DR

12 responses to “High Carb Diet = Heart Attack”

  1. Emily

    I don’t understand, though — they compared three high-carb options to water, rather than something low-carb or protein-based. So who’s to say that the reaction isn’t simply to food in general, rather than high-carb foods specifically?

    Don’t get me wrong, I’m on your side and believe high-carb is absolutely no good for us at all, but I’m just confused about why they didn’t include low-carb foods as comparison.

  2. James

    Emily, I agree, it seems like a huge flaw in the experimental design of this. All this REALLY proves is that food in general causes reduced arterial functioning. It doesn’t prove what “kind” of food, or the long-term affects of eating these (or any) food.
    If they had simply made another group and/or the control group consume bacon and eggs (nom nom nom), then this study would hold a lot more water (no pun intended).

  3. Brit

    I see all this, and I know it’s Important Medical Stuff, but I don’t see myself abandoning carbs anytime soon. I’d have to completely change the way I eat, because sandwiches, roasted potatoes, veggies over pasta, and Thai curries and Indian food over rice (things I eat regularly) would all have to go.

    But probably most importantly, I just don’t have the willpower. Bread, pasta, rice, and potatoes are some of my favorite foods, and I don’t think I could ever give them up.

    I’m trying to eat less sugar, I’ve drastically cut back on how much soda I drink, and I usually buy whole wheat bread and pasta. Will that help a little, at least?

  4. DR

    Emily & James,

    I am trying to get my hands on a copy of the complete study. At that time, we will know the exact make-up of the test foods.

    Like you guys, I would have liked to have seen a broader selection of test foods. Alas, this is the nature of science. Test one specific hypothesis & then another & another. Hopefully, in the near future, we see more studies using this technology with a wider variety of foods.

    As well, the use of water as a control food didn’t exactly jibe with the conclusion that low carb foods are better for your heart than high GI carbs. True, water is low GI, but perhaps they could have used an animal protein as a control, or a fat source or a low gi carb, etc…

    However, I disagree with James’ contention that: All this REALLY proves is that food in general causes reduced arterial functioning

    All this study really shows us is that ingestion of the 3 test meals damaged the endothelial walls of the arteries of the test subjects.

    Based on this observation, we can make a variety of conclusions – high gi foods are bad for our arteries, water isn’t, cornflakes are, cornflakes & milk are, milk is, bran flakes are, grains are, breakfast cereals are, sugar is, and perhaps all solid foods also damage our arteries.

    Obviously, more research is needed.

    Thanks for the comments and the time you spent thinking about the study. It’s nic to know there are other health/fitness geeks out there.

  5. Brett Sanders

    The ratio of proteins to fats and carbohydrates that is optimal will be different for each person.

    Consider the eskimo that eats 90% protein and fat compared to the South American Indian that eats 90% carbohydrates. Each is satisfying their genetic potential and geographical needs at the same time. If you tried to switch them over, wherever they lived in the world, they would both suffer!

    The key is to find out whether you are an eskimo or an Indian!

    So in essence I do agree that you should try all the diets. I certainly have. My family heritage is British through and through and considering we get extremely cold winters I thrive much more on a high protein and high fat diet, especially in the colder months. When I tried a high carb/vegetarian diet I really struggled.

    Just try them all and monitor your well-being!

    Some people will do just fine on a high GI diet. Depends what their genetic needs are!

  6. DR

    Hey Brett,

    I love the fact that you are willing to try different diets / ways of eating to see what works best for you.

    I never understood how people could blindly follow some diet guru’s pet theory while their own body is screaming at them to stop!!! I have made this point before in the blog and have actually had one guy reply by saying “that’s why we pay scientists, so I don’t have to think” …I had no idea how to respond to that without calling him an idiot. But then, I realized he probably was an idiot, so there was little point in enlightening him. But I digress…

    BTW – I just added your blog feed to my reader and am now following your tweets (gawd, I hate that term…tweets)

  7. Steve Parker, M.D.

    I had to read up, again, on flow-mediated dilation. I think the news release from the University got it wrong. The high-glycemic index meals reduced (NOT increased) flow-mediated dilation. Dilation usually improves blood flow, which is usually a good thing.

    For a review of flow-mediated dilation, see :
    http://www.chestjournal.org/content/127/6/2254.full?sid=12793d7a-381f-4ac7-878c-938cc8bfedb9

    [This article is NOT light reading.]

    The original study authors wanted to compare high-GI meals (glucose and cornflakes) with lower-GI “meals” (high-fiber cereal and water).

    The high-GI meals reduced flow-mediated dilation. The low-GI meals did not.

    Flow-mediated dilation has been compared between Atkins, Ornish, and South Beach diets. For the boring details, see my blog post or elsewhere:
    http://advancedmediterraneandiet.com/blog/?p=166

    -Steve

  8. Brett Sanders

    I think the best thing you can do in a situation like that is simply model the behaviour you would like to see in the other person. Hopefully that person is then “awake” enough to see the benefits of the way you are living. After all, we do all need role models whoever we are!

    Ahh, thanks. I will follow back. (Don’t you think ‘Tweets’ is better than ‘Twits’ though? :)

  9. julie

    Aren’t carrots considered a high GI food? I’m not giving up carrots for anything. Nor fruit, nor starchy vegetables. I seem to do best on moderate fat, moderate protein, high plant diet, with occasional pizza and ice cream. I can’t for the life of me understand why I would want to cut out carbs, though I think heavily processed carbs, including most bread is junk food.

  10. DR

    Julie, don’t change a thing.

    No one ever got fat eating carrots. The GI may be high, but the GL is verrrrryyyyyy low. Here is a synopsis that explains the diff between GI & GL

    There is a big difference between a diet based mainly on fruits/veg/moderate protein with occasional treats like pizza/ice cream/bbq/beer/etc and a diet where every day involves a trip to McDonalds.

    Your diet seems like a great balance between health & pleasure.

  11. Vanessa Bennett

    Heart attack could be prevented with exercise, diet and some food supplements like CoQ10.”;-

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