Wednesday, November 16, 2016

The Best Foods For Weight Loss (and the Worst)

How many calories do you eat, per bite?

That’s what the best foods for weight loss are all about. Their calorie density, which is the number of calories contained in any given weight of food, is low.

Here’s a good example. With a bowl of fettuccine Alfredo, you’re taking in about 50 calories per bite. Now, if you switch the Alfredo for a bowl of whole-wheat pasta with roasted veggies and marinara, your calorie intake is slashed to less than 25 calories per bite.

Keep in mind that research shows we tend to eat a similar weight of food despite changes in calorie density. That’s right, a bowl of pasta is a bowl of pasta. So when we’re eating ad libitum (till we’re satisfied and full), it’s easy to see which bowl of pasta would end up making us more calorie dense.

Ad libitum eating in the research world means that the people (or animals) being studied are free to eat as much as they want. There are no restrictions.

Ad libitum eating

It’s important to eat ad libitum. We shouldn’t stuff ourselves, but we do need to feel comfortably full. Otherwise, we end up crazy-hungry. But unfortunately, ad libitum eating is not what traditional weight-loss strategies have taught us for the past 100 years. Dieters have been told to focus mainly on how much they eat rather than on what they eat. They’ve been told to cut portion sizes and/or use their will power to override hunger in an attempt to create a negative calorie balance and reduce body fat stores.

Frustration, failure

But what’s been created for most people is a lot of frustration and failure, and, ultimately, more weight gain.

Typically, the calorie-restricted diet has also been accompanied by recommendations to increase calories burned by exercise. From the point of view of physics, it seems rational enough: Excessive energy stores (largely body fat) should be reduced by consciously restricting calorie intake and consciously increasing calories burned.

People are usually told to focus on how much they eat rather than on what they eat. The results are often discouraging.

However, this approach has had limited long-term success. First of all, few people can continue for weeks, let alone months and years, using will power to limit calorie intake when they are hungry much of the time. Indeed, it is clear this strategy usually fails because while more Americans are going on diet and exercise programs, there has been a steady rise in the average American’s body mass index (BMI). Today, roughly two-thirds of adults are overweight or obese, childhood obesity has more than doubled in the past 30 years, and adolescent obesity has tripled.

Exercise failures

There’s more troubling news regarding the small-portion, live-with-hunger approach. Not only does it sabotage your diet, it sabotages your efforts to exercise. Growing evidence is finding that human beings, like other mammals, are biologically programmed to become less active in the face of limited energy (calorie) intake and chronic hunger.

Eating disorders

Moreover, asking people to live with chronic hunger by consciously restricting their food intake creates an unresolvable conflict between our evolutionarily ingrained hunger drive (“I’ve gotta eat to survive!”) and our intellectual will to eat less. Growing research also suggests that this unresolvable conflict plays a major role in the development of eating disorders. Yes, we’re making ourselves sick, both psychologically and physiologically, by fighting our instinctual drive to eat when hungry.

New science

But there’s good news. In recent years, some researchers have shifted their focus away from counting and consciously limiting calorie intake. Instead, they are concentrating more on what is being eaten (or not eaten) and on how people can maintain satiety (the feeling of fullness) at a much lower calorie cost.

Studies led by Dr. Barbara Rolls at Pennsylvania State University as well as those of Drs. James Barnard and Christian Roberts at UCLA, who are following people attending the Pritikin Longevity Center, are particularly enlightening. They have documented that one of the best ways of reducing calorie intake without triggering increased hunger is to reduce the calorie density of the foods consumed. Put simply, a bowl of pasta with veggies and marinara can fill us up just as well as a bowl of pasta with cheesy Alfredo, but for less than half the calorie cost.

Best foods for weight loss

There are many ways to reduce the calorie density of a meal. Three of the most common include:

  • Reducing the amount of fat (fat is far more calorie-dense than sugar, starch, or protein),
  • Increasing the water content of foods (as opposed to simply drinking water with a meal), and
  • Increasing the intake of foods, such as fruits and vegetables, which are naturally less calorie dense.

To study the efficacy of these three methods of cutting calorie density, Dr. Rolls and associates recently published research1 in which they recruited 62 healthy adults. (None was on a calorie-restricted diet, nor were they smokers, athletes in training, or taking drugs that could affect appetite.) They were between the ages of 20 and 45. Fifty-nine of them completed the study.

One day a week for four weeks, the Penn State scientists provided breakfast, lunch, dinner, and an evening snack. They reduced the calorie density of the entrees by 20% using one of three methods:

  • Decreasing fat (using less oil or butter)
  • Increasing water content (for example, turning casseroles into soups), or
  • Increasing fruit and vegetable content (more fruit, for example, at breakfast, and more vegetables added to lunch and dinner entrees).

It was a crossover design, meaning that over the four-week period, and in random order, each subject got one control day (a standard meal with no calorie density reductions) plus three other days, each day featuring a different calorie-density-reduction approach.

On test days, they were fed either the control meal or the same entrées but altered so that calorie density was reduced by 20% using one of the three strategies. Entrée portion sizes were large enough so that the subjects could consume as much as they desired of the test meals. Leftovers were weighed to determine precisely how much was eaten of each of the test meals.

Feeling full on a lot fewer calories

The results were dramatic. The average reduction in ad libitum calorie intake was:

  • 396 fewer calories consumed on the days when the entrees had less fat
  • 308 fewer calories on the days when the entrees had more fruits and vegetables
  • 230 fewer calories on the days when the entrees were cooked with extra water

Compared to the control day, the average calorie intake was reduced by 15% on the days when fat was cut, 11% on the days when fruit and veggies were added, and 9% on the days when water was added. The calorie content of the manipulated entrees accounted for two-thirds of total calorie intake on the test days.

