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Medical Forum / General / Nutrition / June 2005

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Low-Glycemic Better Than Low-Fat Diet

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TC - 07 Jun 2005 16:44 GMT
http://diabetes.about.com/b/a/175612.htm

June 07, 2005
Low-Glycemic Better Than Low-Fat Diet
Foods with a low-glycemic index, which cause smaller increases in blood
sugar, may protect the heart and blood vessels better than a low-fat
diet, according to the findings of a study published in the American
Journal of Clinical Nutrition.

Researchers found that when obese people consumed as many carbohydrates
with a low-glycemic index as they wanted, they lost just as much weight
in 12 months as people who stuck with a conventional,
calorie-restricted low-fat diet.

People who followed the low glycemic diet also showed a larger decrease
in blood fats linked to heart disease and lower levels of a protein
that interferes with the body's ability to break down blood clots.

"Based on our results, and several dozen other clinical trials and
epidemiological studies, I would recommend eating foods with a
low-glycemic index", said Dr. David S. Ludwig, who is based at
Children's Hospital in Boston.

In this study, 23 obese young adults followed either a low-fat diet or
a diet in which they ate low-glycemic index foods for one year. As part
of the low-glycemic index diet, people could eat as much as they wanted
of foods with a low index, and got roughly 45 to 50 percent of calories
from carbohydrates, and 30 to 35 percent from fat.

Ludwig noted that even though low-glycemic index dieters had no calorie
limits, they likely didn't overeat because they felt less hunger after
eating foods that take longer to digest. Reports Reuters News

-------

TC
montygram - 08 Jun 2005 05:20 GMT
Dr. Spindler, who's a leading expert in animal caloric restriction
experiments, has noted that the CR animals always had intense insulin
spikes upon eating, but that the spikes went down quickly.  The control
animals had less intense spikes, but the insulin levels were higher
between meals.  That is the key, as far as this "low glycemic" stuff is
concerned.  Now, it's true that this kind of diet may be better than a
higher fat diet, because in countries like the USA, unsaturated fatty
acid consumption is very high, and that means heart disease due to
oxidized cholesterol, as well as other chronic inflammatory markers.
Peoples with poor "health care systems," but with very high saturated
fatty acid diets (coconut or palm kernel oil) don't have the incidence
of "chronic disease" that the USA, Europe, etc. have.  Just go to the
World Health Oranization and look at the statistics.  The differences
are amazing.  So, if you're not smart enough to eat a lot of coconut
product (or something similar) and you insist on eating mostly
unsaturated fatty acids, then yes, go on a low fat diet.  I was on such
a diet for over a decade, and though I was never fat, I was always
hungry.

You've probably heard the phrase "corn fed," and they still feed
livestock corn and soy, but not coconut, because that makes the animals
lean.  It's a suppressive effect on the thyroid that is at work, and if
you go "low fat," you will remove the unsaturated fatty acids that are
causing this effect.  As people get older, the oxidative stress becomes
more of a problem, the thyroid function goes down, making metabolism
slower, and you gain weight.  Many college students, eating cafeteria
food, which is fried in highly unsaturated oils that gets changed once
a month, put on a lot of weight.  It's the same thing going on there.
I eat plenty of fat, plenty of sugar, and at 5' 9" tall, I'm no more
than 120 pounds, and I'm never hungry.  Even when I wake up, I don't
have to eat right away.  On the old vegan, low fat diet, I would wake
up very hungry, and my hands would often be shaking.  I would wake up
at 5 in the morning with hunger pains.  So when you hear these reports,
remember that better does not mean best.
Bob - 08 Jun 2005 09:18 GMT
>I eat plenty of fat, plenty of sugar, and at 5' 9" tall, I'm no more
>than 120 pounds,

You are underweight, are you anorexic?  Im sorry but women are not
into a guy who is 5'9" 120 pounds.

> On the old vegan, low fat diet, I would wake
>up very hungry, and my hands would often be shaking.

