If you liked Taubes' GCBC/Why We Get Fat, you'll love this..

Acg67
Acg67 Posts: 12,142 Member
edited November 2024 in Health and Weight Loss
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Let's talk about Zoe Harcombe's book, The Obesity Epidemic: What Caused It? How Can We Stop It? I finished reading it today. Hadn't heard of her before someone posted her well written takedown of the red meat causes cancer study that everyone was talking about.
http://www.amazon.com/Obesity-Epidemic-What-Caused-Stop/dp/1907797009

If you love books that give a few tid bits of good information (I thought her write up on the lipid hypothesis was pretty good, better than Taubes' write up on it) and lots of bad information, then this book is definitely for you. This was basically a rehash of GCBC or Why We Get Fat, but if possible even worse for the ignorance that abounds in the book.

I'm not sure what to think of Harcombe, is she just a bad researcher, maybe she's intellectually dishonest, maybe she's suffering from some sort of true believer syndrome or maybe she's just trying to cash in on the demonizing carbs fad going on?

I'm not going to comment on the below choice quotes from the book except for two of them, since they easily stand on their own and need no explanation. The quote on sucrose, had she done a little research she would have found the study I've posted here before on the effects of a high sucrose diet in which one group were fed 43% of their daily kcal in sucrose. She should prob look up the results of that study.

And for the last quote she seems to cherry pick a few studies that seem to support her hypothesis, however a few of the studies jumped out at me. Golay et al, Am J Clin Nutr (1996), which can be found here; http://www.ajcn.org/content/63/2/174.full.pdf. The authors conclude, "The results of this study showed that it was energy intake, not nutrient composition, that determined weight loss in response to low-energy diets over a short time period." Which runs directly opposite to one of her main points of her book. Also interesting to see she included the Rabast study, which had a 40% attrition rate in a ward study, took no body comp measures and on day 25 there was no statistical significance but day 30 there was. In all the studies she lists at the end to support her claims, she seems to disregard if the differences were statistically significant and fails to take into consideration of weight loss due to water/glycogen loss.

Here is some more tid bits from her book

http://www.dailymail.co.uk/femail/article-1325453/Everything-thought-knew-food-WRONG.html

So if you've read this book, what'd you think of it?
We can then see that the very macronutrient, which we eat more of when we try to eat less (carbohydrate), is the macronutrient that enables fat to be stored and disables fat from being utilised, through the concomitant role of insulin. We come to see carbohydrates and not calories as the key determinant of weight gain and weight loss. p12
Most routes then lead to the hormone insulin and consequently to carbohydrates, since only carbohydrate calories stimulate the production of insulin. p 16
As carbohydrate facilitates fat storage and debilitates fat utilisation, dietary advice that leads someone to eat more carbohydrate is, therefore, fundamentally flawed. A common theme of this book will be that all routes lead to carbohydrate
and that the single most damaging part of our diet advice has been the drive to get humans to eat more carbohydrate. I stand to be corrected, but, as Edgar Gordon concluded, I cannot conceive of how the body can store fat in the absence of insulin. As insulin is only present when the body has consumed carbohydrate, it follows that I cannot conceive of the circumstances in which the body can store fat in the absence of carbohydrate. Insulin will, of course, automatically be released by the pancreas, in response to carbohydrate consumption in a non-diabetic. In a type 1 diabetic, insulin only needs to be administered when a carbohydrate is consumed. In a type 2 diabetic, the body only tries to release insulin when carbohydrate is eaten. The absence of carbohydrate is accompanied by the absence of insulin (including the need for insulin) and therefore the absence of the ability to store fat. Tragically, if you believe that energy in equals energy out and you, therefore, want a person to put less energy in, you will tell them p 21

This then gives us the conundrum I call ‘Dave’: Dave needs 3,000 calories a day, but is currently eating 5,000. First, is he putting on weight at the rate of four pounds a week every week, week in week out (i.e. 208 pounds every year)? Secondly, if he reduces his intake by 1,000 calories a day – will he lose two pounds a week or gain two pounds a week? Most surprisingly, the ‘bible’ of nutrition makes p47
If Kellogg’s genuinely think that sugar is sugar, I invite the executive team to consume nothing but sucrose for a few weeks (it comes in a huge variety of forms, so they need not be bored) and see how their health responds to calories without nutrition. p 197

