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Article ID # 20041306
Picking Your Game Plan
by Larry C. Baker
Energy Times, June 13, 2004
In a world where fast-food restaurants reside on every block and even gas
stations are as ready to fill you up with sweets as they are to fill up your
car with unleaded, losing and keeping off weight is a challenge.
Because of
our toxic food environment, losing weight requires a cogent plan, a series
of actionable events.
Picking your game plan for weight loss entails deciding which diets and exercise
programs are best for you as an individual. Focus on a diet that's good for
the long run. Pick out a plan you can stick to, that fits your personal style
and preferences, and then follow it consistently. Then you can win the diet
game and keep on winning!
Today, many observers have noted that the sport of creating weight-loss programs
runs rampant.
Frequently, a pushy announcer appears on early morning TV promoting a new,
improved slant on losing weight. Then, even before the next commercial break,
at least five other nutritionists begin promoting variations on the new dietary
theme.
But the overweight situation in the US today is truly reaching a desperate
state, and public medical officials believe that we face a rapidly developing
crisis inextricably linked to America's growing weight problem.
So the most important measure for improving your health is to pick a dependable
weight-loss plan and stick to it until you reach a healthy goal weight.
Then, you'll need to modify your diet so you can stay at that healthy weight
for the rest of your life.
The most popular lose-weight variations can be generally classified as:
• Carbohydrate counting
• Calorie counting
Which diet is right for you? You make the call.
Counting Carbohydrates
Seems like counting carbs to control weight has become a national pastime.
Experts estimate that up to two out of three Americans are now counting carbs.
While some critics feel the carb obsession is just a new hot trend, others
point to it as a health and weight control revolution. And carb counters testify
to its effectiveness. Many point to their significant long-term success at
taking weight off, and to feeling more energetic and healthier than they have
felt in many years.
As a result of these low-carb developments, food makers, supermarkets and restaurants
have hurried to make enough low-carb products available to fulfill consumers'
dieting desires.
In the meantime, food labels everywhere now loudly proclaim the absence of
carbs, and wary consumers are poring over package labels to make sure that
goods they contain are low in sugars and starch.
Simultaneously, in the search to hold down their carbohydrate consumption,
folks concerned about their health are cutting way back on starchy breads,
carb-filled potatoes, spaghetti, rice, soft drinks and many different types
of fruit.
To initially launch a low-carb diet, or keep on course for your long-term weight
maintenance, keeping careful count of carbs is crucial for reaching and staying
at your goal weight.
Weight-Loss Process
In this weight-loss process, you have to be sure of, and keep daily track of,
your carbs. After calculating your daily carbohydrate needs, it's a relatively
simple manner to stay within your predetermined carb boundaries and keep
on shedding pounds.
That's a big reason why counting carbs has been such remarkably successful
game plan for so many dieters: Simply counting carbs, these dieters have found,
keeps them right on track for taking off pounds and getting down to their desired
weight.
A side benefit of losing these pounds is a sense of renewed energy, health
and vitality when carbs are limited in this fashion. (Of course, taking up
a consistent exercise program at the same time doesn't hurt, either.)
Tooling Up
A factor that feeds into the popularity of carb counting are the tools available
to help dieters stay on the tried-and-true path of carbohydrate limitation.
Yes, many folks do check food labels and add up their daily carbohydrate
intake.
But many have found that so-called carb counters make keeping track of carbs
very simple.
These counting devices are also handy for revealing the hidden carbs in foods
like beans, which may have 50 grams of carbs in a cup; dried fruit, which has
50 grams in half a cup; and some forms of squash, which contain practically
11 grams of carb in half of a cup.
For many people the thought of independently keeping track of these carbohydrates
is daunting. Luckily, the modern-day carb counter doesn't have to do it all
by herself. Quite a few easy-to-use calculators can be had to assist in the
counting, usable even for those unable to count on their fingers and toes.
With the use of these tools, you can very accurately add up your daily carbohydrate
totals and ensure that you are locking in your best low-carb dieting results.
For instance, a tool called KetoCounter, located at www.ketocounter.com, totals
up carb counts and contains a myriad of nutrition information on thousands
of different foods.
At this website, carb counters can roam through a wealth of food categories,
feed in their serving sizes and have KetoCounter calculate their carb counts.
Even if you are math phobic, KetoCounter makes sure you come up with the right
total. To keep your low-carbohydrate diet on track nutritionally, tools like
KetoCounter help you make sure that your meals don't dip too low in certain
nutrients.
(If they do, you can make up the difference with the right supplements.)
Accurate Counting
The utility of KetoCounter is its ability to help dieters perform more accurate
dietary analyses than they can do on their own.
