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  #1   ^
Old Fri, Jul-23-10, 02:12
Demi's Avatar
Demi Demi is offline
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Plan: LC Maintenance
Stats: 215/147/150 Female 5'10"
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Default Popular weight loss diets have different effects on micronutrient adequacy

Quote:
From The American Journal of Clinical Nutrition Online
August 2010


Popular weight loss diets have different effects on micronutrient adequacy

Background Health professionals agree that obesity is a major public health issue, and the American public agrees, as indicated by the $30 billion spent on weight-loss products yearly. Indeed, there is no shortage of advice on how to lose weight, with a new weight-loss diet published almost daily. These books often advocate diets of various macronutrient distributions that sometimes deviate from that recommended by the US Department of Agriculture’s Dietary Guidelines for Americans (45–65%, 20–35%, and 10–35% of calories from carbohydrates, fat, and protein, respectively). Despite the intense scientific and public interest, there is much debate on whether any of the popular weight-loss diets is superior to the others. There is also concern that some may result in inadequate vitamin and mineral intake. To study this, researchers at the Stanford University Medical School compared what people tend to eat when they are asked to follow 4 common weight-loss regimens: Atkins, Zone, LEARN (Lifestyle, Exercise, Attitudes, Relationships, Nutrition), and Ornish diets. Their results are published in the August 2010 issue of The American Journal of Clinical Nutrition.

Study Design To compare the nutritional adequacy of these diets, the researchers enrolled a total of 291 overweight or obese [body mass index (in kg/m2: 27-40)], premenopausal (mean age: ~41 y) women assigned randomly to read and follow one of the diets of interest. After demonstrating a basic understanding of the diet, each participant was then asked to follow the assigned diet for 1 y. Subjects were weighed and measured throughout the study, and their dietary intakes were assessed with the use of 3 separate 24-h diet recalls.

Results The results presented here were those collected 8 wk into the study, when dietary adherence was at its best. The researchers found that, although none of the diets was adhered to in its entirety, subjects decreased their energy consumption by ~500 kcal/d regardless of diet plan. However, macronutrient intake was greatly influenced by which diet was being followed. For instance, those following the Atkins diet (known for its “low-carb” approach) were obtaining 17% of their energy from carbohydrates, compared with those women consuming the Ornish diet, who were obtaining 63% of energy from carbohydrates. Accordingly, women consuming the Atkins diet obtained relatively more of their calories from fats and protein compared with those consuming the Ornish diet. Women following the Zone plan consumed intermediate amounts of the macronutrients, amounts relatively close to those recommended by the Dietary Guidelines. Importantly, following the Atkins, LEARN, and Ornish dietary patterns resulted in increased risk of several micronutrient deficiencies; the opposite was true for the Zone-like diet, which actually improved the vitamin and mineral intakes of many participants.

Conclusions The authors concluded that “there may be a micronutrient advantage to diets providing moderately low carbohydrate amounts and that contain nutrient-dense foods.”
http://www.ajcn.org/misc/release3.dtl#gard
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  #2   ^
Old Fri, Jul-23-10, 12:18
deb34's Avatar
deb34 deb34 is online now
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Plan: "Fatkins" now
Stats: 233/208/150 Female 66 inches
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Quote:
Importantly, following the Atkins, LEARN, and Ornish dietary patterns resulted in increased risk of several micronutrient deficiencies;


if it's so important, why didn't they specify? It could mean anything. They didn't say there was a definite specific micronutrient deficiency, just an "increased risk" - what a bogus statement.
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  #3   ^
Old Fri, Jul-23-10, 13:17
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Mirrorball Mirrorball is offline
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Plan: Paleo
Stats: 203/139/145 Female 1.62m (5'4")
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Quote:
Originally Posted by deb34
if it's so important, why didn't they specify? It could mean anything. They didn't say there was a definite specific micronutrient deficiency, just an "increased risk" - what a bogus statement.

