R
>>I would be interested in seeing this study. All evidence I've seen indicates
that low-carb diets (ad libitum, no low-carb diets that I'm aware of
involve
"force feeding") are better. A google search finds nothing either for
that
name and "carbohydrate". <<
Joe,
Virtually all of the head to head "low fat" versus "other" diet studies
ever published have involved an isocaloric feeding design. The
researchers prescribe a set amount of calories to be fed to the study
subjects. Each group ("low fat" versus "other") gets the same amount
of calories per day. What ends up happening is that the "low fat"
group gets fed more calories than they would take in if you just let
them select foods from a buffet table and eat what they wanted. So you
are, in effect, force feeding them. Also, you may be giving the
"other" group fewer calories than they might otherwise choose to take
in, so you are, in effect, putting them on a diet. A similarly flawed
study design is to feed the subjects the number of calories per day
required to maintain their baseline weight ("weight maintenance diet").
When subjects are placed on reduced fat diets, they tend to lose
weight. Again, when you adjust their caloric intake to maintain weight,
you are, again, force feeding them. I cited several recent editorials
and discussions which noted this particular fatal flaw in these
studies.
The only studies which are real world studies are those examining what
subjects do when they are allowed to choose their foods (from among a
selection) and choose their portions. In all such studies of which I
am aware (except for studies where high sugar/low quality carbs were
administered in the "low fat" arm of the study), the high carb group
does, at minimum, equally well as the "other" group. And this is not
even including the fact that the only healthy lifestyle is one
including daily exercise and these studies are most commonly being done
on couch potatoes.
Here's the paper I quoted. Note that when the subjects were fed a low
fat/high carb diet under weight maintenance conditions, they got worse.
But when they were allowed to eat what they want, on the same low
fat/high carb diet, they got better.
1: JAMA. 1995 Nov 8;274(18):1450-5.
Body weight and low-density lipoprotein
cholesterol changes after consumption of a low-fat
ad libitum diet.
Schaefer EJ, Lichtenstein AH, Lamon-Fava S,
McNamara JR, Schaefer MM, Rasmussen H, Ordovas JM.
Lipid Metabolism Laboratory, Jean Mayer USDA Human
Nutrition Research Center on Aging at Tufts
University, Boston, MA 02111, USA.
OBJECTIVE--To assess the effects of a diet
restricted in fat, saturated fat, and cholesterol,
under weight-maintenance and ad libitum conditions
on body weight and plasma lipid levels in
hypercholesterolemic subjects. DESIGN--Dietary
intervention study. SETTING AND
PARTICIPANTS--Twenty-seven free-living, healthy
middle-aged and elderly men (n = 13, age range, 41
to 81 years) and women (n = 14, age range, 52 to
79 years) with moderate hypercholesterolemia
(low-density lipoprotein cholesterol [LDL-C] > or
= 3.36 mmol/L [130 mg/dL]) participated in the
study. INTERVENTION--Subjects underwent three
dietary phases. First, subjects were provided with
a diet similar to the average US diet (baseline
diet; 35.4% total fat, 13.8% to 14.1% saturated
fat, and 30 to 35 mg/1000 kJ [128 to 147 mg/1000
kcal] cholesterol). During the second dietary
phase, subjects consumed a low-fat diet (15.1%
total fat, 5.0% saturated fat, 17 mg/1000 kJ [73
mg/1000 kcal] cholesterol). During the baseline
and low-fat diet phases, which lasted 5 to 6 weeks
each, the energy intake was adjusted to keep body
weight constant. During the third diet phase
(low-fat ad libitum diet) subjects were given the
same low-fat diet for 10 to 12 weeks, but could
adjust their intake between 66% and 133% of the
energy required to maintain body weight. MAIN
OUTCOME MEASURES--Body weight and plasma lipid
levels. RESULTS--Consumption of the low-fat diet
under weight-maintenance conditions had
significant lowering effects on plasma total
cholesterol (TC), LDL-C, and high-density
lipoprotein cholesterol (HDL-C) levels (mean
change, -12.5%, -17.1%, and -22.8%, respectively).
This diet significantly increased plasma
triglyceride levels (+47.3%) and the TC/HDL-C
ratio (+14.6%). In contrast, consumption of the
low-fat ad libitum diet was accompanied by
significant weight loss (3.63 kg), by a mean
decrease in LDL-C (124.3%), and by mean
triglyceride levels and TC/HDL-C ratio that were
not significantly different from values obtained
at baseline. CONCLUSIONS--Our results indicate
that a low-fat ad libitum diet promotes weight
loss and LDL-C lowering without adverse effects on
triglycerides or the TC/HDL-C ratio in middle-aged
and elderly men and women with moderate
hypercholesterolemia.
