Wonderfully Made

Obesity: The Ineffectiveness Of Low-calorie Diets, Pt 3

Three Angels Broadcasting Network

Program transcript

Participants: N. David Emerson

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Series Code: WM

Program Code: WM000433


00:01 The following program presents principles designed to promote
00:03 good health and is not intended to take the place
00:05 of personalized professional care.
00:08 The opinions and ideas expressed are those of the speaker.
00:11 Viewers are encouraged to draw their own conclusions
00:14 about the information presented.
00:37 Hello. I am Dr. Emerson, Medical Director
00:40 at Eden Valley Lifestyle Centre.
00:42 I have come to finish up our topic of obesity,
00:45 weight control, and we find that it is part
00:50 of the insulin resistance syndrome.
00:52 As you recall
00:57 we mentioned at the beginning of our series
00:58 that we are gonna look at a group of people
01:00 who are actually no more active
01:04 than the average American office worker.
01:07 They eat 30% more calories than we do
01:12 and they weight 20% less than we do.
01:16 This group of people was analyzed in one of the largest
01:20 epidemiological studies in the history of the world
01:22 and we are going to look at what their secret was
01:27 and how they were able to eat more and actually weight less.
01:32 In our series as far we found that a low calorie diet
01:35 do not work and it will actually result in a weight increase.
01:40 We found that as soon as you go on low calorie diet
01:43 your body response by turning down the metabolism
01:47 by turning down the thermostat body
01:50 temperature drops, pulse rate drops,
01:52 blood pressure drops, oxygen consumption drops,
01:54 CO2 production drops, heat loss drops,
01:57 activity level drops everything is done to conserve calories
02:02 your body is adopting to the low calorie situation
02:07 when you come off the diet the body is now
02:11 in a move to get ready for the next starvation period.
02:15 So what it does is it increases metabolism
02:17 little bit by keeps it below what it was before the fast it
02:21 increases the muscle mass a little bit towards normal.
02:27 But still keeps it below it was before the previous fast,
02:30 so that there's less mass of the feed in next starvation period
02:33 and it increases the body fat higher than
02:36 what it was before the pervious fast
02:39 so that there is actually a body fat gain
02:41 and this is so that during the next starvation period
02:44 you have more fat to feed less muscle with
02:47 and you have a lower metabolism
02:49 so that you can get through the next starvation period.
02:52 They found that countries that go through
02:55 annual starvations with the crops run out
02:58 before the next crops come in when the crops come in
03:01 they become obese when the crops run out
03:04 they become very thin low muscle mass
03:06 and this is how they get through starvation period.
03:10 So we have seen that low calorie diets in the long run
03:16 will actually cause you to gain weight,
03:19 so we want to avoid those problems
03:21 we looked at some studies done with the Atkins Diet,
03:26 Weight Watchers Diet found that they are not
03:28 the ideal diet for weight loss in the majority of cases.
03:34 We also looked at exercise if salvation weight loss
03:41 is not successful with starvation
03:44 with out exercise maybe you can just exercise
03:46 people enough to achieve ideal your body weight.
03:50 What we found is that our body works in two phases
03:55 we can have a sedentary form of existence
03:59 well there is a increase in weight
04:01 but when we move into the moderate exercise
04:03 activity level the body weight will come down
04:06 but as we move further into the more activity level
04:10 there is a plato beyond
04:12 which there is no further weight loss.
04:14 This was first shown in rats
04:16 and then it was shown in mill workers in India.
04:19 So as we do encourage patients to be active
04:22 but again there is a limit to what activity
04:26 can do in terms of controlling weight
04:30 and then we looked at the real cause of obesity in America
04:35 it was the Insulin Resistance Syndrome.
04:38 Insulin Resistance Syndrome was ramp it now
04:41 one out of four Americas today qualifies for having this
04:47 and what the insulin resistance includes is again
04:51 high blood pressure, high blood sugars,
04:55 high weight, high LDL,
05:00 low HDL, high triglycerides
05:02 these are parts of the insulin resistance syndrome.
05:07 Why it is the insulin resistance syndrome cause
05:10 an increase in weight or again when you in the sugar or starch
05:14 blood sugar raises the pancreas senses that releases insulin.
05:19 Insulin is a little key that goes in the cells
05:21 opens the doors sugar leads the blood goes in the cells
05:24 and gets burned and that brings your blood sugar down
05:26 that's the way it suppose to work.