Because that was just the paper's abstract. For full results, you have to read the whole article: http://www.ajcn.org/cgi/content/full/92/2/304

Quote:
At 8 wk, a significantly higher proportion of individuals shifted to intakes at risk of inadequacy (P < 0.05) in the Atkins group for thiamine, folic acid, vitamin C, iron, and magnesium; in the LEARN group for vitamin E, thiamine, calcium, and magnesium; and in the Ornish group for vitamins E and B-12 and zinc. In contrast, for the Zone group, the risk of inadequacies significantly decreased for vitamins A, E, K, and C (P < 0.05) with no significant increases in risk of inadequacy for other micronutrients. A significant decrease in the risk of inadequacy of vitamin K was also observed in the Atkins diet group. There were no similar improvements in any of the vitamins or minerals for either the LEARN or Ornish diet groups.
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  #4   ^
Old Fri, Jul-23-10, 13:35
M Levac M Levac is offline
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Plan: Zero Carb All Meat
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LOL! Those three diets were tested for weight loss and most every marker of health. Guess what, the Atkins diet beat them all.
http://www.proteinpower.com/drmike/...the-mainstream/

Here's my question. If there's a risk for nutrient deficiency, why did the low carb group do better in all things measured? Rather, if there was a deficiency, it would have shown up in the markers for health and disease. Yet, those markers showed an improvement. The implication is that the low carb group got enough if not more of all the nutrients they required.
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  #5   ^
Old Fri, Jul-23-10, 13:48
M Levac M Levac is offline
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Plan: Zero Carb All Meat
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That study looked at nutrient intake yes? Nutrient intake is irrelevant. What matters is nutrient bioavailability. Eating tons of calcium won't do squat by itself. But supplement with enough vitamin D and fat and suddenly we have too much calcium in our blood. In fact, when we supplement with vitamin D and fat, we must not supplement with calcium or we will get too much calcium.

We could eat all the minerals we wanted but it won't do zilch if we also eat a boatload of phytic acid in the form of wheat bran, i.e. fiber. Phytic acid binds to certain minerals rendering them unavailable. Not only does phytic acid bind with the minerals we eat, but it binds with the minerals we already have. This means not only do we not get it from such a diet, but this very diet robs us of minerals.

Understandably, eating little to no fiber and lots and lots of fat means we get lots of nutrients even if our diet contains less nutrients than say the Zone diet.
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  #6   ^
Old Fri, Jul-23-10, 13:55
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deb34 deb34 is online now
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Plan: "Fatkins" now
Stats: 233/208/150 Female 66 inches
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Quote:
intakes at risk of inadequacy


it appears there was no actual inadequacy, only a perceived risk of inadequacy, whatever that means.
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  #7   ^
Old Fri, Jul-23-10, 14:07
deb34's Avatar
deb34 deb34 is online now
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Plan: "Fatkins" now
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Progress: 30%
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Quote:
Nutrient intake is irrelevant. What matters is nutrient bioavailability


+1,... and absorption. I'll put the nutrients in my meats and fats up against those in grains anyday.
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  #8   ^
Old Fri, Jul-23-10, 20:05
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Dodger Dodger is offline
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Plan: Atkins/ Protein Power
Stats: 225/176.5/175 Male 71.5 inches
BF:18%
Progress: 97%
Location: Longmont, Colorado
Default

Quote:
... at risk of inadequacy (P < 0.05) in the Atkins group for thiamine, folic acid, vitamin C, iron ...
Atkins followers eat lots of red meat. Red meat is a fantastic source of iron for the body. How could there possibly be a risk of inadequacy?
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  #9   ^
Old Sat, Jul-24-10, 05:25
neddas neddas is offline
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Plan: Lacto-paleo
Stats: 201/146/140 Female 5 ft 9 in
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Location: Ireland
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Quote:
Originally Posted by Mirrorball
Because that was just the paper's abstract. For full results, you have to read the whole article: http://www.ajcn.org/cgi/content/full/92/2/304


Thanks for the relevant parts Mirrorball.

