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amandawood
Fri, Feb-15-08, 02:59
Found this today via one of my Google News Alerts. Just Google: "Nystrom fast food study" and you'll pick this up.

My oh my, is there anything that excess carbs don't do damage to??? Nobody calculated here either what percentage of a "typical" MacDonald's meal is carbs and what is fat and protein - I bet, with all the fries, sugar in the Coke and carbs in the bun, that about 80% of a fast-food "meal" is carbs. Does anybody know?

Fast-food binge harms liver, but boosts good cholesterol: study by Marlowe Hood
Wed Feb 13, 8:48 PM ET

PARIS (AFP) - A month-long diet of fast food and no exercise led to dangerously high levels of enzymes linked to liver damage, in an unusual experiment inspired by the docu-movie "Supersize Me."

But investigators, reporting their findings on Thursday, were also stunned to find that a relentless regimen of burgers, fries and soda also boosted so-called good cholesterol, seen as a key measure of cardiovascular health.

Researchers in Sweden asked 12 men and six women in their twenties, all slim and in good health, to eat two meals per day at McDonalds, Burger King or other fast-food restaurants over four weeks.

The volunteers were also told to refrain from exercising. The goal was to increase body weight by 10 to 15 percent to measure the impact of an abrupt surge in calorie intake.

Blood samples were taken before, during and after the experiment to monitor levels of an enzyme called alanine aminotransferase, or ALT, a potential marker for liver damage often seen among heavy drinkers and patients with hepatitis C.

Levels of ALT increased sharply after only one week, and quadrupled on average over the entire period, said lead researcher Frederik Nystrom, a doctor at the University Hospital of Linkoping.

"The results scared me," he told AFP. "One of the subjects had to be withdrawn from the study because he had 10 times the normal ALT levels."

For 11 of the 18 subjects, ALT rose to levels that would normally reflect liver damage, even among individuals who did not drink any alcohol, although no such damage occurred, he said.

Two of the individuals had liver steatosis, or fatty liver, in which fat cells build up dangerously in the liver, he said. Steatosis is associated with the risk of developing Type 2 diabetes, which has taken on epidemic proportions, especially in industrialised countries.

Published in the British Medical Association's journal Gut, the study "proves that high ALT levels can be caused by food alone," said Nystrom.

That signs of liver damage were linked to carbohydrates was another key finding, he said.

"It was not the fat in the hamburgers, it was rather the sugar in the coke," he said.

But the most startling result implies that an intensive fast food diet might have some health benefits too, apparently from fat.

"We found that healthy HDL cholesterol actually increased over the four-week period -- this was very counter-intuitive," Nystrom said.

HDL, sometimes called "good cholesterol," seems to clean the walls of blood vessels, removing excess "bad cholesterol" that can cause coronary artery disease and transporting it to the liver for processing.

Nystrom has yet to publish the cholesterol findings, but said they were consistent with the so-called "French Paradox."

For nearly two decades, scientists have wrestled to explain how the French can consume a diet rich in fats -- from abundant butter, cream, cheese and meat -- yet have generally low levels of heart disease and hypertension.

"The study showed that the increase in saturated fat correlated with the increase in healthy cholesterol," he said.

The young Swedish guinea pigs ate at least two fast-food meals a day, and terminated the study once they had gained a maximum of 15 percent in weight.

On average, they tipped the scales 6.5 kilos (14.3 pounds) more, but one ballooned by 12 kilos (26.4 pounds).

Nystrom got the idea for his study from the 2004 Oscar-nominated documentary "Supersize Me," in which filmmaker Morgan Spurlock asked doctors to monitor him over a 30-day period in which he ate at McDonalds morning, noon and night.

Doctors were so alarmed by changes in his blood chemistry -- including skyrocketing levels of ALT -- that they begged him to halt his experiment.

"I wasn't just inspired by the movie, I copied it to the best of my ability," said Nystrom.

The movie helped spur a change of tack by fast-food corporations to include healthier options on their menus.