The advantages of counting carbs in this way: Careful daily carb counts ensures
weight loss. Analyzing your nutritional intakes allows you to figure out what
kind of dietary supplements you may need. Your digestion may also be improved
by getting the right nutrients in this way.
Another advantage to this type of carb counting is the extra help dieters receive
to make sure they don't get hung up in the weight-loss doldrums. By carefully
adding supplements, lags in weight loss can usually be overcome.
Most importantly, proper supplementation enables you to stay healthy even as
you lose weight: you don't have to sacrifice your health for a low-carbohydrate
diet. KetoCounter can serve as a warning flag, alerting dieters when their
nutritional intake is simply not adequate.
It is easy to calculate carbohydrates for packaged foods, once you know how
to properly read a nutrition label. With the aid of a nutrition calculator
like KetoCounter, tracking carbs is easier than ever.
Proof is in the Loss
Research is starting to pile up that proves counting carbs and eating more
protein is one of the most effective way to maintain a healthy weight. When
researchers in Germany, for example, put lab animals on a variety of diets,
they found that those eating more protein had more antioxidants in their bodies.
That kind of extra help against free radical buildup produces a potentially
stronger resistance to life-threatening diseases (Journal of Nutrition 2000;
130:2889).
Meanwhile, when scientists at Duke University put 50 volunteers on a low-carbohydrate,
high-protein diet, the researchers found that four out of five of them stayed
on the diet for six months and lost an average of 20 pounds each. None of these
dieters felt deprived as they lost weight.
In the Duke research, people ate as much meat and eggs as they wanted plus
a couple of cups of salad and a cup of low-carb vegetables like broccoli every
day, and they still lost weight.
Soft Drinks
Counting carbohydrates helps health because it limits consumption of simple
sugars. How dangerous to our health are simple sugars? Well, according to
experts, the fact that we are drinking vastly more soft drinks and fruit
juices than we used to is a major contributor to our obesity epidemic and
our diabetic dilemmas.
"
Over the past several years, a number of studies have emerged that indicated
how soft drink and fruit drink intake are adversely linked with adolescent
and adult weight gain in the United States and Europe," notes Dr. Barry
Popkin, PhD, professor of nutrition at the University of North Carolina.
In the decades since 1977, Dr. Popkin's research shows that sugary drinks alone
have added 66 calories a day from sugar to the average American's diet. During
that time period, American citizens, on average, increased their daily intake
of sugar calories by 83 calories.
"
When the results of this study are coupled with earlier studies, we can clearly
see the pronounced shift in the [US and the] world's diet toward increased
consumption of caloric sweeteners and away from higher-fiber foods," the
researchers note. "Thus, we are increasingly consuming foods that provide
energy but few other nutrients."
Counting Calories
A calorie-counting program is appealing to many people because of its simplicity:
it limits food (calories) but doesn't require you to pay that much attention
to what kinds of foods you consume.
As part of this effort, most experts recommend strict portion control. Don't
serve yourself overly large amounts of food, and limit the amount of food you
have available in your house. Be especially vigilant when eating out; restaurants
tend to fill plates with way too much food.
Eating Habits
Limiting portions is crucial because people tend to eat the food put before
them. For instance, when Penn State scientists served sandwiches of various
sizes to 75 people once a week for a month, they offered sandwiches that
were six, eight, ten or twelve inches long each time. The people in the study
could eat as much or as little as they desired.
The results weren't surprising. While not all the food was eaten, being served
larger portions led to more consumption (Journal of the American Dietetic Association
March 2004). The researchers conclude that having less on the plate in front
of you means
you eat less and, therefore, should weigh less.
Simple Concept
Counting calories, while relatively simple in concept, may not be for everyone.
This approach to weight loss entails knowing and calculating how many calories
are in the food you eat and then tracking your daily totals. This effort can
be time consuming: a pound of body fat equals about 3,500 calories, so if you
cut back your food intake by 100 calories a day, it will take you more than
a month to lose a pound. To maintain a weekly weight loss of about one pound,
you need to eliminate 500 calories a day.
Make Your Calories Count
Cutting down on your calorie intake requires that you get the biggest nutritional
bang for your buck from the calories that are left. That means eating complex
carbohydrates, such as vegetables and whole grains. These foods contain an
impressive array of vitamins, minerals and phytonutrients usually missing
from more refined foods.
Another advantage of complex carbs on a calorie-counting diet lies in their
high fiber content. Fiber is considered a big help to dieters since it makes
you feel full but, because it is not absorbed by the body, cannot be a source
of calories used to create new body fat. Fiber also helps keep your intestines
in peak condition, and helps hold your cholesterol down, to boot.