05:28 And when we eat the animal products the meat,
05:30 dairy, oils those fats go in and plug out
05:33 the insulin receptors there is little key holes.
05:37 So now when you take sugar or starch blood sugar goes up
05:39 insulin release can't get in the key holes
05:42 the doors they shut.
05:43 Blood sugars raise that insulin resistance.
05:47 How does this cause obesity?
05:49 Well, as your insulin resistance raises over 10-12 years
05:54 prior to the diagnosis of diabetes.
05:56 The body just compensates the pancreas compensates
05:59 by releasing more insulin to overcome
06:02 the insulin resistance
06:03 and keep your blood sugars under control.
06:06 Over those 10 or 12 years insulin resistance increases
06:11 the insulin levels in your body increase
06:14 in response to the pancreases releasing more insulin.
06:18 The blood sugar stay under control
06:19 but at the end of 10 or 12 years the pancreas cannot keep up
06:24 with the increasing insulin resistance
06:26 and so now the blood sugar start to raise
06:29 and doctor diagnosis you with diabetes.
06:33 During that 10 or 12 years as the insulin levels
06:37 are raising to compensate for the insulin resistance
06:40 that insulin not only drive sugar into the cells to be burn
06:44 does not only drive sugar into the liver to be stored
06:47 but it drives fat into the fat cells to be stored
06:52 and it prevents fat from being burned.
06:56 This result in an increase in weight
06:59 during those 10 or 12 years
07:00 prior to the diagnosis of diabetes
07:03 when you diagnose with diabetes doctor many times
07:06 will say well you have diabetes in because you're too heavy.
07:10 Actually, what's happening is you are too heavy because
07:14 of the insulin resistance which is causing diabetes
07:17 and the increase in insulin and the increase in weight.
07:23 Well, if this is true if insulin resistance
07:26 is the core problem with the epidemic of obesity
07:30 we have today then we would expect that moving to foods
07:33 that decrease insulin resistance sure have an effect
07:37 of decreasing our weight, lowering our weight.
07:41 We have actually found this to be the case
07:43 many patients who were shift to plant based diet
07:46 will lose about two pounds per week.
07:50 What are the foods that can help us decrease in review
07:53 we find that monounsaturated fats
07:57 and the olives can be very helpful.
08:01 We encourage patients to get the olive oil in the olive
08:04 as it found in nature polyunsaturated fats
08:07 found in safflower oil, sunflower oil,
08:09 corn oil and soybean oil.
08:10 Again we encourage you to get those oils
08:13 in the natural forms in the soybeans and in the corn.
08:19 The fiber in the corn and in the plants foods
08:22 can also help lower insulin resistances,
08:25 whole grains have been found to help
08:27 prevent the insulin in the recurrence of diabetes
08:32 most likely from the Phytochemicals
08:34 in the whole grains they found that this effect
08:36 was independent of their fiber content.
08:41 The foods that you want to avoid that cause insulin resistance
08:45 include the saturated fats found mainly
08:47 in the flesh foods in the dairy products.
08:49 Unfortunately even in the white meats chicken,
08:52 fish can cause increase in insulin resistance,
08:55 so the ideal program is to eliminate
08:58 the animal products totally.
09:01 Trans fats are probably the worst fats
09:05 in terms of insulin resistance those are found in margarines,
09:07 those are found in shortenings.
09:10 Many of the fats used for firing
09:12 have partially hydrogenated fats in them.
09:14 And if anything is partially hydrogenated fat
09:17 in them those are the trans fats and you want to avoid those.
09:20 Also vegetable oils and marine oils
09:23 that are formed from hydrogenation
09:28 or partial hydrogenation
09:30 are also trans fats and no butter and beef.
09:34 Five percent of the fats found
09:36 in those products are also trans fats.
09:39 It's also been found that high cholesterol level
09:41 is co-related with insulin resistance as well,
09:44 so you want to avoid foods with cholesterol.
09:46 Well, the question natural follows is are there are any
09:51 actual studies that show that people on a plant
09:54 based diet really do indeed have lower body mass index
09:58 which is the measure of obesity?
10:01 Yes. Now, we gonna look at the Epic Oxford Study.
10:05 This was a very large study,
10:07 37875 subjects
10:10 were tested in...this diet.
10:15 They looked, there are different dietary habits
10:18 and they are classified in four
10:20 different groups, both men and women.
10:24 What they found that the omnivorous people
10:28 who ate the meat products, the dairy products,
10:34 and the plant products as well,
10:37 that they had the highest body mass index.
