The Glycemic Index Won’t Help You Lose Weight

Late­ly, many nutri­tion gurus have been try­ing to tell me that eat­ing a diet with a low glycemic index is the secret to los­ing weight. But if that were true, then car­rots would be more fat­ten­ing than fudge is.

Unfor­tu­nate­ly, the glycemic index is being used to steer peo­ple away from the sort of food that can real­ly help them lose weight and con­trol their blood sug­ar: unre­fined starch­es and veg­eta­bles. If you sur­vey the world’s pop­u­la­tions, you’ll find that the peo­ple who are eat­ing diets based on unre­fined starch­es and veg­eta­bles have low risks of obe­si­ty, heart dis­ease, dia­betes, and breast cancer—even though the glycemic index of their diet is high. In con­trast, the peo­ple who are eat­ing the most fat and protein—both of which tend to decrease the glycemic index of a meal—are the ones who are get­ting fat and sick.

The glycemic index was orig­i­nal­ly devel­oped to fine-tune the sys­tem of car­bo­hy­drate exchanges that peo­ple with type 1 dia­betes use to cal­cu­late how much insulin they will need to inject after a meal [1]. The glycemic index mea­sures the effect that 50 grams of carbs from any giv­en food has on your blood sug­ar. For exam­ple, if you ate 50 grams of car­bo­hy­drate from beans, your blood sug­ar wouldn’t go as high as if you ate 50 grams of car­bo­hy­drate from pota­toes instead. In oth­er words, beans have a low­er glycemic index than pota­toes do.

Like pota­toes, car­rots have a high glycemic index. How­ev­er, you’d have to eat about 4 cups of shred­ded car­rot to get 50 grams of car­bo­hy­drate. Thus, if you ate just one car­rot, it would have only a small effect on your blood sug­ar. To cor­rect for this prob­lem, some peo­ple use the glycemic load, which is the glycemic index mul­ti­plied by the total amount of car­bo­hy­drate in the food.

The glycemic index and glycemic load are of sur­pris­ing­ly lit­tle val­ue to dieters. One rea­son is that the glycemic index of any giv­en food is so hard to pre­dict. For exam­ple, you could increase the glycemic index of a pota­to by mash­ing it. Then, you could decrease the glycemic index of the mashed pota­to by adding milk and but­ter. Fats and pro­teins tend to decrease the glycemic index of a food. Although adding but­ter to a food decreas­es the food’s glycemic index, the but­ter does not make the food less fat­ten­ing!

Even if you eat a meal that has a high glycemic load, that doesn’t mean that your blood sug­ar is going to go dan­ger­ous­ly high. It all depends on your insulin sen­si­tiv­i­ty. Peo­ple who habit­u­al­ly eat a low-fat, starchy diet tend to have much small­er blood sug­ar swings than peo­ple who eat a high-fat, low-carb diet. Sci­en­tists have known that fact since the 1930s! In fact, a diet based on high-glycemic-load veg­eta­bles and unre­fined starch­es can restore the body’s insulin sen­si­tiv­i­ty, thus cur­ing type 2 dia­betes, with­in a mat­ter of weeks.

Ref­er­ence List

  1. Jenk­ins DJ, Wolever TM, Tay­lor RH et al. Glycemic index of foods: a phys­i­o­log­i­cal basis for car­bo­hy­drate exchange. Am J Clin Nutr 1981;34:362–366. http://www.ajcn.org/content/34/3/362.long

Note: For more infor­ma­tion about the con­trol of weight and blood sug­ar, see my book Thin Dia­betes, Fat Dia­betes: Pre­vent Type 1, Cure Type 2.

Behind Barbed Wire_Print

Big Lunches, Skinny Body

Back when I worked in an office, I’d some­times bring my lunch to work. My lunch­es were phys­i­cal­ly much larg­er than the lunch­es my cowork­ers brought, and it took my entire lunch break to eat most of mine. I still had food left over for a snack around 3 pm. So why was I skin­nier than most of my cowork­ers? It’s because my lunch was made of up of low-fat, high-fiber plant foods.

