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Medical Forum / General / Nutrition / September 2004

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Carbs converted to sat fat ?

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Nicholas - 31 Aug 2004 02:22 GMT
Hello,
Someone here said that the body converts every carbohydrates over 150 grams
to saturated fats
I wonder if this is true and is there's a official scientific reference to
back this up
Someone consuming a normal caloric diet and doing some sport, let's say
2500 calorie daily would have to consume no more than 24% carbohydrates to
avoid an "excess" of carb is that is true
If that is not true does anyone know the actual figure for carb -> sat fat
convertion or wether there's no such a thing as an excess of carbohydrates
only an excess of calories
Maybe the difference is between unrefined and refined high GI carbs where
only the latter in a normocaloric diet are converted to fat

Thanks
Nicholas
Mxsmanic - 31 Aug 2004 05:46 GMT
All excess calories are ultimately converted to body fat.

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Nicholas - 31 Aug 2004 15:05 GMT
In data Tue, 31 Aug 2004 06:46:45 +0200, Mxsmanic ha scritto:

> All excess calories are ultimately converted to body fat.

Okay, but who said that more than 150 grams of carbohydrates is excessive ?
Is there any scientific reference that show that our body consider more
than 150 grams of carbohydrate excessive even though it's only 600
calories?
If I need 2500 calories and I consume 2000 calories of carboidrates, is
this excessive for the body even though it's not excess calories ?
What is the limit between fair amount and excessive amount ? 150 g ?

Thanks
Nicholas
Mxsmanic - 31 Aug 2004 18:36 GMT
> Okay, but who said that more than 150 grams of carbohydrates is excessive ?

It depends on how many calories you burn.  Any excess of calories
consumed over calories burned is converted to fat.

> Is there any scientific reference that show that our body consider more
> than 150 grams of carbohydrate excessive even though it's only 600
> calories?

See above.

> If I need 2500 calories and I consume 2000 calories of carboidrates, is
> this excessive for the body even though it's not excess calories ?

No.  You'll lose weight.

> What is the limit between fair amount and excessive amount ? 150 g ?

See above.  Anything beyond what your body requires in terms of energy
is excessive and will be turned to fat.

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markd@toad-net.com - 31 Aug 2004 14:44 GMT
You have correctly identified one of the flaws in the low carb logic, any
of the macro sources of nutrition are not likely to lead to problems if
their sum doesn't exceed daily calorie requirements. The 150 carbs is
related to the brain needing an amount similar to this each day, the brain
uses glucose only or one of it's variations for it's energy source.  Using
the backwards logic of low carb, this then means anything above 150 is to
be avoided.

>> All excess calories are ultimately converted to body fat.
>
[quoted text clipped - 8 lines]
>Thanks
>Nicholas
tcomeau - 31 Aug 2004 20:04 GMT
Two flaws in this paragraph, at least.

1) It assumes the complete mathematical infallibility of the
application of the caloric theory in the real world, which is dubious
due to the very broad and general nature of the food/calorie
quantifications, labelling inaccuracies, etc.

2) The silly ramblings about 150 carbs and the needs of the brain, and
the excess to be avoided. ?????

The low-carb concept is directly tied to the glycemic load concept.
Essentially, refined and high-GI carbs with little fat to slow
absorption of the carbs will spike hormonal levels (insulin) and cause
weight gain or at least block weight loss. A meal with fewer refined
carbs and more slowly absorbed (metabolized) wholefood carbs will
avoid this unusual hormonal spike and minimize the amount of time that
the body is in this fat storage mode.

Carbs are the first available source of energy for the body. If there
is always high levels of glucose in the body, the body will use it to
the exclusion of using fat for energy and will try to store the excess
carbs as fat. Never even touching the stored fat for energy. If you
glucose levels are low, then the body has no choice but to use fat for
its energy source. And no, that is not unusual or dangerous. The body
can safely use fat for energy and break it down to ketones and get rid
of the excess ketones. That how the body developed over millions of
years with little or no refined carbs in the diet.

If it was as simple as cutting calories, anyone who seriously wanted
to be thin would be, and it would not be a major battle, they would
just have to cut back on what they eat. Yet, it fails in about 98% of
cases.

TC

TC

> You have correctly identified one of the flaws in the low carb logic, any
> of the macro sources of nutrition are not likely to lead to problems if
[quoted text clipped - 16 lines]
> >Thanks
> >Nicholas
Lictor - 31 Aug 2004 21:18 GMT
> The low-carb concept is directly tied to the glycemic load concept.

