Atkins diet has a point - WSJ article

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Atkins diet has a point, despite scientific backlash

TARA PARKER-POPE, The Wall Street Journal Tuesday, April 15, 2003

(04-15) 12:44 PDT (AP) --

Calories vs. carbs.

The battle heated up last week when the Journal of the American Medical Association weighed in, concluding there's nothing special about the low-carbohydrate diet promoted by best-selling diet guru Robert Atkins.

Dr. Atkins has long claimed that severely restricting carbohydrates results in metabolic changes that help dieters lose weight faster than a traditional low-calorie diet. The Jama authors, however, reviewed nearly 40 years of medical studies and concluded the low-carb diet is simply another way to cut high-calorie foods.

But the calorie-vs.-carb debate may be missing a crucial point. While the science shows all calories are created equal, it's increasingly clear that all carbohydrates are not. Not only are many high-carb foods very fattening, but certain types of carbs also can make it tougher to stick to a diet.

Dr. Atkins has a legion of true believers who are convinced that the diet works better than the rest. Nearly 12 million Americans are now cutting carbs in an effort to lose weight. And the truth is that everybody, even those of us who don't think the diet is healthy in the long-term, still has something to learn from them.

"It's the same stuff (Atkins critics) have been saying for 30 years," says Doug Berry, 43, a Newberg, Ore., paralegal who decided to cut carbs 15 months ago and has since shed nearly 50 pounds. "There's no evidence -- except for people like me who have done Atkins and have changed their whole lives."

It's easy to criticize the Atkins diet. It encourages dieters to gobble down foods like steak, cheese and butter that are rich in unhealthy saturated fats. It shuns, particularly in the early stage of the diet, many fruits and vegetables, which tend to be high in carbohydrates, as well as whole grains.

But no matter what you think of the low-carb diet, Dr. Atkins, who is currently in a coma after falling last week on an icy sidewalk, should get credit for shifting the diet debate away from the frenzied focus on fat to raising public awareness about the pitfalls of carbohydrates.

Most experts don't believe in restricting carbs to the low levels Dr. Atkins espouses. But there's a growing body of research that shows eating certain types of carbohydrates -- like those found in potatoes and highly processed foods such as white bread -- can make you hungrier. That's because the body processes them more quickly -- causing a spike in blood glucose, which in turn gives you a quick surge of energy. But then you crash and you're quickly hungry again. And hunger is the primary reason diets fail.

"Those swings can make it harder to control caloric intake -- they stimulate hunger," says Harvard School of Public Health professor Walter C. Willett, a longtime critic of the conventional carb-focused food pyramid. "If you're hungry, you'll snack and may consume more calories in the long run."

This doesn't mean you should cut all carbohydrates. But if you're trying to lose weight, it makes sense to rethink the ones you do eat and how often you eat them.

Many high-carb foods, such as french fries, muffins and oil-laden pasta, are also very high-calorie foods, so cutting them out always makes sense. In addition, switching to the type of carbs found in brown rice, beans, vegetables and fruits may help curb your hunger; they are essentially "sustained-release" carbs that are harder for the body to break down. Choose whole-grain foods over highly processed ones. And restrict "white" foods such as sugar, white bread, white potatoes and foods made with finely milled flours.

Like most successful low-carb dieters, Bruce Herbitter of Midland, Mich., says he wasn't hungry after starting the Atkins diet in August. The 50-year-old steel-industry executive lost 38 pounds in five months, and is now in maintenance mode.

For brunch on Saturday, he downed three fried eggs, six slices of bacon, two slices of low-carb toast with butter and coffee with a sugar substitute and heavy cream. Other days he tones it down, substituting the better carbs of broccoli and cauliflower instead of pasta in dishes, and skipping the bun and fries when he orders fast food.

His wife, however, couldn't stick to the diet because she doesn't
particularly like meat and missed pasta, bread and legumes. "The diet works for you if you can be happy with these foods," says Mr. Herbitter. "I love fish, chicken, pork and beef and I love vegetables. I don't miss bread or pasta."

Three years ago Wendy Becker, a University at Albany assistant professor of management, lost 54 pounds cutting carbs. She found it difficult to give up cereal, in particular, but switched to a home-made, wheat-free granola of seeds, nuts and flaxseed. To maintain her weight, she still severely restricts carbs and eats mostly protein, berries and melon and non-starchy vegetables. "Carbs are addictive," says Ms. Becker, 51. "I know if I went back to the way I was eating before, I would gain weight again."