On their websites, McDonald's and Burger King highlight salads and low-fat products -- alongside the classic burgers and colas -- and offer guidance on balanced diets and a healthy lifestyle.

amanda

CindySue48
Fri, Feb-15-08, 16:05
Two of the individuals had liver steatosis, or fatty liver, in which fat cells build up dangerously in the liver, he said. Once again, what I was taught in school over 30 yrs ago is now "discovered" :mad:

Steatosis is associated with the risk of developing Type 2 diabetes, which has taken on epidemic proportions, especially in industrialised countries. NO....steatosis is a SYMPTOM of the same thing that causes type 2!! Elevated blood sugar!

Aren't you just getting tired of all this craziness??

Wifezilla
Fri, Feb-15-08, 16:42
In the same article, they mention the FAT was good, then at the bottom, they say fast food restaurants included more "healthy" low-fat items! HEELLLOOOOOOOOOOOOOOOOO!

amandawood
Sat, Feb-16-08, 06:49
I also read recently that it is the inflammation caused by a build-up of fat in the liver that goes on to cause the other problems summed up in the catch-all "metabolic syndrome" - i.e. it is the inflammation which goes on to cause increased propensity for heart attacks and strokes.

The other recent study, the ACCORD study, which was broken off due to people dying due to an aggressive lowering of insulin levels would also seem to point to the conclusion that high or low insulin levels are not the problem as such, but the real issue is something else which is happening in the body, with the insulin problem yet again just being a by-product of this process, rather than the actual problem which needs to be targeted.

My semi-educated guess would be that it is the modern over-indulgence in carbohydrates and under-indulgence in saturated fats and animal protein which is the key here.

Thank goodness my local butcher stocks beef bones!!! They are cheap, yummy and I can freeze them in bulk for an emergency high-fat pick-me-up!!!
I eat them cold with horseradish sauce and tomatoes - delish - and much cheaper than buying cold cuts of roast beef, which costs a fortune.

Do you get stuff like that in the USA? Do such things as local butchers even exist anymore?

amandawood

Wifezilla
Sat, Feb-16-08, 09:46
They are few and far between. There is one about 1/2 hour from my house. I am paying them a visit on payday. The new trend is for small farmers to directly market their foods as organic, free-range, hormone free, whatever and then charge 10 times more for it than you pay at the regular grocery store.

That stuff may be better for you, but I can't afford it anyway.

algts
Sat, Feb-16-08, 12:22
Thank goodness my local butcher stocks beef bones!!! They are cheap, yummy and I can freeze them in bulk for an emergency high-fat pick-me-up!!!
I eat them cold with horseradish sauce and tomatoes - delish - and much cheaper than buying cold cuts of roast beef, which costs a fortune.
Do you have a recipe for that? Sounds interesting and I know how healthy it is. :yum:

amandawood
Mon, Feb-18-08, 07:49
To answer the request for a beef-bones recipe:

All I do is first brown the beef bones at high heat in a big pan (as many as will cover the bottom of the pan), then I pour enough water (you could flavour it with a stock cube, I suppose, but I haven't done so far) to cover them and leave them to boil at medium heat for a good while - like an hour or two - so that the meat tenderizes.

I was told to boil pork bones for two hours for making gravy when I worked at a local butcher's here in the village I live in Germany. But I don't like the taste of the pork meat so I converted to beef.

When the bones are good and cooked, I drain off the liquid to be frozen for making gravy (also very yummy) and let the bones cool. I then freeze them as this seems to make the fat on the bones go hard rather than all blubbery. I leave them out overnight to defrost them and then just chop off the fat and meat off the bones in small pieces, salt it and dip the pieces in horseradish sauce. I love it!!! I haven't offered this to any of my family yet - it's usually been an emergency snack if I haven't got round to cooking on time (and want to stave off the urge to have a coffee and something sweet...).