One of the key arguments presented as justification for the five-a-day campaign (upon which the UK Department of Health alone has spent £3.3 million over the past four years), is that fruit and vegetables are highly nutritious.xlvii We must stop making general and unsubstantiated claims like this. A worldwide instruction to citizens of tens of countries, across three continents, should be based on clear empirical evidence (and that evidence should have been tested and verified before any public health advice was issued). Aside from the fact that there is no such evidence for the health benefit of eating a particular number of a random selection of fruit and vegetables on any medical condition, let us analyse this ‘nutritious’ claim theoretically – starting with vitamins first p 207
In conclusion, the statement in the Dietary Guidelines for Americans: “fruits and vegetables are excellent sources of vitamins” is not evidence based. A more accurate statement would be “low/zero-fat fruits are a good source of vitamin C and not much else; fruits with a fat content (avocado and olives) are poorer on vitamin C and better on other vitamins, but still no where near ‘excellent’; vegetables are often a better source of vitamin C than fruit and can also provide some useful fat soluble vitamins when eaten with fat.” For a short and accurate statement, the guidelines should have said“animal products are unbeatable nutritionally”. p 208
The best providers of vitamins and minerals are animal foods again, with seeds and a few non animal foods (kelp and peppers) being useful. The most nutritious foods on the planet, therefore, are animal foods. p 209
If we eat carbohydrate in the recommended quantity and don’t ‘get on our bike’ we will store that carbohydrate as fat. p230
Message (1) can help people understand the difference between real (good) carbohydrates and processed (bad) carbohydrates. Message (3) will be about educating people that fat can only be stored when we eat any carbohydrates, so, to manage obesity (fat storage), we need to limit the number of meals that contain even good carbohydrates (brown rice, whole wheat pasta, 100% whole grain bread, baked potatoes, fruit etc). The fewer carbohydrate meals a person has, the more weight loss will be facilitated. Salads and vegetables (not potatoes) can be eaten freely at main meals by most people. p264

2) Fat/protein calories have jobs to do within the body – they contribute to the ‘up to’ 85% of energy requirement determined by metabolic rate. Carbohydrate doesn’t; this needs to be burned as fuel or it will be stored as fat.
3) Insulin has been called the fattening hormone for good reason and only carbohydrate calories stimulate the release of insulin; fat/protein calories have no impact on insulin. p284
... all routes lead to carbohydrates as being uniquely suited to weight gain and uniquely unsuited to weight loss. The macronutrient that we have been advising people to eat more of is the very macronutrient that enables fat to be stored and disables fat from being utilised. Carbohydrates, not calories, are the critical determinant of obesity and the epidemic thereof. p 285

* Five of the studies were directly comparable isocaloric studies i.e. the studies had parallel groups on a different carbohydrate level and the same calories per day (these are studies 6, 8, 10, 12 and 14). In every such isocaloric study in the article, the weight loss was substantially higher in the low carbohydrate group than in the higher carbohydrate group. At the highest calorie intake (Kasper et al, study 6, 1707 calories per day), the group consuming 56 grams of carbohydrate per day lost 300 grams per day vs. the 156 grams of carbohydrate per day group, which only lost 50 grams per day. This supports Kekwick and Pawan’s findings that large numbers of calories can be consumed and weight still be lost with a low carbohydrate diet composition. p 293

Replies

  • hbunting86
    hbunting86 Posts: 952 Member
    Who on earth keeps publishing these pseudo-scientists.

    Yet ANOTHER way to induce carb-phobia amongst the masses.

    Interestingly, I was emailed this from my PhD supervisor - we're researching attitudes towards functional food consumption in adults and older adults. With predictions of the worlds food supply becoming problematic in future, I wonder how well this would go down with the masses.....

    http://www.core77.com/blog/case_study/case_study_ento_the_art_of_eating_insects_21841.asp
  • Sidesteal
    Sidesteal Posts: 5,510 Member
    Holy *kitten* this is bad stuff.
  • Silverkittycat
    Silverkittycat Posts: 1,997 Member
    ncf_8-18-2010.png
  • Yanicka1
    Yanicka1 Posts: 4,564 Member
    interesting. Thank you
  • Rayman79
    Rayman79 Posts: 2,009 Member
    This is what occurs when you have someone who is out to either push their own personal agenda without regard for current scientific knowledge, or wants to cash in on the low-carb fad for profit (most likely a combination of the two).

