Book Review: Fat Chance

Posted on September 12, 2013 by kmichaud87

Looking for a good book? This is one MUST READ book! I enjoy listening to podcasts while working sometimes. My favorite podcast is Vinnie Tortorich, America’s Angriest Trainer. I HIGHLY recommend you listen to his podcast and then go out and buy his bestselling book, Fitness Confidential. I will be doing a book review of that very shortly. Vinnie has always recommended Dr. Robert Lustig’s Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease on his podcast and after IMLP I finally had some free time to pick it up and finish it.

Source: Amazon

I’ve read a lot of books within the past month and Lustig’s is by far the best one to read. I think this book should even be a required reading book in high schools and college. That’s how much I think everyone needs to read this book. Go buy it. Now!

Who is Dr. Lustig? Well, he is an internationally renowned pediatric endocrinologist who has spent the past 16 years treating childhood obesity at some of the top hospitals in the world, such as St. Jude’s Children’s Hospital and UCSF Benioff Children’s Hospital. Sooo… I would say that he knows his shit better than those Jillian Michaels and Dr. Oz characters.

Dr. Lustig became famous for his at-the-time, very controversial you-tube video called “Sugar: The Bitter Truth.” And, yes, I think you should watch that too. Fat Chance documents the science and politics that have led to the current obesity pandemic that no longer just affects the United States, but the entire world. I went on a medial mission to Costa Rica and Nicaragua in 2011 and I was surprised beyond belief the number of overweight and obese people and the number of fast-food joints in those countries. Hell, Costa Rica has a Denny’s!

Lustig reveals and outlines all the bad research that has been conducted over the years by the government and big food. Personally, I think a lot of those scientists who were involved in many of those studies should have their PhD’s removed. It’s rather disgusting how many people will sell-out to the food industry and politicians. Ok, end rant.

The book begins by setting up a valid argument why the government’s view of “calorie in, calorie out” is bullshit. I hate that term. When discussing food with my clients I always ask them “what is a calorie?” No one has yet to answer correctly. It’s because we have been brainwashed over the years to think of food as calorie in, calorie out. That’s how you’re suppose to lose weight, right? Wrong! Believe me, I was one of those people for a long time too, but the more I read (from reputable and educated sources!!) the more I learn that I have been completely duped all my life. Lustig is an endocrinologist meaning that he is a specialist in hormones and the biochemistry of the human body.

Lustig talks a lot about hormones, ya know, since he gets hormones. Hormones have a profound effect on our metabolism and how we view food. Fat Chance outlines ways to readjust our key hormones that regulate hunger, reward, and stress. That is done mainly by eliminating sugar. Sugar is an addictive toxin to our bodies. We live in a society today that thinks dietary fat is bad. Low-fat this and low-fat that. Well, guess what happens when you remove fat from food products? The food tastes like crap and the manufactures pump it full on sugar. Read the book and find out why sugar is bad for you. I’m serious, do it.

The evolution of nutritional science is what really fascinates me. Back in the early to mid-1900’s we got the science right. And then big food and some idiots got involved. The leading cause of death today in the United States is heart disease, but in the next decade or so we will see that shift to diabetes and other metabolic-related diseases, which heart disease can be considered one. In 1957 John Yudkin, a British physiologist and nutritionist, postulated that a dietary component caused heart attacks. By 1964, through natural observation studies he theorized that the consumption of sucrose was associated with heart disease. Yudkins published numerous papers on the biochemistry of sucrose and was the first person to warn us that excessive consumption could lead to heart disease, diabetes, GI diseases among other diseases.

Now, back in the United States we have Ancel Keys, a Minnesota epidemiologist. In the early 1950s Keys spend some time in England where we witnessed a large rise in heart disease. The typical English diet consisted of high fat and high cholesterol items, such as fish and chips. He noticed that those who are well fed in both the US and UK were those who could afford meat, but also seemed to suffer the most from heart disease. In the 1960s and 1970s Keys published numerous studies indicating that heart disease patients had higher cholesterol levels than non-heart disease patients. In 1980 Keys published his “Seven Countries” study, a 500-page paper that concluded that dietary fat was the single cause of heart disease. Which, the United States government and medical community has since run with. However, there are four major problems with his thesis.

