Atkins Nutritional Approach

(Redirected from Atkins Diet) Dr. Atkins' New Diet Revolution book

The Atkins Nutritional Approach, popularly known as the Atkins Diet or just Atkins, is a popular but controversial high-protein, high-fat, low-carbohydrate diet. It was popularized by Dr. Robert Atkins (1930-2003) in a series of books, starting with Dr. Atkins' Diet Revolution in 1972. It has been astonishingly popular in recent times because of his revised book, Dr. Atkins' New Diet Revolution, in which he updated some of his ideas but remained faithful to the original concepts.

Dr. Atkins argued that many eating disorders are the result of hyperinsulinism, or excessive secretion of insulin which comes through eating too many carbohydrates. According to Atkins, this causes food cravings and unstable blood sugar levels, which can cause mood swings, depression, and sleeping problems. Atkins claimed that his diet stabilizes insulin and blood sugar levels, eliminating cravings and often reducing appetite.

Atkins represents a radical departure from prevailing theories. He claimed there are two main unrecognised factors about Western eating habits, arguing firstly that the main cause of obesity is eating refined carbohydrates particularly sugar, flour, and high-fructose corn syrups; and secondly that saturated fat is overrated as a nutritional problem, only trans fats from sources such as hydrogenated oils need to be avoided. Consequently, Dr Atkins rejects the advice of the food pyramid, instead telling us the tremendous increase in refined carbohydrates is responsible for the rise in metabolic disorders of the 20th century, and the focus on the detrimental effects of dietary fat has actually contributed to the obesity problem by increasing the proportion of insulin inducing foods in the diet.

The Atkins Nutritional Approach seems to provoke extreme reactions, to the point where even just discussing it can be a problem. Dr. Samuel Klein, of the North American Association for the Study of Obesity, has reported encountering anger from academicians simply for daring to present data on the Atkins diet.

Nature of the diet

While most of the emphasis in Atkins is on the diet, nutritional supplements and exercise are considered equally important elements.

Atkins involves restriction of the intake of carbohydrates in order to switch the body's metabolism from burning glucose to burning fat (chiefly stored fat). This process (called lipolysis) begins when the body enters the state of ketosis as a consequence of running out of carbohydrates to burn. Although Atkins claimed that ketosis helped the body burn fat more easily, nutritionalists are quick to point out that the body will burn stored fat for energy whenever the calories taken in are less than those burned.

Atkins restricts "net carbs", or carbs that have an effect on blood sugar. Net carbohydrates can be calculated from a food source by subtracting sugar alcohols and fiber (which are shown to have no effect on blood sugar level) from total carbohydrates. Sugar alcohols need to be treated with caution, while they may be slower to convert to glucose they can be a significant source of glycemic load and can stall weight loss.

Preferred foods in all categories are whole, unprocessed foods with a low glycemic load.

There are four phases of the Atkins diet:

Induction

The Induction phase is the first, and most restrictive phase of the Atkins Nutritional Approach. It is intended to cause the body to quickly enter a state of ketosis. Carbohydrate intake is limited to 20 net grams per day. The allowed foods include a liberal amount of most meats, a good bit of cheese and cream, two cups of salad, and one cup of other vegetables. Caffeine and alcoholic beverages are not allowed.

The Induction Phase is usually when many see the most significant weight loss - reports of losses up to six or eight pounds (3 or 4 kg) per week are not uncommon.

Atkins suggests the use of KetoStix, small chemically reactive strips used by diabetics. These let the dieter monitor when they enter the ketosis, or fat burning, phase.

Ongoing Weight Loss

The Ongoing Weight Loss (OWL) phase of Atkins consists of an increase in carbohydrate intake, but remaining at levels where weight loss occurs. Carb intake increases by 5 grams of carbs per day each week. A goal in OWL is to find the "Critical Carbohydrate Level for Losing". The OWL phase lasts until weight is within 10 pounds (4.5 kg) of the target weight.

Pre-maintenance

Carbohydrate intake is increased again, and the key of goal in this phase is to find the "Critical Carbohydrate Level for Maintenance", this the maximum number of carbohydrates you can eat each day without gaining weight.

Lifetime maintenance

This phase is intended to carry on the habits acquired in the previous phases, and avoid the common end-of-diet mindset that can return people to their previous habits and previous weight. Whole, unprocessed food choices are emphasised, with the option to drop back to an earlier phase if you begin to gain weight.

Views in favor of the diet

When the Atkins diet was introduced in the 1970s, it was immediately attacked by existing experts, who claimed it was unhealthy and would fail. Those claims persist today, even though there are now studies indicating the contrary:

  • "The low-carbohydrate diet produced a greater weight loss...and greater improvement in some risk factors for coronary heart disease" --New England Journal Of Medicine, Volume 348:2082-2090, 22 May 2003, Number 21
  • "better participant retention and greater weight loss...greater decreases in serum triglyceride levels" --Annals Of Internal Medicine, 18 May 2004 | Volume 140 Issue 10 | Pages 769-777
  • "Diets high in fat do not appear to cause excess body fat, and reductions in fat will not be a solution." --American Journal Of Medicine, Volume 113, Issue 9, Supplement 2, 30 December 2002, Pages 47-59
  • "sustained weight loss" --American Journal of Medicine, Volume 113, Issue 1, July 2002, Pages 30-36
  • "When carbohydrates were restricted, study subjects spontaneously reduced their caloric intake to a level appropriate for their height, did not compensate by eating more protein or fat, and lost weight. We concluded that excessive overeating had been fueled by carbohydrates." "In addition to the calorie reduction and weight loss, subjects experienced markedly improved glucose levels and insulin sensitivity, as well as lower triglycerides and cholesterol." This is not a controlled study in that there was no control group; it merely observed the effect of putting ten obese diabetics on the Atkins diet; this is "the only study of the Atkins diet to have been conducted in the strictly controlled environment of a clinical research center where every calorie eaten and spent was measured." --Annals of Internal Medicine, 15 March 2005

It's important to note that many of these represent scientifically controlled studies, published in peer-reviewed journals. Proponents of the Atkins diet feel much of the criticism leveled at the diet comes from statements and opinions of individuals and associations, rather than from controlled and reviewed studies. Advocates of the diet dispute criticisms based on the fact that a low-carb diet is likely to be high-fat and allegations that fat, especially saturated fat, is harmful. Atkins backers maintain that, aside from trans fat, saturated fat is not harmful and is actually necessary in diet. Proponents cite Gary Taubes who, in a 2001 article in Science, 291 (5513): 2536, claims that the oft-cited "consensus" opinion against saturated fats derives from political rather than scientific motives.

