
energy expenditure determines body fat accumulation.”
“…advice regarding dietary fat intake should emphasize replacing saturated
and trans fats with nonhydrogenated unsaturated oils, and balancing energy
intake from both carbohydrates and fats with regular physical
activity…supported by a wealth of empirical data from metabolic studies of
blood lipids and from epidemiologic and randomized trials of coronary artery
disease…”
- Trans Fatty acids and Coronary Heart Disease A. Ascherio, et al N eng J
Med sounding board 340:1994- (1999).
" The strong correlation between the level of intake of saturated fatty
acids and the rates of coronary heart disease among the 16 populations
examined in the Seven Countries Study is often quoted as evidence that the
consumption of saturated fat increases the risk of coronary heart disease. A
subsequent biochemical analysis of food composites representing the average
intake of each cohort at baseline not only confirmed that the intake of
saturated fatty acids was strongly correlated with the risk of death from
coronary heart disease but also showed that the intake of trans fatty acids
was correlated…"
- Multifactorial Causation of Obesity: Implications for Prevention S.
Grundy Am J Clin. Nutr 67:563- (1998).
"The major life habit that causes elevated LDL cholesterol concentrations is
the high intake of saturated fatty acids and cholesterol. In addition,
increasing obesity contributes to rising serum concentrations of LDL
cholesterol. "
-
Hydrogenation: The Food Industry’s Wild Card L. Blume, Nutrition action
8: 9- (1987).
-
Trans Fatty Acids and Their Effects on Lipoproteins in Humans M. Katan
et al, Annu Rev Nutr 15:473- (1995).
-
Estimated Intakes of trans Fatty acids in the U.S. population D. Allison
et al, J Am Diet Assoc 99:166- (1999).
trans fats were first introduced in 1911 and have since risen to represent ~
3 -6% of total dietary calories. It seems that Atkins could just as easily
point to this as the cause for increased coronary disease rather than
refined sugars. The logic would be just as valid, and just as flawed -
correlation does not prove causation.
D. High recidivism rate for diets
Methods for Voluntary Weight Loss and Control. NIH Technology Assessment
Panel Ann Int med 119:764- (1993).
E. Weight loss lowers blood cholesterol
Effects of Weight reduction on Blood Lipids and Lipoproteins: a
Meta-analysis A. Dattilo et al Am J Clin Nutr 56:320- (1992).
Phew! had enough yet Eric? There are a bunch of references indicating that
diets high in fruits and vegetables appear to have protective effects but
I’m sick of typing, I’ll leave this as an exercise to the student if you’re
interested.
In closing, here’s a web link with a short simple critique of
low-carbohydrate diets.
http://www.cce.cornel.edu/food/expfiles/topics/levitskyoverview.html
-Lupulin, shameless puppet of Agribiz