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  #1   ^
Old Sat, Mar-02-13, 20:40
Rosebud's Avatar
Rosebud Rosebud is offline
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Posts: 23,416
 
Plan: Atkins
Stats: 235/135/135 Female 5'4
BF:
Progress: 100%
Location: Brisbane, Australia
Default The Duke Diet

Plan's name: The Duke Diet

Editorial comment: This eating plan is only just "semi" low carb.

Book: The Duke Diet, The World-Renowned Programme for Healthy and Lasting Weight Loss
by Dr Howard J Eisenson and Martin Binks PhD
First published in 2007

About the Authors: Howard J. Eisenson, M.D., is the program director of the Duke Diet & Fitness Center. A graduate of Duke University Medical School, he is also an assistant professor in Duke’s Department of Community and Family Medicine. Dr. Eisenson lectures extensively on the subjects of obesity, physical activity, and promoting healthy behavior change.

Martin Binks, Ph.D., is the director of behavioral health and research director at the Duke Diet & Fitness Center. A psychologist who specializes in obesity treatment, research, and education, he is a clinical assistant professor in the Division of Medical Psychology, Department of Psychiatry and Behavioral Sciences at Duke. Dr. Binks’s research interests include weight-loss maintenance and obesity treatment development.

Basic Philosophy: "The Duke Diet" actually includes two separate eating plans:
The Traditional Meal Plan is high carbohydrate and will not be discussed here.
The Moderate Carbohydrate Meal Plan is the one summarized below.
  • It includes all food groups, but is lighter on the starchy carbs.
  • People often report feeling more satisfied when they eat more protein.
  • For some people, this plan may help subdue cravings more effectively than a reduced-fat, higher-carbohydrate diet.

By the numbers: This is a calorie restricted diet. They suggest women eat 1,200-1,400 calories, and men eat 1,400-1,600.
All 6 food groups are included in the plan.
Fats: 1-2 servings for women, 2-3 for men
Dairy: 1-2 servings for women and for men
Protein: 11-12 servings for women, 14 for men
Vegetables: 4-5 servings for women, 4 for men
Fruits: 3 servings for women, 3-4 for men
Starches: 2-3 servings for women, 3 for men

Method: As mentioned above, all 6 food groups are included.
Starches
The authors state that starches are a good source of many minerals, including iron, as well as B vitamins and dietary fibre. They suggest concentrating on the more complete starches, like whole grains, high-fibre cereals, brown rice, wholemeal bread and flour and sweet potatoes or yams. Other starches can be eaten, but they advise paying attention to portion sizes and calories.

Vegetables
Vegetables provide vital nutrients such as folic acid, Vitamin C, iron, potassium and magnesium. Many are packed with Vitamin A, and all contain fibre and are low in calories.

Fruit
The authors state that because most fruit contains fibre, it can help you feel full on fewer calories.

Fats
The authors subscribe to the view that both carbohydrates and fats are important parts of a balanced diet and should be included in moderation, with the emphasis on the healthier options.
They state they recognize the difference between what they call unhealthy (except in small amounts) saturated fats and trans fats (best to avoid) and what they call health-promoting mono- and polyunsaturated fats (which include omega-3 fatty acids).

Dairy
Dairy products contain an impressive variety of minerals, particularly bone-building calcium, as well as protein, vitamin A, vitamin D (usually added to milk) and many of the B vitamins.
They recommend using low fat alternatives for cream, sour cream, milk and yoghurt.

Protein
They encourage leaner options such as skinless poultry, fish and (sparingly) lean cuts of meat. No foods are off limits - just use the higher fat versions sparingly. Eggs, another rich source of protein and nutrients are allowed, but no more than one per day.

Typical menu:
Breakfast
115g (4 oz) low-fat vanilla yoghurt with 140g (5 oz) fresh or frozen pineapple, plus ˝ tablespoon flaked almonds
Lunch
Chicken Caesar wrap (recipe in book)
1 small pear
1 large carrot, sliced
Snack
1 slice wholemeal bread with 2 teaspoons additive free peanut butter
Dinner
Pepper-crusted beef tenderloin with horseradish sauce (recipe in book)
115g (4 oz) raspberries
115g (4 oz) steamed broccoli
2 medium slices of seeded bread

Unique Features: The book includes substantial sections on exercise and behavioural modification.

Last edited by Rosebud : Thu, Apr-04-13 at 18:51. Reason: To remove the home page link
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  #2   ^
Old Sun, Mar-03-13, 05:58
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default The Duke Diet - Low Carb /Dr. Westman version

The Plan: The Duke Diet - Low Carb/Dr. Westman

Duke is a large Hospital and University system with a variety of plans for weight loss. The Rice Diet was a separate clinic and Duke ended its affliation with it years ago. The above diet is from the Diet & Fitness Center, a comprehensive on-site weight loss program. It too is a separate entity from the Duke Lifestyle Medicine Clinic, headed by Dr. Eric Westman. His plan is a low carb diet that would be most often used by members of this forum.