    Whilst it is hard to comment on the whole publication from only a few choice excerpts, I think it is pretty clear that there is a very anti-carb message, and some of the parts could even be interpreted as anti-vegetable?? Who the f*** promotes that?!?

    Call me a simpleton, but I'll stick to the basic premises of moderate calorie defecit, and sound diet that includes whole foods and a balance of macro nutrients... guess it's a bit hard to fill a whole book with such a simple message though isn't it :wink:
  • Acg67
    Acg67 Posts: 12,142 Member
    This is what occurs when you have someone who is out to either push their own personal agenda without regard for current scientific knowledge, or wants to cash in on the low-carb fad for profit (most likely a combination of the two).

    Whilst it is hard to comment on the whole publication from only a few choice excerpts, I think it is pretty clear that there is a very anti-carb message, and some of the parts could even be interpreted as anti-vegetable?? Who the f*** promotes that?!?

    Call me a simpleton, but I'll stick to the basic premises of moderate calorie defecit, and sound diet that includes whole foods and a balance of macro nutrients... guess it's a bit hard to fill a whole book with such a simple message though isn't it :wink:

    The most interesting thing is she lost all her weight and maintained using a high carb, insulin spiking vegetarian diet and only since late 2010 or early 2011 started eating "things with faces". Quite a turn around, eh?
  • chrisdavey
    chrisdavey Posts: 9,834 Member
    I take it she forgot to mention that but in the book?
    This is what occurs when you have someone who is out to either push their own personal agenda without regard for current scientific knowledge, or wants to cash in on the low-carb fad for profit (most likely a combination of the two).

    Whilst it is hard to comment on the whole publication from only a few choice excerpts, I think it is pretty clear that there is a very anti-carb message, and some of the parts could even be interpreted as anti-vegetable?? Who the f*** promotes that?!?

    Call me a simpleton, but I'll stick to the basic premises of moderate calorie defecit, and sound diet that includes whole foods and a balance of macro nutrients... guess it's a bit hard to fill a whole book with such a simple message though isn't it :wink:

    The most interesting thing is she lost all her weight and maintained using a high carb, insulin spiking vegetarian diet and only since late 2010 or early 2011 started eating "things with faces". Quite a turn around, eh?
  • Acg67
    Acg67 Posts: 12,142 Member
    I take it she forgot to mention that but in the book?
    This is what occurs when you have someone who is out to either push their own personal agenda without regard for current scientific knowledge, or wants to cash in on the low-carb fad for profit (most likely a combination of the two).

    Whilst it is hard to comment on the whole publication from only a few choice excerpts, I think it is pretty clear that there is a very anti-carb message, and some of the parts could even be interpreted as anti-vegetable?? Who the f*** promotes that?!?

    Call me a simpleton, but I'll stick to the basic premises of moderate calorie defecit, and sound diet that includes whole foods and a balance of macro nutrients... guess it's a bit hard to fill a whole book with such a simple message though isn't it :wink:

    The most interesting thing is she lost all her weight and maintained using a high carb, insulin spiking vegetarian diet and only since late 2010 or early 2011 started eating "things with faces". Quite a turn around, eh?

    She makes brief mention of it in the preface, but doesn't say how she lost weight on it, when supposedly it's impossible when you eat lots of carbs
  • Sidesteal
    Sidesteal Posts: 5,510 Member
    I'm going to make some personal attacks at you pretty soon, just because that's how this thread will end up.
  • Acg67
    Acg67 Posts: 12,142 Member
    I'm going to make some personal attacks at you pretty soon, just because that's how this thread will end up.

    Maybe you can say I hate the Inuit since I'm obviously against low carb diets and they eat low carb?
  • AggieLu
    AggieLu Posts: 873 Member
    Thanks for posting this.
  • hbunting86
    hbunting86 Posts: 952 Member
    Haha wow I didn't realise she lost weight like that and then did a total 180... how strange!

    If she lost all her weight by eating carbs and spiking and it worked... then why would it make sense to attack carbs in the book, and seemingly fruit and vegetables in the process. Sounds like she pretty much demonises fruit!

    Where did all this carb theory originate from anyway - Atkins?
  • SlimBride12
    SlimBride12 Posts: 24 Member
    Oh goodness! :laugh:
  • Acg67
    Acg67 Posts: 12,142 Member
    Haha wow I didn't realise she lost weight like that and then did a total 180... how strange!