The first being that his Seven Countries study started out as a Twenty-two Countries study. The seven countries he used in his study were: Japan, Italy, England, Wales, Australia, Canada, and the US. The relationship between dietary fat and heart disease looked quite convincing when the data was plotted. However, when he plotted the other countries (Austria, Ceylon, Chile, Denmark, Finland, France, Germany, Ireland, Israel, Mexico, Netherlands, New Zealand, Norway, Portugal, Sweden, and Switzerland), the correlation was almost non-existent. He also actively chose not to include indigenous tribes, such as the Inuit, Tokelau, and Maasai and Rendille, who eat only animal fat and have the lowest prevalence of heart disease on the planet. How’s that for science? Second, the role of dietary fat in heart disease is complicated by trans fat, which has signficant scientific studies to link it to metabolic syndrome. The use of trans-fats peaked during the 1960s and most likely were not considered a variable by Keys.

Third, if you look at the correlation itself, it is a problem. Japan and Italy eat the least amount of saturated fat and have the least amount of heart disease. But, they also eat the least amount of dietary sugar out of all the countries included. How do you know if it’s the sugar or the fat causing heart disease? Fourth, Keys admits that he correlated sucrose with saturated fat, but it was not important enough to him to remove sucrose from the equation. When one completes a multivariate correlation analysis, a common statistical tool that determines whether A causes B regardless of the impact of C, D, and E, one has to do the calculation both ways. In other words, Keys would have had to hold sucrose constant and show that dietary fat still correlates with heart disease. Basically, Keys used bad science. And then the government took it and ran with the idea.

This is just one of the studies Lustig discusses in his book. He discusses many more that are just as interesting. The end of the book concludes with two sections. One is on the personal solution and the other is on the public health solution. I absolutely loved the public health section because I am a public health professional. In society today we have this notion that obesity is an individual problem. That person eats too much, doesn’t exercise and it’s their fault they are fat. Lustig will tell you that’s rarely the problem. The public health section discusses ways as a society that we can conquer the impending obesity pandemic.

Overall, you will be crazy not to read this book. Out of all the books I have read this year, this is by far one of the best ones out there. It will change your view of nutrition and the obesity epidemic. Lustig gives you the science that backs up his claims. This isn’t a diet book written by some bimbo Hollywood trainer on how to lose 10-lbs in 10 days. It’s a real book based on real science that will open your eyes and mind to the current nutritional crisis in the United States.

What are you waiting for? GO BUY THE BOOK! 🙂

~ Happy Training!

Nutrition Tuesday (Wednesday): A Look at Carbohydrates

Posted on May 30, 2012 by kmichaud87

Yesterday I gave an overview of each of the macronutrients needed by the human body for survival. Today I will provide a more in-depth discussion of carbohydrates. I could spend days talking about carbohydrates because there are so many things to talk about, but today I just plan on discussing what exactly a carbohydrate is and what it does in the human body. In the future I plan to discuss other topics such as the glycemic index and how much carbohydrates you should include in your diet (although you should really consult with a registered dietitian to figure out what is best for your body and health).

Carbohydrates are groups of molecules that are comprised of carbon, hydrogen, and oxygen atoms. Carbohydrates are subdivided into three main categories: monosaccharides, oligosaccharides, and polysaccharides(1).

Monosaccharides (“mono” = one, “saccharide” = sugar) are the simplest carbohydrate molecules. These simple carbohydrates often have a sweet taste and are classified by the number of carbons that make up their physical structure(1). The three most important nutritional monosaccharides are glucose, fructose, and galactose. Glucose is the most common mechanism for transport of carbohydrates in the body and some people refer to glucose to as “the blood sugar”(1). Glucose is a naturally occurring sugar in many foods and also is the end product of the breakdown of more complex carbohydrates. Glucose can be easily broken down by the body and can be 1) used as a fuel substrate to supply energy to the body, 2) stored as muscle or liver glycogen, or 3) converted to triglycerides and stored for later use by the body(1).

Fructose is another simple carbohydrate. It is found in fruits, table sugar, honey, and high fructose corn syrup. Table sugar, corn syrup, and honey all contain glucose and fructose, but in differing amounts. During digestion, table sugar is broken down into 50% glucose and 50% fructose(2). High-fructose corn syrup (HFCS) digests into about 55% fructose and 45% glucose. Fructose has come under scrutiny in recent years because of the obesity epidemic in our country. HFCS is made using chemical processes that first convert cornstarch to corn syrup and then convert 42-55% of the glucose to fructose to make it taste sweeter(2). Some research has indicated that fructose is digested, absorbed, and metabolized differently than glucose in ways that favor fat production. The jury is still out on fructose; however, it’s best to avoid soda and other crap that contains HFCS.

