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Select
a Topic...
- High
Protein, Low-Carb Diets
- Effects
of Lack of Carbohydrate
- Effects
of Excess Ketones
- Effects
of Increased Fat Intake
- Psychological
Effects of a Low-Carb Diet
- Evaluation
the diet books
- What
really happens when you diet
- Word
of Advice
- Books
to check out
HIGH
PROTEIN, LOW-CARB DIETS
There are three major
nutrients in foods that provide calories: carbohydrate, protein
and fat. When you eat a diet low in carbohydrate, it means that
you are getting the majority of your calories from protein and fat.
Unfortunately, your brain and muscles' preferred fuel is carbohydrate.
Your weight is
directly related to the balance between the calories you consume
and the calories you expend. If you eat more calories than you burn,
those calories are stored as fat and you gain weight, regardless
of whether the extra calories came from carbohydrate, protein or
fat. Conversely, if you burn more calories than you eat, you lose
weight.
A person on a no-carbohydrate
diet burns fat, rather than both carbohydrates and fat, for energy;
the end product of fat metabolism is the formation of ketones, like
acetone. You can tell when a person is burning significant amounts
of fats as fuel, because they develop "ketone breath" -- their breath
smells like a cross between apples and nail polish remover.
When considering
the effects of this type of diet on the body, we have to examine
the effects of lack of carbohydrates, the effects of excess ketones,
the effects of excess dietary fat intake, and finally the psychological
effects of the diet.
The
Effects of Lack of Carbohydrates
A low-carbohydrate
diet has negative effects on the brain and muscles. The brain
works best when it gets its energy from a constant supply of carbohydrates
in the form of glucose. If you don't eat enough carbohydrates,
the body makes glucose out of the proteins in your muscles, so
that your brain can continue to function well -- in other words,
part of the weight loss comes from the breakdown of muscle to
feed the brain. As a result, the dieter's muscles feel tired,
and the person is less inclined than usual to exercise.1
Another point: the by-product of protein breakdown, urea, is excreted
by the kidneys. When your kidneys have high amounts of urea to
excrete, they must also get rid of water. As a result, the dieter
loses water weight. When the dieter has been following a no-carb
diet for a while, his or her brain eventually begins to use ketones
as a fuel. But the brain isn't as efficient at using ketones as
it is at using glucose, so thinking and reaction times are slowed
down. The dieter may become lethargic and lose his or her appetite.2
The
Effects of Excess Ketones
Excess
ketones have many effects on the body, two of which are:
1) Decreased
appetite.
2) Loss of body
water resulting in weight loss. The scale may trick the
dieter into thinking body fat has been lost.3
The Effects of Increased
Fat Intake
Low carbohydrate diets restrict grains, fruits and vegetables, while
emphasizing meat, dairy and fat. What's wrong with that? Dietary
cholesterol is found naturally in foods of animal origin. A diet
that emphasizes meat, dairy and animal fats (such as butter) is
higher in cholesterol than a diet that includes less of these foods.
The fat in your diet (and to an extent your dietary cholesterol)
has a direct effect on your blood (serum) cholesterol level and
in turn, your risk for heart disease.4
A diet high in meat, dairy and fat is also higher in total fat --
especially saturated fat. A high-fat diet is linked to obesity,
heart disease and certain cancers. A diet high in saturated fat
also increases blood cholesterol and your risk for heart disease.5
On the other hand, plant-based foods (which are restricted in low-carb
diets) are rich in phytochemicals. These substances play a protective
role in fighting and possibly preventing diseases such as cancer,
osteoporosis, diabetes, and heart disease.
Psychological
Effects of a Low-Carbohydrate Diet
A low-carbohydrate diet
has adverse effects on the brain, as noted above. In addition,
because of the restricted food choice and low variety, the dieter,
being tired of eating the same foods all the time, may eat less.
(Think of how much of our diet is made up of carbohydrates!) Eventually,
most people find such diets too boring and painful to follow,
and decide to quit. Unfortunately, many of these people return
to the habits which led them to become overweight in the first
place, thus setting in motion a never-ending "dieting cycle".
EVALUATING
THE DIET BOOKS
The American
Institute for Cancer Research (AICR) evaluated four of the most
popular diet books:
- Dr. Atkins' New
Diet Revolution (Robert Atkins)
- The New Beverly
Hills Diet (Judy Mazel and Michael Wyatt)
- Protein Power (Michael
Eades and Mary Dan Eades)
- Suzanne Somer's
Get Skinny on Fabulous Food (Suzanne Somers).