    If she lost all her weight by eating carbs and spiking and it worked... then why would it make sense to attack carbs in the book, and seemingly fruit and vegetables in the process. Sounds like she pretty much demonises fruit!

    Where did all this carb theory originate from anyway - Atkins?

    I know Atkins popularized the metabolic advantage theory, even though it was around long before he wrote his book. Not sure on who really popularized demonizing insulin and therefore carbs for all the current ills though
  • suziecue66
    suziecue66 Posts: 1,312 Member
    Carb Sane-Asylum a good blog if you haven't read it before. She wrote about Zoe:


    "As I've highlighted before, Zoe has been lauded as a proponent of LC, and she's clearly a disciple of the Church of Taubes where insulin is concerned. But aside from the fact that she's basically a parrot of flawed science, she is also a model of inconsistency. Specifically:

    She advocates an animal based LC diet but lost and maintained her weight for 15 years as a practicing grain eating vegetarian.

    She rails against fruits & veggies but ate lots of veggies and prefers dark chocolate to fruit

    She considers (or considered) wholegrain bread and pasta as real whole foods.

    She claims to have made the switch to animals and cut out the butternut squash curry in Spring 2010, but still mentions that meal in a Fall 2010 interview in which she discusses her conversion.

    She wants to fight obesity touting maintenance yet advertises and celebrates the "records" for weight loss in the first few days on her program.

    She claims to eat a ton but does not appear to.

    She says she never claimed to be a low carber in Jan 2011, but just the month before said "if insulin is not a villain then go trigger some! We don’t care! Us low carbers will stay full, fit, healthy and hunger free eating only real food and managing our carb intake."

    And now, thanks to a comment on Diet Blog (many thanks for the shout out Mike Howard!!) we learn that she does not have the credentials she claims. "
    http://carbsanity.blogspot.com.au/2011/08/zoe-harcombe-credentials.html
  • Acg67
    Acg67 Posts: 12,142 Member
    Carb Sane-Asylum a good blog if you haven't read it before. She wrote about Zoe:


    "As I've highlighted before, Zoe has been lauded as a proponent of LC, and she's clearly a disciple of the Church of Taubes where insulin is concerned. But aside from the fact that she's basically a parrot of flawed science, she is also a model of inconsistency. Specifically:

    She advocates an animal based LC diet but lost and maintained her weight for 15 years as a practicing grain eating vegetarian.

    She rails against fruits & veggies but ate lots of veggies and prefers dark chocolate to fruit

    She considers (or considered) wholegrain bread and pasta as real whole foods.

    She claims to have made the switch to animals and cut out the butternut squash curry in Spring 2010, but still mentions that meal in a Fall 2010 interview in which she discusses her conversion.

    She wants to fight obesity touting maintenance yet advertises and celebrates the "records" for weight loss in the first few days on her program.

    She claims to eat a ton but does not appear to.

    She says she never claimed to be a low carber in Jan 2011, but just the month before said "if insulin is not a villain then go trigger some! We don’t care! Us low carbers will stay full, fit, healthy and hunger free eating only real food and managing our carb intake."

    And now, thanks to a comment on Diet Blog (many thanks for the shout out Mike Howard!!) we learn that she does not have the credentials she claims. "
    http://carbsanity.blogspot.com.au/2011/08/zoe-harcombe-credentials.html

    Interesting thanks, I know of Carb-sane, mostly for her debunking Taubes' nonsense, but didn't know she had anything to say about Zoe
  • suziecue66
    suziecue66 Posts: 1,312 Member
    Haha wow I didn't realise she lost weight like that and then did a total 180... how strange!

    If she lost all her weight by eating carbs and spiking and it worked... then why would it make sense to attack carbs in the book, and seemingly fruit and vegetables in the process. Sounds like she pretty much demonises fruit!

    Where did all this carb theory originate from anyway - Atkins?

    I know Atkins popularized the metabolic advantage theory, even though it was around long before he wrote his book. Not sure on who really popularized demonizing insulin and therefore carbs for all the current ills though

    I know Eades wrote about the metabolic advantage (but did state only minor). Had that big fight with Colpo about it over the net.
  • Acg67
    Acg67 Posts: 12,142 Member
    Haha wow I didn't realise she lost weight like that and then did a total 180... how strange!

