"Diet and Weight Management"


    Diet Reviews

    The following review examines the advantages and disadvantages
    of several popular diet plans. Most of the diets are based on
    low-carbohydrate approaches. These hotly debated
    low-carbohydrate diets were subject of a recent study in the
    "Journal of the American Medical Association" that found more
    research is needed on the safety and efficacy of such plans.
    The article analyzed hundreds of published studies about
    low-carbohydrate plans and found a lack of scientific evidence
    for or against the diets. "It is also important to note that in most
    of the studies contained in the analysis, weight loss occurred
    when study participants were on diets for longer periods, and
    when they ate fewer calories," according to a statement by
    Robert H. Eckel, a physician and chair of the American Heart
    Association's Nutrition, Physical Activity and Metabolism Council.
    Keeping that in mind, let's look at a few popular diets, and go
    through some of the pros and cons, and the theory behind their
    potential effects.
    The Atkins Die (Robert C. Atkins, M.D.)

    The Diet Plan Theory:

    The Atkins diet is a high-protein, high-fat, low-carbohydrate plan.
    The diet allows for unrestricted amounts of meat, cheese and eggs
    while severely restricting carbohydrates, including sugar, bread,
    pasta, milk, fruits and vegetables. Atkins' diet is based on the theory
    that eating carbohydrates creates a production of insulin, a hormone
    secreted from the pancreas, leading to increased weight gain and
    hunger, which is a true physiologic response. When converting to
    this approach, the plan holds that dieters will experience reduced
    appetite and their bodies will use stored fat for energy versus
    burning glucose from carbohydrate digestion. Burning fat for
    energy will supposedly lead to weight loss.

    Disadvantages:

    The medical community continues to debate the potential damaging effects of
    long-term, high-protein diets on kidney function, cholesterol levels, and possible
    increased risk of heart disease, osteoporosis and cancer. The Atkins diet restricts
    carbohydrates and limits the amounts of fruits, vegetables, milk and other high-fiber
    foods. These foods naturally provide essential vitamin and minerals to maintain health.
    Atkins diet followers may have difficulty maintaining this diet long term. The problem
    is taste. The only way to really satisfy taste without carbohydrate is by increasing fat.
    And this is another concern with the Atkins plan. Weight loss occurs predominately
    through a process called ketosis, and a majority of it (at least initially) is fluid loss.
    There have been no long-term randomized studies to support the safety of this diet.

    Advantages:

    People like eating high amounts of protein foods that are often restricted on other
    diets. Those who have been unsuccessful on other low-fat, high-carbohydrate diets
    will often lose weight with this plan. The diet is easy to follow; no point system, calorie
    counting or complicated meal plans are involved.

    The Carbohydrate's Addict's Diet (Richard Heller, M.D. and Rachael Heller, M.D.)

    The Diet Plan Theory:

    The Carbohydrates Addict's diet is a low-carbohydrate eating plan. The diet
    recommends eating low-carbohydrate meals and one "reward meal" daily. The
    reward meal combines carbohydrates, protein and vegetables. It must be eaten
    within an hour from start to finish. The Hellers' diet is based on the theory that
    many overweight people are carbohydrate addicts; they suffer from a biological
    condition caused by a hormonal imbalance. Excess insulin is produced after eating
    carbohydrates, resulting in all-day food cravings and a willingness in the body to
    store fat. The plan holds that converting to this low-carbohydrate plan reverses
    such biological conditions, reducing appetite and body fat storage. The body will
    convert to burning fat for energy versus burning glucose from carbohydrate digestion.
    In general, although the finer points may differ, this can be viewed as a modified
    Atkins plan.

    Disadvantages:

    There are no long-term randomized studies to support the theory of carbohydrate
    addiction. Enjoying carbohydrate foods is not enough for an addiction diagnosis.
    Also, there are no long-term randomized studies to support the safety of this diet.
    Eating a low-carbohydrate diet leads to consuming larger amounts of fat and protein.
    Although debated by the medical community, long-term low-carbohydrate diets are
    believed to increase risk for colon cancer and osteoporosis. High-fat and high-protein
    diets could cause kidney function loss, elevate cholesterol levels and increase risk
    of heart disease. Following this diet long term will be a challenge for many.

    Advantages:

    Weight loss may occur with this diet. It provides a comprehensive list of foods to
    consume. It encourages drinking plenty of water daily. It is less restrictive than the
    Atkins' diet.
    The Pritikin Principle (Created by Nathan Pritikin, Revised by Robert Pritikin)



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