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Scientific Battlegrounds in Diets
There's an interesting article currently carried by the NYTimes (free reg. yada yada) that talks about the world of dieting, National Institutes of Health, Atkins as well as low-carb vs low-fat. The interesting thing, from a scientific perspective, is the sheer lack of study - and the reticence from the scientific community to question the party line.
Caveat: I work at Pennington Bimedical Research Center, and my boss, Dr. George Bray, was interviewed for but not quoted in the NYTimes article, I suspect because he argues for what he calls "the inevitability of calories." Some problems with the article:
1. It's lopsided journalism (surprised?). There's no *honest* attempt at balance, which is precisely what the author accuses the researchers of doing.
2. The acknowledgement of the validity of the alternative position is buried in the middle of the article on page 4: "Few experts now deny that the low-fat message is radically oversimplified." The author seems to return to it, but never really does.
3. Atkins's program, as with other low-carb programs, work well initially but are extremely difficult to maintain. (The same is true of low-fat diets, incidentally.) This is acknowledged by the research community.
4. Some of the substantiations, such as that claiming that one's body sees all carbohydrates as sugars (page 5), is imprecise.
5. An "Atkins diet without excess fat" (page 7) is a low-fat diet. Someone needs to get over himself.
6. This quote is especially choice: "...the public-health authorities may indeed have a problem on their hands. Once they took their leap of faith and settled on the low-fat dietary dogma 25 years ago, they left little room for contradictory evidence or a change of opinion, should such a change be necessary to keep up with the science" (page 7). It only seems like "contradictory evidence or a change of opinion" if you're outside the research community. This is one research community that is not monolithic.
Do more investigation before taking this article as gospel.
Almost two years ago I went in for a physical and to talk to my doctor about losing weight. I was almost 400 lbs. At that weight, you can't exercise because you'll destroy your joints before you lose any weight (and on an bicycle you fsck over your lower back). Trust me, I've done it. My doc spent several hours doing a physical and taking blood tests, did and EKG, etc...
After looking at the results he recommended that I get on the Atkins diet. He did recommend getting some exercise after losing some of the weight, but I had to get the weight off first. He also had me stop weight lifting because I was actually developing an un-healthy level of muscle mass. Trying to supply too much muscle with blood is actually hard on your heart. Also I found that when you have too much muscle in your upper body you can develop breathing problems in your sleep becuase your torso is too massive. These are some of the probs that body builders put up with. Also my cholesterol was in the 280's and the ratio was "way off" but I don't remember the numbers.
Well, I was on the diet for almost a year and dropped over 100 lbs. At first I was really skeptical, but after being on it for a couple of weeks, I couldn't believe how much energy I had. I was actually hyper. When I dropped about 50 lbs I started riding a bike and then running when I dropped more weight. Now I am 2 belt levels away from getting my black belt in tae kwon do, a lifetime dream of mine but I have alwasy been too heavy to do.
My cholesterol is in the 130's and the ratio has flipped the other way now. I have been off the Atkins diet for almost 9 mos now and have maintained my weight. I can't say that I am totally off the diet, obviously I had to change my way of eating because that's what got me where I was in the first place. I try to eat a low carb breakfast (bacon and eggs or a flax cereal). And a "lower" carb lunch - chicken salad or left over stir fry, maybe soup. Dinner is usually whatever though, spaghetti, pizza, etc...
The problem with the Atkins diet is that it is INCREDIBBLY BORING. I am so freaking sick of meat and cheese. I really should get back on it and drop another 20 - 30 lbs but haven't come up with the motivation to put myself on it full time again. I probably will this fall but I need a break.
The diet isn't for everyone. If people would shut their yap long enough to research it, the diet is actually for a specific type of metabolism. The metabolic condition is really brought on by a diet that has been extremely high in simple carbohydrates complicated by a genetic predisposition to diabetes (which is rampant in my family). You develop an insensativtiy to insulin and need more and more of it to metabolize glucose. The prob is, with that much insulin you body readily stores glucose as fat rather than metabolizes it - it becomes a viscious circle.
Through testing my doc found this condition in my body and recommended the diet which worked. There are several people I work with that thought they would try it without checking with their doc (which Atkins warns against in his book) after seeing my success that got sick on the diet. It isn't for everyone.