The history of Dr. Westman's clinical study of the Atkins Diet is detailed in the Gary Taubes book, Why We Get Fat. The Low Carb Diet now used by Dr. Westman is in the appendix of WWGF, and here in a Google Doc: http://www.youtube.com/watch?v=dSLf4bzAyOM

This video is of an actual Introduction Class at the clinic. The first visit is an appointment with Dr. Westman for medical history, bloodwork, etc. Then all new patients joining over the previous week go back for this class and his instructions on how to do the diet. Everything needed to follow the Duke Low Carb Diet is here on this YouTube link or in the back of Why We Get Fat. Unlike the comprehensive program above, Dr. Westman is at a Duke Outpatient Clinic away from the main campus. He only charges an average specialist doctor fee per visit, which can be once every 4-8 weeks if no medical issues. Appointment Telephone 919-620-4061

Last edited by JEY100 : Sun, Mar-03-13 at 09:03.
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  #3   ^
Old Sun, Mar-03-13, 16:17
Rosebud's Avatar
Rosebud Rosebud is offline
Forum Moderator
Posts: 23,416
 
Plan: Atkins
Stats: 235/135/135 Female 5'4
BF:
Progress: 100%
Location: Brisbane, Australia
Default

Hi Janet, the above is a summary of the book: The Duke Diet. Not a plan I'd personally recommend.

Dr Westman's plan certainly sounds much lower in carbs. Let's hope he soon publishes his plan in book form.
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  #4   ^
Old Mon, Mar-04-13, 04:32
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

Hi Rosebud,
I read that book and Understand which Duke diet is summarized, but just wanted to clarify that most readers of this forum would want the 20g carbohydrate "Duke Diet" from Westman's clinic, and most definitely not the Rice Diet. Can't tell you how many think I'm on the Rice Diet, even though Duke ended any affiliation with that place 10 years ago. The other misunderstanding is cost; seeing Dr Westman was less expensive than attending WW for me and a fraction of the program linked in the first post.

Last edited by JEY100 : Mon, Mar-04-13 at 04:38.
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  #5   ^
Old Wed, Apr-03-13, 09:51
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

Rosebud...you asked, he listened:

Dr. Westman announced that his diet manual is now available on Amazon, the simple, 20g total carb plan used in the Lifestyle Clinic. Useful to have while watching the video of his Introduction Class on YouTube. You can order the booklet here for $5: http://www.amazon.com/Low-Carbohydr...l/dp/1482781255

This is only a 24 page booklet, easy to carry around and for other doctors to give to their overweight patients. It is the same information we are given in the clinic and that is in the back of Why We Get Fat by Gary Taubes (With a few minor amount differences), but now in a cleaner, simple format. Dr. Westman has had many requests for it from people who saw his Intro Class, and from other Bariatric Physicians he trains at ASBP. Nothing new or expanded, but a great little handout when friends ask how I lost weight.

Last edited by JEY100 : Thu, Apr-04-13 at 07:13.
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  #6   ^
Old Thu, Jun-25-15, 05:27
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

Here's a very interesting Press Release about this program. After explaining the differences between the only moderate LC residential Health & Fitness program and the very LC Lifestyle Clinic, Dr. William Yancy, who has been a physician at the Lifestyle Clinic with Dr. Westman and is a well known LC researcher, is joining as their new program director.

https://www.dukedietandfitness.org/...y-Press-Release

Dr. Yancy is an expert voice on diet and weight loss, particularly the low-carbohydrate ketogenic diet; the low-glycemic load diet; and the low-fat, reduced-calorie diet.

I have heard him talk twice over the past few years, he has been involved with many studies comparing weight loss and diabetes diets. VLC has often revealed many benefits over other options.

Umm... no personal insight other than this press release, but would guess changes that a VLC option may be added to thier exisiting moderate carb.
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  #7   ^
Old Sun, Nov-01-15, 03:44
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

A friend is attending the residential program this week, and as of now, there have been no changes in the meal menu options. She has requested Dr Yancy's plan, and him for the doctor appointment, but there seem to be no major changes yet at the Duke Health and Fitness program.

Dr Westman's Lifestyle clinic is going strong. The new DietDoctor membership option on his website has an excellent five part interview series about his or any LCHF diet, what to do if plateaued, etc. The best interviews with him so far. You can join DietDoctor the first month for free. http://www.dietdoctor.com/member With his $5 booklet, or the Why We Get Fat book and these interviews, you have good LC advice.

Dr Westman also has a HealClinic http://healclinics.com where you can see him for one appointment ( Mondays for now) and then follow-up with a set distance program (five levels to choose). Also the new all on-line plan in development: https://www.adaptyourlife.com

Last edited by JEY100 : Sun, Nov-01-15 at 09:25.
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  #8   ^
Old Thu, Jul-21-16, 07:00
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

It took a year, but Dr. Yancy has introduced a very low carb diet and a VLC menu plan choice for anyone considering a residential program.

Here is the first of his articles about the Low Carb Diet on the DFC Blog: https://www.dukedietandfitness.org/...ohydrate%20Diet

The announcement of VLC menus was shared a few months ago.
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  #9   ^
Old Tue, Oct-04-16, 05:22
JEY100's Avatar
JEY100 JEY100 is online now
To Good Health!
Posts: 9,394
 
Plan: IF Fung/LC Westman/Primal
Stats: 222/171/169 Female 5' 9"
BF:45%/25.3%/24%
Progress: 96%
Location: NC
Default

Jimmy Moore interviews Dr Yancy about the LC program at DFC.
http://livinlavidalowcarb.com/blog/...e-program/26839
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