According to the AICR,
there are several common denominators between all four diets:6
1. All are basically low-calorie
diets in disguise. Remember that the only way to lose weight is
to eat fewer calories that you spend. There is no magic to it!
2. Because these
diets require you to avoid certain foods (and sometimes practically
eliminate entire food groups!) they are deficient in such nutrients
as carbohydrates, fibre, vitamins, minerals and protective phytochemicals.
Dr. Atkins actually recommends enhancing his diet with the supplements
he sells!
3. The diets are
out of balance, prescribing a dietary intake that is much higher
in protein and lower in carbohydrates than what is recommended by
Health Canada, Dietitians of Canada, the USDA, the American Dietetic
Association, the Surgeon General, the Canadian Cancer Society and
the American Institute for Cancer Research, among others.
4. Over the long
term, all four diets can give rise to many health risks. By restricting
carbohydrates, all four diets lead to an insufficient intake of
fibre, which is important in maintaining gastrointestinal health
and reducing the risk of some gastrointestinal diseases. The high
amounts of saturated fat and cholesterol they prescribe can increase
the risk of heart disease, and possibly some cancers. There is recent
evidence that a diet featuring excessive protein may leach calcium
from the bones, making them more brittle.
5. Two of the diets
promote unsubstantiated ideas about "food combinations". Their claim
that foods must be eaten in specific orders and at specific times
has no scientific basis.
Visit the Center
for Science in the Public Interest's website for reviews of the
best and worst of the latest diet books. ( www.cspinet.org)
WHAT
REALLY HAPPENS WHEN YOU DIET
(Adapted from
What Really Happens When We Diet! By the Nutritionists
from Boundary Health Unit)
| How We Diet |
What Happens
to Your Body |
| Skipping meals. |
- Lowers your
metabolism. In an attempt to conserve energy, your body
stores fat more easily from fewer calories.
- The brain's
and muscles' demand for fuel causes rebound "munchies",
usually for high calorie foods.
- Poor attention
span, irritability, fatigue.
- Over the long
term, muscle tissue may be lost.
|
| Cut out starchy
foods. |
- Your body
loses its best source of energy...you'll have less energy
and tire more quickly.
- You may end
up eating higher fat and sugary foods to satisfy your
hunger.
|
| Cut out meat
without getting adequate protein elsewhere.
|
- Iron deficiency
may result.
- Fatigue.
|
| Meal-replacement
or liquid diet. |
- You have a
95% chance of regaining any weight you lose in the next
year or two.
- You give away
control to the diet, which may affect your self-esteem.
- You often
lose muscle mass along with fat, which results in a slower
metabolism.
- These diets
are expensive.
- Habits are
replaced temporarily, not changed permanently.
|
| Fasting. |
- Most weight
lost is water.
- Muscle mass
decreases which leads to a slower metabolism and subsequent
fat gain.
- Can be medically
dangerous for some individuals.
|
A
Word of Advice
The notion of the
"quick fix" is central to all fad diets. Remember that the process
of weight gain is usually slow and gradual, and so must that of
weight loss. Successful weight loss involves learning new behaviours
- it is an ongoing process.
The word "diet"
comes from the Greek word "diaita", which means "manner of living".
Scientists and dietitians agree that successful weight loss only
results from a long-term commitment to sensible eating and physical
activity. Your best bet? Meet with a registered dietitian (RD),
who will make personalized recommendations based on what fits your
life and your preferences. At Ryerson, why not get a head-start
by speaking with a Nutrition Peer Educator? S/he would be happy
to help you understand the pros and cons of the fad diet you may
be wondering about.
BOOKS
TO CHECK OUT
•You Count, Calories
Don't Linda
Omichinski. Tamros Books Inc., Winnipeg, 1993.
•Intuitive Eating:
A Recovery Book for the Chronic Dieter
Evelyn Tribole and Elyse Resch. Saint Martins Press, New York,
1995.
•Breaking the Diet
Habit J.
Polivy and C.P. Herman. Basic Books Inc., New York, 1982.
REFERENCES
1,2,3,6 Nutriquest;
Cornell's Nutrition Q & A Service. www.nutrition.cornell.edu
4,5
Heart and Stroke Foundation of Ontario. What do sherbet, grilled
fish and a whole wheat bun have in common? Pamphlet on dietary
fat. CAT 32099222.
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