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May
21, 2003 — Diet maverick Robert Atkins is no
longer with us, but his
controversial “eat all the bacon cheeseburgers you want,
but hold the bun
diet” lives on. Now, two new studies may help resolve
the dispute over the
effectiveness of the so-called Atkins diet, which advocates
low-carbohydrates and high fat. The new research, published
in the New
England Journal of Medicine, compares the weight loss of severely
obese
individuals eating according to Atkins with those eating according
to a
conventional low-fat, low-calorie nutrition plan.
Popular
among dieters but disputed by most doctors, the Atkins diet
has
remained a hotly debated diet in the quest to lose weight.
Many experts have
remained critical of the approach, but have had little evidence
to back up
their criticism. That is, until now, with the results of the
first two
studies to specifically examine the low-carb, high-fat diet.
The results?
While the Atkins dieters slimmed down significantly more than
the traditional dieters during the first six months, there
was no weight
difference between the groups after one year. The researchers
also reported
no differences in side effects during the year-long study.
The research
showed that patients on the Atkins diet experienced an increase
in high-density lipoprotein (HDL), the "good" cholesterol
and a decrease in
serum Triglycerides, a type of fat found in the blood. These
finding
surprised many since high HDL and low Triglycerides reduce
an individual's
risk of developing heart disease. The findings seemed to contradict
reason.
How does a high fat diet decrease Triglycerides and raise
the good
Cholesterol? The answer makes sense when it is understood
that initially the
HDL goes up because its job is to collect Cholesterol and
bring it back to
the liver for elimination. As the total Cholesterol goes up
so does the good
Cholesterol. Triglycerides, on the other hand go down because
the Atkins
diet prohibits refined sugars, which are the source of Triglycerides.
So, while
dieters might be pleased with the early results of the Atkins
plan, the success may be short lived, with the scale tipping
right back to
where it started. Dr. James W. Anderson, professor of medicine
and clinical
nutrition at the University of Kentucky, says, "Using
the Atkins guidelines
long-term will raise cholesterol by 28 percent, whereas a
low fat diet will
lower cholesterol by 20 percent." Dr. Anderson discourages
his patients from
the Atkins diet. He argues, "The high fat diet does promote
weight loss but
reinforces unhealthy but popular eating styles." These
unhealthy eating
styles could cause potential health problems if maintained
beyond a year.
Research has shown consuming high levels of saturated fat,
as many Atkins
dieters do, may increase the incidence of heart disease and
cancer due to
the lack of fiber and the increase of fat in the Atkins style
diet.
The good
news according to Dr. Patrick McBride, the director of Preventive
Cardiology at the University of Wisconsin, is that "The
low-carb, high
protein Atkins diet "is not a diet that is nutritionally
appropriate or
palatable over a long period of time because it essentially
cuts out major
food groups including fruits, vegetables, and complex grains."
Most people
quit the diet after a few months because the craving for crunchy,
high-fiber
foods is so strong.
The truth is Atkins was half right. Refined carbohydrates
and sugars should
be avoided like the plague. The majority of breads, pasta,
cereals and rice
consumed in America today are high sugar, high calorie, and
nutrient poor
products. These refined white, pastry-like breads have no
fiber and no
vitamins or minerals unless a few are added back in after
the refining
process, which bread manufacturers then call enriched in order
to spin a
negative into a positive. Refined carbohydrates will make
you fat, but
complex, or unrefined carbohydrate breads, pasta and cereals;
made with 100%
whole grains will not.
There's
More to Diet than Weight Loss
At any time, about 45 percent of women and 30 percent of men
in America are
actively seeking to lose weight. Unfortunately for them, these
studies do
not answer the million-dollar question: What is the best way
to keep weight
off? Diet experts remain divided.
Dr. Robert
Bonow from the Northwestern University Feinberg school of
Medicine in Chicago, Ill, and Dr. Robert Eckel from the University
of
Colorado Health Sciences University in Denver, Colorado, believe
that
ultimately "The recipe for effective weight loss is a
combination of
motivation, physical activity, and calorie restriction. Until
further
evidence is available, physicians should continue to recommend
a healthy
lifestyle that includes regular physical activity and a balanced
diet."
I agree
with Dr. Bonow and Eckel. To lose weight permanently requires
discipline, exercise, and the proper selection of foods in
their natural,
unrefined state, the way nature created them. Eat 2-3 servings
of fruit
daily, 3-5 servings of vegetables, 6 servings of whole grains,
and limit
high fat, high cholesterol foods, especially red meat and
dairy products, to
no more than once per week. Additionally, I recommend specific
nutrients and
herbs to boost the fat burning metabolism. For more information
about these
supplement recommendations, please click here.
For more
information about these supplement recommendations, please
click here.
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