My typ­i­cal lunch includ­ed of a con­tain­er of rice pilaf or maybe a sand­wich with a spicy low-fat bean spread. I’d also have a cou­ple of con­tain­ers of cut up raw veg­eta­bles, such as car­rots, cau­li­flower, cel­ery, or broc­coli. Some­times I’d bring a big con­tain­er of sal­ad or coleslaw with non­fat dress­ing. I’d also have a few pieces of fruit, such as some cut-up can­taloupe or some apples or peach­es, depend­ing on what was in sea­son. Once in a while, I’d bring a few nuts, in the shell, along with a nut­crack­er.

My cowork­ers, on the oth­er hand, usu­al­ly based their lunch on some sort of meat or fish. Often, there was some sort of greasy dress­ing. They usu­al­ly had some sort of dairy food as well. Many of them had been through some sort of com­mer­cial weight loss reg­i­men that encour­ages peo­ple to con­tin­ue eat­ing ani­mal-based food but sup­pos­ed­ly teach­es them “por­tion con­trol.”

The fact that peo­ple are try­ing to learn “por­tion con­trol” tells you that they’re eat­ing an unnat­ur­al diet. Wild ani­mals nev­er try to lim­it their food intake. They nev­er count calo­ries. They nev­er sign up for step aer­o­bics. They eat as much as they like of their nat­ur­al food, and they do what­ev­er activ­i­ty they feel like doing. Their weight gets con­trolled nat­u­ral­ly by their appetite. The same thing also works for human beings if they eat a low-fat, high-fiber, plant-based diet.

No Acne, No Body Odor

A while back, I told a new friend of mine that I was writ­ing about how peo­ple could make them­selves heart-attack-proof, just by eat­ing plants instead of ani­mals and cut­ting way back on their fat intake. I men­tioned, in an off­hand sort of way, that this same diet also cures obe­si­ty. I didn’t know it at the time, but she was in the “down” phase of a pat­tern of yo-yo diet­ing. She was very inter­est­ed and wrote down the Web sites I rec­om­mend­ed.

About a month lat­er, when we were talk­ing on the tele­phone, she said, “I switched to a plant-based diet, and I’ve lost some weight with­out feel­ing hun­gry. I’ve also noticed that my acne cleared up. Is that because of the diet?” I said that it prob­a­bly was. The fat in ani­mal-based foods and the huge dose of estro­gen that occurs nat­u­ral­ly in dairy prod­ucts, even “organ­ic” dairy prod­ucts, both con­tribute to acne. She said, “Well, why didn’t you tell me that? It’s a major sell­ing point!”

Anoth­er month or two went by, and we were talk­ing on the tele­phone again. My friend said, “Lau­rie, I’ve just noticed that I don’t have body odor any­more. I used to have to use heavy-duty deodor­ant. Now I don’t stink, even if I sweat heav­i­ly. Is it because of the diet?” I told her that it prob­a­bly was. Not only do ani­mal-based foods con­tain far more pro­tein than you need, but the pro­teins in ani­mal-based foods are par­tic­u­lar­ly high in sul­fur. Burn­ing those pro­teins for ener­gy releas­es stinky sul­fur com­pounds. She said, “Well, why don’t you tell peo­ple about that! Young peo­ple care far more about that than about their risk of heart attack!”

So there you have it. Switch­ing to a plant-based diet can make you look bet­ter and smell bet­ter.

Pho­to by Salu­da UdeA

No, It’s a Low-Fat, High-Fiber Diet That Keeps Gorillas Lean!

A recent arti­cle in the New York Times argued that goril­las stay slim because they eat a high-pro­tein diet. While I’m glad to see some­one else point out that a plant-based diet pro­vides ade­quate amounts of pro­tein, I’m annoyed to see sci­en­tists and jour­nal­ists mis­un­der­stand and mis­rep­re­sent the real sig­nif­i­cance of this fact. It’s as if they haven’t read the basic lit­er­a­ture on nutri­tion and can’t under­stand arith­metic.

