Energy bars may not help low-carb dieters

Bioscience & MedicineA new study reports that energy bars with low or moderate levels of carbohydrates may actually not help dieters lose weight as they promise to do. Proponents of several diet plans – such as the Atkins and Zone diets – say low or moderate carbohydrate foods lead to less of an insulin spike in the blood after meals, which helps lead to people burning more fat and losing more weight. However, this new study found that energy bars advertised as having low or moderate levels of carbohydrate don't actually reduce insulin levels in the blood as much as expected. The bottom line is that these energy bars may not contribute to weight loss, at least not in the way that manufacturers are advertising they do.

From Ohio State University:


INSULIN RESPONSE TO SOME ENERGY BARS IS OUT OF BALANCE

COLUMBUS, Ohio – A new study reports that energy bars with low or moderate levels of carbohydrates may actually not help dieters lose weight as they promise to do.

Proponents of several diet plans – such as the Atkins and Zone diets – say low or moderate carbohydrate foods lead to less of an insulin spike in the blood after meals, which helps lead to people burning more fat and losing more weight. However, this new study found that energy bars advertised as having low or moderate levels of carbohydrate don't actually reduce insulin levels in the blood as much as expected.


Steven Hertzler
"None of the manufacturers of these low and moderate carbohydrate snack foods have the data to support the claim that their products do keep after-meal insulin levels low," said Steven Hertzler, the study's lead author and an assistant professor of medical dietetics in the School of Allied Medical Professions at Ohio State University. "Our study shows these energy bars lead to an insulin response closer to what we see with high carbohydrate bars."

The bottom line is that these energy bars may not contribute to weight loss, at least not in the way that manufacturers are advertising they do, Hertzler said. The makers of these reduced carbohydrate bars add more protein and fat to the ingredients, but the overall energy content of such bars is similar to that of a higher carbohydrate energy bar.

Hertzler conducted the research with Yeonsoo Kim, a doctoral student in Ohio State's School of Allied Medical Professions. Their study appears in a recent issue of the journal Medical Science Monitor.


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"Eating carbohydrate and protein together causes an insulin response that favors the replacement of carbohydrate stores in muscles and in muscle protein repair immediately after exercise. However, high insulin levels also impair the ability to burn fat, an effect that dieters don't want."
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Hertzler and Kim asked 20 adults to eat one of five test meals on five separate days: a low-carbohydrate energy bar (Atkins Advantage Bar); a moderate-carbohydrate energy bar (Balance Bar); a high-carbohydrate energy bar (Power Bar); white bread, which is nearly all carbohydrate; and broiled, boneless chicken breast, which contains no carbohydrate. The low carbohydrate Atkins bar supports the Atkins diet. The moderate-carbohydrate Balance Bar fits the nutritional philosophy of the Zone diet, which recommends a diet of 40 percent carbohydrates, 30 percent fat and 30 percent protein.

The participants were instructed to fast for 12 hours prior to each meal. About 10 minutes before eating, blood samples were taken from each subject using the capillary finger-stick method. This sample gave the researchers baseline readings of blood glucose and insulin levels. Additional blood samples were taken periodically up to two hours after the subjects began eating their meals.

Since the researchers knew what kind of insulin response to expect from eating white bread, they used this meal to compare the insulin responses caused by the other four meals.

Compared to white bread, eating the low-carbohydrate bar lowered insulin by about a quarter. Insulin levels rose by more than a third after participants ate the moderate-carbohydrate energy bar, and increased nearly three-quarters after eating the high-carbohydrate energy bar. Eating chicken caused the lowest insulin response – resulting insulin levels were more than three-quarters lower than those caused by white bread.

The high-carbohydrate energy bar affected insulin levels just as the researchers expected it would. These kinds of snack foods cater to people who want a sharp increase in insulin following an intense workout, Hertzler said, as insulin helps muscles efficiently use glucose. Nor is it a shock that eating chicken drastically lowered insulin levels, since chicken lacks carbohydrate.

The high insulin response caused by eating the moderate-carbohydrate bar was the most surprising, Hertzler said, adding that it might not be carbohydrates alone that raised insulin levels.

"Carbohydrate and protein might work together to raise insulin levels," he said. "Sports nutritionists think that an athlete who eats a combination of carbohydrate and protein after a workout might be better off than consuming either nutrient by itself.

"Eating carbohydrate and protein together causes an insulin response that favors the replacement of carbohydrate stores in muscles and in muscle protein repair immediately after exercise. However, high insulin levels also impair the ability to burn fat, an effect that dieters don't want."

Nearly two out of three Americans are overweight, according to the latest National Health and Nutrition Examination Survey. Diets such The Zone and the Atkins diet claim that eating less carbohydrate is one answer to losing pounds. Some diet companies even advertise that their products will keep insulin levels low, said Hertzler, again adding that, in most cases, the evidence simply isn't there.

"If you're on one of these diets and eat the right amount of calories necessary for weight loss, your insulin levels might be lowered," he said. "But someone following a diet high in carbohydrate and low in fat can lose weight, too."

This study was supported in part by Atkins Nutritionals, Inc., maker of the Atkins Advantage Bar. Neither Hertzler nor Kim has any link to the company beyond the scope of this study.

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Contact: Steven Hertzler, 614-292-8141; Hertzler.4~osu.edu
Written by Holly Wagner, 614-292-8310; Wagner.235~osu.edu

http://www.scienceblog.com/communit...rticle&sid=1296

Kind of makes you want to say, "See, we told you so." to those who rely on fake foods.



Beth

I originally posted this in its own thread, which I'm not allowed to delete, for some reason.

The initial article does a poor job of communicating the study results, so I wrote the reporter for clarification.

The reporter replied (a little huffy for my nitpicking) and gave me a link to the full study paper. The graph on p. CR87 tells the basic story, but here's a rough summary:

Maximum Insulin Responses for Test Foods (mean values ±standard error of mean, in pmol-min/L):

White Bread: 9,413.7
High-carb bar: 16,241.1
moderate-carb bar: 12,718.2
low-carb bar: 6,942.9
Chicken: 2,105.5

I found the shape of the response curves interesting, too. All of the energy bars had a rapid rise up to the 30 minutes, followed by a sharp decline. I wonder how that affects the sensation of hunger?

Also noteworthy is the small sample size (20), the age range of the test subjects (21-40), their generally good health, and their high-carb diet (3-day diet records were verified before eating each test meal to ensure consumption of at least 150 g carbohydrate/day.) You have to wonder how that last factor affected the results.

The p values for the study were quite good, IMHO.

If anyone want the full text of the interchange between me and the reporter, send me a PM.

Even after clarifying the results, do they matter? Searching on another low-carb forum, I found some thought-provoking commentary on that question by Orion.