*Some* low carb approach are (South Beach for instance), others *really*
focus on reducing the number of net carbs, high or low GI.

> Essentially, refined and high-GI carbs with little fat to slow
> absorption of the carbs will spike hormonal levels (insulin) and cause
> weight gain or at least block weight loss.

By that logic, one should not be able to lose weight on a low fat diet, or
on a very high carb diet. That would mean most of the people in the Third
World would be obese or unable to lose weight. But people *do* lose weight
on low fat, as long as you restrict calories low enough. Likewise, people
lose weight on plenty of weird diets, like fruit only diets or cookies only
diets (yes, they do exist). That fact is in contradiction with what you're
saying.
The problem of all diets is *not* losing weight. All of them, no matter how
crazy, do that. The problem all diets face are binges and people unable to
maintain weight loss (which is mostly binges and inability to recover from
them).

> A meal with fewer refined
> carbs and more slowly absorbed (metabolized) wholefood carbs will
> avoid this unusual hormonal spike and minimize the amount of time that
> the body is in this fat storage mode.

Normal people who do three iso- or hypo-caloric meals a day will spend most
of their time outside of hormonal spike anyway. Remember that many
non-diabetic people are already back to normo-glycemia less than two hours
after the start of a meal. By that time, they're not anabolic anymore.

> Carbs are the first available source of energy for the body. If there
> is always high levels of glucose in the body, the body will use it to
> the exclusion of using fat for energy and will try to store the excess
> carbs as fat.

Per definition, if you eat less calories than you burn, this just cannot
happen. Eventually, everything that you have eaten, carbs or not, will have
been burnt. Then, the body will have to use its stores, both fats and
glycogen.

> If your glucose levels are low, then the body has no choice but to use fat
for
> its energy source.

That's what happens to everyone, low carbing or not, as long as they're not
diabetic (or are diabetics in good control). Low glucose level is what
triggers hunger after all. If you wait until you're hungry before eating,
you will have gone through a low glycemia phase with low insuline level.

> And no, that is not unusual or dangerous. The body
> can safely use fat for energy and break it down to ketones and get rid
> of the excess ketones.

That's also what happens in everyday life, provided you don't snack every
hour (I will admit that some people *do* snack every hour).

> That how the body developed over millions of years with little or no
refined carbs in the diet.

But we still had some high GI food. Both human beings and apes have a strong
attraction to sweet, because our brains are insanely power hungry (compare
human brain glucose need to that of other animals). So, we often ate fruits,
and ripe tropical fruits are pretty heavy in sugar.
As soon as fire was available, cooking roots was possible, another source of
energy with plenty of carbs.

> If it was as simple as cutting calories, anyone who seriously wanted
> to be thin would be, and it would not be a major battle, they would
> just have to cut back on what they eat.

Well, it's actually that simple.

>Yet, it fails in about 98% of cases.

No, failure rate is only 85% ;) And very few people fail in the early phase
: weight loss. When most fail is either halfway to goal (but some weight has
been lost), or, mostly, at maintenance.
tcomeau - 01 Sep 2004 21:38 GMT
Extreme restriction of food will lead to short term weight loss with
accompanying poor health. Eating extreme amounts of all foods will
lead to gaining weight and the accompanying poor health. I am not
addressing these EXTREME circumstances.

Somewhere in the middle is a diet that fills you up without causing
you to gain weight and provides you with optimum nutrition. It is a
low-carb low-glycemic-index diet. It is high fat, moderate protein and
low carb, compared to the currently recommended food pyramid.

TC

> > The low-carb concept is directly tied to the glycemic load concept.
>
[quoted text clipped - 74 lines]
> : weight loss. When most fail is either halfway to goal (but some weight has
> been lost), or, mostly, at maintenance.
Lictor - 01 Sep 2004 23:06 GMT
> Extreme restriction of food will lead to short term weight loss with
> accompanying poor health. Eating extreme amounts of all foods will
> lead to gaining weight and the accompanying poor health. I am not
> addressing these EXTREME circumstances.

Neither am I. Eating 1600 calories a day doesn't sound that extreme to me.
That will nevertheless cause weight loss in someone who needs 2000 calories
a day. Actually, some obeses can lose on a 2500 calories diet, because some
of them retain a high metabolism. That doesn't sound very extreme to me.
There is no clear link between extreme low calories and ability to maintain
the weight loss or not. I mean, most of the time, the dieter is unable to
maintain the weight loss, but that's also what happens with most diets
anyway.