Yes, the gorilla’s nat­ur­al diet is high in pro­tein, as a per­cent­age of calo­ries. How­ev­er, the goril­las’ nat­ur­al food tends to be low in calo­ries, because the calo­ries are dilut­ed by water and fiber. Goril­las have to eat an enor­mous amount of food every day to get enough calo­ries. When human vol­un­teers tried to eat a goril­la-style diet for a short peri­od of time to see how it would affect their cho­les­terol lev­els, they had to spend more than 8 hours a day eat­ing, just to get enough calo­ries to keep from los­ing weight dur­ing the tri­al. Goril­las stay slim because of the high fiber con­tent and low fat con­tent of their food, not because of the bal­ance of pro­tein to car­bo­hy­drate in their food!

The biggest dietary chal­lenge for a goril­la, as for any leaf-eater, is to get enough calo­ries. When they eat a rel­a­tive­ly high-pro­tein diet, they just end up con­vert­ing the excess pro­tein to sug­ar and burn­ing it for ener­gy. Unfor­tu­nate­ly, pro­tein is “dirty sug­ar.” Burn­ing pro­tein for ener­gy pro­duces waste prod­ucts such as urea and sul­fu­ric acid.

Peo­ple can stay very slim on a high-car­bo­hy­drate diet, if it is also high in fiber and low in fat. For exam­ple, when Chris Voigt of the Wash­ing­ton State Pota­to Com­mis­sion decid­ed to go on a pota­to-only diet as a pub­lic­i­ty stunt, he fig­ured that he had to eat 20 pota­toes a day. In prac­tice, he found it real­ly hard to eat his entire pota­to ration, because pota­toes are so fill­ing. As a result, he lost a lot of weight. Even when he made an effort to eat his entire pota­to ration every day, he con­tin­ued to lose weight. That’s because a starchy diet improves insulin sen­si­tiv­i­ty and thus revs up your metab­o­lism. Peo­ple who eat starchy diets burn more calo­ries than peo­ple on fat­ty diets. Voigt lost 21 pounds dur­ing his 60-day pota­to diet. His cho­les­terol lev­els, triglyc­eride lev­els, and even his blood sug­ar lev­els decreased!

Accord­ing to the New York Times, Dr. Rauben­heimer claimed that mod­ern soci­eties “are dilut­ing the con­cen­tra­tion of pro­tein in the mod­ern diet. But we eat to get the same amount of pro­teins we need­ed before, and in so doing, we’re overeat­ing.” What non­sense!

Nutri­tion sci­en­tists have known for more than 100 years that human pro­tein needs are mod­est and are eas­i­ly met by any rea­son­able plant-based diet. Also, the soci­eties with the biggest prob­lem with obe­si­ty are also the ones with the high­est pro­tein intake! Mod­ern soci­eties are con­sum­ing too much fat and too lit­tle fiber. Ani­mal foods are a big offend­er, because they con­tain fat but no fiber and usu­al­ly no digestible car­bo­hy­drate. Refined foods are also a big offend­er, because they rep­re­sent the con­cen­trat­ed calo­ries from plants–with the fiber and oth­er whole­some things stripped out.

The take-home les­son from the goril­la sto­ry shouldn’t have been that peo­ple need to eat more pro­tein. It’s that peo­ple need to eat plants. If peo­ple don’t want to spend 8 hours a day eat­ing leafy veg­eta­bles, they can eat some nice, fill­ing pota­toes or oth­er starchy sta­ples along with plen­ty of veg­eta­bles and fruit.

