DIET REVOLUTION Or DIET SHAM? Critical diet dissections and real diet solutions CONTENTS Introduction 2 Understanding popular diets 3 Key points on dieting 31 Frequently asked questions 34 Sample diets 40 References 49 1 Introduction With so many diet plans and books on the market how do you choose? What do you really know about these diets? Is the information scientifically sound? Are these diets effective for weight loss, or maintenance in the long-term? Or are they quick fix schemes? The primary objective of this book is to analyze some of the most popular diets on the market. The book also includes a chapter on frequently asked questions and sampe diets. 2 Chapter 1, Understanding Popular Diets Atkins’ New Diet Revolution Robert C. Atkins is the founder of Atkins’ New Diet Revolution. Atkins is also the founder and former director of the Atkins Complimentary Medicine in New York City. The diet is a low carbohydrate high fat diet with no restrictions on fat intake. The diet begins with an induction phase (ranging from 2-36 weeks) limiting carbohydrate intake to only 20 g/d. The consumption of fruit, bread, pasta, grains, starchy vegetables, and dairy other than cheese, cream or butter are prohibited in this phase of the diet. There are two phases following the induction phase where daily carbohydrate intake is increased in weekly increments of 5gms & 10gms (1,2). Then, comes the maintenance phase, where dieters generally consume between 40-90 carbohydrates (5). Proponents of high-fat, low-CHO (carbohydrate) diets dismiss the notion that caloric intake is important to either weight gain or weight loss (evidence contradicts this claim). They claim that “most overweight individuals do not overeat”, even as they suggest that high-CHO meals leave individuals less satisfied than meals that contain adequate fat, resulting in increased hunger and increased food intake. With respect to weight loss, Atkins claims that on a low CHO diet there are “metabolic advantages that will allow overweight individuals to eat as many calories as they were eating before starting the diet yet still lose pounds and inches” (3,4). Furthermore, proponents contend overproduction of insulin, driven by high CHO intake, is the cause of the metabolic imbalance that underlies obesity. The over exaggeration of insulin’s role in obesity is not uncommon, and is often suggested by many of today’s most popular nutrition gurus, in reality this issue has been blown out of proportion. Golay et al. (3) reported subjects consuming 1000 calorie diets containing 15% CHO had significantly lower insulin levels compared with those consuming 45% CHO, yet there was no difference in weight loss between the two groups. Similar results have been found in other studies. My thoughts: Atkins’ New Diet Revolution Studies cited by Atkins to support his contentions were of limited duration, conducted on a small number of people, lacked adequate controls, and used ill-defined diets. Some of these, as well as other studies, actually refute the contention that low-CHO diets, in the absence of calorie restriction, provide a metabolic advantage. Early studies on a limited number of obese men and women indicate individuals consuming low-CHO diets reduce overall caloric intake and lose weight. Consuming high amounts of protein in combination with low calcium and minimal fruit and vegetable intake could be detrimental to bone health (6). In many cases low carbohydrate diets provide lower than recommended intakes of vitamin E, vitamin A, 3 thiamin, vitamin B6, folate, calcium, magnesium, iron, potassium and dietary fiber (3). Under these circumstances supplementation is needed. Another important consideration is the water loss that occurs with the Atkins plan. In the early stages of the diet you can expect a substantial loss in water (due to glycogen depletion, for every gram of glycogen you store you also store 2.8 – 3.5 grams of water). The belief that there are some magical metabolic advantages to this diet is a fallacy that is not supported by scientific data. Long-term weight loss happens because of calorie reduction. Numerous studies have indicated a big reduction of calories (below maintenance requirements) when following low carbohydrate diets. The newest version of the diet promotes the intake of high-fiber foods; which is a good thing (in most cases). Many people who have followed the diet now realize dietary fat is not the sole reason people are fat nor is it the evil often promoted by low fat diet advocates. In conclusion, if you can stick to the food recommendations and function well while following a low carbohydrate diet the Atkins diet may be for you. Athletes using the Atkins’ diet should be highly cautious as performance may suffer (decreased performance happens generally in glycolytic athletes- athletes who’s primary fuel source is stored glucose - glycogen). Any diet that results in weight loss generally enhances health markers. If you are following the Atkins plan and are not dropping weight pay close attention to lipid (cholesterol, triglyceride) levels. Numerous studies have shown that in the absence of weight loss ketogenic diets (low carbohydrate diets) may be detrimental to blood lipids levels, while ketogenic diets that result in weight loss are good for blood lipid levels. If you are gaining weight reduce calories further or try something different. South Beach Diet Arthur Agatston, MD, created this diet. His specialty is heart imaging and he is an associate professor of medicine at the Miami School of Medicine. The first phase of the diet includes a 14-day initiation to “rid yourself of your sugar addiction”. Consumption of fruit, bread, pasta, baked goods; dessert and alcohol are prohibited in the initiation phase. In the second phase lower GI (glycemic index)-fruit and lower GI-starches are permitted (1). Once target weight is reached you go into the maintenance phase. “Phase 3 is for maintenance and should be followed for life. Is all about maintaining your desired weight with a healthy balanced diet. Should your weight begin to climb, simply return to Phase 1” (7). My thoughts: South Beach Diet The diet places too much emphasis on the glycemic index of foods. When you look at the studies comparing low-GI diets to high-GI diets there are no significant differences in 4 weight loss assuming the calories are the same (27,28). The satiating affects of single meal low-GI foods compared to high-GI meals are indecisive. There is a wide individual variance factor when considering a food’s affects on appetite. Also remember the glycemic index of a food changes when eaten with other foods, and when you eat that food in a non-fasted state (you are still absorbing nutrients from other meals). David Jenkins originally created the glycemic index to help diabetics modulate blood sugar levels (8). The diet allows a good balance of foods (good nutritional profile) once you get pass the initiation phase. And the plan is relatively easy to follow for most people once they pass this phase (no counting carbs, weighing food, or measuring food). . Expect a substantial amount of weight loss in the initiation phase (generally creates big calorie deficit, and significant water losses) with weight loss slowing thereafter. Even though lower GI-fruits and starches are non-calorie dense eating too much of these foods can bring weight loss to a stop. Enter the Zone Enter the Zone was created by Barry Sears, PhD. The plan suggests that every meal should be composed of 40% carbohydrate, 30% protein and 30% fat. The goal is to control insulin levels and prevent the overproduction of bad eicosanoids (group of compounds derived from polyunsaturated fatty acids that have several biologically important actions). Sears claims high GI (glycemic index) Index foods cause obesity. My thoughts: Enter the Zone There is no magic macronutrient percentage. People have done fine (weight loss and functionally) following diets that include a wide range of macronutrient percentages. The information regarding insulin is incomplete and mis-leading (refer to Atkins New Diet Revolution discussed earlier). Insulin has numerous roles in metabolism, but as mentioned earlier even when insulin levels are high if you are in a calorie deficit weight gain does not occur (3). Suggesting that the consumption of high GI- carbohydrates make you fat is incorrect (27,28). Most people find it difficult and time consuming to calculate the macro percentage of every meal The diet is generally nutritious. The diet also promotes the consumption of monounsaturated fatty acids, which can have numerous health benefits. Very Low Fat Diets VLF (very low fat) diets contain 10% or less fat, very high carbohydrates, and low5 moderate protein (3). Probably the most popular VLF diets are those promoted by Dr. Dean Ornish (Dr. Dean Ornish’s Program for Reversing Heart Disease), and Nathan and Robert Pritikin (The Pritikin Program). These diets were historically promoted to prevent or reverse heart disease. But as Americans became more obese and the demand for diet programs increased Ornish and Pritikin capitalized and changed their programs focus to weight loss. VLF diets are based primarily on vegetables, fruits, whole grains, and beans, with moderate quantities of egg whites, nonfat dairy or soy products, and small amounts of sugar and white flour. Ornish’s diet is vegetarian; Pritikin allows a limited amount of low-fat animal protein daily, which includes no more than 3.5 ounces of lean beef, fowl or fish. This suggestion ignores individual needs and requirements. Each plan includes a nutrition and exercise component; Ornish’s plan includes stress reduction and emotional support as well. Pritikin claims medications for heart disease, diabetes, and high blood pressure may be reduced or completely eliminated by following these plans. My thoughts: VLF Diets Overweight subjects who consume VLF diets on a regular basis eat fewer calories than they burn and they lose weight (9,10). Nutritional analysis of a VLF diet indicates that VLF diets are inadequate in vitamin E, B12, and zinc (3). Some VLF diets, based on poor food choices, may mean lower than recommended levels of other certain nutrients such as iron, phosphorous, and calcium. Other nutritional questions that occur when following a VLF is the uncertainty about compromised absorption of fat-soluble vitamins, and the impact of increased dietary fiber on the absorption of minerals. VLF diets that result in weight maintenance often cause increases in blood triglycerides and decreases in HDL levels. In general, with weight loss decreases in triglycerides and LDL (low-density lipoproteins, a.k.a. bad cholesterol) levels occur with no change in TC/HDL (total cholesterol/high density lipoproteins a.k.a. good cholesterol) ratios. VLF diets are often low in protein for athletes and active individuals. In general blood pressure, blood glucose and insulin is decreased when following VLF, high-fiber, calorie restricted diets (11,12). Most people following very low-fat diets will lose weight (especially if they follow the guidelines prescribed by Ornish and Pritikin). These diets do not provide optimal nutrition and the lack of dietary fat can lead to numerous problems. VLF advocates under emphasize the importance of fat in the diet and over emphasize fats role in obesity and health problems. UD2 Lyle McDonald created UD2. McDonald suggests if you are a male planning to follow the UD2 Diet you should have no more than 15% body fat, and if you are female you 6 should have no more than 22% bodyfat (13). The title of the book is a tribute to Duchaine and Zumpano’s original Ultimate Diet that was released in 1982. The book is an update to the same diet incorporating new findings about metabolism, fat loss and muscle gain. As with computers newer versions get new numbers thus we have 2.0. The diet has two parts: a catabolic/low-carbohydrate phase to maximize fat loss and an anabolic/high-carbohydrate phase to rebuild and gain muscle. Day 1 and 2 are both lowcarbohydrate days, coupled with high rep, short rest period workouts. Day 3 is nutritionally a repeat of Day 1 and 2. No weight training occurs on day 3. On Day 4 you will have both low and high-carbohydrate meals. Day 4 AM: During the day, you’re going to stay with your normal low-carbohydrate/low-calorie diet but you only get to consume 75% of the