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Medical Forum / General / Nutrition / February 2004

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Fruit, Cereal Fiber May Reduce Cardiovascular Risk

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markd@toad-net.com - 24 Feb 2004 14:19 GMT
To continue the theme, nutritional health is not a one note explanation
fits all people or even most,ex. eating carbs is a problem.  The answer
proposed is that eating is a matter of which carbs or fats etc. and in
what amounts and in what context of exercise and at what level of excess
to energy needs.  So, what might determine which carbs are best, consider
this article, a one time subscription is required:

     Fruit, Cereal Fiber May Reduce Cardiovascular Risk
     Laurie Barclay, MD

     Feb. 23, 2004 -- Fiber from fruits and cereal, but not from
     vegetables, may reduce the risk of coronary heart disease (CHD),
     according to the results of a pooled analysis published in the Feb.
23
     issue of the Archives of Internal Medicine.

snip

http://www.medscape.com/viewarticle/470048
tcomeau - 25 Feb 2004 15:13 GMT
> To continue the theme, nutritional health is not a one note explanation
> fits all people or even most,ex. eating carbs is a problem.  The answer
[quoted text clipped - 15 lines]
>
> http://www.medscape.com/viewarticle/470048

Actually this supports my POV. Fiber is found in whole fruits,
vegetables and grains. Low-carb diets allow for whole-food fruits,
vegetable and grains with the exception of a few high-GI-load ones
like potatoes. And the diet doesn't demand total abstinence from
potatoes and such but only to keep the portions small. And most of the
restriction on these occur only during the atkins initial two week
induction phase.

The low-carb concept restricts mainly *refined* *junk* carbs that
contain little or none of the naturally occurring fibre, little or
none of the naturally occurring vitamins and little or none of the
naturally occurring minerals. People who shift to a low-carb diet
(obviously from a high carb diet) end up eating much more of the good
high-fibre low-carb whole-food carbs and much less of the high-GI-load
nutritionally bereft refined flours, sugars and starches.

No-one in the low-carb camp has ever suggested that we eat *no* carbs.
They restrict the *junk* carbs, and the natural result is that we eat
more good carbs.

TC
markd@toad-net.com - 25 Feb 2004 18:24 GMT
Here is an important note from the research about source of the benefits
of carbs:

"   researchers also found that "Associations were stronger for coronary
  deaths than for all events, with reductions in risk of 25 percent for
  cereal fiber and 30 percent for fruit fiber for each 10 gram per day
  increment," write the researchers. "In contrast, vegetable fiber was
  not associated with CHD incidence or mortality [death]."

Many of the low carb as sole factor in healthy diet folk would run
screaming from the room rather then consider consuming more carbs from
grains or fruits, but allow themselves only veggies.  Mention should be
made of the benefits being with low gi/gl sources of carbs.  For a normal
person having carbs as a substantual part of the diet should be no
problem, this is not a low carb diet.  If carbs are consumed in their
whole form and concentrated highly refined carb sources are minimal and
with all sources of carbs from low gi/gl sources.  People with metabolic
syndrom and/or diabetes need to eat less total carbs.  But again the
amount is to reach a certain insulin resistence/blood glucose goal;
especially the post meal levels of glucose.  Even with them, grain and
fruit sources allow the benefits of their fiber and other micronutrients
while still maintaing glucose goals.  Veggies are sources of good stuff
too and can be increased for the groups who need to moniter total carb
intake.  In the very same way, it is the sources of and kinds of fats that
make a difference in overall health status, less sat replaced with poly
and better still mono fats maintain or increase in those groups who have
to watch total carb intake.  Protein does not escape this approach either,
one study found for the same amount of protien consumed, overall health
results were more favorable when the source had more veggie sources then
animal.
tcomeau - 26 Feb 2004 15:24 GMT
> Here is an important note from the research about source of the benefits
> of carbs:
[quoted text clipped - 8 lines]
> screaming from the room rather then consider consuming more carbs from
> grains or fruits, but allow themselves only veggies.  

Not necessarily. Depends on the fruit, veggie or grain and the degree
of processing and refining.

Mention should be
> made of the benefits being with low gi/gl sources of carbs.  

Always. Limiting carb intake to low gi/gl sources of carbs is the key
to healthy low-carb living.

For a normal
> person having carbs as a substantual part of the diet should be no
> problem, this is not a low carb diet.

Compared to a typical north american diet high in refined grains like
pasta and white flour, sugars and potatoes, it is much lower in carbs.

 If carbs are consumed in their
> whole form and concentrated highly refined carb sources are minimal and
> with all sources of carbs from low gi/gl sources.  People with metabolic
[quoted text clipped - 11 lines]
> results were more favorable when the source had more veggie sources then
> animal.

TC
markd@toad-net.com - 26 Feb 2004 16:21 GMT
"Always. Limiting carb intake to low gi/gl sources of carbs is the key
to healthy low-carb living."

Ah, but tis "the definition of low carb" that is at issue.  This is where
we must look to large population studies to see what level of low gi/gl
carbs has minimal risk levels.  In the east asian example I posted
yesterday, a very substantual part of their diet was from low gi/gl foods,
including a kind of yam, with far lesser amount of fish and cooking oils
of the mono fat type.  The health outcome in these folk is excellent.  
They are a living example of my thesis that it is a far more complex
picture then total amount of carbs alone, it is low sat fat, low gi/gl
carbs, normal weight, exercise, etc. that makes up the total picture.
 
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