Quote:
At 8 wk, a significantly higher proportion of individuals shifted to intakes at risk of inadequacy (P < 0.05) in the Atkins group for thiamine, folic acid, vitamin C, iron, and magnesium; in the LEARN group for vitamin E, thiamine, calcium, and magnesium; and in the Ornish group for vitamins E and B-12 and zinc. In contrast, for the Zone group, the risk of inadequacies significantly decreased for vitamins A, E, K, and C (P < 0.05) with no significant increases in risk of inadequacy for other micronutrients. A significant decrease in the risk of inadequacy of vitamin K was also observed in the Atkins diet group. There were no similar improvements in any of the vitamins or minerals for either the LEARN or Ornish diet groups.


Ok, thiamine can be gotten in sufficient quantities from pork but it is a real problem from people on VLC to get enough of.

Folate is surprising as the induction stage of Atkins requires copious dark leafy greens (if you're doing it right! - they did say adherance was an issue), you can also get folate from liver.

Vitamin C - don't need as much if your not eating much carbohydrate.

Iron is very surprising, maybe they were advised to do 'politically correct' Atkin's with little to no red meat.

Magnesium, fair enough, I struggle to get enough and I eat moderate carb. What I though was funny was that Ornish reached the threshold for Mg, probably due to copious amounts of grains, however I really doubt those grains were fermented and therefore the phytic acid would negate most of that.

I'm really surprised potassium didn't come up as deficient in Atkins. That is VERY difficult to get enough of if you eat induction levels. You also cannot supplement very much of potassium, too much can lead to sudden cardiac death.

I recommend everyone to plug one of they're daily menus into fitday and see what the nutrient breakdown is. (It's not perfect and some important nutrients are omitted) It certainly changed the way I eat and made me more conscious of the nutrient density of my food.
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  #10   ^
Old Sat, Jul-24-10, 08:50
Nancy LC's Avatar
Nancy LC Nancy LC is online now
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Plan: Hedonic Paleo
Stats: 209.5/170.4/165 Female 5'8"
BF:
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Location: San Diego, CA
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I don't even know how you can count grains in any diet since the lectins prevent you from absorbing the minerals found in them.
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  #11   ^
Old Sun, Jul-25-10, 09:07
mathmaniac mathmaniac is online now
Senior Member
Posts: 4,684
 
Plan: sugarbusters
Stats: 257/240.0/130 Female 65 inches
BF:yes!
Progress: 13%
Location: U.S.A.
Smile

The study compared diets and micronutrients. The study was not about the question of whether micronutrients are important.
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  #12   ^
Old Sun, Jul-25-10, 23:37
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Turtle2003 Turtle2003 is offline
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Posts: 587
 
Plan: VLC/no grains
Stats: 260/236.6/210 Female 5'3"
BF:Highest weight 260
Progress: 47%
Location: Northern California
Default

Quote:
Originally Posted by neddas
Thanks for the relevant parts Mirrorball.

I'm really surprised potassium didn't come up as deficient in Atkins. That is VERY difficult to get enough of if you eat induction levels. You also cannot supplement very much of potassium, too much can lead to sudden cardiac death.


Avocados are great. Each one has over 1000 mg of potassium, and they even fit into induction if you are counting net carbs.

Which leads me to a question I've been wondering about. If eating just one California avocado provides over 1000 mg of potassium, how do people manage to supplement so much potassium that they can mess up their heart function?
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  #13   ^
Old Mon, Jul-26-10, 09:56
mathmaniac mathmaniac is online now
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Posts: 4,684
 
Plan: sugarbusters
Stats: 257/240.0/130 Female 65 inches
BF:yes!
Progress: 13%
Location: U.S.A.
Smile

If you want foods that are high in potassium and low in carbs, go to nutritiondata.com and use their 'nutrient search' tool. All the pages you see (the first 999 entries, ranked by the criteria) will be meats and fish because you specified 'low in carbs' while screening.

Pork (lean,fresh,boneless pork loin,pan-fried) has 425 mg. potassium in a 100 gm. serving. And 48.5 mg. sodium if you eat it without adding salt.

Do the same search, narrowing the search to look for vegetables.
The same serving size (100 gm.) of asparagus, frozen, boiled, drained, without salt, has 172 mg. potassium and 3 mg. sodium.
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