    If she lost all her weight by eating carbs and spiking and it worked... then why would it make sense to attack carbs in the book, and seemingly fruit and vegetables in the process. Sounds like she pretty much demonises fruit!

    Where did all this carb theory originate from anyway - Atkins?

    I know Atkins popularized the metabolic advantage theory, even though it was around long before he wrote his book. Not sure on who really popularized demonizing insulin and therefore carbs for all the current ills though

    I know Eades wrote about the metabolic advantage (but did state only minor). Had that big fight with Colpo about it over the net.

    Lol Eades, you mean him saying throw out all the tightly controlled studies that show no metabolic advantage because there might be cheating in them but instead use the 50% of ad lib studies that do show it as proof, while conveniently ignoring the other 50% of ad lib studies that don't?
  • hbunting86
    hbunting86 Posts: 952 Member
    The fact that she has anything to do with the Daily Fail immediately makes me disregard her.
  • suziecue66
    suziecue66 Posts: 1,312 Member
    Haha wow I didn't realise she lost weight like that and then did a total 180... how strange!

    If she lost all her weight by eating carbs and spiking and it worked... then why would it make sense to attack carbs in the book, and seemingly fruit and vegetables in the process. Sounds like she pretty much demonises fruit!

    Where did all this carb theory originate from anyway - Atkins?

    I know Atkins popularized the metabolic advantage theory, even though it was around long before he wrote his book. Not sure on who really popularized demonizing insulin and therefore carbs for all the current ills though

    I know Eades wrote about the metabolic advantage (but did state only minor). Had that big fight with Colpo about it over the net.

    Lol Eades, you mean him saying throw out all the tightly controlled studies that show no metabolic advantage because there might be cheating in them but instead use the 50% of ad lib studies that do show it as proof, while conveniently ignoring the other 50% of ad lib studies that don't?

    Yeh that!!
  • Silverkittycat
    Silverkittycat Posts: 1,997 Member
    Where did all this carb theory originate from anyway - Atkins?


    I know Atkins popularized the metabolic advantage theory, even though it was around long before he wrote his book. Not sure on who really popularized demonizing insulin and therefore carbs for all the current ills though
    Banting?
    I know Eades wrote about the metabolic advantage (but did state only minor). Had that big fight with Colpo about it over the net.

    LOL, I forgot about that. Thanks suziecue!
    I think. I have a soft spot for the good doctor. Protein Power was one of the books that got me interested in the whole nutrition thing, and I like sunshine/vitamin D and his HIIT theories from way back when. :smile:
  • cclark1203
    cclark1203 Posts: 244 Member
    bump
  • suziecue66
    suziecue66 Posts: 1,312 Member
    Where did all this carb theory originate from anyway - Atkins?


    I know Atkins popularized the metabolic advantage theory, even though it was around long before he wrote his book. Not sure on who really popularized demonizing insulin and therefore carbs for all the current ills though
    Banting?
    I know Eades wrote about the metabolic advantage (but did state only minor). Had that big fight with Colpo about it over the net.

    LOL, I forgot about that. Thanks suziecue!
    I think. I have a soft spot for the good doctor. Protein Power was one of the books that got me interested in the whole nutrition thing, and I like sunshine/vitamin D and his HIIT theories from way back when. :smile:

    Me too about Eades.
  • suziecue66
    suziecue66 Posts: 1,312 Member
    I had these notes on Banting copied into a word doc ages ago:

    Notes on Banting

    Banting's letter on corpulence was apparently (as per the Neanderthin) the world's first book on diet and weight loss written by an amateur in 1869. Banting was ridiculed and ignored by the medical community.

    It caused a stir in the 1860s, it became hugely popular .. because it worked ... and it really remained the orthodox view on dieting for about 100 years. Despite people like Ignatovsky who started animal experiments in the early 1900s, things didn't even begin to change until Ancel Keys came along in the 1950s, and even then - his position on the AHA only really brought the whole low fat disaster down upon us about 30 years ago, as I say over a century after Banting and Harvey.

    In the early days of Weight Watchers, the first thing dieters gave up ... was bread potatoes and sugar.
    Also "banting" became synomynous with dieting for much of that time ... so much so that the word entered the language ... and not just English, I think its Sweden which still has the Banta diet ... which comes directly from their word which has the same source.