> Somewhere in the middle is a diet that fills you up without causing
> you to gain weight and provides you with optimum nutrition.

That's what happens if you're doing a diet that follow the natural weight
loss curve of the body or a diet that is anorexigen. Low carb is anorexigen,
but that doesn't mean you cannot use other approaches.

> It is a
> low-carb low-glycemic-index diet. It is high fat, moderate protein and
> low carb, compared to the currently recommended food pyramid.

I know how it looks like. It's only one of the way to deal with the problem,
others are available.
But I'm still not clear on how that kind of diet fares in the long term. We
still have no clue about long term success rate. What is its long term
impact on health? Is the loss sustainable? Many studies are done at the one
year mark, and that's worthless. That's a diet you're supposed to follow for
life. It should be evaluated at 5 years, 10 years, 20 years...
Brenda G. Kent - 29 Sep 2004 21:08 GMT
Somewhere in the middle is a diet that fills you up without causing
you to gain weight and provides you with optimum nutrition. It is a
low-carb low-glycemic-index diet. It is high fat, moderate protein and
low carb, compared to the currently recommended food pyramid.

TC

Don't agree. I went on a low-fat diet...ate as much low fat or no far food
as I wanted...did'nt worry about portions or sugar for that matter and
lost 80 lbs with no pain or side effects over two years. Yes it is slower
but it is a diet that is easy to live on...does'nt take much thought and
works.

Low carb makes one constipated,lethargic,gives one halitosis, kidney
stress etc.

Bren

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               No matter how small"

                              -Dr. Suess

Piezzo Guru - 30 Sep 2004 00:06 GMT
Low fat diets  give many gallbladder failure.

> Somewhere in the middle is a diet that fills you up without causing
> you to gain weight and provides you with optimum nutrition. It is a
[quoted text clipped - 13 lines]
>
> Bren
magnulus - 01 Sep 2004 22:38 GMT
  Most diets fail because they are not long term solutions, not because
they have too many carbs.  Permanent change for people is a difficult thing,
and sometimes its even costly (whole grain products can cost more than
refined products).   Also, in America increasingly people don't get physical
activity.  I'm not talking exercise.  Everybody hates exercise, except for
the few people who are athletes or are addicted to running.  I'm saying
living in suburbs makes you fat (they have proven this, in a recent study).
People don't have to walk beyond picking up the mail- their SUV takes them
everywhere.   You have to look at it holisticly.

 It also didn't help the US government changed the definition of
"overweight", thus putting more people within the ranks of the overweight.
Lots of studies have shown that being moderately overweight doesn't
significantly affect healthcare costs over a lifetime- in fact it's not
until you get into the frank obese that healthcare costs really start to
increase.  In many cultures, being thin is not considered desireable or
attractive, in fact it is assosciated with poverty.   Pushing diets on
people, especially women, encourages eating disorders and unhealthy
attitudes about food and eating.
markd@toad-net.com - 01 Sep 2004 22:32 GMT
"  It also didn't help the US government changed the definition of
"overweight", thus putting more people within the ranks of the overweight.
Lots of studies have shown that being moderately overweight doesn't
significantly affect healthcare costs over a lifetime- in fact it's not
until you get into the frank obese that healthcare costs really start to
increase.  In many cultures, being thin is not considered desireable or
attractive, in fact it is assosciated with poverty.   Pushing diets on
people, especially women, encourages eating disorders and unhealthy
attitudes about food and eating."

The body mass index measure of body weight was not  decided by the
government.  It's cut off points were based on looking to see where the
curve for various risk factors starts to rise, for both upper and lower
markers.  A bmi lower then or above the normal range have added health
risks.  By emperical research the bmi for various parts of the world has
been modified to reflect differences in risk factors, for example the 25
as the upper number for normal is 23 or so for those in the s. asia area
because their risk factors start to rise at a lower number.
Piezzo Guru - 01 Sep 2004 23:15 GMT
Maybe the government will perform their usual miracle with obesity??

1) redefine what obesity really means. Loosen the parameters.
2) Recount the tally.
3) Scream to the world they have cured it with their new obesity vaccine.

>    Most diets fail because they are not long term solutions, not because
> they have too many carbs.  Permanent change for people is a difficult thing,
[quoted text clipped - 15 lines]
> people, especially women, encourages eating disorders and unhealthy
> attitudes about food and eating.
Lictor - 01 Sep 2004 23:24 GMT
> Most diets fail because they are not long term solutions, not because
> they have too many carbs.

