Another report on the same study:
Low-Carb Diets Eliminate Urge to Overeat, Study Finds
Contributed by Ron Gara | 15 March, 2005 14:19 GMT
In addition to the calorie reduction and weight loss, subjects
experienced markedly improved glucose levels and insulin sensitivity,
as well as lower triglycerides and cholesterol.
Carbohydrates in the diet act as an appetite stimulant, fueling
excessive overeating, new research suggests. A low-carbohydrate diet,
such as the Atkins diet, has the opposite effect -- dulling the
appetite and leading to weight loss.
Temple University School of Medicine researchers conducted the study,
which is published in the March 15 issue of the Annals of Internal
Medicine, with a group of obese patients who had type 2 diabetes and
followed the Atkins diet.
It is the only study of the Atkins diet to have been conducted in the
strictly controlled environment of a clinical research center where
every calorie eaten and spent was measured.
Popular Explanations Debunked
"When carbohydrates were restricted, study subjects spontaneously
reduced their caloric intake to a level appropriate for their height,
did not compensate by eating more protein or fat, and lost weight,"
says lead researcher Guenther Boden, M.D. We concluded that excessive
overeating had been fueled by carbohydrates."
Almost 80 percent of diabetics are overweight or obese, compounding
health risks, such as heart disease and stroke. Boden wanted to examine
how low-carbohydrate diets, which have been shown to produce rapid
weight loss, affected weight, appetite and blood sugar in obese
diabetics.
He discovered that study subjects did not eat less because they were
bored with the food selection, and their weight loss was not
attributable to water loss, two common speculations about low-carb
diets. Further, weight loss could not be explained by a change in
metabolism, another popular misconception.
Every Calorie Counted
After a week of typical eating, ten obese patients with type 2 diabetes
followed the Atkins diet for two weeks, with carbohydrates limited to
20 grams per day and unlimited protein and fat.
"When we took away the carbohydrates, the patients spontaneously
reduced their daily energy consumption by 1,000 calories a day.
Although they could have, they did not compensate by eating more
proteins and fats, and they weren't bored with the food choices. In
fact, they loved the diet. The carbohydrates were clearly stimulating
their excessive appetites," said Boden.
All patients stayed in the hospital for the length of the study to
insure exact measurements of calorie intake and expenditure. In other
studies of the Atkins diet, subjects were at home and reported their
own diet and exercise, making it difficult to ensure accuracy.
Improved Glucose, Insulin, Triglycerides, Cholesterol
In addition to the calorie reduction and weight loss, subjects
experienced markedly improved glucose levels and insulin sensitivity,
as well as lower triglycerides and cholesterol.
Treatment for diabetes centers on closely monitoring sugar levels, diet
and medication. Weight loss can often reduce or eliminate the need for
medication, including insulin.
Boden warns that the long term effects of low-carbohydrate diets are
not known. Whether other types of diets would have a similar impact
also remains to be investigated.
This study was funding by grants from the National Institutes of Health
and the American Diabetes Association.
*******
TC
TC said:
http://www.rocklintoday.com/news/templates/health_news.asp?articleid=1819&zoneid=7
Quoted message said:
Carbs fuel appetite, study concludes
LEE BOWMAN (Scripps Howard News Service)
A new study of obese diabetics shows why the pounds melt so quickly
with low-carbohydrate diets _ carbs fuel appetite.
"We proved that people lose weight on the Atkins diet because they
eat
Quoted message said:less (consume fewer calories), not because they get bored with the
diet
Quoted message said:or lose body water or because the carbohydrate calories are treated
differently by the body than fat or protein calories," said Dr.
Guenther Boden, a professor of medicine who specializes in diabetes
and
Quoted message said:metabolism at Temple University in Philadelphia.
The study, published Tuesday in the Annals of Internal Medicine, used
10 volunteers who spent three weeks in hospital rooms, the first on
their regular diet, the last two on the restricted-carbs diet.
All the subjects had mild type 2 diabetes (in which the body either
doesn't produce enough insulin or doesn't efficiently use what it
produces to break down sugar). Almost 80 percent of diabetics are
overweight or obese, compounding health risks such as heart disease
and
Quoted message said:stroke. Boden wanted to examine how a low-carb diet, which has been
shown to produce rapid weight loss, would affect weight, appetite and
blood-sugar levels in obese diabetics.
Most other recent studies of the Atkins diet have allowed patients to
stay at home and self-report their diet and exercise. But in the new
study, the patients stayed in the hospital to ensure exact
measurements
Quoted message said:of calorie intake and expenditure.
During the first week, the patients could eat anything and as much as
they wanted, and they ate an average of 3,111 calories a day, and
about
Quoted message said:300 grams of carbohydrates a day.
In the following two weeks, when restricted to 20 grams of carbs a
day,
Quoted message said:and despite readily available protein and high-fat foods, the
patients
Quoted message said:ate about 1,000 fewer calories a day, a calorie intake considered
appropriate to their height and weight. And they lost an average of
about 3.6 pounds each.
Along with the calorie reduction and weight loss, the patients
experienced substantial improvement in blood glucose levels and
insulin
Quoted message said:sensitivity, as well as lower triglycerides and cholesterol.
"Although they could have, they did not compensate by eating more
proteins and fats, and they weren't bored by the food choices. In
fact,
Quoted message said:they loved the diet. This indicates to me that it was the
carbohydrates
Quoted message said:(they had been eating) that stimulated the excess appetite," Boden
said.
"They spontaneously reduced their calories by about 1,000 calories a
day. One gram of fat equals nine calories, so doing the math, you can
determine how much fat will be lost by cutting 1,000 calories," Boden
said.
He cautioned that the long-term health effects of low-carb diets are
not known, and that it's uncertain whether other types of diets might
have a similar impact on obese diabetics, something he hopes will be
investigated.
People seeking to lose weight don't have to cut carbs as drastically
as
Quoted message said:the Atkins diet calls for, Boden said, but "the message is: calories
count. If you want to lose weight, you have to decrease your food
intake or increase your physical activity. But it helps to know that
carbohydrates make it more difficult to reduce your caloric intake,
so
Quoted message said:with fewer carbs, you're going to eat fewer total calories a day."
On the Net: http://www.annals.org
********
TC