total calories that you were eating on days 1-3. Day 4 PM: Consume 25-30 grams of carbohydrate, with about 15 grams of whey before the workout (approximately 30-60 minutes before workout). The workout is a full body heavy duty/ high intensity workout. Following the workout on Day 4 the carb load begins, which lasts until bedtime on Day 5. Consume 7-8 grams of carbs/ lb of Lean body mass over this period. Day 6 perform a full body workout with heavy weights. Consume at least 1 meal before the workout with moderate protein and carbs. A carb intake of 2-2.5 g/lbm (lean body mass) is suggested for daily carb total. Day 7 is another day of rest. Carb ingestion is about 1-1.5 g/ lbm for daily total. The book gives the details on protein and fat intake as well. My thoughts: UD2 I used the diet a couple of years ago with great success. I have found that for some people the diet is difficult and its strict regimen is a turn off. This diet is not for sedentary individuals or beginning exercisers. Most of the bodybuilders and athletes I know that have used the diet have been pleased with the results. There are numerous ways to modify the diet. I don’t recommend this diet for people who have problems regulating glucose or insulin. Expect wide weight fluctuations with this plan. THE ANABOLIC DIET The idea with the Anabolic Diet is to carb-deplete during the weekdays, then carb-load on the weekends. This type of eating pattern is commonly referred to as a cyclical ketogenic diet, because your body is cycling in and out of ketosis-“metabolic state where ketone bodies have built up in the bloodstream to a point that the body changes its overall metabolism from one based primarily on carbohydrate to one based on fat” (29). This involves 5 days of eating high fat, high protein, low carb and 2 days of eating high carb, moderate fat, and low protein (14). Dr. Mauro Dipasquale created the Anabolic diet. Dipasquale is a former world-class power lifter who won the World championships in power lifting in 1976 and won the world games in 1981. 7 My thoughts: Anabolic Diet I used the diet in the late 90’s and lost a fair amount of weight initially. After about three weeks the weight loss stopped. I was eating too many calories on the weekend. Most of my clients who followed the diet got similar results. I used a multi-vitamin mineral and fiber supplement when following the diet. I think most people tend to go overboard and eat too much during the weekend carb load. I generally recommend 1 day for the all out eat feast. I also like to see more emphasis on comprehensive nutrition and fat type during the high fat phase. I recommend a fiber supplement (or non starchy vegetables), multi-vitamin mineral, and sometimes calcium supplementation when following the Anabolic Diet. If you have a problem with binge eating even one day of unstructured carb loading may not be a good idea. A more structured carb load may include placing a limit on how many carbs you consume and what type is consumed. This doesn’t mean you can’t eat your favorite carb treats it just means don’t go overboard. XDL Diet I am the founder of The XDL Diet. I am an author, exercise and nutrition consultant and founder of HNE Research Group. The XDL Diet is a short-term, calorie reduction, high protein, moderate fat, low carb diet that includes a scheduled carb spike (15). The diet also provides suggestions for manipulating water, potassium, and sodium intake. The diet is used when rapid weight loss is the objective (e.g. athletes need make weight, photo shoots, beach vacations, surgery etc.). Very low calories are ingested, 40-50% below maintenance level, for 6-7 days. The last 2-3 days of the diet the intake of water, potassium and sodium are manipulated. My thoughts: XDL Diet You can expect rapid weight loss when following the diet. To my knowledge the greatest amount of weight lost while following the diet is 28lbs. Extremely lean people (under 6%) have lost up to 12lbs while following the XDL Diet. The majority of weight loss is due to decreased water retention and loss of matter in the gastrointestinal tract. The diet works great for physique purposes. But does it work for general fitness enthusiasts and athletes who compete in other sports? It depends on the individual. In general the guidelines are too strict for general fitness enthusiasts. And some athletes notice a decrease in performance when following the XDL Diet. The diet was not created to enhance performance, or for long-term weight maintenance or loss. I have seen more than a few people follow the XDL Diet and lose a bunch of weight only to rebound and gain more weight than they lost. I generally recommend sedentary individuals or recreational exercisers take a moderate approach to weight loss. 8 MCLL (multiple carbohydrate leverage loading) Multiple Carbohydrate Leverage Loading was developed for the bodybuilder seeking maximum muscle mass. Negrita Jayde developed MCLL. This diet involves specifically arranging carbohydrates in your eating regimen to achieve muscle gain. Jayde says this diet sets up the ultimate environment for growth. With the M.C.L.L diet, you arrange your meals so you consume two complex carbs, two simple carbs, and a metabolic optimizer drink with each meal. The simple carbs are a source of immediate energy, while the complex carbs are a source of prolonged energy. The metabolic optimizer drink contains a shorter chain structure than the complex carbs, but a longer structure than the simple carbs, thus and intermediate source of energy. According to Jayde, you will have continued release of energy throughout the day. You will consume 6 meals per day while on this diet. The recommended foods are non-calorie dense and highly nutritious. M.C.L.L. Benefits (16) * Increased Energy * Your pumps will be extraordinary * Your measurements will increase * You will gain weigh rapidly * Recovery time will be quicker after workouts * Metabolism increases * You will experience strength gains *Your body heat will elevate M.C.L.L makes sure carbohydrates are being supplied to the body. *Water retention in muscle cells will be high. During this diet, carbs will cause your body to load up on water. The water retention results in better leverage for the working muscle says Jayde. She further suggests strength will increase greatly with the aid of the leverage advantage. The diet recommends you use specific supplements to enhance its effectiveness including a digestive enzyme with every meal, 4-6 grams of vitamin C daily, B-complex vitamin daily and 5 Amino Acids. before your workout and 5 after your workout. My thoughts: MCLL I gained weight really fast with this diet, but I looked bloated and didn’t feel very good most of the time. I had a hard time eating all of the food. When trying to eat a sufficient amount of calories to gain mass from low calorie foods it becomes a chore. I had a few clients who actually looked great and felt good while following the diet (very lean individuals). After following the diet for a while they became frustrated with the large quantity of food required and had to make adjustments (substituting some higher calorie foods for some of low calorie carb foods). I don’t agree with the supplement suggestions. 9 There is no evidence to indicate the need for the high levels suggested. I would not recommend this diet for individuals with insulin, hypertrigleridemia or blood glucose problems. If you function well with a high carbohydrate diet, and enjoy frequent meals you will probably enjoy this diet assuming you make a few food adjustments. If you respond well to low carb diets this diet probably isn’t for you. In general people that respond well to low carb diets don’t do very well on high carb diets and vice versa. This topic is further discussed in a paper by Blundell and Cooling- High-fat and low-fat (behavioural) phenotypes: biology or environment (17). Mediterranean Diet It is a misnomer to refer to a specific diet as the "Mediterranean Diet” as there are numerous countries that border the Mediterranean Sea. Diets vary between these countries and also between regions within a country. Many differences in culture, ethnic background, religion, economy and agricultural production leads to different diets. Walter C. Willet, MD, professor of nutrition and epidemiology at the Harvard School of Public Health, in Boston, Mass, often gets credit for popularizing the Mediterranean Diet in the Western World. Characteristics of Mediterranean Diet (1) High consumption of fruits, vegetables, bread and other cereals, potatoes, beans, nuts and seeds Olive oil is an important monounsaturated fat source More than half the fat calories in a Mediterranean diet come from monounsaturated fats (mainly from olive oil) Dairy products, fish and poultry are consumed in low to moderate amounts, and little red meat is eaten Eggs are consumed zero to four times a week Wine is consumed in low to moderate amounts My thoughts: Mediterranean Diet The diet is relatively easy to follow. Scientific research supports the diet’s health benefits (18). “Most of the data supporting this diet is epidemiological/population-based” (1). This type of data does not determine cause but shows correlation between variables. I like the fruit, vegetable, legumes and nuts recommendations. Grains are good for some people and not so good for others namely those suffering from Celiac Sprue. Celiac 10 Sprue is a hereditary disorder caused by sensitivity to the gliadin fraction of gluten, a protein found in wheat, and also used in commercial soups, sauces, ice creams and hot dogs. For active individuals (particularly strength and power athletes) the Mediterranean Diet’s protein recommendations are probably too low. I like the diet’s suggestion of using extra virgin olive oil, which I use in the majority of my diet plans. Eat Right for Your Type Peter D’Adamo, a naturopathic physician, created Eat Right for Your Type. According to D’Adamo the body’s reaction to lectins (any of several plant glycoproteins that act like specific antibodies but are not antibodies in that they are not evoked by an antigenic stimulus) in foods determines the best diet for that person, specific blood types require specific diets and certain types of exercise (2). From Aragon’s book Girth Control (1) “Type O should eat meat and avoid wheat & most other grains, and do vigorous aerobic activity – or ulcers and inflammatory/arthritic conditions may occur. Type A needs a vegetarian diet low in fat, plus gentle exercise like yoga or golf – or cancer and heart disease may occur. Type B can have the most variation, and is the only one that can have dairy. Moderate exercise like swimming and walking is best for type B, who may be prone to slow-growing viruses that attack the nervous system. Type AB has most of the benefits and intolerances of A & B, and requires calming exercises and relaxation techniques in order to boost immunity” My thoughts: Eat Right for Your Type Science does not validate the claims made by this diet. I have never seen any evidence to supports D’Adamo’s claims. In fact, science refutes D’Adamo’s claims. Lectins are mostly destroyed by cooking and stomach acids. Harvey Klein, MD, Chief of the Department of Transfusion Medicine, NIH, says, “We know of no food that attacks and agglutinates blood cells after you ingest it.” (30). No need to worry about your blood type when choosing a diet. The Grappler’s Guide to Sports Nutrition The Grapplers Guide to Sports Nutrition was written by John Berardi and Michael Fry (19). Supplement recommendations, basic nutrition, sample meal plans, case studies, making weight suggestions and mental preparation are discussed in the book. The eating plans are basically derived from bodybuilding and suggest very clean eating (highly nutritious eating) The 90% rule, eating clean and from the food charts provided 90% of time, is also recommended. The basic concept of nutrient timing is explained. Nutrient timing is a system of exercise nutrition that allows you to build lean muscle and more strength in less time than ever before (20). 