10:41 Both in the men and in the women.
10:44 Now, if these people gave up the red meats,
10:51 poultry and just ate chicken and diary
10:55 what they found was that the weight
10:56 did indeed decrease.
10:59 If they were just eating the fish,
11:01 the dairy the plant products the weight drop significantly
11:05 and the body mass index dropped.
11:07 So that was the step in the right direction
11:09 the next group not only eliminated the meat products
11:14 but also eliminated all fish products
11:17 but they continued to eat the dairy products
11:20 when you eliminated the fish and you stayed with the dairy
11:23 there is no further drop in weight.
11:27 This did not improve the lower weight
11:31 the ability to lose weight.
11:34 Then they went to the next group
11:36 and the next group took the next step
11:39 and that was they eliminated their diary products
11:43 as well so they had no flesh foods and no dairy products
11:47 and that's what we saw another weight drop
11:50 body mass index drop significantly again.
11:54 The factor is that tied most closely with the
11:58 high body mass index of a higher weighs
12:00 where a lower fiber diet in a high protein diet.
12:07 Are there any journals or articles
12:10 that explain obesity in these terms,
12:15 actually there are article in medical
12:18 I passes as back in March 1st 2000.
12:23 I had an interesting article
12:24 and that express this concept according from it
12:28 "Less saturated and trans fat
12:31 intake decreases insulin resistance.
12:35 These decreases the amount of insulin needed
12:38 to be released insulin acts to impede fat burning
12:42 that is oxidation and promotes fat storage."
12:47 "So they are expressing the same concept
12:49 that when you have insulin resistance
12:51 your body has to produce more insulin
12:53 to combat the insulin resistance and this extra insulin drives
12:57 fat into the fat cells prevents fat from being stored
13:00 and produces the increase weight and the massive epidemic
13:06 of obesity we've seen in America.
13:08 The author concludes "Minimizing diurnal insulin
13:13 secretion in the context of a low fat intake
13:17 may represent an effective strategy
13:20 for achieving and maintaining leanness."
13:24 So these concepts are current
13:29 in the medical literature today
13:31 and we have found by experience that is very effective.
13:36 Another article came out
13:37 in obesity research on March 1st year 2000
13:44 and they wanted to find out well how easy is it
13:47 to stay on a vegetarian diet versus say a low calorie diet.
13:53 But when they surveyed lot of people on these
13:55 different diets they found that those on a low calorie diet
13:58 were able to maintain it for on an average of one
14:02 to three months before they gave up
14:05 and said they can't tolerate this anymore.
14:08 Vegetarians on the other hand stayed on the diet
14:11 well over a year without any difficulties in this survey
14:15 he was much better tolerated and there are many nations
14:20 of the world today the non vegetarian diets.
14:22 They have been on that for a lifetime
14:24 and they are doing very well.
14:26 The reasons for stopping a vegetarian diet
14:30 were assessed and they found that on the low calorie diet 53%
14:36 of the people listed bottom
14:38 as a reason for stopping the diet.
14:41 On the other hand the vegetarian diet only 5%
14:44 listed bottom as a reason for stopping.
14:49 Are there are any other studies showing
14:51 a vegetarian diet or a vegan diet to be helpful.
14:55 And now we come to the grand prix
14:56 of epidemiological studies called the China study
14:59 this is authored by T. Colin Campbell, Ph.D.
15:04 He wrote the book called the China study.
15:07 It's a New York Times best seller book
15:11 and it is very readable and it's one of the best books
15:14 that you can read at this time to get an overview
15:16 of the current studies showing
15:21 the benefits of a plant based diet.
15:23 This was the most comprehensive large study
15:27 ever undertaken of the relationship between diet
15:30 and the risk of developing disease
15:33 that's a quote from New York Times.
15:35 New York Times further said about this book the finding
15:38 "Are challenging much of American dietary dogma."
15:43 Now what is the dogma that it's challenging
15:47 when it is challenging is the concept
15:49 that in order to lose weight
15:51 you have to either decrease your calorie intake
15:54 or increase your activity level.
15:58 The reason it's challenging this is because they
16:00 found a group that was doing neither these things
16:04 and yet had a much lower body mass index
16:06 than we have in America.
16:09 How did they find and what did they do?
16:11 Well, according from the China Study again
16:13 "We ranked the Chinese into five groups
16:17 according to their levels of physical activity.
16:20 After figuring out the calorie
16:22 intakes least active Chinese,
16:24 the equivalent of an office worker in the United States,
16:27 we then compared their calorie
16:29 intake to the average American.