The original recommendations for low-fat diets were based on the idea that, yes, the studies had not been done to prove fat harmful, but maybe it was harmful (for example, saturated fat in diet was associated in some studies with high cholesterol levels which was associated in some studies with heart disease), and allegedly there was no harm in reducing fat, therefore it should be reduced; millions of lives might be lost if we waited for scientific proof.

However, when fat is reduced in a diet, the practical consequence is that people will substitute carbohydrates. Carbohydrates, especially highly-processed, quickly-digested carbohydrates, cause a blood sugar spike, stimulating insulin production and all the consequences of that, quite possibly resulting in weight gain, which is itself a major cardiac risk factor. As was pointed out at the time the original low-fat recommendations were being worked out, shifting dietary composition toward carbohydrates and away from fat affects many different metabolic systems in the body; making such a shift without strong scientific evidence effectively subjected a whole population to an uncontrolled experiment; only now are the results of this experiment starting to be widely examined, and many are concluding that recommending low-fat diets was a very bad idea. It's not just the cardiologist, Dr. Atkins, but also renowned cardiologist Dr. Agatston ("South Beach Diet") and many others.

Critics of low-carb dieting may also fail to consider a simple fact of life: people are built differently. As with any diet, the Atkins may not be effective for some people. For some people, a low-fat diet may work as well as a low-carb diet, perhaps better. But for many people, it seems, a low-carb diet may be more effective, and there is accumulating research confirming this.

Opponents of the Atkins diet tend to claim that weight is regained when dieting stops. However, this is true of all diets, not just low-carb diets. It is unfair to single out the Atkins or any low-carb diet for this factor. The crucial issue is the sustainability of the diet in its Maintenance phase. In the context of widespread propaganda against fat, many people, even those who try the Atkins diet or other low-carb diet, try to make it low-fat, which apparently does not work. The fat is a crucial part of Atkins, for fat is satisfying, it sates.

For years, opponents of the Atkins diet claimed that (1) it would not work, it was preposterous, eating all that fat would make people fat, and (2) it would seriously increase cardiac risk. Yet, when studies are finally done to see what low-carb/high-fat diets actually do, they are at worst as effective as the recommended low-fat diets, and they do not, in fact, increase cardiac risk factors; indeed, overall, they lower them. So then the critics defend their low-fat position by noting, correctly, that the new studies were small. Yet the studies on which the low-fat gospel was based were also small, and less definitive. In the end, no study has shown that cardiac disease has been reduced by promoting low-fat diets, and there is evidence to the contrary.

Criticism of the diet often focuses on the safety of inducing ketosis, which is one of the body's natural processes for the metabolism of body fat often during sleep. It is biologically natural to burn fat - that's why we store it. Ketosis should not be confused with ketoacidosis, a serious medical condition seen in diabetics and alcoholics.

Low-fat diets are not automatically healthy ones. Traditional, high-fat French cooking has led to a much lower incidence of obesity, morbid obesity and chronic heart disease than in the high-sugar American diet, despite overall energy intake and exercise levels being the same.

The 22 May 2003, issue of the New England Journal of Medicine published two scientific, randomized studies comparing standard low-fat diets to low-carbohydrate diets such as the Atkins Diet. In both studies, subjects lost more weight on the low-carbohydrate plans.

A research study carried out by the Weight and Eating Disorders Program at the University of Pennsylvania, reported in May 2003 that the Atkins diet raised levels of HDL (or "good") cholesterol by an average of 11% and reduced the amount of triglycerides in the bloodstream by 17%. This counters one of the chief criticisms of Atkins' approach, which is that cholesterol is raised by eating fatty foods and meat.

In the study, conventional dieters' HDL cholesterol raised by only 1.6% while their triglyceride levels did not improve significantly. Weight loss was also statistically greater in the Atkins dieters after three and six months compared with the conventional dieters (although this did not remain statistically significant after a year). The study followed the diets of 63 obese men and women. (See New Scientist, 21 May 2003.)

Views critical of the diet

Low-carbohydrate diets have been the subject of heated debate in medical circles for three decades [1] (http://www.lowcarb.ca/). They are still controversial and only recently has any serious research supported some aspects of Atkins' claims, especially for short-term weight-loss (6 months or less).

But many in the scientific community also raise serious concerns:

  • The National Weight Control Registry, funded by the National Institutes of Health (NIH) tracked the habits of successful dieters over a longer term, 10 years. Despite this diet's overwhelming popularity compared to other diets, of the 5,000 Americans confirmed to have lost an average of 70 pounds (32 kg) and able to prove they have kept it off for at least 6 years of the decade of NIH’s data-keeping, less than 1% were confirmed to be Atkins adherents.
  • Even in studies only one year long, this diet can fail to produce the greater weight-loss which is claimed to come from factors other than calorie-reduction such as ketosis: It was compared to dieters on Dean Ornish’s diet, Weight Watchers, and The Zone Diet for 1 year. The Atkins Diet came last in terms of weight lost at the end of the year. (Dansinger, M.L., Gleason, J. L., Griffith, J.L., et al., "One Year Effectiveness of the Atkins, Ornish, Weight Watchers, and Zone Diets in Decreasing Body Weight and Heart Disease Risk", Presented at the American Heart Association Scientific Sessions 12 November 2003 in Orlando, Florida.)
  • The May 2004 Annals of Internal Medicine study showed that Atkins Dieters had significantly more diarrhea, general weakness, rashes and muscle cramps. Atkins.com now suggests a fiber supplement.
  • Also, acidity from the typically high protein intake can cause osteoporosis (Feskanich D, Willett WC, Stampfer MJ, Colditz GA. Milk, dietary calcium, and bone fractures in women: a 12-year prospective study. Amer Jrnl Public Health 1997;87:992-7. See also follow-up in February, 2003 issue of the American Journal of Clinical Nutrition (Vol. 77, No. 2, 504-511); this includes 72,000+ people and 18 years of data. Cumming RG, Klineberg RJ. Case-control study of risk factors for hip fractures in the elderly. Amer Jrnl Epidemiology 1994;139:493-503.