11 My thoughts: The Grappler’s Guide to Sports Nutrition The book gives some good basic information concerning nutrition. The eating plan suggested is highly nutritious. The cutting plan mentioned is good for the most part (some of the particulars I don’t agree with). The book makes some statements that are scientifically incorrect example, “Glucagon is responsible for greater fat movement out of fat cells”. Glucagon, a hormone synthesized and secreted by the pancreas, stimulates the breakdown of glucose stored in the liver- glyconeolysis, and activates the production of glucose from non-carbohydrate sources- gluconeogenesis (8, 21). Glucagon directly affects liver metabolism not fat cell metabolism. The book says “Athletes should never fear calories; they simply need to choose the right calories”. This statement is true if you don’t care about getting fat. No matter what types of calories you consume if you eat too many you will get fat. Look at Sumo Wrestlers; they eat very clean compared to most people. The book says “Using the strategies laid out in this book (the 10 habits, workout nutrition, energy balance, nutrient timing, etc) enter into your competitive season within 10lbs of your ideal competition weight.“ This is a blanket statement than has little applicability to the real world. There is a big difference between 10lbs on a 132lb fighter and 10lbs on a 232lb fighter. I think a percentage of bodyweight recommendation would be more beneficial and applicable to a wider range of athletes. The book also overemphasizes the need for supplements. Get Skinny on Fabulous Foods Actress Susanne Somers is the author of this book. Somers suggests that protein is great, insulin is the ultimate cause of obesity, and sugar is evil. My thoughts: Get Skinny of Fabulous Foods I can’t see any benefits in reading this book. The book is loaded with incorrect statements including: when proteins and carbohydrates are digested together, their enzymes "cancel each other out," halting the digestion process and causing weight gain. If they weren’t digested this would prevent weight gain as calories would not be absorbed from the food. The body contains enzymes that act on protein, carbohydrates and fat this doesn’t change when they are eaten together. This book is a classic example of nonscience pretending to be science. Yet, due to Somers celebrity appeal thousands of these books have been sold. Nutrisystem Nutrisystem claims they have discovered a revolutionary weight loss program that's rich in good carbohydrates, while still low in fat. Due to their break through discovery you get the glycemic advantage and get to eat delicious foods while you lose weight. According to Nutrisystem the glycemic advantage basically separates good from bad carbs and blames insulin spikes for obesity. Good carbs rate low on the glycemic index and bad 12 carbs rate high on the glycemic index according to Nutrisystem. The company sales food products and offers various programs. Their programs include: Women’s Program, Silver for Women, Men’s Program, Silver for Men, Type 2 diabetic Program, AllVegetarian Program, Nutrisystem Select, and Nutrisystem Flex. The programs include meal plans, food delivered to your door, weight loss coach, free body assessment, and free food offers (23). My thoughts: Nutrisystem Nutrisystem mis-represents the glycemic index. Nowhere in the glycemic index (GI) does it make a distinction between good low-glycemic index and bad-high glycemic index carbs. It is a mistake to judge a carbohydrates nutritional value by where it rates on the GI index. A white potato is highly nutritious yet rates high on the GI Index. Nutrisystem says the Glycemic Index is a new revolutionary break through. In reality, in 1981 “Professors David Jenkins and Tom Wolever at the University of Toronto were the first to introduce the term glycemic index to compare he ability of different carbohydrates to raise blood-glucose levels. The glycemic index is simply a numerical was of describing how the carbohydrates in individual foods affect blood-glucose levels” (22). Nutrisystem commercials give the impression that no matter how many low GI carbs you consume you won’t get fat. Facts of the matter are if you eat too many low GI carbs you will gain weight. Traditional Bodybuilder Diet With this diet, you need to eat 5–6 times per day. You eat a lean protein and carbohydrate with each meal (from whole food source), stay away from dirty foods (bodybuilder word that generally means highly processed, low nutritional value, calorie dense food), drink plenty of water, and take a boatload of supplements. My thoughts: The traditional bodybuilder diet I followed this diet for years using numerous variations. The high meal frequency didn’t really bother me, but as I became busy with other projects, the high meal frequency became inconvenient. I decided to do some research on meal frequency. I could not find any evidence that eating 5-6 times was more beneficial than eating 3 times. What a relief. Many years ago I advised my clients to eat 5-6 times per day. Currently I suggest that my clients eat anywhere from 3-5 times per day, whatever is convenient. Eating clean is overemphasized with this diet. You don’t have to eat clean all the time to lose weight. An occasional treat can provide you with a big psychological boost and in some cases increase the chances that you will stick to the eating plan. For some people the occasional treat must be approached with caution as this can lead to a binge. The Traditional Bodybuilder Diet places too much emphasis on supplementation. The type and quantity of supplements used depends on the individual. If you follow the 13 recommendations of this diet you spend hundreds of dollars per month on supplements. Those who promote the Traditional Bodybuilder Diet usually comment on how they got lean or big when following the diet. This happened because of calorie manipulation not because of the diet’s magic metabolic effects. Body for Life Bill Phillips, a former amateur bodybuilder and the founder of EAS supplements and Muscle Media magazine, created Body for Life (24). Phillips suggests a 12-week program to “build your best body ever”. The program incorporates intense training and a diet similar to the Traditional Bodybuilder Diet. My thoughts: Body for Life The diet is nutritious and emphasizes a sensible exercise program. It has worked well for many people and has motivated them to make positive changes in their lives. However, I think supplements are overemphasized and insulin’s role in obesity is over emphasized. Insulin’s role in obesity is often misunderstood (refer to Atkin’s New Diet Revolution) as I mentioned earlier. How many bodybuilding gurus do you think are aware of the effects that insulin has on the central nervous system? It actually leads to decreased food intake. How many can actually explain insulin’s role in comprehensive metabolism? To reiterate insulin does not cause obesity. This will be discussed in detail later in the book. Dr. Phil’s Ultimate Weight Solution Phillip McGraw, PhD, popularly known as Dr. Phil, is the author of The Ultimate Weight Solution: The 7 Keys to Weight Loss Freedom. The seven keys of Dr. Phil’s diet plan are: 1) Correct thinking: Understanding what you think about yourself and your weight 2) Healing feelings: Your emotional state is tied to food 3) A no-fail environment: What and who is at your dining table influences your eating habits 4) Mastery over food and impulse eating: Know what your food triggers are 5) High response cost, high yield nutrition: No junk food 6) Intentional exercise: Reasonable physical activity 7) Your circle of support: Surrounding yourself with people who care about you In the book, there is a detailed chapter dedicated to each of the keys mentioned above. Dr. Phil guarantees permanent weight loss and a healthier lifestyle by instituting the 14 appropriate changes. My thoughts: Dr. Phil’s Ultimate Weight Solution The book has some good ideas related to behavior modification and its effect on eating habits, and it promotes long-term changes in eating behaviors. Dr. Phil promotes a line of supplements by CSA Nutraceuticals. Promotion of a specific product line automatically creates a conflict of interest. And this type of promotion leads to questioning of Dr. Phil’s objectivity. Dr. Phil makes some nutritional claims related to body type that are not supported by science. If you need help with the psychological side of dieting, this diet may be for you. If you are looking for unbiased, valid, scientific information, this diet is not for you. Anabolic Burst Cycling of Diet and Exercise (ABCDE) Anabolic burst cycling of diet and exercise (ABCDE) is a bodybuilding nutrition theory developed by Torbjorn Akerfeldt. The key concept with this diet is alternating between phases of overfeeding and underfeeding. You overfeed the body for two weeks and then diet for two weeks. During the overfeeding phase, a calorie intake equating to twelve times your body weight plus 1500 calories is recommended. If you’re not gaining weight, add more calories. During the underfeeding phase, a caloric intake of eight times your body weight is recommended. The exercise protocol is alternated with different prescriptions for each phase. Heavy, intense weight training is performed with no aerobic exercise during the overfeeding phase. During the underfeeding phase aerobic exercise in the fasted state with weight training three times per week (three sets 8–12 reps) is suggested. Akerfeldt recommends supplementing with creatine, HMB, glutamine, vitamin C, and chromium. My thoughts: ABCDE Due to popular demand and numerous questions I have received, I included the ABCDE diet in this book. Since this diet was first introduced, a wide array of variations has been introduced. I first discovered this diet in the late 1990s when I read Bill Phillips’ Sports Supplement Review (24). Phillips did an extensive interview in the book with the diet’s founder, Torbjorn Akerfeldt. I think that interview introduced many people to the ABCDE diet. If you monitor your weight closely and regulate your calories, this can be a good diet for body composition. The problem is most of the people I have seen use this diet structure it very loosely and don’t really manipulate their calories the way the diet suggests. They eat too much during the overfeeding phase and cut the underfeeding phase short. The net effect is a huge increase in fat gain. Through trial and error I have came up with a modified version that has proven successful for myself and a few of my clients. 15 Modified ABCDE general guidelines In the overfeeding phase, consume 18 calories per pound of body weight. In the underfeeding phase, consume 8–10 calories per pound of body weight. Both the overfeeding phase and the underfeeding phase should last 4–10 days. The overfeeding phase and the underfeeding phase have too many variations to list. Supplement with fish oils, multivitamin minerals, protein powder, fiber supplements (if needed), and yohimbe supplement (if needed). I have found that most general fitness enthusiasts find it easier to make the transition to the underfeeding phase after a short overfeeding phase. With competitive bodybuilders, it doesn’t seem to matter whether the overfeeding phase is short or long. Generally speaking they do not have a problem returning to the underfeeding phase. The supplement suggestions made by Akerfeld are excessive and probably had more to do with boosting EAS supplement sales than scientific findings. Weight Watchers Weight Watchers is a moderate fat, balanced nutrient reduction diet. Weight Watchers says (25) “Weight Watchers developed the "four pillars of healthy weight loss" based on years of scientific research and analysis. And our 45 years of experience helping people lose weight has taught us that each element is equally important. “ Weight Watchers offers workout programs, meal plans, pre-packaged foods, free recipes, exercise video demos and a free weekly email newsletter. Weight Watchers provides a wide variety of food choices to the consumer, to allow adequate nutrition, and slow but steady weight loss. Weight Watchers advocates adhere to the idea that weight loss occurs when the body burns more calories than it takes in- negative energy balance. Calories are generally reduced 500-1000 below maintenance levels, but a minimum level of daily calories are also recommended. The program suggests moderate levels of exercise. My thoughts: Weight Watchers Freedman et. al. (3) found that moderate-fat, balanced nutrient reduction diets reduce LDL-cholesterol (a.k.a bad cholesterol), normalize plasma