A tablespoon of olive oil has about the same number of calories as a tablespoon of lard, and even more calories than a tablespoon of butter or margarine.

So what does it all mean?

This study affirms, as many have before, that we can in fact cut calories and, at the same time, eat till we’re full and satisfied when we reduce the calorie density of the foods we eat. The research found that all three strategies to reduce calorie density led to a spontaneous reduction in ad libitum calorie intake, but the reductions in calorie intake were significantly greater with fat reduction.

Yes, fat, even so-called “good” fats, can pack on the pounds. As The New York Times health columnist Jane Brody recently wrote, “Americans seem to think that if a food is considered a healthier alternative [olive oil, for example, instead of lard], it’s O.K. to swallow as much of it as one might like. People forget, or never knew, that a tablespoon of olive oil or canola oil has about the same number of calories as a tablespoon of lard [about 125], and even more calories than a tablespoon of butter or margarine.”

The fact is, all oils, whether “good” or “bad,” are the most calorie-dense foods on the planet.

Dr. Rolls’ research also found that the subjects reported no differences in hunger or satiety ratings on all three days when calorie density was significantly reduced. In other words, whether eating the control meals or the lower-calorie-density meals, they were eating to their heart’s content.

Reducing calorie density, in effect, appears to be an excellent strategy for reducing calorie intake without the need to muster up a lot of will power to try to tamp down the gnawing hunger that often accompanies traditional calorie-restricted/portion-controlled diet plans.

What to do

If you’re trying to shed excess weight, use all three calorie-density-reduction strategies. While this study showed that cutting the amount of fat added to foods was the single most effective way to reduce ad libitum calorie intake, it is clear that all three methods were effective. Furthermore, they are not mutually exclusive, so it is likely that using all three in combination would work even better than each one used alone.

For breakfast, for example, dress up your oatmeal with berries, leave off the butter and margarine, and maybe even increase the amount of water you use to cook it. Yet another strategy not used in this study but validated in others would be to replace calorie-dense brown sugar or maple syrup with Splenda or sugar-free maple syrup, which would further reduce the calorie density of this breakfast entrée.

For lunch and dinners, start out, not with fatty/dry appetizers like cheese and crackers, but with water-rich, vegetable-rich choices like veggie-based soups, and big green salads with zero-fat dressings like our chefs’ zesty Horseradish-Balsamic Vinaigrette.

And, as we teach in our education program at the Pritikin Longevity Center, add more vegetables to your entrees whenever you can, for example:

  • Double the amount of tomatoes, lettuce, and other veggies in sandwiches.
  • Top foods like baked potatoes and brown rice with steamed, grilled, or roasted vegetables.
  • Add extra vegetables to soups and stews.
  • When dining out, ask for double or triple orders of the vegetables that accompany your entrée, and skip the very calorie-dense chips or fries.

The best foods for weight loss (and the worst)

When you’re on calorie density “watch,” you’re getting a lot of nice satisfying bites, and eating till you’re comfortably full, without going overboard on calories.

Your goal is choosing foods that are LOW in calorie density. Usually, low-calorie-dense foods are high in WATER and FIBER content. Examples include vegetables, fruits, cooked whole grains, oatmeal, cooked beans and legumes, nonfat dairy, soy products, and lean animal proteins.

Foods that are HIGH in calorie density tend to be DRY and/or FATTY. Each bite is jam-packed with calories. Examples include butter, oils, regular salad dressings, sugar, nuts, seeds, dry bread, dry cereal, crackers, avocados, and dried fruit.

Notice that the low-calorie-dense foods have one other big bonus. They’re full of vitamins, minerals, fiber, and phytonutrients, and are naturally low in sodium, which makes them a great choice for not only shedding weight but also lowering blood pressure, cholesterol levels, and blood sugars.

The fact is, we could easily reverse our country’s exploding health care budget if we threw out all the calorie counters and followed a simple calorie density chart instead (like the one below).

There are just 4 key rules for weight-loss success:

  1. The more foods in the first 2 categories (veggies and fruits) you eat, the better.
  2. For at least 90% of your daily diet, stick with the 5 categories in green (from vegetables to calcium-rich foods).
  3. Pick 1 food from the yellow category, and no more than 4 ounces a day to keep your arteries in good shape. (Or select protein-rich plant sources like tofu and beans.)
  4. Steer clear, as much as you can, of everything in red.
FOOD CALORIES PER POUND
Vegetables 65 to 195
Fresh Fruits 140 to 420
Potatoes, pastas, brown rice, sweet potatoes, corn, hot cereals 320 to 630
Legumes: peas and beans, such as pinto, garbanzo, black, and lentil beans (cooked) 310 to 780
Calcium-rich foods (i.e., nonfat dairy, soymilk). 2 servings daily. 160 to 500
Fish, lean poultry, lean red meat like bison 400 to 850
Dried fruit, jams, muffins, and breads, including sourdough rolls, bagels, pita breads, and baguettes 1,200 to 1,400
Dry cereals, pretzels, fat-free crackers, baked chips, popcorn 1,480 to 1,760
Regular salad dressing 1,800 to 2,000
Chocolate bars, croissants, doughnuts 2,200 to 2,500
Nuts and regular potato chips 2,500 to 3,000
Butter, margarine 3,200
Olive oil, corn oil, lard 4,080

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