With its emphasis on fatty foods, the Atkins diet has generally been considered by most medical and nutritional experts to be unsound. It also violates the food pyramid, which states that amounts of carbohydrates, protein and fats (in that order) must be regularly consumed to stay healthy. Some experts have even suggested Atkins' plan is quackery. Among those criticizing the healthiness of his diet, if not also skeptical of the claims of greater weight-loss than other, safer diets, are such reputable organizations as:

a. “...the Atkins diet, as recommended, poses a serious threat to health.” --Chair of the American Medical Association's Council on Food and Nutrition, testimony to Congress

b. "unhealthy and can be dangerous." --C. Everett Koop (Shape Up America! news release, 29 December 2003)

c. "a nightmare of a diet." --Journal of the American Dietetic Association 102 (2002): p.260

d. Also condemned by National Institutes of Health in NIH Publ. No. 94-3700, 1993.

e. Condemned by ACS in American Cancer Society; Weighing In on Low Carb Diets, 2004.

f. Condemned by the American Kidney Fund in American Kidney Fund news release, 25 April 2002.

g. Condemned by American Heart Association in Circulation 104 (2001): p.1869.

h. Condemned by Johns Hopkins in Diabetes 2004. Johns Hopkins University White Paper, 2004

i. Condemned by the American College of Sports Medicine in Medicine and Science in Sports and Exercise 33 (2001): p.2145.

j. Expressing a general sentiment was the conclusion: “runs counter to all the current evidence-based dietary recommendations.” --Journal of the American College of Cardiology 43 (2004): p.725

Opponents of the diet also point out that the initial weight loss upon starting the diet is a phenomenon common with most diets, and is due to reduction in stored glycogen and related water in muscles, not fat loss. They claim that no evidence has surfaced that any diet will cause weight loss unless it reduces food energy below the maintenance level, and reports have indicated that successful weight loss due to the Atkins diet may be the result of less food energy being consumed by the dieter, rather than the lack of carbohydrates. [2] (http://news.bbc.co.uk/1/hi/health/3416637.stm) They further point out that weight loss on fad diets, which typically restrict or prohibit certain foods, is often due to the fact that the dieter has less food choices available. Also, a diet of low-carb foods may quickly become dull to many people, meaning that their appetite is somewhat naturally suppressed as they become hungry for carbs, but the dieter either has none handy or resists this hunger.

There is also bad breath and fatigue, it is claimed: [3] (http://content.health.msn.com/content/article/87/99349.htm?GT1=3391), [4] (http://www.ext.colostate.edu/pubs/columnnn/nn000905.html), and Cleveland Clinic Journal of Medicine 68(2001): p.761

On May 27, 2004, Jody Gorran, a 53-year-old Florida businessman with a family history of heart disease, filed a lawsuit against Atkins Nutritionals, Inc. and the estate of Dr. Robert Atkins, claiming that the Atkins diet regimen caused severe heart disease, making it necessary for him to undergo angioplasty. As of 28 May, he has been seeking a court injunction banning Atkins Nutritionals from marketing its products without a warning of potential health risks, and asking for compensatory damages.

Dr. Robert Eckel of the American Heart Association says that high-protein, low-carbohydrate diets put people at risk for heart disease. [5] (http://www.lowcarb.ca/articlesb/article332.html)

Misconceptions about the diet

Many people incorrectly believe that the Atkins Diet promotes eating unlimited amounts of fatty meats and cheeses. In fact, while certain foods are allowed in unlimited quantities (i.e., are limited only by appetite), the Atkins Diet is very specific in recommending lean meats, such as seafood and poultry. This is a key point of clarification that Dr. Atkins addressed in the more recent revisions of his book.

Some criticism of the diet seems to be based on a confusion between ketosis and ketoacidosis. Ketosis is short for Benign Dietary Ketosis, which is a normal metabolic process that results when glucose is not available as a source of energy. The body then burns mostly fat, both directly and through conversion to ketones which make the energy of fat available in water soluble form. Ketoacidosis is a metabolic crisis due to the inability to utilize glucose because of a lack of insulin and in which there is an abnormal accumulation of ketones exacerbated by severe dehydration as the kidneys spill the useless glucose, losing water in the process. This occurs in diabetics and in a related form in alcoholics.

Another common misconception arises from confusion between the Induction Phase and rest of the diet. The first two weeks of the Atkins Diet are strict, with only 20g of carbohydrates permitted per day. The plan is clear that dieters should not ordinarily continue past the 2-week Induction Phase without slowly raising their daily carbohydrate count. Once the weight-loss goal is reached, carbohydrate levels are raised even further, though still significantly below USDA norms, and still within the definition of ketosis.

Reference

  • New England Journal of Medicine: (vol 348, p 2082) (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12761365)

Related topics

  • Diet
  • Dieting

published 1999


This page about Atkins Diet includes information from a Wikipedia article.
Additional articles about Atkins Diet
News stories about Atkins Diet
External links for Atkins Diet
Videos for Atkins Diet
Wikis about Atkins Diet
Discussion Groups about Atkins Diet
Blogs about Atkins Diet
Images of Atkins Diet

published 1999. 1 Wasilla, Alaska $89,895
2 Chicken, Alaska $65,400
3 Edna Bay, Alaska $58,967
4 Sunrise, Alaska $56,000
5 Lowell Point, Alaska $45,790
6 Petersville, Alaska $43,200
7 Coldfoot, Alaska $42,620
8 Port Clarence, Alaska $35,286
9 Hobart Bay, Alaska $34,900
10 Red Dog Mine, Alaska $34,348
11 Adak, Alaska $31,747
12 Meyers Chuck, Alaska $31,660
13 Pelican, Alaska $29,347
14 Ester, Alaska $29,155
15 Chignik Lagoon, Alaska $28,941
16 Four Mile Road, Alaska $28,465
17 Healy, Alaska $28,225
18 Moose Pass, Alaska $28,147
19 Cube Cove, Alaska $27,920
20 Womens Bay, Alaska $27,746
21 Skagway, Alaska $27,700
22 Nelson Lagoon, Alaska $27,596
23 Valdez, Alaska $27,341
24 McKinley Park, Alaska $27,255
25 Attu Station, Alaska $26,964
See complete list of Alaska places. Once the weight-loss goal is reached, carbohydrate levels are raised even further, though still significantly below USDA norms, and still within the definition of ketosis. Ranked by per capita income. The plan is clear that dieters should not ordinarily continue past the 2-week Induction Phase without slowly raising their daily carbohydrate count. Sitka ranks as America's largest city by area, followed closely by Juneau. The first two weeks of the Atkins Diet are strict, with only 20g of carbohydrates permitted per day. cities by area, behind two other Alaskan cities.