triglycerides, and normalize the ratio of HDL/TC (a.k.a. good cholesterol/total cholesterol). The program suggests sensible eating and exercise patterns, and is relatively easy to follow. The variety offered by Weight Watchers is appealing to most consumers. The moderate approach taken by Weight Watchers has proven successful for over four decades. I have known people that struggled with other diets, but found their calling when they discovered Weight Watchers. For the majority of consumers Weight Watchers is a good choice. But Weight Watchers is not the best choice if you are looking for rapid weight loss and a specific eating plan. 16 Jenny Craig Jenny Craig is a moderate fat, balanced nutrient reduction diet. Jenny Craig addresses Food, Body and Mind, areas critical to weight loss, accoridng to Jenny Craig. “Jenny Craig is more than just a diet. Our unique approach will help you achieve your weight loss goals - and you'll learn to make healthy lifestyle changes so you can keep the weight off.” (26). Jenny Craig offers prepackaged meals, diet plans & menus, personal consultations, personalized activity plan, and e-tools including progress tracker, journal, and menu planner. My thoughts: Jenny Craig Jenny Craig is very similar to Weight Watchers. The program emphasizes food variety, slow weight loss, a personal consultant and moderate activity. It is great for individuals who prefer moderation. And it provides users with balanced nutrition. Jenny Craig is not suitable for people that prefer rapid weight loss and specific eating plans. The Fat Burning Diet Jay Robb created the Fat Burning Diet (31). It has had a huge influence on how many bodybuilders approach nutrition. The eating plan involves super clean eating, frequent feedings, and one free meal per week that is 60 minutes in duration. Robb promotes the consumption of fats, proteins, and carbohydrates at each meal. Carbohydrates are limited to control the release of insulin into the bloodstream. According to Robb, the diet is so easy anyone can follow it. Menus are provided for vegetarians, bodybuilders, endurance athletes, diabetics, and hypoglycemics. In addition Robb provides fat loss tips, food charts and basic biochemistry information. My thoughts: The Fat Burning Diet I like the comprehensive food charts in the book. If you follow the diets guidelines you will create a calorie deficit and lose weight. But the book also has some major pitfalls including the overemphasis on meal frequency- suggests meals every 2-3 hours; it misrepresents insulin & glucagon and overemphasizes the magic macronutrient percentage. The book offers no scientific references or explanations for the many of the suggestions. When Robb attempts to explain the science behind his statements, he is incorrect most of the time. I think the book would have been better if Robb didn’t dabble into the scientific jargon. If you are interested in the scientific aspect of nutrition and finding the mechanisms responsible for fat loss, this book is not for you. If you have no interest in the science of nutrition and are simply interested in following a detailed plan that will result in fat loss, you might enjoy this book. As I mentioned above, the foods suggested are highly nutritious, and the food chart is a good reference. 17 Natural Hormonal Enhancement Rob Faigin created Natural Hormonal Enhancement (32). There are two versions of the Natural Hormonal Enhancement eating plan—the general version and the bodybuilders’ version. The general eating plan is recommended for overweight people, health enthusiasts, and athletes with a primary goal of minimizing body fat (higher priority than maximizing muscle mass). The physique goal of the general plan is to maximize fat loss while minimizing or enhancing muscle mass. The bodybuilders’ version is recommended for bodybuilders/healthy athletes who are primarily interested in building as much lean mass as possible. Faigin says that the shift from sugar burning to fat burning is achieved during the first seven days of the eating plan. During the first seven days, focus on eating meat, cheese, eggs, cottage cheese, and as much fat as you want. Faigin says that fat will facilitate the metabolic shift to fat burning and will reduce cravings. The key factor in the first seven days is limiting your carbs to fewer than 20 grams per day. After you have made the metabolic shift, you will begin macronutrient cycling. Fats stay constant while protein and carbohydrates are inversely cycled. Protein intake is high while carbohydrate intake is low and vice versa. The period of carbohydrate restriction is referred to as the down cycle. The meals in the down cycle are called standard fat burning meals. The carbohydrate up-cycle consists of the carb-loading meals. The diet suggests specific types of foods and a high carbohydrate pig-out meal. During a carb-loading meal, there is no prescribed carbohydrate limit, but there is a limit for protein and fat at these meals (20 grams each). Women should aim for a minimum of 40 grams of active carbohydrates (active carbohydrate= total carbohydrate - dietary fiber) in this meal, and men should consume a minimum of 60 grams of active carbohydrates. My thoughts: Natural Hormonal Enhancement If you follow the diet you will create a calorie deficit and lose weight. The diet is relatively easy to follow if you don’t mind low carbs. If you don’t do well with low carbs, avoid the diet. Faigin attempts to give scientific explanations for his diet although he fails in most cases. For example he says, “Dietary fat is not only helpful but is necessary for shedding body fat and improving your body composition.” This statement is incorrect. You don’t have to eat fat to lose bodyfat. Fat burning is determined indirectly by alcohol and carbohydrate consumption. The consumption of alcohol will almost completely inhibit the body’s ability to burn fat for fuel while carbohydrate intake also decreases fat burning. The greatest rates of fat burning will occur when carbohydrate and alcohol consumption are limited. An example of another explanation gone bad “Calorie counting fluids have no place in the diet of someone striving for optimal fitness and health.” In other words if your drinks contain calories you can’t obtain optimal fitness levels. Wow! I would love to see evidence to support that statement. 18 The Velocity Diet Chris Shugart, T-Nation writer, created the Velocity Diet. The diet’s key points include: • Low calorie consumption • High protein consumption (at least one gram of protein per pound of body weight per day) • Low carbohydrate consumption (never go over 100 carbs per day; more on weight training days, less on non-weight training days) • Adequate fiber including milled flax seeds, maybe some guar gum, or additional supplemental fiber thrown in if needed • Solid meal once per week (meal includes oatmeal and berries) • Tons of supplements made by Biotest • A blend of healthy fats including milled flax seeds and fish oil capsules My thoughts: The Velocity Diet This is another version of a high protein, low carb ketogenic diet. The huge reliance on supplements (diet suggests even more than the traditional bodybuilder diet) and minimal consumption of solid foods separates this diet from most other low carb diets. If you follow this low calorie diet, you can expect a big weight loss. If you decide to try this diet, there’s no reason why you should exclusively use Biotest supplements. Other brands of supplements will work just fine. Shangri-La Diet Seth Roberts, an associate professor of psychology at the University of California at Berkeley, created the Shangri-La Diet .He is known for promoting self-experimentation to generate hypotheses and testing the hypotheses generated. In other words, he uses himself as a human guinea pig. Roberts developed the Shangri-La diet using this technique. Shangri-La is a fictional place described in the 1933 novel Lost Horizon by British author James Hilton. It has become synonymous with any earthly paradise, particularly a mythical Himalayan utopia, or a permanently happy land isolated from the outside world (33). Roberts sums up the Shangri-La Diet “It’s a diet where you drink either flavorless oil or sugar water between meals. And it’s really that simple. I came up with it through a long process of reading the scientific literature about weight control as well as selfexperimentation and, trying out different diets. They meshed together because I came up with some interesting things by self-experimentation, and then I came up with a theory 19 that explained those interesting things in a way that conventional ideas did not. And the final step was that I got lucky. Something unusual happened. And it led me to the discovery that sugar water between meals was a very potent way of losing weight. That’s not something that conventional ideas about weight loss encompass. Of course, many mothers have understood the idea that if children eat sweets they will spoil their appetite” (34). Roberts believes consuming flavorless oil or sugar water decreases appetite, which leads to eating less calories. He says he generally eats between 1000-1500 calories per day, and gets most of his calories from fruits and vegetables, and some from meat and whole grains. My thoughts: Shangri-La Diet If drinking flavorless oil and sugar water significantly decreases your appetite to a point that you only consume 1000-1500 calories you will probably drop weight. There are very few people that would not lose weight consuming that amount of calories. I would suspect the appetite suppressing effects of flavorless oil and sugar water would vary depending on the individual. I doubt if many people will stick to this diet long term. Maple Syrup Diet The maple syrup diet, also known as the lemonade diet or the master cleanse, has been around since the 1970s. The diet was originally popularized in a book titled The Master Cleanser by Stanley Burroughs (35). The diet claims to be a way to cleanse the body of toxins and remove cravings associated with junk food, drugs, alcohol, tobacco, tea, coffee and various cola drinks. The diet involves drinking only lemonade made from fresh lemon juice, purified water, maple syrup, and cayenne pepper. No solid food is eaten. It is recommended that diet be followed for a minimum of 10 days but some people stay on the cleanse for up to 45 days. In recent years the diet has regained popularity thanks to singer/actress, Beyonce Knowles, who used the diet to lose pounds quickly for her role in the movie Dreamgirls and the 2004 publication of Peter Glickman’s Lose Weight, Have More Energy and Be Happier in Ten Days (36). My thoughts: Maple Syrup Diet The Maple Syrup Diet is a modified fast that allows you to drop weight quickly. If you can stick to this ultra low calorie diet, most other diets should be a breeze. Very few people will stick with this eating plan. The diet is nutrient deficient and isn’t for people concerned with athletic performance or a high level of cognitive functioning. No S Diet The “No S diet” was created by Reinhard Engels, who took great pains to note that he is not a health professional of any kind and should not be considered responsible for any negative outcomes by anyone who might take his diet to heart and follow it religiously. 