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A28    SCIENCE
                     Friday 4 January 2019
            Low carb? Low fat? What the latest dieting studies tell us




            By CANDICE CHOI                                                                                                     ings  don't  contradict  Lud-
             AP Food & Health Writer                                                                                            wig's  low-carb  study.  In-
            NEW  YORK  (AP)  —  Ba-                                                                                             stead,  they  suggest  there
            con  and  black  coffee  for                                                                                        may  be  some  flexibility
            breakfast,  or  oatmeal  and                                                                                        in  the  ways  we  can  lose
            bananas?                                                                                                            weight. Participants in both
            If  you're  planning  to  try  to                                                                                   groups  were  encouraged
            lose  weight  in  2019,  you're                                                                                     to  focus  on  minimally  pro-
            sure to find a fierce debate                                                                                        cessed  foods  like  produce
            online  and  among  friends                                                                                         and  meat  prepared  at
            and family about how best                                                                                           home.  Everyone  was  ad-
            to do it. It seems like every-                                                                                      vised  to  limit  added  sugar
            one  has  an  opinion,  and                                                                                         and refined flour.
            new  fads  emerge  every                                                                                            "If you got that foundation
            year.                                                                                                               right, for many, that would
            Two major studies last year                                                                                         be  an  enormous  change,"
            provided  more  fuel  for  a                                                                                        said  Christopher  Gardner
            particularly  polarizing  top-                                                                                      of  Stanford  University  and
            ic — the role carbs play in                                                                                         one of the study's authors.
            making  us  fat.  The  studies                                                                                      Limiting  processed  foods
            gave scientists some clues,                                                                                         could  improve  most  diets
            but, like other nutrition stud-                                                                                     by  cutting  down  overall
            ies,  they  can't  say  which                                                                                       calories,  while  still  leaving
            diet  —  if  any  —  is  best  for                                                                                  wiggle  room  for  people's
            everyone.                                                                                                           preferences.  That's  impor-
            That's  not  going  to  satisfy                                                                                     tant, because for a diet to
            people  who  want  black-                                                                                           be effective, a person has
            and-white answers, but nu-    This June 9, 2014 file photo shows a dish of steak and cheese pasta in Concord, N.H.    to  be  able  to  stick  to  it.  A
            trition research is extremely                                                                      Associated Press  breakfast  of  fruit  and  oat-
            difficult and even the most                                                                                         meal may be filling for one
            respected  studies  come  more  support  for  low-carb  they've  lost  it.  He  said  the  has twice as many calories  person,  but  leave  another
            with  big  caveats.  People  proponents. But, like many  approach might work best  than  the  same  amount  of  hungry soon after.
            are  so  different  that  it's  all  studies,  it  tried  to  under-  for  those  with  diabetes  or  carbs or protein.  Gardner  notes  the  study
            but  impossible  to  conduct  stand just one sliver of how  pre-diabetes.              Many  say  the  advice  had  had  its  limitations,  too.
            studies  that  show  what  re-  the body works.           Ludwig  noted  the  study  the opposite effect by inad-   Participants'  diets  weren't
            ally works over long periods  The  study  ,  co-led  by  an  wasn't  intended  to  test  vertently  giving  us  license  controlled. People were in-
            of time.                     author of books promoting  long-term  health  effects  to gobble up fat-free cook-     stead instructed on how to
            Before  embarking  on  a  low-carb  diets,  looked  at  or     real-world   scenarios  ies, cakes and other foods  achieve eating a low-carb
            weight loss plan for the new  whether varying carb levels  where  people  make  their  that were instead full of the  or  low-fat  in  regular  meet-
            year, here's a look at some  might affect how the body  own food. The findings also  refined  carbs  and  sugars  ings  with  dietitians,  which
            of  what  was  learned  last  uses  energy.  Among  164  need  to  be  replicated  to  now  blamed  for  our  wider  may have provided a sup-
            year.                        participants, it found those  be validated, he said.      waistlines.                  port  network  most  dieters
            FEWER     CARBS,     FEWER  on  low-carb  diets  burned  Caroline Apovian of Boston  Nutrition  experts  gradually  don't have.
            POUNDS?                      more  total  calories  than  University's School of Medi-  moved  away  from  blan-    SO, WHAT WORKS?
            It's no longer called the At-  those on high-carb diets.  cine  said  the  findings  are  ket  recommendations  to  In  the  short  term  you  can
            kins  Diet,  but  the  low-carb  The study did not say peo-  interesting  fodder  for  the  limit fats for weight loss. Fats  probably  lose  weight  by
            school of dieting has been  ple  lost  more  weight  on  a  scientific  community,  but  are  necessary  for  absorb-  eating  only  raw  foods,  or
            enjoying a comeback. The  low-carb diet — and didn't  that they shouldn't be tak-      ing important nutrients and  going vegan, or cutting out
            idea is that the refined car-  try  to  measure  that.  Meals  en as advice for the aver-  can  help  us  feel  full.  That  gluten, or following another
            bohydrates  in  foods  like  and  snacks  were  tightly  age person looking to lose  doesn't mean you have to  diet plan that catches your
            white  bread  are  quickly  controlled  and  continu-     weight.                      subsist  on  steak  drizzled  in  eye. But what will work for
            converted into sugar in our  ally adjusted so everyone's  DO I AVOID FAT TO BE SKIN-   butter to be healthy.        you over the long term is a
            bodies,  leading  to  energy  weights stayed stable.      NY?                          Bruce  Y.  Lee,  a  professor  different question.
            swings and hunger.           David  Ludwig,  a  lead  au-  For years people were ad-   of  international  health  at  Zhaoping  Li,  director  of
            By cutting carbs, the claim  thor  of  the  paper  and  re-  vised  to  curb  fats  ,  which  Johns Hopkins, said the les-  clinical  nutrition  division  at
            is  that  weight  loss  will  be  searcher  at  Boston  Chil-  are  found  in  foods  includ-  sons learned from the anti-  the University of California,
            easier  because  your  body  dren's  Hospital,  said  it  sug-  ing  meat,  nuts,  eggs,  but-  fat  fad  should  be  applied  Los Angeles, says there is no
            will instead burn fat for fuel  gests  limiting  carbs  could  ter and oil. Cutting fat was  to the anti-carb fad: don't  single set of guidelines that
            while feeling less hungry. A  make  it  easier  for  people  seen  as  a  way  to  control  oversimplify advice.    help everyone lose weight
            recent study seems to offer  to  keep  weight  off  once  weight, since a gram of fat  "There's a constant look for  and keep it off. It's why di-
                                                                                                   an easy way out," Lee said.  ets  often  fail  —  they  don't
                                                                                                   SO WHICH IS BETTER?          factor  into  account  the
                                                                                                   Another big study this past  many  factors  that  drive  us
                                                                                                   year  found  low-carb  di-   to eat what we do.
                                                                                                   ets  and  low-fat  diets  were  To help people lose weight,
                                                                                                   about  equally  as  effective  Li  examines  her  patients'
                                                                                                   for weight loss. Results var-  eating  and  physical  activ-
                                                                                                   ied  by  individual,  but  af-  ity  routines  to  identify  im-
                                                                                                   ter  a  year,  people  in  both  provements people will be
                                                                                                   groups shed an average of  able to live with.
                                                                                                   12 to 13 pounds.             "What  sticks  is  what  mat-
                                                                                                   The author noted the find-   ters," Li said.q
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