PMID: 7474191 [PubMed - indexed for MEDLINE]
>>>
- Larry W
that low-carb diets (ad libitum, no low-carb diets that I'm aware of
involve
"force feeding") are better. A google search finds nothing either for
that
name and "carbohydrate". <<
Joe,
Virtually all of the head to head "low fat" versus "other" diet studies
ever published have involved an isocaloric feeding design. The
researchers prescribe a set amount of calories to be fed to the study
subjects. Each group ("low fat" versus "other") gets the same amount
of calories per day. What ends up happening is that the "low fat"
group gets fed more calories than they would take in if you just let
them select foods from a buffet table and eat what they wanted. So you
are, in effect, force feeding them. Also, you may be giving the
"other" group fewer calories than they might otherwise choose to take
in, so you are, in effect, putting them on a diet. A similarly flawed
study design is to feed the subjects the number of calories per day
required to maintain their baseline weight ("weight maintenance diet").
When subjects are placed on reduced fat diets, they tend to lose
weight. Again, when you adjust their caloric intake to maintain weight,
you are, again, force feeding them. I cited several recent editorials
and discussions which noted this particular fatal flaw in these
studies.
The only studies which are real world studies are those examining what
subjects do when they are allowed to choose their foods (from among a
selection) and choose their portions. In all such studies of which I
am aware (except for studies where high sugar/low quality carbs were
administered in the "low fat" arm of the study), the high carb group
does, at minimum, equally well as the "other" group. And this is not
even including the fact that the only healthy lifestyle is one
including daily exercise and these studies are most commonly being done
on couch potatoes.
Here's the paper I quoted. Note that when the subjects were fed a low
fat/high carb diet under weight maintenance conditions, they got worse.
But when they were allowed to eat what they want, on the same low
fat/high carb diet, they got better.
1: JAMA. 1995 Nov 8;274(18):1450-5.
Body weight and low-density lipoprotein
cholesterol changes after consumption of a low-fat
ad libitum diet.
Schaefer EJ, Lichtenstein AH, Lamon-Fava S,
McNamara JR, Schaefer MM, Rasmussen H, Ordovas JM.
Lipid Metabolism Laboratory, Jean Mayer USDA Human
Nutrition Research Center on Aging at Tufts
University, Boston, MA 02111, USA.
OBJECTIVE--To assess the effects of a diet
restricted in fat, saturated fat, and cholesterol,
under weight-maintenance and ad libitum conditions
on body weight and plasma lipid levels in
hypercholesterolemic subjects. DESIGN--Dietary
intervention study. SETTING AND
PARTICIPANTS--Twenty-seven free-living, healthy
middle-aged and elderly men (n = 13, age range, 41
to 81 years) and women (n = 14, age range, 52 to
79 years) with moderate hypercholesterolemia
(low-density lipoprotein cholesterol [LDL-C] > or
= 3.36 mmol/L [130 mg/dL]) participated in the
study. INTERVENTION--Subjects underwent three
dietary phases. First, subjects were provided with
a diet similar to the average US diet (baseline
diet; 35.4% total fat, 13.8% to 14.1% saturated
fat, and 30 to 35 mg/1000 kJ [128 to 147 mg/1000
kcal] cholesterol). During the second dietary
phase, subjects consumed a low-fat diet (15.1%
total fat, 5.0% saturated fat, 17 mg/1000 kJ [73
mg/1000 kcal] cholesterol). During the baseline
and low-fat diet phases, which lasted 5 to 6 weeks
each, the energy intake was adjusted to keep body
weight constant. During the third diet phase
(low-fat ad libitum diet) subjects were given the
same low-fat diet for 10 to 12 weeks, but could
adjust their intake between 66% and 133% of the
energy required to maintain body weight. MAIN
OUTCOME MEASURES--Body weight and plasma lipid
levels. RESULTS--Consumption of the low-fat diet
under weight-maintenance conditions had
significant lowering effects on plasma total
cholesterol (TC), LDL-C, and high-density
lipoprotein cholesterol (HDL-C) levels (mean
change, -12.5%, -17.1%, and -22.8%, respectively).
This diet significantly increased plasma
triglyceride levels (+47.3%) and the TC/HDL-C
ratio (+14.6%). In contrast, consumption of the
low-fat ad libitum diet was accompanied by
significant weight loss (3.63 kg), by a mean
decrease in LDL-C (124.3%), and by mean
triglyceride levels and TC/HDL-C ratio that were
not significantly different from values obtained
at baseline. CONCLUSIONS--Our results indicate
that a low-fat ad libitum diet promotes weight
loss and LDL-C lowering without adverse effects on
triglycerides or the TC/HDL-C ratio in middle-aged
and elderly men and women with moderate
hypercholesterolemia.
PMID: 7474191 [PubMed - indexed for MEDLINE]
>>>
- Larry W