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My view on low carb diets? It’s complicated.

Friday, July 31, 2009 16:42

Q.    From reading your blog it seems that a lot of your readers back low carb diets.  Being a student studying nutrition, everything I have read has said that a low carb diet is terrible for your health.  Can you address your views on this in your blog?

A.   It's something that comes up a lot on the blog and always seems to elicit very strong opinions.  Several regular commenters are quite ardent about the evils of carbohydrates.  My views are somewhat more moderate.  I do think that refined carbohydrates are a big part of the problem with the Western diet.  I think that overconsumption of refined carbohydrates (especially in the context of a sedentary lifestyle) contributes to obesity, diabetes and related metabolic issues, and heart disease. 

However, I don't think it's necessary to eliminate all grains and starches from the diet in order to lose weight and/or be healthy. Regardless of how cavemen ate, I think a diet that contains balanced amounts of good-quality carbohydrates, fats, and proteins is ideal for modern humans. Nonetheless, some people have found a low-carb lifestyle to be life and health-changing.

 I'm surprised to hear you say, though, that "everything I've read has said that a low carb diet is terrible for your health."  Although the studies over the years have been mixed, there are plenty of studies showing that low-carb regimes are at least as effective in producing weight loss, controlling blood sugar, and even improving heart risk factors as low fat regimens. 

For example, just this week, a study came out saying that low-carb and low-fat diets were equally effective in helping diabetics lose weight and control their blood sugar. Plus, the low-carb dieters had a greater increase in HDL ("good") cholesterol after one year on the regimen.

Obviously, it's way too simplistic to characterize carbs (or low-carb diets) as good or bad. What kind of carbs?  What's the rest of the diet look like? What's the overall lifestyle look like? It's not a one-size-fits all situation.  And all low-carb diets are not the same. For more of my views on this complex topic (and those of lots of opinionated readers), see also these related posts:

Dietary Dogma

A visit to Low Carb Land

Another log on the low-carb fire

People who eat more carbs tend to be thinner?

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