16:32 What we found was astonishing.
16:35 "That was a quote from T. Colin Campbell
16:37 in his, in his book.
16:40 Well, what were the results, what they found was
16:43 that they looked at the Chinese
16:46 who were the least active the bottom 20 percent.
16:50 They found that those Chinese
16:56 were about 20% less
17:01 in terms of the body mass index compared
17:04 to an office worker in the United States.
17:07 So you have a group of people that was,
17:08 no more active than an office worker in the United States
17:11 and yet they weight 20 percent
17:13 less than the office worker in the United States.
17:17 So you might be tempted to think
17:18 well it must be because they are starving them in China.
17:23 So they measured the calorie intake
17:26 and what they found was that the Chinese
17:28 were eating 30% more calories than their American
17:33 counterparts were no more active than the Americans.
17:36 And yet weight 20% less.
17:40 Now this was what he found as astonishing.
17:44 Well, they had to find out
17:45 why and they looked at why the Chinese could eat
17:49 more weight less and be no more active.
17:52 What they found was that the Chinese
17:54 their animal protein intake
17:58 was only 0.8% of their calories
18:03 where as in the United States protein
18:06 constituted 10 to 11% of their calories.
18:11 We find that the protein intake for vegetarians
18:16 tends to be less in their strengthen
18:18 endurance in another talk we find is actually increased.
18:24 They found that there
18:28 intake from the animal proteins
18:33 was much less indicating that there were basically
18:35 vegans or very close to vegans.
18:40 Their fat intake was also much less Chinese reading only 14.5%
18:45 of their calories from fats in United States
18:47 that it was ranging 34 to 38% of their calories from fats.
18:52 So what they were doing was that Chinese
18:54 were basically on a plant based diet
18:55 and this prevented the insulin resistance
18:59 allowed lower insulin levels and allowed a lower weight.
19:03 And this is why they were able to accomplish
19:05 what they did without having to cut their calories
19:09 or increase their activity levels.
19:11 Well, there was a fellow who I read article
19:17 that most motor vehicles happen,
19:19 most motor vehicle accidents happen in a radius
19:22 of 30 miles of home so he moved.
19:27 Now of course we know I wouldn't solve his problem.
19:29 Of course is do we have to move to China to lose weight?
19:33 No, we don't. We can actually eat like the Chinese do.
19:37 Here in America by making proper choices and gain
19:41 the benefits that they gain.
19:43 We can actually eat 30% more and weight 20% less.
19:50 One of the physicians at hospital
19:52 I work at he would look at some of the vegetarian physicians
19:57 and they almost frustrated because he would say
20:00 you know that come out with their plates poll high
20:03 if all this plant foods looks like
20:05 a huge amount and get their all slim.
20:08 And I explain this to him
20:11 and try to explain well how that's possible.
20:14 So in review
20:16 we find that you can lose weight
20:21 by just shifting to a plant based diet
20:24 you don't have to do a calorie restriction exercise
20:27 is important but it's not the ultimate solution.
20:31 This was illustrated in a story about Tony
20:35 we talked about in diabetes talk
20:38 and she was a lady who came to us
20:40 who weight 325 pounds she was 5 ft 3.
20:45 She rolled into the office in a wheelchair.
20:49 She rolled in because she was heavier than she could lift.
20:52 Unfortunately, she had diabetes.
20:54 She was blind from diabetes.
20:56 She had hypertension she had high cholesterol levels
21:00 and these are all serious problems
21:04 that she needed to correcting.
21:05 She was on medications for her high cholesterol
21:07 she is on medications for her diabetes,
21:10 44 units of insulin.
21:11 She is on medications for her blood pressure
21:14 two different medications as well as water pills
21:17 to help get rid of the excess fluid in her lower extremities.
21:22 I went through what we have explained
21:25 in diabetes in hypertension in obesity the benefits
21:30 that could be achieved on a plant based diet.
21:33 She followed these programs she followed the methods
21:38 and even in a wheelchair
21:39 without any exercise to speak of,
21:45 she just made the shift from her regular diet
21:48 to plant based diet no calorie restriction
21:50 and she lost on a average of a pound a week
21:54 within two month she was off of her blood pressure medicines
22:00 within a year she was off a cholesterol medicines
22:03 with no significant raise in her cholesterol.