How do you make room for complex carbohydrates when you cut calories? One of
the best ways is to avoid empty sugar calories.
According to Sandra Woodruff, RD, author of The Best Kept Secrets of Healthy
Cooking (Avery), "[S]ugary foods are typically eaten in place of nutritious
foods....sugary foods are usually loaded with calories, making them a real
menace if you're watching your weight."
Sugar Control
If you are cutting calories and worried about the sugar in your meals and in
your blood, researchers who have studied people with diabetes have noted
12 good eating habits to keep sugar under control and three bad habits you
should avoid.
The habits to embrace, says Carla Miller, PhD, Penn State nutrition professor,
include: Strictly curtail your consumption of high-sugar foods; limit all your
food portion sizes; cut way back on desserts; ease off the fatty foods; eat
complex carbs for breakfast.
Dr. Miller says you should eat three meals a day (don't skip!) and take a shopping
list to the health food store. And while you can eat two vegetables with dinner,
limit your starchy carbs, like bread, pasta, rice, crackers or potatoes.
When you go out to eat, don't eat at buffets, which encourage overconsumption
of all foods, and stay away from fast food joints and large chain restaurants.
The choices there often contain way too much sugar.
Burning More
To burn more calories as you diet, increasing the amount of time you spend
exercising is crucial. Some experts recommend wearing a pedometer (which
counts your steps) and trying to take at least 10,000 steps a day. That kind
of activity can burn up to 3,000 calories a week.
This kind of dieting can help control weight, although whether it is effective
over a long period of time is open to question. Counting calories all the time
can become boring and oppressive after awhile.
Living Longer
However, an advantage to calorie cutting is the possibility that limiting your
food this way may help you live longer.
An impressive amount of research in laboratories has shown that when lab animals
eat less (but still receive adequate nutrition in terms of vitamins and minerals)
their life expectancy increases.
However, no one has ever shown that eating less extends lifespan among humans.
Nevertheless, investigations with mice do show that taking in fewer calories-about
a third
less food than normal-does extend life significantly, at least if you
are a mouse. Can the same technique work for you?
Well, in larger animals, researchers have found that cutting back on food seems
to lower so-called biomarkers of aging: substances in the blood that show the
aging-related breakdown of organs (American Journal of Physiology 1994; 266:
E540-7).
Studies show that eating a tiny amount of food (while taking supplements to
fill in your missing nutrients) can possibly keep your nervous system from
deteriorating, preserve the function of your reproductive organs and keep hormones
at younger levels. In laboratory tests, food restriction helps the immune system;
in addition, it seems to postpone the development of some cancers (Journals
of Gerontology: Biology Sciences and Medical Sciences 1999; 54:B89-96).
Vegetarian Dieting
Whether or not you count carbohydrates or calories, eating a vegetarian diet
can help you keep off the pounds. Vegetarian diets, of course, are different
things to different people. For some, it's a moral choice not to consume
animal products. For others, it's
a health decision to lower their risk of cancer and heart disease while staying
slender.
Sticking to vegetarian foods can help you lose weight, since it can be an effective
way to cut calories without having to count them.
Unfortunately, merely cutting out animal products from your diet-if you're
a typical American-may leave you deprived of nutrients like iron and protein.
The healthiest way to eat as a vegetarian and still eat a nutritious diet is
to utilize recipes and dishes from other cultures in which people have traditionally
dined on vegetarian foods.
Traditional Meals
As Madhur Jaffrey points out in World Vegetarian (Clarkson Potter), "Vegetarian
traditions have existed in China and India for thousands of years, and like
the dietary rules and restrictions of Islam and Judaism, have been prompted
by the strong religious beliefs of large numbers of people. There is, thus,
a deep core to them that explains their endurance. The great variety in eastern
vegetarian dishes may be explained by their slow evolution as they were tested
and added to over time."
Today, about 3% of Americans are vegetarians. In general, those 3% weigh less
than the average American. "
Vegetarians have been reported to have healthier body weight than non-vegetarians,
as well as lower rates of death from heart disease, lower blood cholesterol
levels and lower rates of high blood pressure, type 2 diabetes and prostate
and colon cancer," says Cynthia Sass, RD, a spokesperson for the American
Dietetic Association.
"
Planning a healthy vegetarian diet doesn't need to be complicated, but steps
should be taken to ensure the diet is nutrient-dense," she notes. "Just
as with a meat-based diet, the key to ensuring the body meets all its nutritional
needs is to choose a wide variety of foods."
Pick a Plan, Any Plan
No matter which diet plan you pick, if you lose weight and exercise, you are
sure to improve your health.
Certainly, the evidence is clear about which eating plan not to choose: Research
shows that the typical fat-filled fast-food meal produces unfortunate effects
on both your weight and body.