20 The basics of the diet are: • No snacks: They’re mostly composed of fats and/or sugars—a no brainer. • No sweets: Actually, you’re allowed to dive off the wagon on weekends and holidays, but even so, there’s no more concentrated form of calories or more efficient way to limit them. • No seconds: One plate load per meal, that’s it. Because come on, look in the mirror…you don’t need it. • The “S days” exception: You can abandon the diet on Saturdays, Sundays, and Special Days (major holidays, birthdays, weddings, making parole, etc.). My thoughts: No S Diet Engels has some fairly good non-complicated suggestions. Will following these guidelines lead to weight loss? Some people will lose weight while others will not. Beware of the “S” days. If you have a huge appetite and are a binge eater try to practice at least some restraint on these days. The 5 Factor Diet Harley Pasternak is the creator of the 5 Factor Diet. He holds a masters of science in exercise physiology and nutritional sciences from the University of Toronto. Pasternak has trained a number of celebrities and has appeared on numerous talk shows. Pasternak originally created the diet to meet the specific needs of celebrities. He was challenged to create short workouts for actors that he was training during their short breaks on movie sets. He also needed to create healthy meals within a short timeframe; using simple ingredients that could fit in the mini fridge on a set (37). Diet Guidelines • Five-week plan: This plan is designed to give you results in five weeks • Five meals a day • Five ingredient meals: Recipes that use only five ingredients and take only five minutes to prepare. • Twenty-five minute workouts • Five cheat days in five weeks: Pasternak says taking a diet break one day a week can empower you. 21 My thoughts: The 5 Factor Diet Numerous celebrities have endorsed the 5 Factor Diet and that almost guarantees high sales. The diet promotes a sensible exercise program. The diet plan is a little impractical. Pasternak claims that eating five meals per day will enhance weight loss and decrease hunger. Evidence does not support these claims. Why five ingredients and five minutes? Sounds complicated for a diet that was designed with convenience in mind. The Best Life Diet Bob Greene is the creator of The Best Life Diet. Greene is best known as Oprah Winfrey’s fitness and nutrition coach. He also co-authored a book with Oprah in 1996 titled Make the Connection: Ten Steps To A Better Body—And A Better Life. The Best Life Diet offers a three-phase program geared toward helping dieters gradually eat “healthier” and increase physical activity (38). Greene doesn’t like to refer to his program as a diet. Instead, he considers it “a way of life.” He feels that the word “diet” scares people. My thoughts: The Best Life Diet The website’s homepage features a forward by Oprah Winfrey. If Oprah writes a forward for any product, you can bet on it being a bestseller. Greene’s program is based around exercise, balanced nutrition eating regimens, and long-term changes in lifestyle. This diet appeals well to the masses, and if used correctly, will result in moderate weight changes. The Sonoma Diet Dr. Connie Guttersen created The Sonoma Diet. It is based on the Mediterranean Diet and gets its name from Sonoma County, California, a place the author refers to as “a paradise of healthy eating and active lifestyles.” According to Gutterson, this diet is about celebration, not deprivation (39). She goes on to say, “With the Sonoma diet, you don’t lose weight by avoiding foods. Instead, you lose weight by enjoying satisfying amounts of some of the best foods on the planet.” Guttersen doesn’t like the word “diet food.” She prefers wholesome, fresh, and delicious every day foods that are easy to find and easy to prepare. The Sonoma diet is divided into three different waves. In the first wave (the first ten days), you learn how to change eating habits. In the second wave, weight changes will come slower but occur at a steady pace. You stay in the second wave until you reach your target weight. Phase three is the maintenance phase of the diet. The website offers a wine list and a cookbook in addition to the diet book. 22 My thoughts: The Sonoma Diet The diet promotes balanced nutrition, and users can choose from a wide range of foods. It is basically a modified Mediterranean type diet. The meal preparation times are relatively long, making the diet inconvenient for busy people. Skinny Bitch Rory Freedman and Kim Barnouin created Skinny Bitch. Rory Freedman, is a former agent for Ford Models, Kim Barnouin is a former model that holds a Masters of Science degree in Holistic Nutrition (40). Skinny Bitch is an international bestseller and a #1 New York Times bestseller. From Skinny Bitch website “If you can't take one more day of self-loathing, you're ready to hear the truth: You cannot keep shoveling the same crap into your mouth every day and expect to lose weight.” Diet Guidelines (41) Ban all sugar and artificial sweeteners. According to the authors, consuming artificial sweeteners makes you crave sweets, while the real thing makes you fat. When you crave sweets eat fruit. Enjoy brown rice, whole grains and whole-wheat pasta but avoid white flour products Become a vegetarian. Meats are banned Use soy products instead of dairy, no dairy permitted Nuts, water, green tea, organic red wine, and tofu are fine My thoughts: Skinny Bitch Skinny Bitch is based on nonsensical, non-scientific, irrational ideas and may cause nutrient deficiencies. Some of the nonsense includes: Banning of sugars. My first question is what type of sugar? There is more than one type of sugar; sugars include glucose, sucrose, fructose, galactose, maltose, lactose and a few others. They are probably referring to sucrose, often referred to as table sugar. To avoid sugar Skinny Bitch recommends eating fruit. Wait a minute, fruit contains sucrose, but isn’t natural sugar better than synthetic? Natural is always better is a common misperception. You may be surprised when I tell you the World’s Most Dangerous Toxins are all natural and “synthetic chemicals are no more likely to be toxic than natural ones” (42). “Surwit reported a reduction in TG (triglyceride) levels even after overweight women were fed a high sucrose but reduced calorie diet (1553 kcal/day) for 23 12 weeks, indicating that high sucrose is not a problem in the presence of a low fat, low calorie diet.” (3). Meats are banned. Skinny Bitch suggests that eating meat makes you fat. I wonder how the authors explain the results of thousands who have lost weight eating almost nothing but meat, or the shredded bodybuilder who eats two or more pounds of meat per day. How do they explain the scientific research studies that indicate drastic weight loss while following high fat high protein diets, containing mostly meats (2,3)? Despite the books poor contents it has catapulted to an International Best Seller. Which is not surprising considering the book’s fancy rhetoric and targeted audience. The authors shock methods and in your face attitude has proven a successful marketing strategy. If you like books with sometimes catchy phrases, and high-octane attitude give it a read. If you are looking for a book about nutrition look elsewhere. Bodyopus The late Dan Duchaine created this diet. Bodyopus is a seven-day cyclic regimen that incorporates five days of low calorie and very low carbohydrate intake coupled with two days of high carbohydrate and moderately high calories. The following is an excerpt from BodyOpus by Dan Duchaine (43). “Sunday: Begins at 6:00 pm. Eliminate all carbohydrate foods. Monday: Today’s menu consists of no carbohydrates, moderate protein, and high fat. This is a weightlifting workout day.” My comment: Dan’s terminology is incorrect here because he meant weight training. Weightlifting refers to the clean and jerk and snatch. “Tuesday: Nutritionally, Tuesday is exactly the same as Monday. Finish the other half of the body during the weight workout. Wednesday: Nutritionally, Wednesday is a repetition of Monday and Tuesday. This is a non-weight training day, but any reasonable amount of aerobics is fine. Thursday: Thursday is another boring day with the same diet as Monday. Friday: This is the pain/pleasure day. In the morning, you will still follow the nocarbohydrate regimen. By mid- afternoon, you can eat 100 to 200 calories of carbohydrates, just enough to raise the blood sugar out of ketosis. In late afternoon or early evening, do the grand depletion workout, and the high carbohydrate, supercompensation feedings begin. 24 Saturday: Continue glycogen loading. Don’t workout at all. Sunday: Continue glycogen loading. The last carbohydrate meal is between 4:00 pm and 6:00 pm. Eliminate carbohydrates from 6:00 pm on. Again, don’t work out today.” Basics of Workout “Monday: Abs, chest, shoulders, traps, triceps Tuesday: Back, biceps, legs, calves Friday: Whole body in one workout The carb load stage (referred to as the recomposition period) of the diet consists of two stages. Each stage consists of substages of four meals each. You eat every two hours, even when you would normally be sleeping. The types of carbs consumed in stage one (initial 24 hours) are glucose, glucose polymers, and starches. The types of carbs consumed in stage two (25 to 48 hours) are mixed but are primarily starches.” My thoughts: Bodyopus I have never tried the diet. I don’t like the idea of getting up throughout the night to eat or the strict recommendations regarding specific types of carbs. I have conducted numerous quasi-experiments with myself and other trainees, and I have seen minimal to no difference in appearance, when comparing results of diets that vary in carb type (assuming the same amount of carbs and equal caloric intakes). I know one person who followed the diet exactly the way Duchaine recommends. He looked good, but he still lost the show and didn’t look any better than he did at previous shows. Since then, I have seen him look much better using other diet regimens. I think there are very few people who will actually follow this diet. Intermittent fasting The benefits of intermittent fasting may include increased insulin sensitivity, enhanced blood glucose clearance, improved blood lipid profile, increased performance, improvements in body composition, and improved convenience. What is intermittent fasting? Many types of intermittent fasting exist. For example, during Ramadan, Muslims fast through the daylight hours for a month. The duration of restricted food and beverage intake is approximately 12 hours per day. Many physiological and psychological changes are observed during Ramadan. In a study conducted by Aksungar and colleagues (44) serum total cholesterol, triglycerides, high-density lipoprotein (HDL), lowdensity lipoprotein (LDL), prothrombin time, activated partial thromboplastin time (aPTT), plasma fibrinogen, D-dimer, and 25 homocysteine levels were measured in 24 healthy, fasting volunteers (12 females, 12 males) aged 21–35 years. Venous blood samples were taken one week before Ramadan, on the 21st day of Ramadan, and 20 days after Ramadan. The researchers concluded that intermittent fasting led to some beneficial changes in serum HDL, plasma homocysteine levels, and coagulation status. A study by Halberg and colleagues (45) looked at intermittent fasting in eight healthy young men. The men were subjected to intermittent fasting every second day for 20 hours for 15 days. Intermittent fasting increased insulin-mediated glucose uptake rates. After the 20-hour fasting periods, plasma adiponectin was increased compared with the basal levels before and after the intervention. The researchers suggested that the rise in adiponectin was at least partially responsible for increases in insulin sensitivity. Stote and colleagues (46) looked at three meals per days versus one meal per day at maintenance calorie levels. The one meal per day group had increased total cholesterol, LDL, and HDL; increased hunger; loss of fat mass; increased blood pressure; and decreased cortisol. Past studies have shown decreased blood pressure and increased cortisol levels when consuming one meal per day. The differences in blood pressure and cortisol between the groups in this study were probably due to diurnal variations. Blood measurements were taken in the morning with the three meals per day group and in the late evening with the one meal per day group. With normal diurnal (daily) variations, cortisol is higher in the morning and lower in the evening. With blood pressure, higher levels are seen in the evening with lower levels occurring in the morning. I don’t know why they took measurements at different times for the two groups. Another popular type of intermittent fasting among athletes is the one promoted by Martin Berkhan (also known as “Work”). Berkhan’s method is designed to promote lean gains and fat loss. The following information regarding this method of fasting was contributed by Berkhan: Intermittent fasting: Guidelines for lean gains and fat loss “Intermittent fasting involves a period of fasting followed by a period of feeding. Studies on intermittent fasting and human subjects have shown positive effects on health indicators, including insulin sensitivity. These studies often involve long periods of food deprivation followed by a very large meal. One example is a 24-hour fast followed by eating the daily calorie allotment