That's certainly one of the reason why diets fail, but certainly not the
only one. I would include others :
- many diets rely on willpower. Willpower is not meant to deal with trivial
things like eating three meals a day, there is only so much willpower
available.
- many diets are restrictive; they put the dieter in a state of cognitive
restriction, which is one step in the binge cycle. This means most diets are
a medically induced and controlled form of anorexia - sometimes it backfires
and leads to binge eating or bulimia.
- diets fail to address the *cause* of the obesity, they only deal with
removing the symptoms (the fat).
- diets fail to help the dieter adjust to being in a slim body, some people
are just not able to cope with that.
- diets fail to help people to give up the positive aspects of their fat.

> Permanent change for people is a difficult thing,
> and sometimes its even costly (whole grain products can cost more than
> refined products).

That's why obesity should be addressed from all angles, not only from the
medical angle. It's also a political problem. It implies changes in city
planning, agriculture policy, education...

> Also, in America increasingly people don't get physical
> activity.  I'm not talking exercise.  Everybody hates exercise, except for
> the few people who are athletes or are addicted to running.  I'm saying
> living in suburbs makes you fat (they have proven this, in a recent study).
> People don't have to walk beyond picking up the mail- their SUV takes them
> everywhere.

Several European cities are thinking about banning SUV, you should join them
;)
That's again a political problem, an urbanism one. Zoning created the *need*
to drive a car to do anything. Compare that to traditionnal European cities,
or American cities built like them (New York, San Francisco...) : people
walk a lot, because work, houses and shops are within the same area. The
average new yorkers walks an insane amount of distance daily. I wonder if
this shows on the obesity statistics for the city, once you remove the other
factors (income...).

> Lots of studies have shown that being moderately overweight doesn't
> significantly affect healthcare costs over a lifetime- in fact it's not
> until you get into the frank obese that healthcare costs really start to
> increase.

1) knowing that modest overweight carries little health risk
2) knowing that most diets *fail* and lead to net weight *gain*
3) knowing that repetitively losing and gaining weight carries a much higher
health risk than keeping that weight constant
It follow that a doctor *forcing* an otherwise healthy and moderately
overweight patient to start a diet is actually statistically doing harm to
his patient. Primum non nocere.

>  Pushing diets on people, especially women, encourages eating disorders
and unhealthy
> attitudes about food and eating.

Yup. One might wonder if the diet craze is part of what is increasing the
obesity rate. I mean, more and more people are on a diet, and more and more
people ar obese.
Eric Bohlman - 02 Sep 2004 00:08 GMT
> Yup. One might wonder if the diet craze is part of what is increasing
> the obesity rate. I mean, more and more people are on a diet, and more
> and more people ar obese.

Paul Campos (in _The Obesity Myth_ and various columns) suggests that
that's precisely the case.  He also wrote a column (available online, but I
don't remember the URL) about how people didn't walk much (it wasn't
related to weight control).
magnulus - 09 Sep 2004 23:45 GMT
  According to the BMI, Arnold Schwartzeneger (in his prime, dunno how he
is now days) was severely obese, and Bruce Willis and Sylester Stallone were
overweight.

 According to my "BMI" I'm 35-38 lbs overweight and obese, but to me, it
seems like I'm more like 20 lbs overweight.  There is no way I'd feel
healthy weighing only 165 lbs.   I think the lowest I ever weighed was about
174, and I didn't have any real body fat left (in fact I had trouble keeping
on the weight).  So I don't feel obese, even if I probably could stand to
lose a few pounds (weighing about 202 lbs).
magnulus - 09 Sep 2004 23:38 GMT
> That's why obesity should be addressed from all angles, not only from the
> medical angle. It's also a political problem. It implies changes in city
> planning, agriculture policy, education...

  High obesity is the canary in the coal mine... it's a sign of a society
that is severely disfunctional.

 To be fair, Europe and Asia have increased rates of obesity too, but the
US has more.

> It follow that a doctor *forcing* an otherwise healthy and moderately
> overweight patient to start a diet is actually statistically doing harm to
> his patient. Primum non nocere.

  A more productive approach, IMO, would be to encourage people to eat
better foods.  Telling people to lose weight is obviously a recipe for
failure, because ultimately society has more than its share of
responsability for the rise in obesity.

