Ketogenic Diets: Eating Fat Won’t Make You Thin

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Following a ketogenic diet will not guarantee weight loss. Producing a lot of ketones does not mean you are shredding body fat. Gulping down shots of olive oil or putting butter in your coffee won’t make you thin.

You must consume fewer calories than you need, over time, to lose body fat.

This blog post will cover:

  •  What is Ketosis?
  •  Eating fat Makes You Burn More Fat for Energy but…
  •  Who is this Diet Good For?
  •  Who Should Avoid the Ketogenic Diet

What is Ketosis?

Ketosis is a metabolic state that occurs when the body does not have enough carbohydrate or total calories for energy. As a result, more fat is burned to fuel the body’s energy demands. As fat (dietary fat from the food you eat or body fat) is used, ketones are formed. When a person is in ketosis, ketones can be used as a source of energy (1).  Being in ketosis or producing ketones is not the cause of weight loss. Instead it is the decrease in calories that leads to weight loss.

An in depth review of the ketogenic diet can be found here.

Eating Fat Makes You Burn More Fat for Energy but…

You use the macronutrients you eat for energy. Eat a high carbohydrate diet and you’ll use more carbohydrates for energy. Eat more fat and you’ll burn more fat (from your high fat diet) for energy. Using fat, from the coconut oil or butter you put your coffee, for energy is totally different than burning the fat on your body for energy. You must be in a caloric deficit for your body to use stored body fat for energy. Let’s say it’s 4 pm and you have eaten 1,000 calories so far today. But your daily needs, without exercise, are 2,300 calories per day. You are now using stored body fat for energy because you are in a calorie deficit (you haven’t eaten enough calories to cover your energy needs).

Can you lose weight on a ketogenic diet? Yes absolutely (2). However, from a purely scientific perspective, this is not the best diet for losing fat and maintaining or gaining muscle.

Research studies in humans show weight loss from a ketogenic diet is due to water, fat mass and muscle. Additionally, weight loss is likely due, in part, to limited food choices. After all, a stick of butter with drops of flavor and artificial sweeteners mixed in isn’t exactly something most people overeat at dessert time. No bread, rice, pasta, Oreos, Doritos, doughnuts, pizza… the list goes on and on. Another factor contributing to weight loss when on a ketogenic diet, at least for obese people, is a decrease in hunger over the short term. Research also shows on-going professional support is associated with greater weight loss when on a ketogenic diet (or any other diet) (3). Additionally, ramping up the protein in your diet and cutting calories alone (even if you aren’t following a ketogenic diet or you aren’t producing a ton of ketones) can improve body fat loss and help you maintain muscle.

Some studies report the ketogenic diet can have beneficial effects on cardiovascular disease risk factors while others show cholesterol and blood pressure increase. Why?  It depends what you were eating and what you are eating now. If your diet consisted of fried foods, French fries and alcohol and  you changed it to olive oil and salmon, I’m willing to bet your triglycerides, cholesterol and blood pressure will go down. If you were eating whole grains, legumes and salmon and started eating fatty red meat, butter and coconut oil, expect your cholesterol to shoot through the roof.

Aside from what you’re eating, weight loss has a huge effect on  cardiovascular disease risk factors. If you are over fat and you lose a lot of weight, blood pressure, cholesterol and other cardiovascular disease risk factors will likely improve. Regardless of what you eat. A diet full of Twinkies can be beneficial for heart health risk factors as long as you lose weight.  

Who is this Diet Good For?

The ketogenic diet effectively reduces the incidence and severity of seizures in epileptic patients resistant to medication. Ketogenic diets are being studied as potential therapeutic remedies for those with dementia and mental disorders. However, it s too soon to recommend these diets in patients with dementia or a mental disorder (4, 5).

As mentioned above, you can lose weight on this diet. If you love dietary fat, don’t like carbohydrate-rich foods and you are determined to try this diet, work with a MD and registered dietitian who are experts on ketogenic diets and have experience implementing these diets with their patients. There are many potential immediate and longer-term health consequences that may result following a ketogenic diet. These can be decreased or avoided when you follow the expert advice of a MD and RD.