?
Enrico C - 08 Jun 2005 09:36 GMT
On 7 Jun 2005 21:20:02 -0700, montygram wrote in
<news:1118204402.386991.211490@g43g2000cwa.googlegroups.com> on
sci.med.nutrition :

> Peoples with poor "health care systems," but with very high saturated
> fatty acid diets (coconut or palm kernel oil) don't have the incidence
> of "chronic disease" that the USA, Europe, etc. have.  Just go to the
> World Health Oranization and look at the statistics.  
> The differences are amazing.  

Examples? :)
Enrico C - 08 Jun 2005 12:44 GMT
> On 7 Jun 2005 21:20:02 -0700, montygram wrote in
> <news:1118204402.386991.211490@g43g2000cwa.googlegroups.com> on
[quoted text clipped - 7 lines]
>
> Examples? :)

Here is the *healthy* life expectancy at birth, in years.
I sorted it myself (well, MS Word did ;)

Japan     75.0
San Marino     73.4
Sweden     73.3
Switzerland     73.2
Monaco     72.9
Iceland     72.8
Italy     72.7
Australia     72.6
Spain     72.6
Andorra     72.2
Canada     72.0
France     72.0
Norway     72.0
Germany     71.8
Luxembourg     71.5
Austria     71.4
Israel     71.4
Netherlands     71.2
Belgium     71.1
Finland     71.1
Greece     71.0
Malta     71.0
New Zealand     70.8
United Kingdom     70.6
Singapore     70.1
Denmark     69.8
Ireland     69.8
Slovenia     69.5
United States of America     69.3
Portugal     69.2
Czech Republic     68.4
Cuba     68.3
Republic of Korea     67.8
Cyprus     67.6
Chile     67.3
Costa Rica     67.2
Kuwait     67.0
Croatia     66.6
Panama     66.2
Slovakia     66.2
Uruguay     66.2
Poland     65.8
Barbados     65.6
Mexico     65.5
Argentina     65.3
Brunei Darussalam     65.3
Qatar     65.2
Jamaica     65.1
Hungary     64.9
Bulgaria     64.6
Georgia     64.4
Bahrain     64.3
Bosnia and Herzegovina     64.3
Venezuela     64.2
China     64.1
Estonia     64.1
Oman     64.0
United Arab Emirates     63.9
Serbia and Montenegro     63.8
Dominica     63.7
Libyan Arab Jamahiriya     63.7
The former Yugoslav Republic of Macedonia     63.4
Bahamas     63.3
Lithuania     63.3
Malaysia     63.2
Romania     63.1
Latvia     62.8
Saint Lucia     62.7
Tunisia     62.5
Mauritius     62.4
Colombia     62.0
Trinidad and Tobago     62.0
Turkey     62.0
Antigua and Barbuda     61.9
Ecuador     61.9
Paraguay     61.9
Tonga     61.8
Syrian Arab Republic     61.7
Cook Islands     61.6
Sri Lanka     61.6
Saint Kitts and Nevis     61.5
Albania     61.4
Nicaragua     61.4
Saudi Arabia     61.4
Viet Nam     61.3
Seychelles     61.2
Armenia     61.0
Jordan     61.0
Peru     61.0
Saint Vincent and the Grenadines     61.0
Cape Verde     60.8
Belarus     60.7
Algeria     60.6
Lebanon     60.4
Niue     60.4
Belize     60.3
Morocco     60.2
Thailand     60.1
Brazil     59.8
Republic of Moldova     59.8
El Salvador     59.7
Samoa     59.7
Dominican Republic     59.6
Palau     59.6
Uzbekistan     59.4
Philippines     59.3
Grenada     59.2
Ukraine     59.2
Egypt     59.0
Vanuatu     58.9
Democratic People's Republic of Korea     58.8
Fiji     58.8
Suriname     58.8
Russian Federation     58.6
Honduras     58.4
Indonesia     58.1
Maldives     57.8
Micronesia (Federated States of)     57.7
Iran (Islamic Republic of)     57.6
Guatemala     57.4
Azerbaijan     57.2
Solomon Islands     56.2
Kazakhstan     55.9
Mongolia     55.6
Kyrgyzstan     55.3
Guyana     55.2
Nauru     55.1
Marshall Islands     54.8
Tajikistan     54.7
Comoros     54.6
Bolivia     54.4
Sao Tome and Principe     54.4
Turkmenistan     54.4
Bangladesh     54.3
Kiribati     54.0
India     53.5
Pakistan     53.3
Tuvalu     53.0
Bhutan     52.9
Papua New Guinea     51.9
Nepal     51.8
Myanmar     51.7
Gabon     51.4
Iraq     50.1
Eritrea     50.0
Ghana     49.8
Timor-Leste     49.8
Gambia     49.5
Yemen     49.3
Madagascar     48.6
Sudan     48.5
Senegal     48.0
Cambodia     47.5
Lao People's Democratic Republic     47.0
Congo     46.3
Equatorial Guinea     45.5
Guinea     44.8
Togo     44.6
Mauritania     44.5
Kenya     44.4
South Africa     44.3
Benin     44.0
Haiti     43.8
Namibia     43.3
Djibouti     42.9
Uganda     42.7
Cameroon     41.5
Nigeria     41.5
Ethiopia     41.2
Chad     40.7
Guinea-Bissau     40.5
United Republic of Tanzania     40.4
Côte d'Ivoire     39.5
Rwanda     38.3
Mali     37.9
Central African Republic     37.4
Democratic Republic of the Congo     37.1
Mozambique     36.9
Somalia     36.8
Botswana     35.7
Burkina Faso     35.6
Afghanistan      35.5
Niger     35.5
Liberia     35.3
Burundi     35.1
Malawi     34.9
Zambia     34.9
Swaziland     34.2
Zimbabwe     33.6
Angola     33.4
Lesotho     31.4
Sierra Leone     28.6