Coronary Artery Disease Is Not a Mental Disorder

Many lay­men and even many doc­tors like the idea that peo­ple can give them­selves a seri­ous phys­i­cal dis­ease just by hav­ing bad thoughts, unpleas­ant feel­ings, or annoy­ing per­son­al­i­ty traits. Yet it’s hard to find any sci­en­tif­ic evi­dence that these psy­cho­log­i­cal phe­nom­e­na have any real effect on health. Nev­er­the­less, the attempt to “psy­chol­o­gize” phys­i­cal ill­ness per­sists.

Although many peo­ple like the idea that their thoughts can influ­ence their health, peo­ple can be amaz­ing­ly resis­tant to the idea that their food choic­es mat­ter. If I were a psy­chol­o­gist, I would use my train­ing to fig­ure out why our doc­tors in the Unit­ed States ignore the over­whelm­ing evi­dence that the stan­dard Amer­i­can diet is the under­ly­ing rea­son for our major caus­es of death and dis­abil­i­ty. I’d try to fig­ure out ways to help peo­ple real­ize that they’re eat­ing their way into an ear­ly grave. I’d try to find ways to help peo­ple improve their diet, so that they can improve their health. Instead, psy­chol­o­gists have been try­ing to prove that coro­nary artery dis­ease is a men­tal dis­or­der. It would be fun­ny if it weren’t so trag­ic!

By the end of World War II, any­one with com­mon sense and access to the sci­en­tif­ic lit­er­a­ture should have real­ized that coro­nary artery dis­ease results from the foods that peo­ple eat, not from the kinds of thoughts and feel­ings that go on in their minds. For exam­ple, heart dis­ease became rare in Nor­way after the Nazis stole their farm ani­mals and the Nor­we­gians had to switch to a low-fat, plant-based diet. Rich, fat­ty foods were also in short sup­ply for the civil­ian pop­u­la­tion in Ger­many dur­ing the war. As a result, Ger­man civil­ians stopped dying of heart attacks, despite all the stress and ter­ror of Allied bomb­ing raids.

After see­ing these data, Nathan Pri­tikin real­ized that heart dis­ease results from the foods peo­ple eat, not from the emo­tion­al stress in their lives. When he got a diag­no­sis of coro­nary artery dis­ease, he cleaned up his own diet and encour­aged oth­ers to do the same.

Nev­er­the­less, Amer­i­cans still clung to the idea that heart dis­ease is a men­tal dis­or­der. First, peo­ple thought that the cause was “emo­tion­al stress.” Then they blamed “type A per­son­al­i­ty.” Then they blamed “pes­simism.” It’s all a crock. Lots of peo­ple in Chi­na had emo­tion­al stress, type A per­son­al­i­ties, and pes­simism. Yet research showed that they weren’t dying of heart attacks, because their aver­age cho­les­terol was shock­ing­ly low by Amer­i­can stan­dards, thanks to their low-fat, high-fiber diet.

PCRM’s Plate Is Better Than USDA’s

The US Depart­ment of Agri­cul­ture has replaced its Food Pyra­mid with a plate and cup graph­ic, which is far bet­ter at con­vey­ing what they think peo­ple should eat. Unfor­tu­nate­ly, USDA is still encour­ag­ing peo­ple to eat meat and dairy prod­ucts, which con­tribute to the risk of heart dis­ease, can­cer, etc.

pcrm_new-4-food-groups-bmpThe Physi­cians Com­mit­tee For Respon­si­ble Med­i­cine has a much bet­ter idea: a plate graph­ic that shows a tru­ly healthy diet. They call it The Pow­er Plate. It encour­ages peo­ple to eat a pure­ly plant-based diet—the sort of diet that has been shown to be opti­mal for human health.

