Showing posts with label Diet: Low-Carbohydrate. Show all posts
Showing posts with label Diet: Low-Carbohydrate. Show all posts

Saturday, September 16, 2023

Ketogenic Diet: Update

The following is prompted by an interaction with a chiropractor on YouTube who was promoting the ketogenic diet. He is presently banned from doing such because of poor scientific support (YES!!). I do wish Facebook would do the same thing, and also ban all anti-science quackery that I constantly flag as "misleading or a scam"!:

"'The keto diet is primarily used to help reduce the frequency of epileptic seizures in children. While it also has been tried for weight loss, only short-term results have been studied, and the results have been mixed. We don't know if it works in the long term, nor whether it's safe,' warns registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital." (1)

"A ketogenic diet has numerous risks. Top of the list: it's high in saturated fat. McManus recommends that you keep saturated fats to no more than 7% of your daily calories because of the link to heart disease. And indeed, the keto diet is associated with an increase in 'bad' LDL cholesterol, which is also linked to heart disease." (1)

"Other potential keto risks include these:

Nutrient deficiency. 'If you're not eating a wide variety of vegetables, fruits, and grains, you may be at risk for deficiencies in micronutrients, including selenium, magnesium, phosphorus, and vitamins B and C,' McManus says.

Liver problems. With so much fat to metabolize, the diet could make any existing liver conditions worse.

Kidney problems. The kidneys help metabolize protein, and McManus says the keto diet may overload them. (The current recommended intake for protein averages 46 grams per day for women, and 56 grams for men).

Constipation. The keto diet is low in fibrous foods like grains and legumes.

Fuzzy thinking and mood swings. 'The brain needs sugar from healthy carbohydrates to function. Low-carb diets may cause confusion and irritability,' McManus says." (1)

"Being low in fibre, high in saturated fat and red meat, and extremely restrictive, the keto diet does not really align with nutritional guidelines issued by government experts. The diet’s critics say it is, at best, a passing trend and, at worst, a socially acceptable form of disordered eating." (2)

"Published research to date has not shown any meaningful benefit to following a keto diet for athletic performance, he says; in fact, it may impede the ability to exercise at higher intensity." (2)

" - - - following a keto diet is hard. You have to be disciplined, vigilant, and hyperfocused on every food choice – you can’t casually knock back an apple because that may push you out of ketosis. This is not simply a matter of 'willpower'; it is also a question of means, energy, resources and time." (2)

" - - - in reality, we have little evidence to show that keto is more effective in the long run than any other diet – or, indeed, that any diet succeeds in keeping off weight." (2)

" - - - the keto diet may result in weight loss and lower blood sugars, but it’s a quick fix. 'More often than not, it’s not sustainable. Often, weight gain may come back, and you’ll gain more than you lost.'" (3)

" - - - it is ultimately not realistic or sustainable. The diet restricts fresh fruits and vegetables, whole grains and low-fat dairy that can help with long term weight loss and overall health." (3)

" - - - it's important to compare a keto plan to its weight-loss counterparts, like the well-substantiated Mediterranean diets and its spin-offs, like DASH, MIND, and TLC. Those plans incorporate wholesome, nutrient-dense foods that encourage improved eating patterns and manageable weight loss." (4)

" - - - If we were talking about a medication instead of food, would you consider it sound advice to say that taking a certain drug 'might be safe, but definitely not safe for everyone, and it may only work temporarily and cause damage to other biological systems?' Not so much." (4)

"The high-fat, low-carb keto diet tied for second-to-last place among 39 diets in US News & World Report's annual rankings. Despite increasingly popularity and ongoing, often encouraging research, experts say it can be risky to physical and mental health." (5)

Wednesday, January 8, 2020

Understand Low-Carbohydrate Diets

"The National Lipid Association has issued a statement based on a comprehensive review of recent systematic reviews and meta-analyses on the effects of low- and very-low-carbohydrate diets on body weight, lipoprotein levels, blood sugar levels, and other risk factors for cardiovascular and metabolic diseases. [Kirkpatrick CF. and others. Review of current evidence and clinical recommendations on the effects of low-carbohydrate and very-low-carbohydrate (including ketogenic) diets for the management of body weight and other cardiometabolic risk factors. Journal of Clinical Lipidology 13:689-711, 2019] The statement's key conclusions include: 
  • Low-carbohydrate diets are not superior to other weight-loss diets. They may have advantages for appetite control, triglyceride reduction, and reduction in use of diabetes medication, but they do not persist after about 2 years.
  • The evidence is mixed concerning effects on low-density lipoprotein cholesterol levels, with some studies showing increasing levels of these diets.
  • It is unclear that they have advantages related to other risk markers for cardiovascular and metabolic diseases.
  • Initial weight loss on these diets is primarily due to loss of body water.
  • Weight loss with carbohydrate restriction appears to result in greater loss of lean body mass than with more balanced low-calorie diets.
  • Less lean body mass may be lost during weight loss on low-carbohydrate diets when protein consumption is higher.
  • Three observational studies, including a large one with long-term follow-up, have found that a very low carbohydrate intake is associated with increased risk of dying. 
  • Maintaining very-low-carbohydrate diets is challenging and has the potential to cause adverse side effects. 
  • Very-low-carbohydrate diets severely restrict or eliminate foods associated with heart health benefits and encourage a high intake of foods known to increase atherosclerotic cardiovascular disease risk such as processed meats and foods rich in saturated fatty acids."

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Choose how you look at reality wisely. Yes, it is a binary choice.

Choose how you look at reality wisely. Yes, it is a binary choice.
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