    More notes:
    A high-protein, low-carbohydrate diet was first popularized in 1863 by William Banting, a retired London undertaker who weighed 202 pounds and measured 65 inches in height (body mass index, 34). For decades he had struggled with obesity (corpulence), and at age 60 he was near his wit's end. He had to walk down stairs backwards, “and with every exertion puffed and blowed in a way that was unseeming and disagreeable.”

    One day in 1862, Banting had a serendipitous encounter with a young physician named William Harvey (not the 17th-century Harvey of blood circulation fame). Harvey had spent time in Paris during the 1850s studying under Claude Bernard. One of Bernard's ideas was that the liver secreted glucose. As Harvey understood it, “this glucose could be directly produced in the liver by the ingestion of sugar and starch and … [because] a purely animal diet greatly … checked the secretion of diabetic urine … it occurred to me that if a purely animal diet was useful in the latter disease, a combination of animal food with such vegetable matters as contained neither sugar nor starch might serve to arrest the undue formation of fat.”

    That is exactly what he prescribed to Banting. It was, in short, the first time anyone had formally prescribed a low-carbohydrate diet for weight loss. In less than a year, Banting had lost 46 pounds and pronounced himself “cured” of his “insidious creeping enemy.” Convinced that his mission in life was to help his fellow corpulents onto what he called his “tramway of happiness,” Banting wrote a short account of his experience and cure, A Letter on Corpulence, Addressed to the Public. The response was the first mass dieting craze. After 2500 copies were given away, Banting's Letter went into 3 editions in as many years, selling upward of 100,000 copies. His name became a verb; until 1963, the Concise Oxford Dictionary defined “banting” and “to bant” as meaning “treatment of obesity by abstinence from sugar and starch.”

    Banting and Harvey did not want any publicity, and Banting—fearing that “it might appear a puff which I know he abhors”—refused to identify Harvey in his first 4 editions. Moreover, when the money rolled in, it became, in Banting's word, an “embarrassment.” Banting donated all profits from his writing to charity and in later editions of his pamphlet published all criticisms he had received of the diet.

    The diet was taken up in 1879 with great fanfare by the Comte de Chambord, the expatriate king of France. De Chambord quickly lost >50 pounds. But in 1883, the Comte fell ill. Although the immediate cause of his death still is unclear, his doctors all agreed that he had undermined his health by losing so much weight so quickly. Harvey had written: “Extremes should be avoided. As a rule, the diminution should not be allowed to progress more rapidly than at the rate of 1 pound per week and it ought not to be carried to too great an extent.”

    By then, however, both Banting and Harvey were dead. The latter had lived the productive life of a physician-scholar. Banting had lived to age 81, maintaining his reduced size. His success in doing so may suggest a middle way for today's warring factions of those for and against low-carbohydrate diets. Beginning in the late 1860s, Banting had slowly shifted his diet in the direction of reducing proteins and fats, controlling portion size, and eating carbohydrates in moderation. Later he wrote, “This deviation convinces me that I have hold of the power of maintaining the happy medium in my own hands.” In other words, science or not, proteins or carbohydrates, it is human will and humane advice—not bestsellers—that make for a good diet.

    Some more notes on the westonaprice site:
    http://www.westonaprice.org/knowyourfats/banting.html
    He put up 3,500 pounds, his son 3,100 and two other members of his family a further 350, With other patrons he raised a total of 35,000 pounds.
    Banting charged nothing for the first two editions of his book—he didn't want to be accused of doing it merely for profit. He had printed 1,000 copies of the first edition and he gave them away.

    The second edition numbered 1,500 which he also gave away although they cost him 6 pence each. Copies of the third edition, still in 1863, were sold at 1 pound each.

    When Banting's booklet, in which he described the diet and its amazing results, was published, it was so contrary to the established doctrine that it set up a howl of protest among members of the medical profession. The "Banting Diet" became the center of a bitter controversy and Banting's papers and book were ridiculed and distorted. No one could deny that the diet worked, but as a layman had published it—and medical men were anxious that their position in society should not be undermined—they felt bound to attack it. Banting's paper was criticized solely on the grounds that it was "unscientific."
    Later, Dr. Harvey had a problem too. He had an effective treatment for obesity but not a convincing theory to explain it. As he was a medical man, and so easier for the other members of his profession to attack, he came in for a great deal of ridicule until, in the end, his practice began to suffer.