When monosaccharides bond together, they can form more complex carbohydrates referred to as oligosaccharides. A majority of oligosaccharides are disaccharides, or double sugars. All disaccharides contain glucose and generally are represented by sucrose, lactose, and maltose(1). Sucrose is commonly called table sugar, beet sugar, or cane sugar. Sucrose contains one glucose and one fructose bonded together. Another common disaccharide is lactose, which is formed from the bonding of glucose and galactose. Lactose is commonly referred to as the “milk sugar” because it is only found in milk from lactating animals(1). Lactose can be a difficult disaccharide for some people to digest (like me!) and can result in excessive fluid and gas build up in the bowels, bloating and cramping(1). The third most common disaccharide is maltose, which is created by the bonding of two glucose molecules. Maltose is commonly called malt sugar and is produced when seeds sprout(1). The sprouting process of plants can be altered by heat in the process called malting and is the first step in the production of alcoholic beverages.

Polysaccharides are considered to be complex carbohydrate molecules. Generally, polysaccharides are linear or complex branching chains that are composed of more than 10 monosaccharides bonded together. The two most common plant polysaccharides are starch and fiber. Starch is the storage form of carbohydrates in plants and can be digested by humans. Fiber is considered a non-starch structural polysaccharide and may be the most abundant organic molecule on the plant, but it cannot be digested by humans. The primary animal polysaccharide is glycogen. Glycogen is either stored in the skeletal muscle or liver and is composed of subunits of glucose(1). One unique characteristic of glycogen is its branched structure. Generally, a glucose branch occurs on every 8-12th glucose subunit. This branching of glycogen is very important because it allows for very rapid breakdown of the glycogen molecule into its glucose subunits to be used for energy by the body.

Glycogen

As previously discussed last week, carbohydrates, mainly in the form of glucose, are used by the body as fuel. Glycolysis is the metabolic pathway that results in the breakdown of blood glucose to produce ATP. Glycogenolysis (which I did not discuss last week) is the process which glycogen stores are broken down to produce ATP. Glycogenolysis is essentially considered the same pathway basic pathway as glycolysis, but each differ in the entry point in which they enter into the metabolic pathway. Generally, because of each enters the pathway, glycogen yields three molecules of ATP compared to glucose metabolism of two ATP molecules(1).

References:

Antonio J et al. Essentials of Sports Nutrition and Supplements. Totowa NJ: Human Press, 2008.
Clark N. Nancy Clark’s Sports Nutrition Guidebook, 4th Ed. Champaign, IL: Human Kinetics, 2008.

Three Things Thursday – The Food Edition

Posted on April 20, 2012 by kmichaud87

Okay, so the next two weeks I might go MIA because of school work. My graduate courses run for 8 weeks at a time and I am currently taking two at a time, which means double the work (plus the whole work full-time, training, eat, sleep, etc thing). Of course, that means I have two projects due in two weeks. Yipee! But, here are three things that I intend to blog about after my classes are finished. The really exciting part about this summer… I am taking no classes! The last time I have had the entire summer without classes from the summer before I went to college and that was 2005. Yes, I’m an overachiever and that’s how I finished my undergrad early!

1. USDA to et Lindustry Self-Inspect Chicken – The USDA is going to allow poultry meat plants inspect their own meat. One USDA inspector will be at the end of a line inspecting 175 chickens per minute. Say what? Is that humanly possible? Somehow I don’t think anyone can inspect one chicken for signs of tumors, disease, and contaminants in one minute, let alone 175 chickens! Scary when you think about it! I guess Americans don’t seem to mind a littel Salmonella.

2. You are what you eat? – I highly suggest watching this 22 minute video about the food industry. It touches upon the above article on food inspectors and also the “pink slime.” Very interesting stuff and rather scary when you really start to think about it.

Visit msnbc.com for breaking news, world news, and news about the economy

3. Is Sugar Toxic? – Another very interesting video to watch about sugar. I argee that sugar can be considered a drug. It’s addicting and I am totally addicted to it too! As Americans we are addicted to the stuff in many forms. I definitely plan on studying up and blogging about this because I believe it is a very important topic.

Happy Training!