Another common misconception arises from confusion between the Induction Phase and rest of the diet. It ranks third in the List of U.S. This occurs in diabetics and in a related form in alcoholics. Alaska's most populous city is Anchorage, home of 260,284 people, 225,744 of whom live in the urbanized area. Ketoacidosis is a metabolic crisis due to the inability to utilize glucose because of a lack of insulin and in which there is an abnormal accumulation of ketones exacerbated by severe dehydration as the kidneys spill the useless glucose, losing water in the process. 1999 paperback, ISBN 0882405241. Ketosis is short for Benign Dietary Ketosis, which is a normal metabolic process that results when glucose is not available as a source of energy. The body then burns mostly fat, both directly and through conversion to ketones which make the energy of fat available in water soluble form. Insightful look into a different side of Anchorage in the 1960s and 1970s.

Some criticism of the diet seems to be based on a confusion between ketosis and ketoacidosis. Made into a TV movie. Atkins addressed in the more recent revisions of his book. "Johnny's Girl" by Kim Rich, a memoir by the daughter of a 1960s Anchorage mobster and a former stripper. This is a key point of clarification that Dr. Gore Vidal based his first novel, Williwaw, on his military experiences in the Alaskan Harbor Detachment. In fact, while certain foods are allowed in unlimited quantities (i.e., are limited only by appetite), the Atkins Diet is very specific in recommending lean meats, such as seafood and poultry. "inua" is set after Alaskan statehood and again examines the intersection of cultures and the impact on the traditional Native Alaskan family.

Many people incorrectly believe that the Atkins Diet promotes eating unlimited amounts of fatty meats and cheeses. "Spirit of the Raven" is set during Alaska's territorial days and examines the interactions of a culturally diverse group of characters brought together by a murder. [5] (http://www.lowcarb.ca/articlesb/article332.html). Bob Cherry has written two books, "Spirit of the Raven: An Alaskan Novel" (ISBN 0966543068) and "inua" (ISBN 0966543017). Robert Eckel of the American Heart Association says that high-protein, low-carbohydrate diets put people at risk for heart disease. 1997, ISBN 0385486804. Dr. Into the Wild by Jon Krakauer is the true story of Christopher McCandless, a college graduate and top student, who donated his entire $24,000 savings account to charity and moved into the Alaskan wilderness.

As of 28 May, he has been seeking a court injunction banning Atkins Nutritionals from marketing its products without a warning of potential health risks, and asking for compensatory damages. James Michener wrote Alaska. Robert Atkins, claiming that the Atkins diet regimen caused severe heart disease, making it necessary for him to undergo angioplasty. 2003) has written three books which describe what it is like to live in a small coastal community in Alaska: Rogue's Yarn (2003, ISBN 0425191982), Crow in Stolen Colors (2000, ISBN 1890208361) and Sound Tracks (2001, ISBN 1890208728). and the estate of Dr. Marcia Simpson (d. On May 27, 2004, Jody Gorran, a 53-year-old Florida businessman with a family history of heart disease, filed a lawsuit against Atkins Nutritionals, Inc. Coraghessan Boyle novel Drop City (2003, ISBN 0670031720) tells the story of a group of Hippies who relocate to Alaska.

There is also bad breath and fatigue, it is claimed: [3] (http://content.health.msn.com/content/article/87/99349.htm?GT1=3391), [4] (http://www.ext.colostate.edu/pubs/columnnn/nn000905.html), and Cleveland Clinic Journal of Medicine 68(2001): p.761. The T. Also, a diet of low-carb foods may quickly become dull to many people, meaning that their appetite is somewhat naturally suppressed as they become hungry for carbs, but the dieter either has none handy or resists this hunger. Dale. [2] (http://news.bbc.co.uk/1/hi/health/3416637.stm) They further point out that weight loss on fad diets, which typically restrict or prohibit certain foods, is often due to the fact that the dieter has less food choices available. Honorae V. They claim that no evidence has surfaced that any diet will cause weight loss unless it reduces food energy below the maintenance level, and reports have indicated that successful weight loss due to the Atkins diet may be the result of less food energy being consumed by the dieter, rather than the lack of carbohydrates. The first woman elected to statewide office was Fran Ulmer, elected as Lieutenant Governor in 1994.

Opponents of the diet also point out that the initial weight loss upon starting the diet is a phenomenon common with most diets, and is due to reduction in stored glycogen and related water in muscles, not fat loss. Alaska's are of its first two senators:. Expressing a general sentiment was the conclusion: “runs counter to all the current evidence-based dietary recommendations.” --Journal of the American College of Cardiology 43 (2004): p.725. Each state has selected one or two distinguished citizens and provided statues. j. The National Statuary Hall of the United States of America is part of the Capitol in Washington DC. Condemned by the American College of Sports Medicine in Medicine and Science in Sports and Exercise 33 (2001): p.2145. The state has tried to combat this by offering 4 year scholarships to the top 10 percent of Alaska high school graduates.

i. Alaska has long had a problem with "brain drain" as many of its young people, including most of the highest academic achievers, leave the state upon graduating high school. Johns Hopkins University White Paper, 2004. Spanish speakers make up 2.9% of the population, followed by Tagalog speakers at 1.5% and Korean at 0.8%. Condemned by Johns Hopkins in Diabetes 2004. As of 2000 85.7% of Alaska residents age 5 and older speak English at home and 5.2% speak Native American languages. h. The six largest ethnic groups in the state are: German (16.6%), Alaska Native (15.6%), Irish (10.8%), English (9.6%), American (5.7%), Norwegian (4.2%).