in one meal. By doing this, the test subjects lost more body fat and actually gained lean mass in comparison to a regular meal pattern. Keep in mind that these individuals were not even lifting weights in the first place. This suggests that the one meal a day eating pattern had positive effects on body composition, possibly by impacting the hormones or gene expression. However, I feel strongly that such extreme measures are not needed in order to reap the benefits of intermittent fasting for 26 those wishing to improve their body composition. The intermittent fasting protocol for lean gains and fat loss aims to take advantage of the powerful fat burning properties of the fast and the nutrient partitioning effects of short term overfeeding in order to reduce body fat and increase lean body mass. Therefore, I have devised a system, through trial and error, which involves a short fast in combination with weightlifting and overfeeding in order to achieve lean muscular gains and fat loss. I have significantly improved my body composition with this seemingly “controversial” way of meal patterning, and several others have had the same success. Those who convert from a typical high meal frequency eating regime to the intermittent fasting protocol seldom go back to their old habits of obsessively eating every second hour yet never really feeling satisfied. I will briefly describe some guidelines that I use in order to put this diet in a contextual framework. The intermittent fasting protocol consists of two phases—the fasting period and the overfeeding period. The basic idea behind this protocol is to provide nutrients at a time when they will be used for recovery and repair, which is the post-workout window. In order to receive the benefits of nutrient partitioning, the protocol consists of a fasting period lasting 16 hours. This means you initiate your first meal 16 hours before eating your last meal on the night before (which is easily done by skipping breakfast and lunch). Thus, ideally, all eating is done within an 8 +-1 hour timeframe. Most do well with three meals, and some may even prefer two or four. This may seem daunting to some who assume that hunger will be an issue, but this is anecdotally not the case. The fast has strong appetite suppressant properties, which is partly explained by an increased catecholamine output during the fast. Contrary to popular belief, there is no proteolysis during this period. You do not need to worry that you will be "burning" muscle tissue during the fast. The fasting aspect of the diet has several positive effects on lipolysis, partly mediated by the catecholamines and growth hormone release during the fast. Besides acting as an appetite suppressant, the catecholamines provide a stimulant effect. You will most likely feel like you have more energy and focus than usual. (In this state, many other stimulants, like caffeine, have a more potent effect in comparison to being consumed on a full stomach.) After fasting for 16 hours, one breaks the fast with a meal whose macronutrient profile differs depending on whether or not it’s a workout day or a rest day. On workout days, one breaks the fast with a moderately-sized, pre-workout meal that provides adequate carbohydrates and protein. After the workout, you will consume the largest meal of the day once your calorie quota for the day is filled (this quota is your maintenance intake plus a certain percentage depending on your goals). Carbohydrates are favourable to consume in this meal. You may split meals if you so choose, but you should keep the eating window at eight hours, including the pre-workout meal. My day may look like this for example: 27 4:00 pm: Pre-workout meal 5:00–6:00 pm: Workout 7:00–12:00 pm: Post-workout meal and the rest of calorie requirements for this day This is the overfeeding period of the intermittent fasting. After the last meal, the fast starts again in order to initiate the first meal at 4:00 pm the next day (these hours will be dependent on your own schedule, and the times used here are merely for illustrative purposes). In order to have a steady supply of amino acids in your blood during the fast, I suggest that your last meal consist of whole foods and slow digesting proteins (e.g. meat or cottage cheese). On rest days, the calorie intake will differ from your workout day. Depending on your goals, one may tailor the calories to fat loss, weight gain, or improved body composition.” For more information on intermittent fasting visit Berkhan’s site http://leangains.com/ My thoughts: Intermittent fasting My method is a little different than Berkhan’s. I generally fast 15–16 hours after having my first meal- consumed post-workout. My first workout of the day is performed on an empty stomach. My training sessions might involve weight-training, plyos, Thai boxing, submission grappling, agility training, or other physical activities. Regardless of the type of training, I seem to function well on an empty stomach. Individual responses vary when using intermittent fasting. The best way to figure out whether or not it works for you is to try it. I don’t suggest intermittent fasting for those with glucose metabolism problems, insulin problems, or trigger food issues (or anyone with serious psychological food control issues such as severe binge eaters). There are various ways to structure this type of eating regimen. Is it any better for body composition than traditional linear eating? I doubt it. I think the key benefits with this type of eating plan are that you’re able to eat a large amount of food in one sitting and it may be more convenient. Girth Control Girth Control was written by Alan Aragon (1). Part one (foundations) of the book includes the art and science of knowledge, research essentials, and dietary guideline history. Part two (examining the elements) includes protein, carbohydrates, fat, diet trials, paleo tribulations, and supplements. Part three (manipulating the elements) discusses nutrient timing, exercise, and a few other topics. The book also includes a fad diet review. 28 My thoughts: Girth Control This book is not your typical fad diet book. It is packed full of useful information and can serve as a good reference for the general public or for those more interested in acquiring a sound understanding of nutrition science. It’s not a quick fix book but a useful reference that is based on Aragon’s practical experience and scientific research. I especially enjoyed Part one (foundations). Part one provides readers basic knowledge on research methodology, among other things. To accurately analyze research you have to understand at least the basics of research methodology. After reading Aragon’s book you will be armed with the knowledge to understand the basics. Negative Calorie Diet When following the negative calorie diet, dieters are advised to eat and drink food products that are nutritious but have a negative calorie effect (2). A negative calorie effect refers to foods that require more energy to digest than the energy contained in the food. The foods recommended for this diet generally include various fruits and vegetables. My thoughts: Negative Calorie Diet The main premise of this diet is not supported by science. Following this diet for prolonged periods can result in nutrient deficiencies. If you follow this diet, you will probably lose weight (due to large calorie deficit). If you are an active individual, stay away from this diet most of the time. The Ab’s Diet David Zenczenko, editor-in-chief of Men’s Health Magazine, is the creator of the Ab’s diet. If you follow this diet, Zenczenko guarantees that you’ll get a flat stomach, a great physique in six weeks, and a lean and healthy physique for the rest of your life. Statements from the website claim that almost overnight you can (47): “Eat more to weigh less Twelve amazing foods your body craves. They strip away fat like magic. Turn fat into muscle Build a rock hard body in six weeks. Look and feel younger Feel and look years or even decades younger. Supercharge your sex life The shocking truth about sex and food. Get fitter, stronger, and harder where it counts! 29 Live pain free This scientifically proven way to eat will stop back pain fast, strengthen the immune system, and always keep you at your absolute peak.” My thoughts: The Ab’s Diet The Ab’s diet is a balanced diet that promotes frequent feedings, nothing new. Most of the claims made by the author are not based on scientific evidence. Following the diet will probably result in weight loss. Did I mention professional wrestler, the Rock, endorses the diet? The Maker’s Diet Jordan Rubin is the author of The Maker’s Diet (48). Rubin earned the designation of doctor of naturopathic medicine from Peoples University of the Americas, School of Natural Medicine and most recently earned a doctorate degree in nutrition from the Academy of Natural Therapies. He is the founder of Garden of Life, Inc. According to Rubin, the 40-day health program is based on biblical and scientific principles. It is divided into three, two-week phases, and the phases are promoted as easy to follow and contain healthy and delicious foods. Once you have finished the 40-day program, Rubin suggests that you enter into the Wellness for Life program, which is the maintenance phase of the diet. He says that we need to follow dietary guidelines laid down by God and also adhere to scientific principles, which are the three “I’s”—insulin, infection, and inflammation. Rubin says that by attacking the three “I’s,” you will be able to reverse aging, enhance your appearance, increase your energy, and reverse the process of accelerated aging. The website offers educational tools, supplements, and personal care products. My thoughts: The Maker’s Diet This is the first diet that I’ve seen use God as a dietary reference. I’m not sure how the public will perceive that. Some will probably appreciate it while it will probably turn others off. Rubin suggests long-term eating changes and balanced dieting, which are good points. On the other hand, he jumps on the “insulin causes obesity” bandwagon, which is incorrect. 30 Key points on Dieting (3) Generally, obesity-related conditions are significantly improved with modest weight loss5%-10%. Calorie balance is the major determinant of weight loss. Regardless of contents, diets that consistently reduce calorie intake (below maintenance) result in weight loss. Generally, Free-living, (unrestricted, uncontrolled) overweight individuals who consume high fat low carb diets consume fewer calories than their maintenance level. Overweight individuals consuming low fat and very low fat diets lose weight because they consume fewer calories than their maintenance level. In the short-term, high fat, low carb ketogenic diets cause a greater loss of body water than body fat. In the long-term low carb reduced calorie diets result in significant fat loss. Proteins are also lost. The amount of protein lost depends on numerous factors. A properly planned moderate fat, balanced, nutrient reduction diet is nutritionally adequate. Generally, as body weight decreases, so does blood insulin, leptin, blood pressure, and plasma TG levels. Many factors influence appetite, hunger and subsequent food intake. Factors to be considered include: macronutrient content, neurochemical factors, hormonal signals, gastric signals, hedonistic qualities of food, genetic, environmental, and emotional factors. Various gut hormones influence body weight regulation. These hormones include: insulin, leptin, peptide yy, ghrelin, pancreatic polypeptide, glucagon-like peptide 1, oxymtomodulin, and cholecystokinin. When considering dietary compliance it is important to consider psychological issues (e.g. group support, frequency of dietary counseling, and coping with emotional eating) A standard ketogenic diet is a diet that contains less than 100 carbohydrates per day. Protein and fat levels vary. Under normal conditions, ketone bodies (acetoacetate, betahydroxybutyrate, acetone) are present in the bloodstream in small amounts, approximately 0.1 mmol/dl. Ketosis is defined clinically as a ketone blood concentration 31 above 0.2 mmol/dl. During the early stages of a mixed diet, weight loss is primarily due to body fat loss. Some low carb diets are low in vitamin E, vitamin A, thiamin, vitamin B6, folate, calcium, magnesium, iron, potassium, and