    However, the public was impressed. Many desperate overweight people tried the diet and found that it worked. Like it or not, the medical profession could not ignore it. Its obvious success meant that the Banting Diet had to be explained somehow.
    To the rescue from Stuttgart came a Dr. Felix Niemeyer. He managed to make the new diet acceptable with a total shift in its philosophy. At that time, the theory was that carbohydrates and fat burned together in the lungs to produce heat. The two were called "respiratory foods." After examining Banting's paper, Niemeyer came up with an answer to the doctors' problem. All doctors knew that protein was not fattening, only the respiratory foods—fats and carbohydrates. He, therefore, interpreted "meat" to mean only lean meat with the fat trimmed off and this subtle change solved the problem. The Banting Diet became a high protein diet with both carbohydrate and fat restricted. This altered diet became enshrined in history and still forms the basis of slimming diets today.

    Banting's descriptions of the diet are quite clear, however. Other than the prohibition against butter and pork, nowhere is there any instruction to remove the fat from meat and there is no restriction on the way food was cooked or on the total quantity of food which may be taken. Only carbohydrate—sugars and starches—are restricted. The reason that butter and pork were denied him was that it was thought at this time that they too contained starch.

    Banting, who lived in physical comfort and remained at a normal weight until his death in 1878 at the age of 81, always maintained that Dr. Niemeyer's altered diet was far inferior to the one that had so changed his life.

    The Banting Diet Is Confirmed
    Banting's Letter on Corpulence travelled widely. In the 1890s, an American doctor, Helen Densmore, modelled diets on Banting. She tells how she and her patients lost an average 10-15 pounds in the first month on the diet and then 6-8 pounds in subsequent months "by a diet from which bread, cereals and starchy food were excluded." Her advice to would-be slimmers was: "One pound of beef or mutton or fish per day with a moderate amount of the non-starchy vegetables will be found ample for any obese person of sedentary habits."

    Dr. Densmore was scathing of those others of her profession who derided Banting's diet. She says of them: "Those very specialists who are at this time prospering greatly by the reduction of obesity and who are indebted to Mr. Banting for all their prosperity are loud, nevertheless, in their condemnation of the Banting method."

    Over the following seventy years many epidemiological studies and clinical trials were conducted in several countries and the evidence mounted. There was by the mid-1950s no doubt that the low-carbohydrate diet worked and clinical trials at the Middlesex Hospital in London had demonstrated how it worked. Doctors could now put their overweight patients on a dietary regime which enjoyed overwhelming evidence of benefit and which was easy to follow and live on for life.

    But it was not to be. Dieticians just couldn't seem to get their heads round the concept that eating what looked like a high-calorie diet could possibly be effective for weight loss. Or, perhaps they were afraid to lose face by admitting that they had been wrong. So they continued, myopically, to recommend that if you were overweight, it was your own fault —you were eating too much or not taking enough exercise, or both. That made life very easy for the dietician while it ruined the life of the patient. By the late 1970s fat was getting a bad name as a cause of heart disease (quite incorrectly as we now know). Now fat was banned for other health reasons and carbohydrates were advocated even more strongly.

    Which is why, at the start of the 21st Century, at a time when most of us are dieting, are eating fewer calories and less fat, and taking more exercise than ever before in our history, we are getting fatter than ever before in our history.
    It is no coincidence that obesity is sky-rocketing today—healthy eating advises a high-carbohydrate, lowfat diet. The exact opposite of Banting's diet.

    Not long after Banting's Letter on Corpulence was published the verb "to Bant" entered the language and people losing weight said they were "Banting." It remained in common parlance well into this century and one still hears it occasionally today.
    Jan Freden, of Uppsala, Sweden, tells me that in Sweden, "Banting" is still the word most commonly used for dieting to achieve weight loss. So in Sweden they say: "Nej, tack, jag bantar" or "No thank you, I am banting."
    And "banting" is the noun used. We would be well advised to adopt it again.
    A version of this article won the prestigious Sophie Coe Prize
    for the 2002 Oxford Symposium on Food History.
    Visit Barry Groves' website at www.second-opinions.co.uk.
  • Acg67
    Acg67 Posts: 12,142 Member
    Thanks for that. People seem to get the impression I'm anti low carb, when I do think it's effective as a dieting strategy, just no more effective then a mixed diet assuming you hold protein constant. The misinformation on both sides of the carb debate is pretty ridiculous around here.
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