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Inc.
With all of the conflicting studies and
fuzzy interpretation of information, it's
no wonder that confusion reigns when it
comes to the value and safety of low-carb
diets. It seems like heated debates are
raging everywhere!
Whether it's Atkins, the South Beach
or some other low-carb plan, as many as
30 million Americans are following a low-carb
diet.
Advocates contend that the high amount
of carbohydrates in our diet has led to
increasing problems with obesity, diabetes,
and other health problems. Critics, on
the other hand, attribute obesity and
related health problems to over-consumption
of calories from any source, and lack
of physical activity. Critics also express
concern that the lack of grains, fruits,
and vegetables in low-carbohydrate diets
may lead to deficiencies of some key nutrients,
including fiber, vitamin C, folic acid,
and several minerals.
Any diet, weather low or high in carbohydrate,
can produce significant weight loss during
the initial stages of the diet. But remember,
the key to successful dieting is in being
able to lose the weight permanently. Put
another way, what does the scale show
a year after going off the diet?
Let's see if we can debunk some of the
mystery about low-carb diets. Below, is
a listing of some relevant points taken
from recent studies and scientific literature.
Please note there may be insufficient
information available to answer all questions.
- Differences Between Low-Carb Diets
There are many popular diets designed
to lower carbohydrate consumption. Reducing
total carbohydrate in the diet means that
protein and fat will represent a proportionately
greater amount of the total caloric intake.
Atkins and Protein Power diets restrict
carbohydrate to a point where the body
becomes ketogenic. Other low-carb diets
like the Zone and Life Without Bread are
less restrictive. Some, like Sugar Busters
claim to eliminate only sugars and foods
that elevate blood sugar levels excessively.
- What We Know about Low-Carb Diets
Almost all of the studies to date have
been small with a wide variety of research
objectives. Carbohydrate, caloric intake,
diet duration and participant characteristics
varied greatly.
Most of the studies to date have two things
in common: None of the studies had participants
with a mean age over 53 and none of the
controlled studies lasted longer than
90 days.
Information on older adults and long-term
results are scarce.
Many diet studies fail to monitor the
amount of exercise, and therefore caloric
expenditure, while participants are dieting.
This helps to explain discrepancies between
studies.
The weight loss on low-carb diets is
a function of caloric restriction and
diet duration, and not with reduced carbohydrate
intake. This finding suggests that if
you want to lose weight, you should eat
fewer calories and do so over a long time
period.
Little evidence exists on the long-range
safety of low-carb diets. Despite the
medical community concerns, no short-term
adverse effects have been found on cholesterol,
glucose, insulin and blood-pressure levels
among participants on the diets. But,
adverse effects may not show up because
of the short period of the studies. Researchers
note that losing weight typically leads
to an improvement in these levels anyway,
and this may offset an increase caused
by a high fat diet. The long range weight
change for low-carb and other types of
diets is similar.
Most low-carb diets cause ketosis. Some
of the potential consequences are nausea,
vomiting, abdominal pain, and confusion.
During the initial phase of low-carb dieting
some fatigue and constipation may be encountered.
Generally, these symptoms dissipate quickly.
Ketosis may also give the breath a fruity
odor, somewhat like nail-polish remover
(acetone).
Low-carb diets do not enable the consumption
of more calories than other kinds of diets,
as has been often reported. A calorie
is a calorie and it doesn't matter weather
they come from carbohydrates or fat. Study
discrepancies are likely the result of
uncontrolled circumstances; i.e. diet
participants that cheat on calorie consumption,
calories burned during exercise, or any
number of other factors. The drop-out
rate for strict (i.e. less than 40 grams
of CHO/day) low-carb diets is relatively
high.
What Should You Do? - There are 3 important
points I would like to re-emphasize:
- The long-range success rate for low-carb
and other types of diets is similar.
- Despite their popularity, little information
exists on the long-term efficacy and safety
of low-carbohydrate diets.
- Strict low-carb diets are usually not
sustainable as a normal way of eating.
Boredom usually overcomes willpower.
It is obvious after reviewing the topic,
that more, well-designed and controlled
studies are needed. There just isn't a
lot of good information available, especially
concerning long-range effects. Strict
low-carb diets produce ketosis which is
an abnormal and potentially stressful
metabolic state. Under some circumstances
this might cause health related complications.
The diet you choose should be a blueprint
for a lifetime of better eating, not just
a quick weight loss plan to reach your
weight goal. If you can't see yourself
eating the prescribed foods longer than
a few days or a week, then chances are
it's not the right diet. To this end,
following a moderately low fat diet with
a healthy balance of fat, protein, carbohydrate
and other nutrients is beneficial.
If you do decide to follow a low-carb
plan, remember that certain dietary fats
are associated with reduction of disease.
Foods high in unsaturated fats that are
free of trans-fatty acids such as olive
oil, fish, flaxseeds, and nuts are preferred
to fats from animal origins.
Even promoters of the Atkins diet now
say people on their plan should limit
the amount of red meat and saturated fat
they eat. Atkins representatives are telling
health professionals that only 20 percent
of a dieter's calories should come from
saturated fat (i.e. meat, cheese, butter).
This change comes as Atkins faces competition
from other popular low-carb diets that
call for less saturated fat, such as the
South Beach diet plan. Low-carb dieting
should not be considered as a license
to gorge on red meat!
Another alternative to "strict" low-carb
dieting would be to give up some of the
bad carbohydrate foods but not "throw
out the baby with the bath water". In
other words, foods high in processed sugar,
snacks, and white bread would be avoided,
but foods high in complex carbohydrates
such as fruit, potatoes and whole grains,
retained.
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Paul Buckley is a professional pilot
who provides articles, tips and resources
to his readers as a sideline. A native
of Boston, he presently resides in the
southeastern US.
http://www.healthydietzone.com