Condemned by American Heart Association in Circulation 104 (2001): p.1869. Racially, the state is:. g. 51.7% is male, and 48.3% is female. Condemned by the American Kidney Fund in American Kidney Fund news release, 25 April 2002. As of 2003, the population of Alaska was 648,818. f. Mushers from all over the world come to Anchorage each March to compete for cash prizes and prestige.

Condemned by ACS in American Cancer Society; Weighing In on Low Carb Diets, 2004. The race commemorates the famous 1925 serum run to Nome in which mushers and dogs like Balto took much-needed medicine to the diphtheria-stricken community of Nome when all other means of transportation had failed. e. Various races are held around the state, but the most well-known is the Iditarod, a 1,150-mile trail from Anchorage to Nome. 94-3700, 1993. In modern times, dog mushing is more of a sport than a true means of transportation. No. Another Alaskan transportation method is the dogsled.

Also condemned by National Institutes of Health in NIH Publ. The world's busiest seaplane base is Lake Hood, located next to Ted Stevens Anchorage International Airport, where flights bound for remote villages without an airstrip carry passengers, cargo, and lots of items from Costco. d. But perhaps the most quintessentially Alaskan plane is the Bush seaplane. "a nightmare of a diet." --Journal of the American Dietetic Association 102 (2002): p.260. The smallest towns and villages must rely on scheduled or chartered Bush flying services using general aviation aircraft such as the Cessna Caravan, the most popular aircraft in use in the state. c. Smaller communities are served by the three main regional commuter airlines: Era Aviation, PenAir, and Frontier Flying Service.

Everett Koop (Shape Up America! news release, 29 December 2003). However, Alaska Airlines has a virtual monopoly on jet air travel within the state—meaning airfares are extremely high. The airline offers frequent jet service (sometimes in combination cargo and passenger Boeing 737-200s) from Anchorage and Fairbanks to regional hubs like Bethel, Nome, Kotzebue, Dillingham, Kodiak, and other larger communities as well as to major Southeast and Alaska Peninsula communities. "unhealthy and can be dangerous." --C. Anchorage recently completed extensive remodeling and construction at Ted Stevens Anchorage International Airport to help accommodate the upsurge in tourism (unofficial sources have estimated the numbers for 2004 at some four million tourists arriving in Alaska between May and September). b. Air travel is the cheapest and most efficient form of transportation in and out of the state. “...the Atkins diet, as recommended, poses a serious threat to health.” --Chair of the American Medical Association's Council on Food and Nutrition, testimony to Congress. Anchorage itself, and to a lesser extent Fairbanks, are serviced by most major airlines.

a. Cities not served by road or sea can only be reached by air, accounting for Alaska's extremely well-developed Bush air services—an Alaskan novelty. Among those criticizing the healthiness of his diet, if not also skeptical of the claims of greater weight-loss than other, safer diets, are such reputable organizations as:. Alaska has a well-developed ferry system, known as the Alaska Marine Highway System, which serves the cities of Southeast and the Alaska Peninsula. The system also operates a ferry service from Bellingham, Washington up the Inside Passage to Haines (several cruise companies offer cruises up the Inside Passage as well, with service all the way to Seward and Whittier). Some experts have even suggested Atkins' plan is quackery. Most cities and villages in the state are accessible only by sea or air. It also violates the food pyramid, which states that amounts of carbohydrates, protein and fats (in that order) must be regularly consumed to stay healthy. When they want to come back to town, they wait by the side of the tracks and "flag" the train, giving the train its name.

With its emphasis on fatty foods, the Atkins diet has generally been considered by most medical and nutritional experts to be unsound. Residents board the train in Talkeetna and tell the conductor where they want to get off. But many in the scientific community also raise serious concerns:. A stretch of the track along an area inaccessible by road serves as the only transportation to cabins in the area. They are still controversial and only recently has any serious research supported some aspects of Atkins' claims, especially for short-term weight-loss (6 months or less). The route between Talkeetna and Hurricane (an area between Talkeetna and Denali) features the last remaining flag stop train service in the United States. Low-carbohydrate diets have been the subject of heated debate in medical circles for three decades [1] (http://www.lowcarb.ca/). The Alaska Railroad is the only remaining railroad in North America to use cabooses on its freight trains.

(See New Scientist, 21 May 2003.). The railroad is famous for its summertime passenger services but also plays a vital part in moving Alaska's natural resources, such as coal and gravel, to ports in Anchorage, Whittier and Seward. The study followed the diets of 63 obese men and women. The Alaska Railroad runs from Seward through Anchorage, Denali, and Fairbanks to North Pole, with spurs to Whittier and Palmer. Weight loss was also statistically greater in the Atkins dieters after three and six months compared with the conventional dieters (although this did not remain statistically significant after a year). The tunnel is the longest road tunnel in North America at nearly 2.5 miles and combines a one-lane roadway and train tracks in the same housing. Consequently, eastbound traffic, westbound traffic, and the Alaska Railroad must share the tunnel, resulting in waits of 20 minutes or more to enter. In the study, conventional dieters' HDL cholesterol raised by only 1.6% while their triglyceride levels did not improve significantly. One unique feature of the road system is the Anton Anderson Memorial Tunnel, which links the Seward Highway south of Anchorage with the relatively isolated community of Whittier.

This counters one of the chief criticisms of Atkins' approach, which is that cholesterol is raised by eating fatty foods and meat. The state capital, Juneau, is not accessible by road, which has spurred several debates over the decades about moving the capital to a city on the road system. A research study carried out by the Weight and Eating Disorders Program at the University of Pennsylvania, reported in May 2003 that the Atkins diet raised levels of HDL (or "good") cholesterol by an average of 11% and reduced the amount of triglycerides in the bloodstream by 17%. The state's road system covers a relatively small area of the state, linking the central population centers and the Alaska Highway, the principal route out of the state through Canada. In both studies, subjects lost more weight on the low-carbohydrate plans. Alaska is arguably the least-connected state in terms of road transportation. The 22 May 2003, issue of the New England Journal of Medicine published two scientific, randomized studies comparing standard low-fat diets to low-carbohydrate diets such as the Atkins Diet. Some have embraced the free shipping offers of some online retailers to purchase items much more cheaply than they could in their own communities, if they are available at all.