The original (unsorted) table is in
http://www3.who.int/whosis/core/core_select_process.cfm?language=english&fixed=c
ountry&strISO3_select=AFG,ALB,DZA,AND,AGO,ATG,ARG,ARM,AUS,AUT,AZE,BHS,BHR,BGD,BR
B,BLR,BEL,BLZ,BEN,BTN,BOL,BIH,BWA,BRA,BRN,BGR,BFA,BDI,KHM,CMR,CAN,CPV,CAF,TCD,CH
L,CHN,COL,COM,COG,COK,CRI,CIV,HRV,CUB,CYP,CZE,PRK,COD,DNK,DJI,DMA,DOM,ECU,EGY,SL
V,GNQ,ERI,EST,ETH,FJI,FIN,FRA,GAB,GMB,GEO,DEU,GHA,GRC,GRD,GTM,GIN,GNB,GUY,HTI,HN
D,HUN,ISL,IND,IDN,IRN,IRQ,IRL,ISR,ITA,JAM,JPN,JOR,KAZ,KEN,KIR,KWT,KGZ,LAO,LVA,LB
N,LSO,LBR,LBY,LTU,LUX,MDG,MWI,MYS,MDV,MLI,MLT,MHL,MRT,MUS,MEX,FSM,MCO,MNG,MAR,MO
Z,MMR,NAM,NRU,NPL,NLD,NZL,NIC,NER,NGA,NIU,NOR,OMN,PAK,PLW,PAN,PNG,PRY,PER,PHL,PO
L,PRT,QAT,KOR,MDA,ROU,RUS,RWA,KNA,LCA,VCT,WSM,SMR,STP,SAU,SEN,SCG,SYC,SLE,SGP,SV
K,SVN,SLB,SOM,ZAF,ESP,LKA,SDN,SUR,SWZ,SWE,CHE,SYR,TJK,THA,MKD,TLS,TGO,TON,TTO,TU
N,TUR,TKM,TUV,UGA,UKR,ARE,GBR,TZA,USA,URY,UZB,VUT,VEN,VNM,YEM,ZMB,ZWE&strIndicat
or_select=HALE0Both&intYear_select=2002

Sbharris[atsign]ix.netcom.com - 08 Jun 2005 21:00 GMT
Yes.  Note that life expectancy in the US by state is a wide scatter,
going from Hawaii where life expectancy is similar to Sweden and
Iceland, down to Louisianna and Mississippi, where it's down about the
same as Chile and Costa Rica. These differences are due to fundanmental
socioeconomic problems which medical technology *per se* cannot deal
with. If the problem was medical technolgy per se, Hawaii and Utah
would be just as unhealthy as the rest of the US. They aren't.