Hope this helps.
amanda wood

Demi
Tue, Feb-19-08, 03:56
Great post from Dr Briffa about this subject in his blog the other day:

Why carbs can turn your liver into foie gras

Posted By Dr John Briffa On 15th February 2008

It’s funny how things seem to come in threes, and this week was an example of this maxim in that I saw three patients all of whom had deranged liver function tests. All of them had raised levels of at least two liver ‘enzymes’. This, in medicine, is generally taken as a sign of damage to the liver. While there are lots of reasons for why liver enzymes may be raised, our first thought in medicine is usually to ask about alcohol consumption. None of these individuals was abstemious, but at the same time none of them had alcohol consumptions that could be described as excessive.

When I see individuals with deranged liver function who do not drink much alcohol, my next thought is usually their diet. And in particular, I start thinking about whether they may have a touch of ‘metabolic syndrome’. This condition, characterised by excess weight around the middle of the body, is common, and tends to be a sign of an excess of carbohydrate and therefore insulin in the body. Insulin promotes fatty production in the body, and some of this can end up being dumped in the liver. As a result, liver function can become deranged, and if the problem persists, it may eventually lead to a condition known as ‘fatty liver’.

As it happens, each of the three patients I saw this week were carrying excess weight around their middles. My advice to them was to get control over blood sugar and insulin levels. Basically, that means eating less carb, particularly those carbs that tend to cause most disruption in blood sugar and insulin levels including bread, potatoes, rice, pasta and breakfast cereals.

I was reminded about these three patients today on reading a study published yesterday in the journal Gut [1]. In this study, Swedish researchers took a group of adults (average age 26) and put them on a regime which involved limiting their physical activity and getting them to eat two fast food meals each day for four weeks. The participants were monitored in term of, among other things, liver function and weight. Their results were compared with a group of individuals who were not subjected to the regime (these individuals acted as ‘controls’).

Over the course of the 4-week study, those on the fast-food regime put on an average of about 6.5 kg in weight. In particular, waist size increased significantly. The level of the liver enzyme known as ALT (alanine aminotransferase) went up from an average of 22.1 U/L (normal) to 97.0 U/L (abnormally raised). This would be taken, generally speaking, as a sign of liver damage. Not only that, but the fat level in the liver cells of these individuals increased by over 150 per cent. One of the 18 participants developed full blown fatty liver (quite a feat in just four weeks of unhealthy eating).

The findings of this study are reminiscent of Morgan Spurlock antics in the film ‘Supersize Me’. His one-month fast food diet experiment led to significant derangement in his liver enzymes.

So, perhaps not surprisingly, fast food turns out to be bad for our weight and liver. But what was interesting about this study is that the authors looked at the relationship between different elements of the diet and changes in ALT levels. In other words, they wanted to see if they could find out what it was about fast food that seemed to damaged the liver.

Here’s what they found:

Intake of FAT was NOT associated with ALT levels

Intake of PROTEIN was NOT associated with ALT levels

Total CALORIE INTAKE was NOT associated with ALT levels

Intake of CARBOHYDRATE WAS associated with ALT levels

Rather oddly, the authors conclude that this shows that raised liver enzymes can be caused by not just alcohol, but also sedentary behaviour and higher than usual caloric intake. I don’t know why the authors felt the need to draw conclusions that were not supported by their data: remember, it was not an excess of calories that was associated with deranged liver function, but an excess of carbohydrate.

Those of you who watched Supersize Me may remember that the doctor who was keeping a medical eye on Morgan Spurlock at one point told him that his diet was causing his liver to turn into foie gras. The evidence from this study suggests that it was not mere overindulgence nor a high intake of fat that was responsible for the fatty degeneration of Morgan’s liver, but a glut of carbohydrate in this diet.

Any of you wanting to remember that it’s carbs that cause fatty deposition in the liver can do this contemplating the making of foie gras. What is it that geese are force-fed to turn their livers into something that is mainly fat? The answer, of course, is grain.

References:

1. Kechagias S, et al. Fast-food-based hyper-alimentation can induce rapid and profound elevation of serum alanine aminotranferase in healthy subjects. Gut 2008 [epub Feb 14th]

http://www.drbriffa.com/blog/2008/02/15/why-carbs-can-turn-your-liver-into-foie-gras/

amandawood
Tue, Feb-19-08, 05:50
Yeah, I saw that too, he sums it up pretty well.