Dr. Atkins in the past has said he believes his diet can be misunderstood. While the early part of the diet severely restricts carbs, the plan does allow salads, green vegetables and berries.

Once a dieter is in maintenance, he continues to banish junk food and suggests a variety of fruits and vegetables. He encourages foods with healthy fats, warns against dangerous transfats and, contrary to popular opinion, suggests moderation when eating meats like bacon and sausage.

"The reason you don't feel hungry is that you can eat enough so that you're not hungry," Dr. Atkins said in an interview earlier this year. "This doesn't mean we want people to eat a lot of food or want people to eat unhealthy food."

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Thought it was an interesting article, and good for anyone trying to eat healthier and/or lose weight.

As a side note... Doug Berry who is quoted in the story posts as dougieb at lowcarbfriends.com, and is an all-around great guy, and pretty darn good low-carb cook! :)
 
The AMA will hold fast to that low fat idea for a long time, I think. They've argued too hard and long against Atkins to give up easily.

And just think of all of the companies making a fortune on fat free and low fat products, not to mention sugar free cookies made with white flour. They won't give up all that money without a fight.

It will be a while yet before many people will accept Atkins as a healthy way of eating.

All I know is that after my husband's heart attack he lost 40 pounds eating a low fat diet. Unfortunately, despite taking medication for high lipids, his triglycerides and cholesterol just got higher and his blood sugar remained at an average of 250+ every day.

Since following the Atkins plan and choosing to spend his carbohydrate allowance on healthy vegetables, berries, nuts and seeds, all of his numbers improved and the improvement was immediate. His diabetes is under control now for the first time since he was diagnosed in 1988.

So the AMA can tell me all they want that Atkins plan isn't healthy. I've seen the proof of the opposite with my own eyes and the change in our quality of life is nothing short of amazing. We will continue to eat healthy carbohydrates and shun pasta, rice, potatoes, white flour, sugar and all the rest of the unhealthy carbs that used to be a major part of DH's diabetic diet. We are healthy and we plan to stay that way.

Interesting article, thanks for posting it :)
 
Well, I don't need to look any further than glo to see that Atkins does work! :)
 
That was an interesting article. Thank you for sharing it. I am one of the choir too though. Over thirty pounds shed, dramatic improvements in my cholesterol numbers and I am SOOO much more even keeled now. I used to suffer EXTREME highs and lows in energy and mood. I just am not there anymore. It is amazing really. So glad I got over my fat phobia.
 

Originally posted by nativetxn

All I know is that after my husband's heart attack he lost 40 pounds eating a low fat diet. Unfortunately, despite taking medication for high lipids, his triglycerides and cholesterol just got higher and his blood sugar remained at an average of 250+ every day.


Do you think that had something to do with hydrogenated oil? I know it's supposed to actually be worse for you than regular butter/fats. I try to not eat things with hydrogenated oil, but I'm not as strict about it as I could be. I know alot of lowfat margarines use it, and it's used in things like chips and other junk food (and crackers, etc.) Something about the way the body metabolises the hydrogenated oils, it turns them into transfatty (sp?) acids that have something to do with fat in the arteries.

I'm so glad that Atkins is helping you and your hubby, Kath! :) It's WONDERFUL!!!!
 
Trans fats were certainly part of the problem with the lipids. I don't think they affected his blood sugar, though. The high carbohydrate consumption was responsible for that. Rice and pasta just make his blood sugar soar and his diabetic diet called for up to 11 servings of grains a day.

I think controlling his carbohydrate intake and avoiding refined carbohydrates altogether is what controls his diabetes. Actually, his internist and cardiologist both told him that this eating plan was best for his diabetes.

Atkins isn't for everyone but it has made the two of us so much healthier. He tried WW before his heart attack but his sugar was out of control on that too :( This doesn't mean that WW is a bad program, it just happened to be bad for <i>him</i>.

I think we have tried every known eating plan and Atkins is the one that works best for him. So, we stick with what works. I want to keep him longer and he was a heart attack waiting to happen because of his out of control diabetes. It wasn't a question of <i>if</i> he would have one only <i>when</i> he would have one. That danger has receded now and it is a blessing for me. His physicians are happy with his results, too.

It's kind of amusing, now he can't wait to go see his doctors and have his lipids and glycolated hemoglobin tested. Before he began the Atkins plan, he was always finding excuses not to go see the doctor and have blood work done. Now he is excited about the same thing he used to avoid. Go figure.
 












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