Who Should Avoid the Ketogenic Diet?

This is not an easy diet to stick with. Anyone who is not going to take the time to plan it according to the directions of a RD (again, one who has worked with this diet; likely an outpatient RD who works with epileptic patients) should avoid trying a ketogenic diet. Also, anyone with a disease state or on medication should avoid it unless they talk to their MD first. Those with eating disorders or disordered eating, strength and power athletes as well as athletes engaged in high intensity sports should skip over ketogenic diets. There are better ways to lose fat and fuel your activity.

 

References

1 Wheless JW. History of the ketogenic diet. Epilepsia 2008;49 Suppl 8:3-5.

2 Bueno NB, de Melo IS, de Oliveira SL, da Rocha Ataide T. Very-low-carbohydrate ketogenic diet v. low-fat diet for long-term weight loss: a meta-analysis of randomised controlled trials. Br J Nutr 2013;110(7):1178-87.

3 Kosinski C, Jornayvaz FR. Effects of Ketogenic Diets on Cardiovascular Risk Factors: Evidence from Animal and Human Studies. Nutrients 2017; 9(5): 517.

4 Bostock ECS, Kirkby KC, Taylor BVM. The Current Status of the Ketogenic Diet in Psychiatry. Front Psychiatry 2017; 8: 43.

5 Gasior M, Rogawski MA, Hartmana AL. Neuroprotective and disease-modifying effects of the ketogenic diet. Behav Pharmacol 2006; 17(5-6): 431–439.

 

Focusing on Fewer Ingredients in Food is Pointless

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Zoning in on the number of ingredients in packaged foods is one of the stupidest consumer driven trends to date. Fueled by the unsubstantiated fear of anything not immediately recognizable or easy to pronounce, companies are turning to “fewer ingredients” to make their food stand out on over-crowded store shelves. Short, recognizable ingredient lists are leading packaged food trends in 2016 yet the number of ingredients or your ability to pronounce an ingredient has absolutely nothing to do with the nutrition value of the food and therefore shouldn’t guide your buying decisions.

The # of Ingredients Has Nothing to do with Nutrition Value

Shorter ingredient lists do not mean a food or beverage is better for you. Companies that make chips, ice cream and other dessert items are among the fiercest competitors for simplifying ingredient lists. According to an article in the Huffington Post, Hershey Co. improved their classic chocolate syrup by cutting the list to 5 simple ingredients. The new version took food scientists a year and a half to make with recognizable ingredients. The challenge? Making a syrup that also tastes good. The new version with cane sugar and organic invert cane syrup instead of high fructose corn syrup will cost you 1 more gram of sugar than the original version. How does this make it nutritionally superior to the old version?

Here’s another example. Let’s say you are in the grocery store debating between protein choices for dinner. Do you pick up the omega-3 and protein-packed (23 grams for 190 calories) salmon or beef franks (15 grams protein for 190 calories and 3x the saturated fat). I hope you choose the salmon if you are choosing based on nutrition value.

Simple Ingredients

I found many similar examples in the grocery store including potato chips with just a few ingredients compared to whole grain, higher fiber crackers with three times the ingredients and Häagen-Dazs ice cream with five ingredients, 250 calories and almost 5 grams of sugar per ½ cup compared to Giant brand ice cream with more than twice the number of ingredients, 160 calories and less than 3 grams of sugar per ½ cup. If you are choosing your dessert not based on taste but instead based on the nutritionally superior option (because that’s why people are focusing on the total number of ingredients right?), you’ll pick up the Giant brand with more ingredients.

Just Because You Don’t Recognize it and Can’t Pronounce it Doesn’t Mean it is Bad

Head over to Cooking Light or any other well-recognized cooking magazine and I’m willing to bet you’ll find ingredients that you don’t recognize and can’t pronounce. I live in the world of food, nutrition and supplements and restaurant menus often stump me while the sheer number of unfamiliar spices in Penzeys Spices satisfies my creative desire for something new and unique. Just because an ingredient is unfamiliar to you does not automatically make it bad. After all you’re probably not a food scientist entrenched in the world of food development and food safety.