dietary fiber. Many metabolic effects (decreased blood pressure, decreased LDL, decreased triglycerides etc.) seen with low carb diets may be the consequence of weight loss rather than diet composition. Some studies suggest insulin has an indirect role in body weight regulation through the stimulation of leptin. Leptin acts centrally to increase energy expenditure and reduce energy intake. Is a low fat ad lib diet or a low calorie diet better for weight loss? It is erroneous to say one is better than the other. Weight loss generally occurs with both. Historically, very low fat diets were not promoted as weight loss diets but rather diets to prevent or reverse heart disease. Poorly planned vegetarian diets are often low in vitamin E, B12, zinc, calcium, essential fatty acids, essential amino acids, iron and phosphorus. Low fat, high carb diets often lower LDL and HDL cholesterol. Generally, studies have found protein has the highest satiety value followed by carbohydrate then fat. Very low fats are generally high in fiber (35-40 grams per 1000 kcal) Study participants typically under report energy intake, and overestimate physical activity. Any diet that results in a calorie deficit for prolonged periods of time results in weight loss. The best diet is the diet that you will follow for prolonged periods of time. Most of the different diets lead to weight loss, physique enhancement, and healthier bodies. In other words, many roads lead to the same place. If you can’t stick to the diet though, it won’t be successful. The psychological aspect of dieting is often overlooked, but it is very important in determining success. Pick a diet that you can stick with. If you hate all of the foods included in the diet and you’re really dreading beginning the diet, you should 32 probably chose a different one. Quality Diets: Key Factors Calorie intake (matters whether you’re consciously counting or not) Consumption of a sufficient quantity of essential nutrients Consideration of individual likes and dislikes Consideration of metabolic abnormalities Occasional breaks from the diet Recognizing that you don’t have to stick to the program 100% of the time to see the benefits 33 Chapter 2, Frequently Asked Questions FAQs What is the “EZ method” for determining calories? The “EZ method” is a quick method to roughly estimate your calorie requirements. Maintenance calorie level: 13–17 calories/pound/day Weight loss calorie level: 8–12 calories/pound/day Weight gain calorie level: 18–22 calories/pound/day I’ve never seen anyone who required much less than eight calories per lb/per day to lose weight. These numbers are estimates, but they seem to work well for most people. Of course, there are individuals who require less or more calories to achieve the desired results. How long can someone survive without food? It depends (49). An obese subject studied by Stuart and Fleming (1973) successfully fasted for 382 days. He entered the Guinness Book of World Records for the longest “total” fast (United Nations University). Other authors have reported successful fasts in obese subjects of 100-300 days. In general, survival time in lean subjects is less than 80 days. Newspaper reports indicate that in 1981 a Northern Ireland Fester died of starvation in 45 days. The decreased survival time was probably due to a previous gunshot wound to the hip. The body’s attempt to fight off illness increases calorie expenditure, thus speeding up the starvation process. Individual responses to starvation vary. Much of what we know about starvation comes from studies on obese subjects. Some of this information cannot be appropriately applied to lean individuals. Starvation-induced death is generally caused by a massive loss of bodily proteins. These losses cause decreases in vital organ size, and function. Micronutrient deficiencies can also contribute to the critical effects of starvation that ultimately result in death. Do you plan on releasing a revised edition of the XDL Diet? Currently, I do not have plans to revise. However, my mind may change. Since writing XDL my thoughts have changed on various nutrition topics. Revising the book would require changing about 70% of the contents. 34 What are normal blood glucose levels? Generally, after an overnight fast levels range between 70 mg/dL and 100 mg/dL. During the day levels are generally in the range of 80 mg/dL and 120 mg/dL. What is the difference between dispensable and indispensable amino acids? Amino acids are generally categorized as dispensable (nonessential) or indispensable (essential). Dispensable amino acids can be synthesized in the body from metabolic intermediates and other amino acids. Indispensable amino acids cannot be made in sufficient quantities by the body to support normal protein synthesis, so they must be obtained from the diet. Under some conditions, nonessential amino acids become conditionally essential amino acids. For example, histidine is often indicated as essential for infants. Arginine is considered essential in times of surgery or trauma, and glutamine is conditionally essential when stressed and sick. Below is a chart listing dispensable and indispensable amino acids. Dispensable Alanine Arginine Asparagine Aspartate Cysteine Glutamate Glutamine Glycine Histidine Proline Serine Tyrosine Indispensable Leucine Lysine Isoleucine Methionine Phenylalanine Threonine Tryptophan Valine Why are dietary vitamins and minerals important? Vitamins and minerals serve thousands of functions in the body and are important for general health and function. They are found in varying amounts in different foods. Phytonutrients, a class of nutrients, are found in vegetables and are currently thought to provide many health benefits. Several antioxidants have been identified in various amounts in different fruits and vegetables. Vitamins can be classified as water soluble (i.e. folic acid, cobalamin, ascorbic acid, pyridoxine, which also includes pyridoxal and pyridoxamine, all derivatives of pyridine, thiamine, niacin, riboflavin, biotin, and antithetic acid) or fat soluble (A, D, E, and K). Many of the water-soluble vitamins are precursors of coenzymes. In contrast to the water-soluble vitamins, only one fat-soluble vitamin (vitamin K) has a coenzyme 35 function. These vitamins are released, absorbed, and transported with the fat of the diet. They are not readily excreted in the urine, and significant quantities are stored in the liver and adipose tissue. Minerals comprise any of several of the basic elements, including metals. In the body, approximately twenty (or slightly more) minerals are required for biochemical life functions. They include calcium, phosphorous, potassium, sulfur, sodium, chlorine, magnesium, silicon, iron, fluorine, zinc, strontium, copper, vanadium, selenium, manganese, iodine, nickel, molybdenum, cobalt, chromium, and boron. What are electrolytes? An electrolyte is a material that dissolves in water to make a solution that conducts an electric current. Cationic (positively charged ion) electrolytes include sodium, calcium, potassium, and magnesium. Anionic (negatively charged ion) electrolytes include chloride, bicarbonate, phosphate, and sulfate. A proper balance of electrolytes is important in the body because they affect water balance, the blood pH, muscle actions, and other important processes. What are anti-oxidants? An antioxidant is any molecule that slows down or prevents oxidation reactions. Originally, oxidation reactions were defined as chemical reactions with oxygen. More recently, oxidation reactions have been described as reactions where an atom or molecule losses an electron. Oxidation is a natural part of life. Excessively high or low antioxidant levels are detrimental to health. Is aspartame safe? The FDA says aspartame is, “one of the most thoroughly tested and studied food additives the agency has ever approved.” Furthermore “the more than 100 toxicological and clinical studies it has reviewed confirm that aspartame is safe for the general population” (50). The weight of existing scientific evidence indicates that aspartame is safe at current levels of consumption as a non-nutritive sweetener. Clinical studies have shown no evidence of toxic effects when aspartame is consumed in dosages of 50 mg/kg/d. This is equivalent to a 154lb person drinking 17 cans of diet soda per day. From the American Council of Science and Health “Numerous authorities, including the Food and Drug Administration, the Joint Expert Committee on Food Additives of the FAO/WHO, the European Community, and the American Medical Association have concluded that aspartame is a safe product, except in the rare cases of phenylketonuria.” Phenylketonuria is a rare inherited disease that prevents phenylalanine 36 from being properly metabolized. Does the consumption of high fructose corn syrup cause obesity? “The addition of HFCS to a negative energy diet does not cause weight gain. You don’t have to get rid of all the sodas in your pantry just make sure to drink in moderation” (51). “The American Medical Association helped put to rest a common misunderstanding about high fructose corn syrup and obesity, stating that ‘high fructose syrup does not appear to contribute to obesity more than other caloric sweeteners.’ Even former critics of high fructose corn syrup dispelled myths and distanced themselves from earlier speculation about the sweetener's link to obesity in a comprehensive scientific review published in the December 2008 American Journal of Clinical Nutrition” (52). What is the Advanced Carbohydrate Classification System? The ACCS- name I coined- classifies carbohydrates according to their degree of polymerization (chemical process that combines several monomers to form a polymer or polymeric compound). They are divided into three principal groups, sugars, oligosaccharides and polysaccharides (8). Class Sugars Subgroup Monosaccharides Disaccharides Polyols Oligosacchardies Malto-oligosaccharides Other oligosaccharides Polysaccharides Starch Non-starch (dietary fiber) Polysaccharides Each of these three groups may be subdivided on the basis of the monosaccharide composition of the individual carbohydrates. For a detailed discussion of the ACCS and other carbohydrate issues refer to The Carbohydrate Files (Hale, 2007). What are the main components of dietary fiber? The main components of dietary fiber are derived from the cell walls of plant material in the diet and include cellulose, hemicellulose, and pectin (the non-starch polysaccharides). Lignin, a non-carbohydrate component of the cell wall, is also often included. At the present time, there’s no consensus as to which components of carbohydrates should be 37 included as dietary fiber, and different authors have included non-starch polysaccharides and resistant starch. More recently, it has been suggested than non-digestible oligosaccharides should also be included. While there’s a general consensus that nonstarch polysaccharides are the principal part of the dietary fiber, there’s currently no agreement as to whether other components should be included in this term. What is the biggest myth in the fitness industry? There are so many it’s hard to say. But, if I had to choose the biggest myth I would say calories don’t matter. This is a topic I address in my Nutrition: Fact or Fiction seminar. I have been surprised how many people believe calories don’t matter. And what’s even more surprising is that there are a fair amount of fitness professionals who believe calories don’t matter. What is the best exercise for fat loss? There is no specific exercise that is the best for fat loss? When choosing exercises to incorporate in a fat loss program choose exercises that you will perform on a regular basis. Consistency is one of the key factors in fat loss programs. When considering fat loss it’s important to consider nutrition as well as exercise. No matter how much you exercise if you are consuming excessive calories fat loss will not happen. How many grams of protein should athletes consume in a day? Bodybuilders and coaches often recommend high levels of protein. Recommendations of 1.5–2.0 grams per pound of body weight per day are not unusual. Do these levels of protein increase performance or enhance the physique? In the scientific literature, an intake of up to 2g/kg/bdwt per day (53) has been suggested for physique and