Traditional, high-fat French cooking has led to a much lower incidence of obesity, morbid obesity and chronic heart disease than in the high-sugar American diet, despite overall energy intake and exercise levels being the same. Many rural residents come in to Anchorage and purchase food and goods in bulk from warehouse clubs like Costco and Sam's Club. Low-fat diets are not automatically healthy ones. However, rural Alaska suffers from extremely high prices for food and consumer goods due to the lack of transportation infrastructure. Ketosis should not be confused with ketoacidosis, a serious medical condition seen in diabetics and alcoholics. This has changed for the most part in Anchorage, where the cost of living is actually less than some major cities in the Lower 48, thanks to lower housing and transportation costs. It is biologically natural to burn fat - that's why we store it. The cost of goods in Alaska has long been higher than in the contiguous 48 states.

Criticism of the diet often focuses on the safety of inducing ketosis, which is one of the body's natural processes for the metabolism of body fat often during sleep. There is also a growing service and tourism sector. In the end, no study has shown that cardiac disease has been reduced by promoting low-fat diets, and there is evidence to the contrary. Its industrial outputs are crude petroleum, natural gas, coal, gold, precious metals, zinc and other mining, seafood processing, timber and wood products. Yet the studies on which the low-fat gospel was based were also small, and less definitive. Manufacturing is limited, with most foodstuffs and general goods imported from elsewhere. Employment is primarily in government and industries such as natural resource extraction, shipping, and transportation. So then the critics defend their low-fat position by noting, correctly, that the new studies were small. Alaska's main agriculture output is seafood, although nursery stock, dairy products, vegetables, and livestock are produced and used internally.

Yet, when studies are finally done to see what low-carb/high-fat diets actually do, they are at worst as effective as the recommended low-fat diets, and they do not, in fact, increase cardiac risk factors; indeed, overall, they lower them. Its per-capita income for 2003 was $33,213, 14th in the nation. For years, opponents of the Atkins diet claimed that (1) it would not work, it was preposterous, eating all that fat would make people fat, and (2) it would seriously increase cardiac risk. The state's 2003 total gross state product was $31 billion. The fat is a crucial part of Atkins, for fat is satisfying, it sates. The difference between boroughs and census areas is that boroughs have an organized area-wide government, while census areas are artificial divisions defined by the United States Census Bureau. In the context of widespread propaganda against fat, many people, even those who try the Atkins diet or other low-carb diet, try to make it low-fat, which apparently does not work. Alaska has no counties in the sense used in the rest of the country; however, the state is divided into 27 census areas and boroughs.

The crucial issue is the sustainability of the diet in its Maintenance phase. See: List of Alaska rivers. It is unfair to single out the Atkins or any low-carb diet for this factor. Various private interests own the remaining land, less than 1%. However, this is true of all diets, not just low-carb diets. Of the remaining land, the State of Alaska owns 24.5%; another 10% is managed by thirteen regional and dozens of local Native corporations called ANCSA. Opponents of the Atkins diet tend to claim that weight is regained when dieting stops. The Arctic National Wildlife Refuge is managed by the US Fish and Wildlife Service.

But for many people, it seems, a low-carb diet may be more effective, and there is accumulating research confirming this. Of these, the Bureau of Land Management manages 87 million acres, or 23.8% of the state. For some people, a low-fat diet may work as well as a low-carb diet, perhaps better. According to the October 1998 report of the USDI Bureau of Land Management, approximately 65% of Alaska is owned and managed by the US Federal Government as national forests, national parks, and national wildlife refuges. As with any diet, the Atkins may not be effective for some people. The Aleutian Islands actually cross longitude 180°, though the International Date Line doglegs around them to keep the whole state in the same day. Critics of low-carb dieting may also fail to consider a simple fact of life: people are built differently. Alaska is both the Westernmost and Easternmost state in the Union.

Agatston ("South Beach Diet") and many others. North America's second largest tide occurs in Turnagain Arm just south of Anchorage, which often sees tidal differences of more than 30 feet. Atkins, but also renowned cardiologist Dr. The chain of volcanoes extends to Mount Spurr, west of Anchorage on the mainland. It's not just the cardiologist, Dr. For example, Unimak Island is home to Mount Shishaldin, a moderately active volcano that rises to 9,980 ft (3,042 m) above sea level. As was pointed out at the time the original low-fat recommendations were being worked out, shifting dietary composition toward carbohydrates and away from fat affects many different metabolic systems in the body; making such a shift without strong scientific evidence effectively subjected a whole population to an uncontrolled experiment; only now are the results of this experiment starting to be widely examined, and many are concluding that recommending low-fat diets was a very bad idea. The island chain extending west from the southern tip of Alaska is called the Aleutian Islands. Many active volcanoes are found in the Aleutians.

Carbohydrates, especially highly-processed, quickly-digested carbohydrates, cause a blood sugar spike, stimulating insulin production and all the consequences of that, quite possibly resulting in weight gain, which is itself a major cardiac risk factor. Alaska, with its numerous islands, has nearly 34,000 miles (54,700 km) of tidal shoreline. However, when fat is reduced in a diet, the practical consequence is that people will substitute carbohydrates. One scheme for describing the state's geography is by labeling the regions:. The original recommendations for low-fat diets were based on the idea that, yes, the studies had not been done to prove fat harmful, but maybe it was harmful (for example, saturated fat in diet was associated in some studies with high cholesterol levels which was associated in some studies with heart disease), and allegedly there was no harm in reducing fat, therefore it should be reduced; millions of lives might be lost if we waited for scientific proof. If you superimposed a map of Alaska on the Lower 48 states, Alaska would stretch from Minnesota to Texas, and from California to Georgia. Proponents cite Gary Taubes who, in a 2001 article in Science, 291 (5513): 2536, claims that the oft-cited "consensus" opinion against saturated fats derives from political rather than scientific motives. (It is thus an exclave.) Alaska is the largest state in the United States in terms of land area, 570,374 square miles (1,477,261 kmē).

Atkins backers maintain that, aside from trans fat, saturated fat is not harmful and is actually necessary in diet. Alaska is the only state that is both in North America and not part of the 48 contiguous states; about 500 miles (800 kilometers) of Canadian territory separate Alaska from Washington. Advocates of the diet dispute criticisms based on the fact that a low-carb diet is likely to be high-fat and allegations that fat, especially saturated fat, is harmful. Littke, Peter, Russian-American Bibliography, 2003. It's important to note that many of these represent scientifically controlled studies, published in peer-reviewed journals. Proponents of the Atkins diet feel much of the criticism leveled at the diet comes from statements and opinions of individuals and associations, rather than from controlled and reviewed studies. Literature:. Those claims persist today, even though there are now studies indicating the contrary:. It was the only part of the United States to have land occupied during the war.

