Nutritionally incorrect
Everywhere I look in the gastrointestinal literature, the same four explanations for the calorie-reducing effect of resistant foods crop up: satiety, promotion of energy expenditure, raised metabolism, and excretion. Of these, the last is paid the least attention–surprisingly little, it seems to me. Since it is the one with the most actionable implication for dieters, I'm left wondering why no one has made a big thing of it. Why has no guru latched onto the idea that selecting certain foods might allow us to consume more calories overall?
Well, in a way, some people have. In the last few years, several weight-loss plans have appeared which rely on the eating of resistant starch. In principle, I’ve no doubt these plans are onto something; I doubt, however, that there’s enough resistant starch in most foods to justify the claims made for its weight-loss magic. I'm not accusing the resistant starch exponents of making up the weight-loss figures reported on such diets. What I suspect is that other resistant content in the so-called resistant-starch foods behaves just as the resistant starch does, thus augmenting the weight-loss effect. A food--beans, for example--which contains resistant starch will also contain resistant fibre, often in much larger quantity. So a proportion of beans will escape digestion in the small intestine, and a further fraction will escape fermentation in the large intestine, leading to the eventual excretion of a percentage of the calories in beans. I suggest, therefore, that resistant-starch diet plans do get things right, but partly for the wrong reason. Those, such as Dr Eades, who oppose resistant-starch diets on the grounds that we don’t eat enough of it to justify the weight-loss claims, get it wrong, but for the right reason.
That aside–and I’ll come back to resistant starch in this thread because it is very interesting– the question remains why the phenomenon of calorie excretion has not been pounced on as the basis for a diet craze. I have a theory about that: I believe it is because the idea is nutritionally incorrect. I’ve mentioned in previous posts that unmetabolized calories include nutrients, many of them important to the body. It would be nutritionally incorrect to launch a diet which promised that you would excrete calories but also lose many minerals such as calcium, iron, magnesium, as well as many vitamins. As it happens, nutrient loss doesn't bother me at all, a conclusion I reached after flipping my previous thinking about vitamins and minerals on its head.
Kenneth Heaton used an intriguing word in his Lancet article: “overnutrition”:
Overnutrition may be involved in the aetiology of such common diseases as diabetes, cholesterol-rich gallstones, and coronary heart disease. It is widely assumed that overnutrition is the result of taking an abnormal amount of food. Could it result merely from taking an abnormal type of food? […] I believe fibre to be a natural obstacle to nutrient intake, and suggest that foods from which fibre has been removed cause overnutrition, and that starch and sugar are non-fattening when eaten with their natural complement of fibre. (Heaton, The Lancet, 1973)
I had always assumed that “overnutrition” meant overeating. Calcium is a useful nutrient, for example, but eating a huge slab of cheese would give us too much of it. Heaton’s proposal prompted me to look at it another way. Maybe the human body, if allowed to eat only natural foods, can decide for itself how much of a nutrient it needs. The mechanisms of nutrient balance are so intricate and complex that perhaps we are presumptuous to think we can adjust it externally, by taking supplements of this or that, combining foods, etc. Our guesses at what the body needs may be crude at best, damaging at worst. The body probably requires thousands of nutrients that we haven’t even identified yet, so perhaps we should just provide it with good food and allow it to sift out what it needs.
Diet websites, slimming plans, and health columns often report the fact that many nutrients, including important ones such as calcium and iron, may bind, to a greater or lesser extent, with fibre, which can block their absorption in the small intestine. Such is sometimes seen as a disadvantage of fibre, leading to advice on which supplements to take to counter its chelating (binding) effect. This always worried me so much that till recently I made sure I ate dairy at a different time from fibre–I didn’t want osteoporosis setting in, after all.
I have noticed, however, that the science on the matter always includes a reassuring word to the effect that, whether fibre binds with nutrients or not, there’s no need to worry about mineral and vitamin deficiencies in our affluent society, at least if we eat normally. In any case, it seems that nutrients whose absorption is blocked in the small intestine through binding with fibre may later be fermented into availability when they reach the large intestine, a department of the digestive system often overlooked when absorption of nutrients is calculated.
Dietary fibre may reduce acutely the absorption of some vitamins and minerals by binding or entrapping them in the small intestinal lumen. However, there is little evidence that population groups consuming nutritionally adequate diets rich in high-fibre foods have any problems with vitamin or mineral deficiencies. Recent studies show that fibre may reduce calcium availability in the small intestine, but that at least some of the calcium carried into the colon, bound or entrapped by fibre, is released when the fibre is fermented, with short-chain fatty acids facilitating calcium absorption from the distal colon and rectum. (FAO/WHO Report, Carbohydrates in Human Nutrition, 1998)
I realised, as someone who now eats a range of healthy foods, that I needn’t worry myself about mineral absorption. Instead, I plunged in the opposite direction and began actively seeking out foods that are said to block certain nutrients. It occurred to me that since nutrients and calories aren't mutually exclusive, anything which blocks the absorption of nutrients would also block absorption of the calories with which they came, thus assisting with my weight maintenance. Just as the body might regulate weight by disposing of unwanted calories bound to fibre, so it might regulate nutrition in the same way by disposing of nutrients surplus to requirement. It could even be that the fermentation process in the lower intestine adjusts the final topping up or passing on of nutrients and calories according to need, which would explain why their availability for absorption is postponed till that stage in their gastrointestinal journey. Too much calcium, for example, is known to be bad for us.
Last edited by Plinge : Tue, Jun-05-12 at 14:22.
|