performance improvements. There is a plethora of anecdotal evidence that validates protein needs of 1.5-2.0 grams per pound of body weight per day. However, anecdotal evidence does not posses the same strength as scientific evidence. Virtually, some level of anecdotal evidence can support any claim. Generally, I recommend protein intakes of 0.9–1.5 grams per pound of lean body mass per day. I have seen many high level and recreational athletes consume as low as 0.7 grams of protein per pound of lean body mass per day and suffer no noticeable decrements in performance or appearance. Are all calories the same? Technically speaking a calorie is a calorie. The definition of a calorie does not change, but different calorie sources have different properties and they affect the body in various ways. A calorie is a unit of energy. It is the amount of energy or heat that it takes to raise the temperature of one gram of water one degree Celsius (1.8 degrees Fahrenheit). The 38 energy derived from foods when they are oxidized in the body is measured in kilocalories (thousands of calories). A kilocalorie is the amount of energy required to raise 1000 grams of water one degree Celsius. Kilocalorie is written as “Calorie” (with a capital C) or it may be abbreviated to “Kcalorie” or “Kcal.” Therefore, whenever the word calorie is used in connection with food or nutrition, the meaning is always kilocalorie or calorie. In terms of fat loss, a low calorie diet consisting of so-called junk food will result in weight loss just like a low calorie diet consisting of fruits and vegetables. When considering nutrition and how different foods affect the body, calories from different food sources do matter. We get calories from four sources including protein (4 Kcal per gram), fat (9 Kcal per gram), carbohydrate (4 Kcal per gram) and alcohol (7 Kcal per gram). If carbohydrates are so important why aren’t they classified as essential nutrients? It is important to understand the difference between essential and non-essential nutrients. Essential nutrients must be obtained from diet because the body does not produce adequate amounts. Non-essential nutrients are produced in adequate amounts by the body therefore it is not vital to obtain them through diet. An adequate amount of glucose is synthesized in the body from non-carbohydrate sources. The conversion of noncarbohydrate sources to glucose is called gluconeogenesis. Glucose can be generated from non-carbohydrate sources, including lactate, pyruvate, glycerol, and most amino acids. The vast majority of gluconeogenesis takes place in the liver and to a smaller extent in the kidney. Is organic food more nutritious than conventional food? No. Evidence does not support the claim that organic food is more nutritious than conventional food. A review published in July 2009, in American Journal of Clinical Nutrition, (54) investigated differences in the nutrient contents between conventional and organic foods. Eleven crop nutrient categories were analyzed. The researchers identified 162 studies; 55 were of satisfactory quality. Only the satisfactory quality studies were analyzed. Conventionally produced crops had a significantly higher content of nitrogen, and organically produced crops had a significantly higher content of phosphorus and titratable acidity. There was no difference between the two for the remaining 8 of 11 crop nutrient categories analyzed. Analysis on livestock products indicated no difference in nutrient content between organically and conventionally produced livestock products. After reviewing studies of satisfactory quality the researchers concluded that there is no evidence of a difference in nutrient quality between organic and conventional foods. 39 Chapter 3, Sample Diets Individual Characteristics: Female fitness competitor, 14 weeks out from show, wt. 109, experienced figure competitor, approx. 18-19% bodyfat. Supplements 6 fish oil capsules 1-2 multi vitamin minerals (2x on training days) Protein Powder Other supplements optional Meal 1 Spinach turkey omelet- 1 whole egg plus 2 whites, plus 1 slices turkey (1-2% fat) ¾ cup spinach before cooking 8 oz skim milk Meal 2 Post workout-shake (non workout days intake remains same) 25 carbs w/ 25 grams protein Skim milk w/shake 5 grams or less fat Meal 3 3 oz lean meat (4% fat beef) or skinless chicken or turkey (white meat) 1 medium fruit Non-starchy vegetables 1 – 1 ½ cups Meal 4 ½ can tuna (2 1/2 oz chicken or turkey) Salad (non-starchy vegs) w/ brown mustard, garlic, pepper, and apple cider vinegar mixed as salad dressing. Or non-starchy vegs alone. 1-1/2 cups ½ fruit Meal 5 3 oz lean meat (same as above) Non –starchy vegs, 1-1 ½ cups ½ serving walnuts ½ serving fruit 1 serving yogurt or cottage cheese 1 1/2 serving sugar free jello (optional) Calorie free additives are fine You can combine meals if you would like, or you can spread even further 40 It is not necessary to eat all of the vegetables Drink water when thirsty. All fluids count towards water total 7th day, final meal of the day eat whatever you would like in moderation (tentative). Through out the 7th day consume only non-starchy vegs and lean protein meats. The eating plan will be modified as needed Notes: The quasi free-meal that is eaten on the 7th day is usually terminated 3-4 weeks before the show. However, some competitors have a free meal 6-7 days before the show. 41 Individual Characteristics: Male bodybuilder, 200 lbs, experienced competitor, trains MMA, approximately 10% bodyfat Supplements 6 fish oil capsules 1-2 multi vitamin minerals (2x on training days) Protein Powder Other supplements optional Meal 1 Spinach turkey omelet- 2 whole egg plus 2 whites, plus 2 slices turkey (1-2% fat) ¾ cup spinach before cooking 8 oz skim milk ½ cup oats Meal 2 Post workout-shake (non workout days intake remains same) 40 carbs w/ 40 grams protein Skim milk w/shake 9 grams or less fat Meal 3 7 oz lean meat (4% fat beef) or skinless chicken or turkey (white meat) 1 medium fruit (approximately size of palm) Non-starchy vegetables 1 – 1 ½ cups Meal 4 1 can tuna (4 oz chicken or turkey) Salad (non-starchy vegs) w/ brown mustard, garlic, pepper, and apple cider vinegar mixed as salad dressing. Or non-starchy vegs alone. 1-1/2 cups 1 medium fruit 1 1/2 serving walnuts Meal 5 7 oz lean meat (same as above) Non –starchy vegs, 1-1 ½ cups salad, add 1 serving low-fat salad dressing & 1 serving cheese 4 oz potato (low fat butter to taste) 1 serving yogurt or cottage cheese 2oo calorie desert (your choice) Calorie free additives are fine You can combine meals if you would like, or you can spread even further 42 It is not necessary to eat all of the vegetables Drink water when thirsty. All fluids count towards water total 7th day, final meal of the day eat whatever you would like in moderation (tentative). Through out the 7th day consume only non-starchy vegs and lean protein meats. The eating plan will be modified as needed Notes: I have been working with this competitor almost 1 yr. The last show he competed in he placed first in his division and 2nd in the overall. He has very good symmetry, and will probably come in super dry and lean the day of the show. 43 Individual Characteristics: Male MMA athlete, preparing for UFC debut, needs to drop over 20lbs in 10 days, current weight 180lbs needs to weigh 156lbs. Supplements Protein powder 6 fish oil capsules 2 multivitamin minerals B12 Fiber supplement (maybe) Meal 1 Spinach omelet w/ 1 egg and 3 whites, 2 slices turkey (1-2%, Honeysuckle brand) 4 medium strawberries Meal 2 2 servings whey protein in fruit juice, no more than 30 grams of carbohydrates 4 slices turkey (1-2%, Honeysuckle) Meal 3 5 slices turkey (1-2%) 1 cup broccoli 3 oz sweet potato Meal 4 1 ½ servings of whey protein w/ water 6 oz extra lean beef (4%) 1 cup of spinach before cooked Drying out process starts 3-4 days before weigh in. Notes: This situation required drastic measures. It is not uncommon to see combat athletes drop huge amounts of weight in short periods. Generally, the weight drop doesn’t seem to negatively effect fighters if the weigh-ins takes place the day before the fight. However, if the weigh-ins is the same day of the fight (sometimes just a few hours) rapid weight loss may negatively affect performance. 44 Individual Characteristics: Male Jiu-Jitsu competitor, wt. 160 lbs, 10% bdft, primary goal- weight gain while maximizing nutrition and minimizing fat gain Supplements Protein powder 6 fish oil capsules Multivitamin mineral optional Meal 1 Spinach omelet, 2 whole eggs w/ 4 egg whites, ½ serving low fat cheese, cup spinach (before cooked) 8 oz. glass milk 1 serving oats w ½ fruit Meal 2 (consume before, during or after workout) 40-80 carbohydrates, 40-80 gms protein with less than 10 gms of fat. Vary accordingly. Non-workout days consume lower end. Meal 3 1 tuna fish (turkey, chicken) sandwich (wheat bread) 1 fruit 8 oz sweet potato Meal 4 8 oz lean meat 2 cup green salad w/ extra virgin olive oil and apple cider vinegar & ½ serving low fat cheese 2 servings brown rice Meal 5 7 oz lean meat 1 ½ serving of nuts 1 cup vegetables 1 serving low fat cottage cheese w/ ½ fruit Day 7 Free half day, divide it up anyway you would like, other half eat in moderation Notes: This diet contains a fairly high volume of food. Some people would find it problematic to eat this much, especially this much fiber. The jiu-jitsu competitor requested a diet that contained a high volume of food, clean foods and high fiber. However, after 4 weeks of following this diet he decided he needed a change. 45 Individual Characteristics: Male, recreational athlete, wt. 222lbs, 18% bodyfat, doesn’t do well with low carb diets, primary goal- fat loss Supplements 6 fish oil capsules 1 multi-vitamin mineral Protein powder Guar gum Meal 1 Spinach turkey (or skinless chicken breast) omelet, 1 whole egg w/ 3 egg whites, plus 2 slices turkey (1-2%) 1 cup spinach before cooking 1 serving oats w/ 1 medium fruit Meal 2 Post workout (Pre or during) or ½ Pre and half post Whey protein w/ skim milk w/ moderate to high GI carbs Approximately 50-60 gms of carbs and 20-30 grams protein Do not consume over 10 gms of fat with shake Meal 3 7 oz lean meat (10% fat beef) or skinless chicken, turkey, low-fat fish Non-starchy vegs (unlimited) 1 serving walnuts 1 medium fruit Meal 4 5 oz lean met Salad (non-starchy vegs w/ calorie free salad dressing. Apple cider vinegar w/ garlic, pepper and brown mustard) 10 oz potato or 2 servings rice or 2 servings of pasta Meal 5 9 oz lean meat Non-starchy vegs (unlimited) 1 serving extra virgin olive oil (optional- add calorie free salad dressing that was mentioned above) 1 serving cottage cheese (or yogurt) 1 serving sugar free jello w/ 1 Tbs cool whip-optional Calorie free additives are fine Drink water when thirsty (diet sodas are fine) You can combine meals if you prefer fewer meals 46 All programs are tentative Notes: The final week of the diet we switched to the XDL Diet. The dieter lost a significant amount of weight and reported a significant change in appearance. But, he also reported low energy levels and cognitive decline. The low carbohydrate nature of the XDL Diet probably influenced the decline in energy and cognitive skills. In addition, the XDL Diet is very low in calories, which may further contribute to declines in energy and cognitive skills. 47 Individual Characteristics: Male, 259 lbs, International level competitive powerlifter, needs to drop approximately 18lbs in 5 weeks Supplements 6 fish oil capsules 1 gram Vit C 1 multivitamin mineral Protein powder Meal 1 Spinach turkey omelet, 2 whole eggs plus four egg whites, w/ 3 slices turkey (1-2%) fat 1 cup spinach before cooked 1 medium fruit Meal 2 Post workout Whey protein w/ skim milk w/ moderate-high Gi carbs Approximately 80 carbs w/ 40 grams of protein Do not consume over 10 gms of fat with shake Non workout days Approximately 80 grams of protein w/ 40 carbs Do not consume over 10 grams of fat Meal 3 10 oz lean meat 1 serving walnuts 8 oz sweet potato 1 medium fruit Meal 4 12 oz lean meat Non-starchy vegs (unlimited) 1 ½ cup black beans Meal 5 12 oz lean meat Non-starchy vegs w/ 1 serving extra virgin olive oil and vinegar w/ 1 serving low fat cheese 1 serving lowfat cottage cheese (or yogurt) Might need to further reduce calories 1-2 weeks out. 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