Participants: N. David Emerson
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. |
Revised 2014-12-17