The Plate’s Not Much Better Than the Pyramid

The Unit­ed States Depart­ment of Agri­cul­ture has ditched its creepy Food Pyra­mid, which for many peo­ple con­jured up gris­ly images of Aztec human sac­ri­fice.

aztecpyramid

Unfor­tu­nate­ly, the USDA’s new “plate and cup” graph­ic still pro­vides dead­ly nutri­tion­al advice. It still urges peo­ple to eat far more fat, cho­les­terol, cal­ci­um, and ani­mal pro­tein than is good for them. Thus, it will con­tribute to our major caus­es of death and dis­abil­i­ty in the Unit­ed States, with­out doing much to solve any of our real pub­lic health prob­lems.

myplateThe new “plate and cup” graph­ic is sim­ply a way to com­mu­ni­cate the lessons from the most recent edi­tion of Dietary Guide­lines for Amer­i­cans. Fed­er­al law requires these guide­lines to be reviewed, and updat­ed if nec­es­sary, every five years. The guide­lines are cre­at­ed by a joint com­mit­tee of the USDA and the US Depart­ment of Health and Human Ser­vices, with input from oth­er fed­er­al agen­cies and the pub­lic. The 2010 edi­tion was issued in Jan­u­ary 2011.

Unfor­tu­nate­ly, the guide­lines are designed to address two nonex­is­tent prob­lems, while fail­ing to help peo­ple avoid or recov­er from our biggest caus­es of death and dis­abil­i­ty. The guide­lines are designed to ensure that Amer­i­cans con­sume “enough” pro­tein and cal­ci­um, even though it’s prac­ti­cal­ly impos­si­ble to find any real human beings who have a true defi­cien­cy of either one. Mean­while, the guide­lines actu­al­ly encour­age peo­ple to eat foods that increase the risk of heart dis­ease, can­cer, type 2 dia­betes, low back pain, osteo­poro­sis, and autoim­mune dis­eases such as arthri­tis and type 1 dia­betes.

Nutri­tion sci­en­tists have known for more than 100 years that human pro­tein needs are eas­i­ly met by any prac­ti­cal plant-based diet, as long as peo­ple are eat­ing enough food to get enough calo­ries. For more than 50 years, they’ve known that all of our com­mon sta­ple plant foods pro­vide enough of all of the essen­tial amino acids. Peo­ple would get plen­ty of pro­tein even if they ate noth­ing but pota­toes; thus, there’s no jus­ti­fi­ca­tion for urg­ing peo­ple to eat ani­mal-based “pro­tein foods.”

The “pro­tein foods” that come from ani­mals pose seri­ous health risks. They are devoid of fiber and digestible car­bo­hy­drates. Instead, their calo­ries come in the form of fat and pro­tein. Any over­load of pro­tein stress­es the liv­er and kid­neys. Worse yet, ani­mal pro­teins also tend to pro­mote can­cer, osteo­poro­sis, and autoim­mune dis­ease. The heavy dose of cal­ci­um from dairy foods actu­al­ly seems to increase, rather than decrease, the risk of osteo­poro­sis.

The cur­rent guide­lines also encour­age peo­ple to eat far more fat than is good for them. The cur­rent guide­lines do encour­age peo­ple to eat less sat­u­rat­ed fat, but to replace it with polyun­sat­u­rat­ed fats. The result would be only a slight­ly low­er risk of heart dis­ease, off­set by a high­er risk of can­cer. Most peo­ple should keep their fat intake to 10% or less of calo­ries.

The Dietary Guide­lines for Amer­i­cans do encour­age peo­ple to eat more fruits and veg­eta­bles and to replace refined grain prod­ucts with whole-grain prod­ucts. How­ev­er, they fall far short of telling peo­ple how they can achieve opti­mal health. That’s a scan­dalous fail­ure, con­sid­er­ing how many Amer­i­cans lack health insur­ance and thus have lim­it­ed access to pro­fes­sion­al guid­ance, includ­ing advice from a reg­is­tered dietit­ian.

Like our government’s fail­ure to pro­vide an effi­cient, pub­licly-financed uni­ver­sal health­care sys­tem, the short­com­ings of the Dietary Guide­lines for Amer­i­cans rep­re­sent our government’s fail­ure to “pro­mote the gen­er­al wel­fare.” Instead, our food and health­care poli­cies pro­mote the wel­fare of the pow­er­ful cor­po­ra­tions that finance our elec­tions and whose lob­by­ists stalk the halls of Con­gress.