 In the US, there are cases of both obesity and maltnutrition at the same
time.  Some of the poorer hispanic migrant communities, or inner-cities, for
instance.  People exist on diets of cheap starches, soda pop, and little
else.  They can't afford to eat good food.  There are also cases of food
deserts in the US, where the only place to buy food easily is a convenience
store.  This is a problem both in rural areas and inner cities, and is
caused by the suburbification and super-center grocery stores like Wal-Mart.
Emma Chase VanCott - 10 Sep 2004 01:59 GMT
: > That's why obesity should be addressed from all angles, not only from the
: > medical angle. It's also a political problem. It implies changes in city
: > planning, agriculture policy, education...

:    High obesity is the canary in the coal mine... it's a sign of a society
: that is severely disfunctional.

:   To be fair, Europe and Asia have increased rates of obesity too, but the
: US has more.

: > It follow that a doctor *forcing* an otherwise healthy and moderately
: > overweight patient to start a diet is actually statistically doing harm to
: > his patient. Primum non nocere.

:    A more productive approach, IMO, would be to encourage people to eat
: better foods.  Telling people to lose weight is obviously a recipe for
: failure, because ultimately society has more than its share of
: responsability for the rise in obesity.

:   In the US, there are cases of both obesity and maltnutrition at the same
: time.  Some of the poorer hispanic migrant communities, or inner-cities, for
: instance.  People exist on diets of cheap starches, soda pop, and little
: else.  

At our local hospitals, we receive fly-in patients from a Native
("N. American Indian") reservation. Diabetes and obesity are exploding
among that population, too.

Emma
kansasman - 17 Sep 2004 02:51 GMT
> > That's why obesity should be addressed from all angles, not only from the
> > medical angle. It's also a political problem. It implies changes in city
[quoted text clipped - 22 lines]
> store.  This is a problem both in rural areas and inner cities, and is
> caused by the suburbification and super-center grocery stores like Wal-Mart.

I am against the decision made by the H&H Services to call obesity a
disease...this is not helping the condition or the mindset of
individuals, imho.
Ron Peterson - 31 Aug 2004 17:21 GMT
> Hello,
> Someone here said that the body converts every carbohydrates over 150 grams
[quoted text clipped - 9 lines]
> Maybe the difference is between unrefined and refined high GI carbs where
> only the latter in a normocaloric diet are converted to fat

Scanning various web pages it looks like very little carbohydrates in
a normal diet gets converted to fat, and so I don't think that the
conversion is an important source of saturated fat in the body.
Carbohydrates get burned first, so an excess of calories is what
causes a person to gain weight (mostly as fat).

Signature

  Ron

john - 03 Sep 2004 00:11 GMT
>> Hello,
>> Someone here said that the body converts every carbohydrates over 150 grams
[quoted text clipped - 15 lines]
>Carbohydrates get burned first, so an excess of calories is what
>causes a person to gain weight (mostly as fat).



Protein Triggers Carbohydrate Conversion To Body Fat

A biochemistry team from the Department of Veterans Affairs and UT
Southwestern Medical Center at Dallas has identified a
glucose-sensitive protein that translates excessively
high-carbohydrate intake into body fat, especially when combined with
a sedentary lifestyle.
"Once upon a time, we thought hormones directed this long-term control
of metabolism. Turns out, diet also plays a major role," said Dr.
Kosaku "Ko" Uyeda, a UT Southwestern professor of biochemistry and
research career scientist at the Dallas Veterans Affairs Medical
Center.

Uyeda and his UT Southwestern colleagues reported in today's issue of
the Proceedings of the National Academy of Sciences that they isolated
the glucose-sensitive protein, dubbed the carbohydrate response
element-binding protein (ChREBP), that triggers the long-term process
of transforming excess dietary carbohydrates into fat.

They used rat livers in their study, but the results are believed to
reflect the human body's functions.

When people eat desserts, pasta, potatoes or other sugar- and
starch-laden foods beyond the body's energy and nutritional needs,
these carbohydrates become a flood of glucose, and the liver converts
the surplus glucose to fat, Uyeda said.

At some point, the glucose reaches a level that signals the
ChRE-binding protein to start a chain-reaction along a series of genes
that, in turn, activate the synthesis of a dozen enzymes that catalyze
the transformation of the excess glucose into fat to be stored in the
body, he said.


See   http://unisci.com/stories/20013/0731014.htm for complete
article.
 
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