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Home > Healthy People > April 2004 

                                                                                       Spring 2004

Are we waging war on carbs?

Atkins-friendly. Net carbs. Body for Life. Sugar Busters. Glycemic load. South Beach.

In the last year, the American public has gone low-carb crazy and these once-foreign terms have become part of our vocabulary. Most Ozarkers know at least one person who has “gone on Atkins” and shed pounds seemingly overnight by rejecting bread and pasta for turkey roll-ups and bunless burgers. Restaurants such as Village Inn, TGI Friday’s and Subway are even conforming to the craze by offering low-carb options or even entire Atkins-friendly menus.

St. John’s, the premier provider of cardiovascular care in the Ozarks region, offers two lifestyle and weight-loss programs, New Images and LEAN (Learning, Exercise And Nutrition). Both programs follow the American Heart Association’s philosophy for weight loss, which is “a healthy diet rich in fruits and vegetables, whole grains and low-fat dairy products, smart proteins, smart carbs and smart fats, along with regular physical activity, can help most people manage and maintain weight loss for both cardiovascular health and appearance.”

The Atkins diet, introduced in the 1970s by the late cardiologist Robert Atkins, M.D., may be the most high-profile low-carb diet, but it isn’t the only one to declare war on carbohydrates, or at least simple carbohydrates. South Beach, Body for Life and the Sugar Busters diets all focus on eating “smart carbs” – complex carbs such as beans, brown rice, and whole-wheat breads and pastas – and avoiding foods with a high glycemic index, such as white bread, white rice, potatoes and sweets.

The glycemic index measures how fast a particular food is likely to raise your blood sugar. The higher the glycemic index of a food, the greater demand the food puts on your insulin system. Another measurement, glycemic load, takes into account both a food’s glycemic index and how much carbohydrate the food delivers in a single serving. Most fruits, vegetables, beans, nuts and whole grains (smart carbs) have low glycemic loads, which means their sugars enter the bloodstream gradually, placing lower demand on the insulin system. An increase in insulin makes you store more fat.

Eating meals and snacks comprised of foods with high glycemic loads causes a roller-coaster effect. Blood-sugar levels rise higher and faster, then fall, sending out hunger signals long before it’s time to eat again. You feel tired, shaky and can’t concentrate well. If you respond to the hunger pangs with another high-glycemic snack, say a candy bar, the cycle repeats itself. Eating a diet comprised of foods with a high glycemic load not only leads to obesity, but ultimately to diabetes, St. John’s experts say.

How do you decide which diet will work best for you?

“No one diet fits all people. The most important goal is to not do your body any harm and choose a healthy eating plan for life by eating good protein and smart carbs,” says Susan Blackard, R.N., vice president of St. John’s Corporate Health Services and creator of “The Low-Carb vs. Low-Fat Dilemma,” a St. John’s educational program. “Above all, the key to reaching and maintaining your target weight is to choose healthy eating for life and exercise to deactivate your fat cells. Diets make you store more fat.”

Healthy eating for life or St. John’s Smart Carb Program

• Eat breakfast, preferably one with protein and complex carbs such as oatmeal, oat grain bread or high-fiber cereal such as All-Bran, Kashi or Grape Nuts. Breakfast starts your metabolism and feeds your brain.
• Buy, prepare and eat lean protein foods such as turkey, sirloin and chicken breast and low-fat milk products.
• Eat complex, smart carbs such as whole grains, fresh fruits, nuts and vegetables.
• Eat five times a day, incorporating protein and smart carbs each time, to keep your blood sugar up and hunger down.
• Go nuts – on nuts, that is. Eating 1 to 2 oz. of nuts – even peanut butter – can improve your health. Women who eat a handful of nuts at last five times per week have a 27 percent lower risk for type 2 diabetes.
• Go easy on the portions, especially when eating out. Order a salad and share meals when possible or eat half of what’s on your plate and save the rest for lunch or dinner the next day.
• Avoid fried foods and choose extra vegetables or a salad instead of bread or potatoes.
• Drink plenty of water.
• Plan your snacks.
• Eliminate white sugar, soda, white rice and white bread.
• Learn to read nutrition labels.
• Exercise 50 minutes, five times a week.

Atkins Diet

• Developed in the 1970s by the late Dr. Robert Atkins.
• Sufficiently control carbohydrate consumption and your body will switch from burning glucose to burning primarily fat.
• Sugar, refined white flour and junk foods are bad for your health, your energy level, your mental state and your figure.
• Obesity is the result of metabolic disturbances, not overconsumption of fat.
• Low-fat diets are in effect high-carbohydrate diets and bring on the very problems they were intended to protect us from.
• Diet is comprised of protein and fat, plus controlled quantities of the most nutrient-dense carbs, primarily in the form of vegetables.

South Beach

• Groups carbs into “good” and “bad” based on glycemic response. “Bad” carbs (white bread and sugar) make you want to eat more which leads to overeating and weight gain which leads to diabetes and heart disease.
• Stresses more fiber and water.
• Low-calorie, low-carb, higher protein, moderate to high fat – 1,250-1,440 calories per day.

Sugar Busters

• Uses the glycemic index.
• No meals after 8 p.m.
• Eat fruits by themselves, either 30 minutes before a meal or two hours after a meal.
• Avoid potatoes, corn, white rice, white flour, breads from refined flours and enriched wheat, white sugars, beets, carrots, corn syrup, molasses, cola and beer.
• Eat complex carbs such as beans, brown rice, whole-wheat flour and whole-wheat pastas.

Body for Life

• Three meals and three snacks a day.
• Complex carbs, low-fat proteins and dairy products.
• Limits fruits.
• Incorporates exercise: recommends walking on a treadmill for 20 minutes, three times per week and strength training three times a week but not on the same days as the walking.

 

 

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