SBH
Enrico C - 09 Jun 2005 15:32 GMT
On 8 Jun 2005 13:00:17 -0700, Sbharris[atsign]ix.netcom.com wrote in
<news:1118260817.591857.78210@z14g2000cwz.googlegroups.com> on
sci.med.nutrition :

> Yes.  Note that life expectancy in the US by state is a wide scatter,
> going from Hawaii where life expectancy is similar to Sweden and
[quoted text clipped - 3 lines]
> with. If the problem was medical technolgy per se, Hawaii and Utah
> would be just as unhealthy as the rest of the US. They aren't.

It seems there are strong differences between ethnic groups as well.

Here is a statistic about obesity prevalence in several countries and in
"USA-White", "USA-Mexican" and "USA-Black" people.

http://www.post-gazette.com/images2/20040328obesitychart.gif

Obesity figures are much higher for "USA-Mexican" and "USA-Black" women,
while there is no such difference for men. Dunno why.
Enrico C - 09 Jun 2005 09:36 GMT
> Here is the *healthy* life expectancy at birth, in years.
> I sorted it myself (well, MS Word did ;)
[quoted text clipped - 31 lines]
> Czech Republic     68.4
> Cuba     68.3

<snip>

And here is Healthy Life Expectancy in years, at age 60, females
(number of years in full health a woman can expect to live on average at
60).

Country      2002

Japan     21.7
Monaco     20.5
Switzerland     20.4
France     20.3
Andorra     19.9
San Marino     19.9
Spain     19.9
Sweden     19.6
Australia     19.5
Italy     19.4
Austria     19.3
Canada     19.3
Luxembourg     19.2
Belgium     19.1
Germany     19.0
Finland     18.9
Norway     18.9
Iceland     18.7
Netherlands     18.4
Israel     18.2
New Zealand     18.2
Greece     18.1
Slovenia     18.1
United Kingdom     18.1
United States of America     17.9
Portugal     17.7
Malta     17.6
Ireland     17.5
Denmark     17.2
Republic of Korea     17.1
Uruguay     17.1
Chile     16.8
Czech Republic     16.8
Panama     16.8
Costa Rica     16.7
Cuba     16.7
Barbados     16.6
Argentina     16.5
Estonia     16.5
Mexico     16.3
Singapore     16.3
Lithuania     16.2
Croatia     16.1
Poland     16.1
Slovakia     16.1
Hungary     15.9
Latvia     15.7
Venezuela     15.7
Bahamas     15.6
Bosnia and Herzegovina     15.4
Colombia     15.4
Dominica     15.3
Ecuador     15.2
Cyprus     15.0
Bulgaria     14.9
China     14.7
Belarus     14.6
Georgia     14.6
Paraguay     14.6
Romania     14.6
Jamaica     14.5
Nicaragua     14.5
Peru     14.4
Saint Lucia     14.4
Russian Federation     14.2
Saint Vincent and the Grenadines     14.2
Turkey     14.2
El Salvador     14.1
Trinidad and Tobago     14.1
Seychelles     14.0
The former Yugoslav Republic of Macedonia     14.0
Albania     13.9
Serbia and Montenegro     13.9
Antigua and Barbuda     13.8
Libyan Arab Jamahiriya     13.8
Mauritius     13.8
Brazil     13.7
Dominican Republic     13.7
Oman     13.7
Ukraine     13.7
Kuwait     13.6
Saint Kitts and Nevis     13.5
Cape Verde     13.4
Algeria     13.3
Armenia     13.3
Belize     13.3
Brunei Darussalam     13.3
Guatemala     13.3
Tunisia     13.3
Democratic People's Republic of Korea     13.2
Republic of Moldova     13.2
Thailand     13.2
Honduras     13.1
Viet Nam     13.1
Saudi Arabia     13.0
Jordan     12.9
Syrian Arab Republic     12.9
Niue     12.8
Suriname     12.8
Morocco     12.7
Sri Lanka     12.7
Cook Islands     12.6
Grenada     12.6
Kyrgyzstan     12.6
Lebanon     12.6
Uzbekistan     12.6
Kazakhstan     12.5
United Arab Emirates     12.5
Azerbaijan     12.4
Mongolia     12.4
Guyana     12.2
Bolivia     12.1
Namibia     12.1
Philippines     12.1
South Africa     12.1
Malaysia     12.0
Palau     12.0
Tonga     12.0
Botswana     11.9
Fiji     11.9
Iran (Islamic Republic of)     11.9
Haiti     11.7
Vanuatu     11.7
Bahrain     11.6
Gabon     11.6
Kiribati     11.6
Samoa     11.6
Solomon Islands     11.6
Comoros     11.5
Congo     11.5
Indonesia     11.5
Kenya     11.5
Micronesia (Federated States of)     11.5
Turkmenistan     11.5
India     11.4
Pakistan     11.4
Sao Tome and Principe     11.4
Bhutan     11.3
Egypt     11.3
Eritrea     11.3
Myanmar     11.3
Gambia     11.2
Ghana     11.2
Qatar     11.2
Bangladesh     11.1
Madagascar     11.1
Timor-Leste     11.1
Cambodia     11.0
Lesotho     11.0
Tajikistan     11.0
Swaziland     10.9
Uganda     10.9
Nepal     10.8
Côte d'Ivoire     10.7
Marshall Islands     10.7
Senegal     10.7
Sudan     10.7
Togo     10.7
Djibouti     10.6
Iraq     10.6
Papua New Guinea     10.6
Zimbabwe     10.6
Equatorial Guinea     10.5
Guinea     10.5
Mauritania     10.5
Nauru     10.5
Rwanda     10.5
Benin     10.4
Burundi     10.4
Cameroon     10.4
Central African Republic     10.4
Malawi     10.4
Mozambique     10.4
Yemen     10.4
Zambia     10.4
Tuvalu     10.3
Democratic Republic of the Congo     10.2
Ethiopia     10.2
Guinea-Bissau     10.1
Lao People's Democratic Republic     10.1
United Republic of Tanzania     10.1
Chad     10.0
Nigeria     10.0
Burkina Faso     9.7
Liberia     9.7
Angola     9.6
Afghanistan      9.5
Mali     9.5
Maldives     9.4
Somalia     9.4
Niger     9.3
Sierra Leone     9.2