When the Atkins diet was introduced in the 1970s, it was immediately attacked by existing experts, who claimed it was unhealthy and would fail. During World War II three of the outer Aleutian Islands — Attu, Agattu and Kiska — were occupied by Japanese troops. Whole, unprocessed food choices are emphasised, with the option to drop back to an earlier phase if you begin to gain weight. Over the years various vessels have been named USS Alaska, in honor of the state. This phase is intended to carry on the habits acquired in the previous phases, and avoid the common end-of-diet mindset that can return people to their previous habits and previous weight. In 1983 the number of time zones was reduced to two, with the entire mainland plus the inner Aleutian Islands going to UTC −9 hours (and this zone then being renamed Alaska Standard Time as the Yukon Territory had several years earlier (circa 1975) adopted a single time zone identical to Pacific Standard Time), and the remaining Aleutian Islands were slotted into the UTC −10 hours zone, which was then renamed Hawaii-Aleutian Standard Time. Carbohydrate intake is increased again, and the key of goal in this phase is to find the "Critical Carbohydrate Level for Maintenance", this the maximum number of carbohydrates you can eat each day without gaining weight. Prior to 1983, the state lay across four different time zones — Pacific Standard Time (UTC −8 hours) in the extreme southeast, a small area of Yukon Standard Time (UTC −9 hours) around Juneau, Alaska-Hawaii Standard Time (UTC −10 hours) in the Anchorage and Fairbanks vicinity, with the Nome area and most of the Aleutian Islands observing Bering Standard Time (UTC −11 hours).

The OWL phase lasts until weight is within 10 pounds (4.5 kg) of the target weight. The fund invests a portion of the state's mineral revenue, including revenue from the Trans-Alaskan Pipeline System, 'to benefit all generations of Alaskans.' In March 2005, the fund's value was over $30 billion. A goal in OWL is to find the "Critical Carbohydrate Level for Losing". In 1976, the people of Alaska amended the state's constitution, establishing the Alaska Permanent Fund. Carb intake increases by 5 grams of carbs per day each week. Eisenhower signed the Alaska Statehood Act into United States law on 7 July 1958 which paved the way for Alaska's admission into the Union on January 3, 1959. The Ongoing Weight Loss (OWL) phase of Atkins consists of an increase in carbohydrate intake, but remaining at levels where weight loss occurs. President Dwight D.

These let the dieter monitor when they enter the ketosis, or fat burning, phase. Between 1884 and 1912 it was called the district of Alaska. Atkins suggests the use of KetoStix, small chemically reactive strips used by diabetics. After the purchase of Alaska between 1867 and 1884 the name was changed to the Department of Alaska. The Induction Phase is usually when many see the most significant weight loss - reports of losses up to six or eight pounds (3 or 4 kg) per week are not uncommon. The purchase was not popular in the continental United States, where Alaska became known as "Seward's Folly" or "Seward's Icebox". Alaska celebrates the purchase each year on the last Monday of March, calling it Seward's Day. Caffeine and alcoholic beverages are not allowed. The first American administrator of Alaska was Włodzimierz Krzyżanowski.

The allowed foods include a liberal amount of most meats, a good bit of cheese and cream, two cups of salad, and one cup of other vegetables. Secretary of State William Seward, the United States Senate approved the purchase of Alaska from Russia for $7,200,000 on 9 April 1867, and the United States flag was raised on 18 October of that same year (now called Alaska Day). Carbohydrate intake is limited to 20 net grams per day. At the instigation of U.S. It is intended to cause the body to quickly enter a state of ketosis. The colony was never very profitable, because of the costs of transportation. The Induction phase is the first, and most restrictive phase of the Atkins Nutritional Approach. The Russian-American Company hunted otters for their fur.

There are four phases of the Atkins diet:. St. Elias. Preferred foods in all categories are whole, unprocessed foods with a low glycemic load. Vitus Bering sailed east and saw Mt. Sugar alcohols need to be treated with caution, while they may be slower to convert to glucose they can be a significant source of glycemic load and can stall weight loss. The first written accounts indicate that the first Europeans to reach Alaska came from Russia. Atkins restricts "net carbs", or carbs that have an effect on blood sugar. Net carbohydrates can be calculated from a food source by subtracting sugar alcohols and fiber (which are shown to have no effect on blood sugar level) from total carbohydrates. Most, if not all, of the pre-Columbian population of the Americas probably took this route and continued further south and east.

Although Atkins claimed that ketosis helped the body burn fat more easily, nutritionalists are quick to point out that the body will burn stored fat for energy whenever the calories taken in are less than those burned. Eventually, Alaska became populated by the Inuit and a variety of Native American groups. This process (called lipolysis) begins when the body enters the state of ketosis as a consequence of running out of carbohydrates to burn. Alaska was probably first settled by people who came there across the Bering Land Bridge. Atkins involves restriction of the intake of carbohydrates in order to switch the body's metabolism from burning glucose to burning fat (chiefly stored fat). Alaska is the largest state by area in the United States. While most of the emphasis in Atkins is on the diet, nutritional supplements and exercise are considered equally important elements. It is bordered by Yukon Territory and British Columbia, Canada to the east, the Gulf of Alaska and the Pacific Ocean to the south, the Bering Sea, Bering Strait, and Chukchi Sea to the west, and the Beaufort Sea and the Arctic Ocean to the north.

Samuel Klein, of the North American Association for the Study of Obesity, has reported encountering anger from academicians simply for daring to present data on the Atkins diet. The natives called it "Alyeska", meaning "the great land". Dr. The name "Alaska" is most likely derived from the Aleut word for "great country" or "mainland". The Atkins Nutritional Approach seems to provoke extreme reactions, to the point where even just discussing it can be a problem. The population of the state is 626,932, as of 2000. Consequently, Dr Atkins rejects the advice of the food pyramid, instead telling us the tremendous increase in refined carbohydrates is responsible for the rise in metabolic disorders of the 20th century, and the focus on the detrimental effects of dietary fat has actually contributed to the obesity problem by increasing the proportion of insulin inducing foods in the diet. On January 3, 1959, Alaska was admitted to the United States as the 49th state.