22:05 And we are able to switch her from insulin
22:08 to oral medication for diabetes at the end of a year,
22:12 at the end of two years she gone from,
22:16 she had lost about a pound a week
22:19 and she was now had lost over hundred pounds
22:24 she saw her surgeon orthopedic surgeon
22:28 and he was able to replace her knee
22:30 and allow her to start walking again
22:33 and as long as she stayed on that program
22:37 she was able to maintain her weight,
22:41 maintain her blood pressure and her cholesterol
22:43 that she got off the program,
22:45 she started to see her weight increasing,
22:47 blood pressure increasing, cholesterol increasing
22:49 and it was, then reminded again
22:53 that you needed to get back on new program.
22:56 So we have seen this in not just her
22:59 she is a more specific example
23:01 that we've seen it in the majority
23:04 of our patients who have problems
23:06 with weight who make the shift to plant based programs.
23:12 There are other approaches
23:14 which I don't recommend question of Bariatric surgery
23:21 person experienced with Bariatric surgeries
23:24 with patients that we worked with many of them have
23:30 serious complications following a surgery.
23:33 Surgery basically will take part of the intestine
23:39 and bypass that intestine
23:42 so that the food goes from the stomach
23:44 to a distal part of the intestine
23:47 so that it is not able to be absorbed
23:50 and your essentially putting a person
23:52 in a chronic starvation cycle
23:55 and this does cause weight loss initially
24:00 but it also cause nutrient deficiencies
24:02 as well and may contribute to the complications
24:07 of bariatric surgery following surgery
24:10 of course you don't have a nutrient intake
24:12 and it's harder to heal as well.
24:16 They found that the weight loss is in general
24:21 about one to two pounds a week with bariatric surgery,
24:25 but again this is what we find with a plant based diet
24:30 as well and that's achievable without the surgery
24:34 so I would encourage those that if you considering
24:37 bariatric surgery to at least do you have plant based diet
24:40 a try first its has much don't have even significant
24:45 complications and you can avoid
24:49 the possible complications from surgery.
24:53 I will encourage you to go over the pros and cons
24:56 with your doctor with possible complications
25:00 as well in their outcomes following bariatric surgery.
25:05 I did have one patient in practice
25:08 who came to us of course she had bariatric surgery
25:11 and now she just having to eat constantly to maintain
25:14 her weight above 90 set severe nutritional deficiencies
25:20 and it is very difficult for her to maintain her weight now.
25:23 Others where the results were so,
25:26 so and out of about five patients
25:29 we seen we had one that had good result.
25:32 Okay. The National Institute of Health does recommend that
25:35 if anyone considering bariatric surgery
25:38 that they be well informed the pros
25:40 and cons possible complications.
25:42 They need a body mass index of over 40
25:47 they need to be acceptable surgical risk
25:50 and I think they need to fail
25:51 non-surgical approach prior to this
25:55 and I would again stress plant based diet
25:58 as an attempt before considering the surgical approach
26:04 also you remember that once
26:08 bariatric surgery is done my Pastor Ruben done
26:11 The patient is required to be on long term
26:15 vitamin supplements for life
26:17 because they are not able to absorb nutrients
26:20 the way they could be prior to the surgery.
26:25 So in review we found that low calorie diets
26:28 don't work they cause weight gain in the long run.
26:33 They tolerated poorly
26:38 and are not successful on the long term.
26:41 Starvation studies in the past again showed that
26:45 and people come out of starvation they respond
26:48 with a weight gain
26:49 and a decrease in metabolism
26:54 higher body fat less muscle mass
26:58 and these are things generally we want to avoid.
27:00 Atkins diet long term again is poorly tolerated
27:05 and again it works on the low calorie approach,
27:12 weight watchers has a similar approach step
27:14 in the right direction it's lower in fat,
27:16 but then again low calorie diets will leaves free
27:20 in a long term react with a weight gain,
27:23 so I will encourage you again move to plant base diet
27:26 this can lower your insulin resistance,
27:28 get on a moderate exercise program
27:30 walking has been statistically shown
27:32 to be the best
27:33 this decreases body fat not muscle
27:38 and you can lose weight you can control
27:41 your blood sugars with the plant based diet
27:44 you can maintain your health this has been verified
27:47 in the Chinese study and in the Oxford Epi studies.
27:52 You can choose a plan outline in God's word.
27:56 Well that the plant based diet is originally
27:58 introduced in the Garden of Eden.
28:00 It was good for them and it can be good for you.
28:03 I wish you God's blessing and His help. Thank you.


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Revised 2014-12-17