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NYTimes article on Atkins and diet plans in general

 
 
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Old 05-27-2003, 11:56 AM   #1
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Default NYTimes article on Atkins and diet plans in general

Ms. Brody has some very good articles. This one is very if I can use the word balanced. I agree with her last points also. Look being healthy is a long-term investment in yourself for the rest of your life. Weight loss is about health and can anyone really stay on Atkins forever? What about your quality of life? Especially as the long term health risks for Atkins are not known still. I can attest that a balanced diet with mindful eating and decent portions, with lots of water and exercise will work for weight loss. That is still the way to go, and as I surf the net, watch TV, read, and meet and listen to people that succeed I am convinced it is the only way that works and works in a healthy manner. Here is the article.

Pounds Lost on Atkins Diet May Quickly Return
By JANE E. BRODY


The Atkins diet gained a modicum of respectability this month when scientists reported that two clinical trials found the high-fat, high-protein, low-carbohydrate diet did not cause disastrous increases in serum cholesterol and even reduced one or two cardiac risk factors.
The studies, reported in The New England Journal of Medicine, compared the effects on weight loss and cardiovascular risk factors of the Atkins plan with the conventional low-fat, low-calorie diet recommended by most health experts. Both diets resulted in weight loss, but participants on the Atkins diet lost more weight, faster.
But it is too soon to jump on the Atkins bandwagon in hopes of achieving bathing-suit slimness by the Fourth of July. Yes, the diet does help obese people lose weight quickly, and those wanting to shed 10 pounds in the next four weeks could achieve that goal. But the research suggested that by Labor Day many, if not most, are likely to be back to their starting weight.
The first five to seven pounds lost on Atkins are not fat but water, released by the body when it gets little or no starch or sugar from food. So as soon as you are unable to resist that bun with your burger or summer's succulent sweet corn, a cooling ice cream cone, thirst-quenching watermelon or a bag of fries, those lost pounds are likely to come bounding back.
Neither of the new studies was designed to determine either long-term safety or effectiveness of this regimen, which puts foods like bread, pasta, rice, potatoes, carrots, tomatoes, corn, bananas, winter squash, dried beans and peas, cereal and, of course, ice cream, cake, cookies, pies, sweet rolls, doughnuts, candy and bagels on the don't-eat-them list and suggests instead indulging in bacon and eggs, steaks and cheese, cream (but not milk) and butter instead.
The predictions were that this diet would spell disaster for the heart and blood vessels. But the new studies showed for the first time in randomized clinical trials that there may be some cardiovascular benefits to this high-fat weight-loss regimen.
As expected when people lose weight, cholesterol levels did not rise (indeed, they fell in some participants) and, as expected when the diet contains little sugar and refined starches, triglyceride levels fell. Insulin sensitivity also improved — again, no surprise when limited carbohydrates are consumed.
Perhaps the only surprise finding among Atkins participants was a rise in the so-called good cholesterol, protective H.D.L.'s, which may indicate that the body compensates for a diet rich in saturated fats and cholesterol by producing more of the substance that helps to keep arteries clear of fatty deposits.
What Is and Isn't Known
As noted in the editorial accompanying the reports, the two studies, which involved obese or severely obese participants, were short-term. (One lasted six months and the other a year.)
About 40 percent of the participants dropped out of the studies and were lost to follow-up. In other weight-reduction studies, dropouts are usually people who fail to lose weight or regain their initial losses. It nearly always means that they did not stay on the assigned diet.
Among those who did stay in the programs, the differences in the amount of weight lost on the two diets were not drastic and, in the one-year study, those following Atkins started gaining weight back after six months, resulting in no significant weight-loss differences between the two diets by the end of the year.
Atkins advocates are fond of blaming the push for low-fat diets for the astronomical rise in obesity among Americans in the last 20 years. They say that as people spurned fats they turned to carbohydrates instead and started gaining weight. But three facts must be noted:
Americans are not eating less fat; rather, per capita consumption of fat has risen by 10 pounds a year since 1973. All things being equal (which they are not), this alone would result in an average of 11 more pounds than people weighed 30 years ago.
Americans are also eating more carbohydrates, but not the whole grains, fruits and vegetables that weight-control experts and health promoters recommend. They are eating far more sugars (20 pounds more per capita since 1975, another 10 pounds of body weight) and more refined starches as they overindulge in fat-free or low-fat cakes, crackers and so on.
Americans are eating more calories, which is the real cause of weight gain. That is why the percentage of calories from fat has fallen while total fat intake has not.
These dietary changes have been accompanied by an overall decline in physical activity. In other words, we are consuming more calories and burning fewer. That is why we have an obesity epidemic.
A final — and critically important — unknown remains the long-term safety of a diet rich in saturated fats and relatively limited in the whole grains, fruits and vegetables that countless studies have linked to reduced rates of heart disease, stroke and cancer, the nation's leading killers.
No Diet Fits All
It is perhaps worth noting that the precipitous gain in the numbers of obese and overweight people has occurred during the 30 years since Dr. Robert Atkins, who died on April 17, first published his "diet revolution." Since the diet's resurgence in recent years, there has been no notable turnaround.
Recent studies have strongly suggested that carbohydrate-rich, low-fat diets with only modest amounts of protein may be less effective in achieving and maintaining weight loss. Fat and protein are digested more slowly than carbohydrates and may delay the return of hunger.
Also, while it may be easy to overeat or binge on cake or cookies, few people can consume large quantities of steak, burgers without buns and unsweetened whipped cream.
That is why, as the new studies show, Atkins adherents eat fewer calories than they did before starting the diet, and it is this calorie reduction that accounts for their weight loss.
If you want to try a diet that many experts concerned about both weight and health now recommend, it should contain about 25 percent of calories from fats primarily from vegetable sources like olive, canola and nut oils, avocados, beans, nut butters, nuts and seeds, along with fish and lean red meats and poultry adding up to about 20 to 25 percent of calories from protein.
Rounding out this diet are whole grains and ample amounts of vegetables and fruits. On this less restrictive diet, the weight loss may be slower than with Atkins, but it is more likely to stick.
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Old 05-28-2003, 08:49 AM   #2
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Excellent article, Diamondgeog, thanks for posting it! I agree with your points, too.