A study at the State University of New York at Buffalo found that eating a
breakfast of Egg McMuffin and hash browns releases a flood of oxidants (free
radicals) that may damage blood vessels (American Journal of Clinical Nutrition
April 2004).
"
Eating that 900-calorie, high-fat meal temporarily floods the blood stream
with inflammatory components, overwhelming the body's natural inflammation-fighting
mechanisms," warns Ahmad Aljada, PhD, research assistant professor in
the Division of Endocrinology, Diabetes and Metabolism, at Buffalo's School
of Medicine and Biomedical Sciences.
So stay away from those fast-food binges and start walking every day. Your
body, freed from the ravages of free radicals, may shrink radically, but your
good health will have every opportunity to expand.
Reasons to Diet
According to the Centers for Disease Control and Prevention (CDC), approximately
130 million Americans, or 64% of the population, are overweight or obese.
Linked to this weight gain is an epidemic over the past ten years of type
2 diabetes.
Your chances of this type of diabetes is greatly increased when you
gain weight and you don't exercise.
The CDC figures that more than 18 million people in the US now suffer from
diabetes, and more than nine of ten of them have type 2. Frighteningly, the
proportion of adults with diabetes jumped 65% from 1990 to 2001.
"
Statistically, adults in the US have gained 2 billion pounds over the past
decade, which is an average of one pound per year per person. This is true
for both men and women," says C. Ronald Kahn, MD, president and director
of the Joslin Diabetes Center.
"
For every one-pound increase in [your] weight, [you have] a 3% to 4% increase
in [your chances] of type 2 diabetes. [That translates into]...about 800,000
new cases. We urge individual Americans to take steps to reduce their own risk
of diabetes, but I also believe prevention must be a priority for the healthcare
industry, the food industry and the government."
Picking a Diet
The most important weight-loss question for every overweight American, according
to Dr. Kahn, is not whether a low-fat diet or a vegetarian diet works better
or worse than low-carbohydrate diets, but the simple fact that you have to
do something, go on a diet and exercise, to lose pounds and control your
weight. "
It boils down to how much we eat and how active we are," he warns.
Weighty Factors
Despite what many people believe, a large body of research shows that a majority
of the factors that determine how much you weigh are in your control, says
Dr. Kahn.
"
While research performed at Joslin and elsewhere has shown that genetics and
metabolic factors both play key roles in body weight, we know that Americans'
expanding waistlines can be tightened with at least two simple changes-portion
control and increased physical activity," he says.
"
No matter what diet regimen you advocate, a calorie is a calorie," Dr.
Kahn adds. "The overall caloric intake in the US is simply too high. Americans
are eating too much. If you regularly eat more calories than you burn, you
will become overweight."
Lose a Little
Research into how your weight affects your health demonstrates that small losses
in weight can have big benefits on your well-being.
Losing a moderate amount of weight-on the order of a 10-pound reduction-and
moderate exercise, such as walking a mere 30 minutes a day, can drop your risk
of developing type 2 diabetes by almost 60%.
"
However," Dr. Kahn warns, "I believe we can accelerate our efforts
to decrease obesity and type 2 diabetes if the government, the food industry
and the health care industry partner for prevention."
Restaurant Visits
No matter what diet you are on, be careful about what you order in restaurants. "
More restaurants," says Dr. Kahn, "both fast food and fancy food,
should re-examine their offerings as McDonald's did...when it an-nounced plans
to eliminate its supersized offerings. The food industry needs to boost its
efforts to clearly label nutrition facts and cut marketing of unhealthy, high-calorie
snacks to kids.
"
Too often are consumers fooled by foods that look healthy but are excessively
calorically dense, like mixtures of yogurt and fruit whips, or by misleading
caloric information, like reporting calories on a giant cookie snack assuming
the portion eaten will be only one quarter of the cookie. "
And the health care and health insurance industries must not only increase
study of the fundamental mechanisms of obesity and diabetes, but also focus
on public education."
Kid Weight
Meanwhile, kids need to lose weight, too. Schockingly, rates of obesity among
this nation's children have tripled since the 1970s. The CDC estimates that
nearly one in six American children and adolescents-about
nine million in total-are either overweight or obese.
"
This is truly a time bomb for further fueling the epidemic of type 2 diabetes.
And we must remember that people with diabetes are at risk for serious long-term
complications, including heart disease, blindness, kidney disease and amputations," Dr.
Kahn warns.
The consensus among the experts has rarely been so clear-cut and noncontroversial:
The time to start a weight loss and exercise program is today. The future of
your health, your good looks and, yes, the nation's health depends on your
food choices.
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