He claimed there are two main unrecognised factors about Western eating habits, arguing firstly that the main cause of obesity is eating refined carbohydrates particularly sugar, flour, and high-fructose corn syrups; and secondly that saturated fat is overrated as a nutritional problem, only trans fats from sources such as hydrogenated oils need to be avoided. Sheldon Jackson College. Atkins represents a radical departure from prevailing theories. Ilisagvik College. Atkins claimed that his diet stabilizes insulin and blood sugar levels, eliminating cravings and often reducing appetite. Charter College. According to Atkins, this causes food cravings and unstable blood sugar levels, which can cause mood swings, depression, and sleeping problems. Alaska Pacific University.

Atkins argued that many eating disorders are the result of hyperinsulinism, or excessive secretion of insulin which comes through eating too many carbohydrates. Alaska Bible College. Dr. University of Alaska Southeast. Atkins' New Diet Revolution, in which he updated some of his ideas but remained faithful to the original concepts. University of Alaska Fairbanks. It has been astonishingly popular in recent times because of his revised book, Dr. University of Alaska Anchorage.

Atkins' Diet Revolution in 1972. University of Alaska System

    . Robert Atkins (1930-2003) in a series of books, starting with Dr. She won re-election in 2004 in a close (and most expensive in Alaskan history) race with former governor Democrat Tony Knowles. It was popularized by Dr. Republican Lisa Murkowski was appointed by her father, Frank, to complete the United States Senate term he vacated in 2002 to run for, and win, the governorship of the state. The Atkins Nutritional Approach, popularly known as the Atkins Diet or just Atkins, is a popular but controversial high-protein, high-fat, low-carbohydrate diet. He is regarded as somewhat of a hero because of this.

    Dieting. Jay Hammond was Governor during the building of the Alaska Pipeline and established the Alaska Permanent Fund, providing Alaskans with essentially free money. Diet. He was elected to the United States Senate in 1958 and re-elected in 1962. New England Journal of Medicine: (vol 348, p 2082) (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12761365). Ernest Gruening (1886–1974) was appointed Governor of the Territory of Alaska in 1939, and served in that position for fourteen years. Amer Jrnl Epidemiology 1994;139:493-503. There are streets, buildings, and even the first state ferry, named for him.

    Case-control study of risk factors for hip fractures in the elderly. Edward Lewis "Bob" Bartlett (1904–1968) was the territorial delegate to the US Congress from 1944 to 1958, and was elected as the first senior US senator in 1958 and re-elected in 1964. Cumming RG, Klineberg RJ. 5.4% mixed race. 2, 504-511); this includes 72,000+ people and 18 years of data. 3.5% Black. 77, No. 4% Asian.

    See also follow-up in February, 2003 issue of the American Journal of Clinical Nutrition (Vol. 4.1% Hispanic. Amer Jrnl Public Health 1997;87:992-7. 15.6% American Indian or Alaska Native. Milk, dietary calcium, and bone fractures in women: a 12-year prospective study. 67.6% White (Non-Hispanic). Also, acidity from the typically high protein intake can cause osteoporosis (Feskanich D, Willett WC, Stampfer MJ, Colditz GA. the Alaskan Bush is the remote, uncrowded part of the state.

    Atkins.com now suggests a fiber supplement. the Alaska Interior has big rivers, such as the Yukon River and the Kuskokwim River, as well as Arctic tundra lands and shorelines; and. The May 2004 Annals of Internal Medicine study showed that Atkins Dieters had significantly more diarrhea, general weakness, rashes and muscle cramps. the Alaska Panhandle, also known as Southeast Alaska, is home to towns, tidewater glaciers and extensive forests;. L., Griffith, J.L., et al., "One Year Effectiveness of the Atkins, Ornish, Weight Watchers, and Zone Diets in Decreasing Body Weight and Heart Disease Risk", Presented at the American Heart Association Scientific Sessions 12 November 2003 in Orlando, Florida.). South Central Alaska is the southern coastal region with towns, cities, and petroleum industrial plants;. (Dansinger, M.L., Gleason, J.

    The Atkins Diet came last in terms of weight lost at the end of the year. Even in studies only one year long, this diet can fail to produce the greater weight-loss which is claimed to come from factors other than calorie-reduction such as ketosis: It was compared to dieters on Dean Ornish’s diet, Weight Watchers, and The Zone Diet for 1 year. Despite this diet's overwhelming popularity compared to other diets, of the 5,000 Americans confirmed to have lost an average of 70 pounds (32 kg) and able to prove they have kept it off for at least 6 years of the decade of NIH’s data-keeping, less than 1% were confirmed to be Atkins adherents. The National Weight Control Registry, funded by the National Institutes of Health (NIH) tracked the habits of successful dieters over a longer term, 10 years.

    We concluded that excessive overeating had been fueled by carbohydrates." "In addition to the calorie reduction and weight loss, subjects experienced markedly improved glucose levels and insulin sensitivity, as well as lower triglycerides and cholesterol." This is not a controlled study in that there was no control group; it merely observed the effect of putting ten obese diabetics on the Atkins diet; this is "the only study of the Atkins diet to have been conducted in the strictly controlled environment of a clinical research center where every calorie eaten and spent was measured." --Annals of Internal Medicine, 15 March 2005. "When carbohydrates were restricted, study subjects spontaneously reduced their caloric intake to a level appropriate for their height, did not compensate by eating more protein or fat, and lost weight. "sustained weight loss" --American Journal of Medicine, Volume 113, Issue 1, July 2002, Pages 30-36. "Diets high in fat do not appear to cause excess body fat, and reductions in fat will not be a solution." --American Journal Of Medicine, Volume 113, Issue 9, Supplement 2, 30 December 2002, Pages 47-59.

    "better participant retention and greater weight loss...greater decreases in serum triglyceride levels" --Annals Of Internal Medicine, 18 May 2004 | Volume 140 Issue 10 | Pages 769-777. "The low-carbohydrate diet produced a greater weight loss...and greater improvement in some risk factors for coronary heart disease" --New England Journal Of Medicine, Volume 348:2082-2090, 22 May 2003, Number 21.