All of the studies done have been short term, and have involved a small number of subjects. The two studies quoted here involved 120 and 60 people (though 40% dropped out) The infamous "Atkins Report" released last year (funded by Atkins) involved a small number of people. (The American Heart Association said that the Atkins Report involved 120 people and lasted 6 months.)

By contrast, there was a Harvard study over 12 years involving 72,000 women, as well as a JAMA report which spanned 30 years and 3,000 patients, and both showed that the long term effects of a lower fat diet containing a balanced amount of carbs had a lasting positive effect on health.

Before anyone gets upset with me and posts to say they've lost weight on Atkins, that is not the issue here You probably will lose weight on Atkins. The issue here is the lack of long term studies, which are necessary to add validity to any program or product which affects your health, as well as questionable claims that low-fat added to the obesity problem. When the media focuses on key points in an issue, the rest of the story often goes unnoticed.

Brody points out that the recent studies showed that people lost weight faster on Atkins vs. low fat. These same studies also showed that the Atkins dieters gained back 1/3 of their weight, while the low-fat group gained back 1/5 of their weight.

I'm thrilled to see Jane Brody look at the bigger picture. I'm not trying to bash Atkins, I'm just noticing that most news sources are not doing the same as Brody, and it's more beneficial to everyone to view both sides of the issue.

Since the original Atkins Report was published in the NY Times, the media has latched onto that SAME study over and over, until many people have been misled into believing there were multiple studies done that continued to support this diet plan. Btw, some of the doctors quoted in the original Atkins Report have come forth since to say that they did NOT support Atkins and that their comments were twisted out of context. It has also been said that the negative results of the study were intentionally left out of the published document, to provide a biased view.

Why all the hoopla? Anything controversial makes headlines and sells papers. Atkins has always been, and probably will remain controversial for some time to come. No one runs to buy a paper with headlines "This just in... New study proves balanced diet and exercise causes weight loss!"
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