Some misunderstood ingredients are emulsifiers – they help ingredients stay together in a mixture vs. separating (for example, salad dressings often contain emulsifiers including lecithin), others add nutrition value, help products retain their color, prolong shelf life or keep the product safe. Pyridoxine hydrochloride sounds scary right? It’s a vitamin B6. Cyanocobalamin? That’s vitamin B12. Beta-glucan? Oat and barley beta-glucan are soluble fibers sometimes added to food to increase the fiber content. They also help you feel more full (satiated) and are fantastic for your immune system. Lupin kernel fiber – lupin is a legume. In other words, it’s good for you. All substances allowed in food in the U.S. are GRAS – Generally Recognized as Safe by the Food and Drug Administration.

Even though manufacturers are scurrying to chop down their ingredient lists to meet this silly consumer demand, focusing on the number of ingredients in a food isn’t worth your time or attention span. If you don’t order food in a restaurant based on the number of ingredients used in the recipe why would you choose foods in the grocery store based on the total number of ingredients? In addition, don’t be scared of any ingredient with a sprinkling of scientific reasoning behind its use.

 

 

 

 

 

 

 

An Unexpected New Year’s Resolution

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By Sara Shipley, RD-to be, Nutrition Student at the University of Central Oklahoma

Yes, it’s that time again and the thought has probably crossed your mind as 2011 comes to a close. The annual New Year’s resolution. And, according to many popular media sources, losing weight tops many people’s resolution list. Yet our nation is in a major health crisis. Something isn’t adding up and though many people realize they should take charge of their health, they are not taking the right approach to fix the problem. If the majority of people continue to ditch their goals by February, we will continue to see the rate of obesity, diabetes and heart disease rise.

If losing weight is on your list of New Year’s resolutions, or even if it isn’t, I am going to tell you about one big dietary change that will yield big results: boosting your fiber intake.

Fiber is the indigestible part of a carbohydrate. We need fiber in our diet because our bodies do not absorb it. Rather, it acts as a vehicle to remove waste products from f our system.  Here are three reasons to eat more fiber:

Feel full longer: Fiber provides “bulk” to your diet which helps control hunger, as it takes time to move through your digestive tract leaving you full throughout the day. Eating a high fiber breakfast every morning will start your day off right.  Try oatmeal with berries and low-fat milk or whole wheat toast with peanut butter and a banana.

Digestion: Fiber will regulate your bowel movements and this helps keep everything moving out of your system, including some residual toxins.

Lowers LDL cholesterol levels and risk for heart disease: Increasing fiber may contribute to lowering LDL cholesterol levels, blood pressure and inflammation in the body. Controlling these health markers will help protect your heart.

Try this easy, high fiber hors d’oeuvre for your New Years Eve party. I have already made it for several holiday parties and it was devoured.

Bacon Wrapped Dates: Dates are dried fruit with a sweet flavor and chewy texture that will balance the salty bite of bacon. (Try turkey bacon if you want to cutback the fat, but it may not crisp as well.)

Yield: 30 pieces

  •  15 slices thick bacon
  • 30 pitted dates (Dole brand was perfect bite-size and a bag usually has approx. 30)
  • toothpicks

Pre-heat the oven to 425 F. Slice each bacon piece in half, short ways. Roll a piece of bacon around each date and pierce with a wooden toothpick. Place wrapped dates on a sprayed baking sheet (set ½ inch apart). Cook for 13-16 minutes, turning once to ensure the bacon crisps on all sides.

Place on a rack to slightly cool and serve warm.

Peas are also a high fiber food and Black Eye Pea dips and dishes are a big New Years Tradition here in Oklahoma. Get your fill of fiber with peas as you ring in the New Year!

 

 

 

 

 

 


 [SS1]What other word can you think of? I feel like ‘diet’ has already been over-used.

 [SS2]Marie- isn’t that right? Please delete if you think it sounds weird/incorrect.