These prob­lems have per­sist­ed for decades. They are not going to solve them­selves. These prob­lems will be solved only if health activists work to elect Rep­re­sen­ta­tives and Sen­a­tors and a Pres­i­dent who care far more about human beings than about cor­po­ra­tions and if health activists pro­vide such pres­sure dur­ing the “pub­lic com­ment” phase for the next edi­tion of the guide­lines that USDA will have no choice but to serve the Amer­i­can peo­ple instead of the food indus­try.

Low-Fat, Plant-Based Diet Helps Prevent Skin Cancer

Every sum­mer, we hear lots of advice to use sun­screen and wear hats and so on to help us avoid skin can­cer. No one ever both­ers to tell us that eat­ing a low-fat, plant-based diet also helps to pre­vent skin can­cer.

This arti­cle, which was pub­lished in 1994 in the New Eng­land Jour­nal of Med­i­cine, stud­ied the effect of a dietary change (a switch to a low­er-fat diet) on peo­ple who had had at least one non-melanoma skin can­cer. The peo­ple who switched to a low­er-fat diet were less like­ly to get new pre­can­cer­ous lesions. A fol­low-up study pub­lished in 1998 showed that they were also less like­ly to get skin can­cers.

A prop­er diet might also help reduce the risk of melanoma, which is the most dead­ly form of skin can­cer. Eat­ing too much polyun­sat­u­rat­ed fat increas­es the risk of can­cer in gen­er­al and melanoma in par­tic­u­lar. Peo­ple who drink too much alco­hol and don’t eat enough veg­eta­bles are also at high­er risk for melanoma.

Pho­to by Joe Shlabot­nik

Needless Tragedy: Multiple Sclerosis and Jacqueline du Pré

The movie Hilary and Jack­ie tells the trag­ic sto­ry of a lit­tle girl (Jacque­line du Pré) who grew up to be one of the world’s great­est cel­lists, only to have her musi­cal career and then her life cut short by mul­ti­ple scle­ro­sis. The tru­ly sick­en­ing part of the sto­ry is that the impor­tance of diet in arrest­ing the devel­op­ment of that debil­i­tat­ing and some­times fatal dis­ease had been pub­lished long before du Pré start­ed hav­ing symp­toms of the dis­ease. Trag­i­cal­ly, the med­ical pro­fes­sion is still large­ly ignor­ing the role of a strict, low-fat diet in arrest­ing mul­ti­ple scle­ro­sis.

Pho­to by amadeusrecord

To Cure Obesity, “Eat Less Fat and More Starch”

Here’s an inter­est­ing arti­cle about the Pima Indi­ans of Ari­zona.

For about 2000 years, the Pima had been grow­ing corn, beans, and squash on irri­gat­ed land in Ari­zona. As a result, their tra­di­tion­al diet was high in starch and fiber and low in fat (~15% by calo­rie). After white set­tlers divert­ed the Pima’s irri­ga­tion water, the Pima had to fall back on the lard, sug­ar, and white flour sup­plied to them by the U.S. gov­ern­ment. After World War II, the Pima adopt­ed a diet that close­ly resem­bles the stan­dard Amer­i­can diet. It is low in fiber and gets about 40% of its calo­ries from fat. As a result, they have hor­rif­i­cal­ly high rates of obe­si­ty and type 2 dia­betes. In con­trast, their blood rel­a­tives in Mex­i­co who have kept more or less to their tra­di­tion­al diet have rel­a­tive­ly low rates of obe­si­ty and dia­betes.

Some low-carb gurus have tried to twist the Pima’s sto­ry into a jus­ti­fi­ca­tion for eat­ing less car­bo­hy­drate and more fat. In real­i­ty, it pro­vides strong encour­age­ment for peo­ple to eat more starch and fiber and a lot less fat.