source: http://www.who.int/ga/default.asp
Bob - 08 Jun 2005 09:02 GMT
>http://diabetes.about.com/b/a/175612.htm
>
[quoted text clipped - 32 lines]
>
>TC

So these are fat people who are borderline diabetics?  I suppose they
must be if  their blood sugar is spiking that much.  I suppose if you
are on the way to becoming diabetic because you are fat than eating
low glycemic foods will treat the symptom.  However if you want to go
to the root of the problem these 23 obese young adults should get off
their couches and try getting some physical activity.
Mr-Natural-Health - 09 Jun 2005 14:21 GMT
> Researchers found that when obese people consumed as many carbohydrates
> with a low-glycemic index as they wanted, they lost just as much weight
> in 12 months as people who stuck with a conventional,
> calorie-restricted low-fat diet.

With emphasis on obese people!

In other words, an ABNORMAL diet for ABNORMAL people.

Just my opinion, but I am right as usual. :)
calypso47@voyager.net - 10 Jun 2005 02:33 GMT
"In this study, 23 obese young adults followed either a low-fat diet or
a diet in which they ate low-glycemic index foods for one year. As part
of the low-glycemic index diet, people could eat as much as they wanted
of foods with a low index, and got roughly 45 to 50 percent of calories
from carbohydrates, and 30 to 35 percent from fat."

Using 2000 calories just to have a number to work with, around 250 grams
of carbohydrates would have been consumed.  This suggests it is not the
total amount of carbs but where the source of them are placed on the
index.  Looking at standard index charts, many pastas and rice foods will
be 50 or below on an index of 100.  Most beans, many fruits, yams of all
types are low to use some examples.  Thus many foods, often thought to be
high in carbohydrates are lower on the index and seem to be candidates in
such a diet as was used.
 
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