Atkins Nutritional Approach(Redirected from Atkins Diet) Dr. Atkins' New Diet Revolution bookThe 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 dietWhile 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: InductionThe 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 LossThe 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-maintenanceCarbohydrate 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 maintenanceThis 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 dietWhen 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:
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 dietLow-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:
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 dietMany 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
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published 1999. MTV profiled her in its Diary series in 2003 and she was Punk'd by Ashton Kutcher in the spring of 2004. 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. Bush's daughter Jenna. The plan is clear that dieters should not ordinarily continue past the 2-week Induction Phase without slowly raising their daily carbohydrate count. She returned to Saturday Night Live on May 5 in a cameo as President George W. The first two weeks of the Atkins Diet are strict, with only 20g of carbohydrates permitted per day. On March 17, 2001, Stiles hosted Saturday Night Live and eight days later introduced a music nominee at the 73rd Academy Awards. Another common misconception arises from confusion between the Induction Phase and rest of the diet. Stiles also played a teenage girl who finds herself pregnant and runs away from her unforgiving father (Bill Smitrovich) in NBC's miniseries The '60's (1999), a film Caryn James dismissed as "conspicuously idiotic." Stiles was the public face of the film, with NBC using her face, painted with a peace sign and the American flag, both in its advertising and on the cover of the soundtrack album. This occurs in diabetics and in a related form in alcoholics. Marcia Ross, the film's casting director, told Jeffrey Ressner "she projects an intelligent depth, she's not girlish, and she'll easily grow into adult roles.". 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. In Before Women Had Wings (1997) on CBS, she played opposite Ellen Burstyn and Oprah Winfrey in an adaptation of the novel by Connie May Fowler. 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. She has been seen in two made-for-TV movies. Some criticism of the diet seems to be based on a confusion between ketosis and ketoacidosis. After two appearances on the PBS series Ghostwriter in 1993 and 1994, she appeared as a guest star on the medical drama Chicago Hope. Atkins addressed in the more recent revisions of his book. Stiles' work on television has been more limited. This is a key point of clarification that Dr. Stiles told Leslie Goober that she was very similar to the character, Paige Morgan, but critic Scott Foundas said while she was, as always, "irrepressibly engaging" the film was a "strange career choice for Stiles." This echoed criticism in reviews of A Guy Thing (2003), a romantic comedy with Jason Lee and Selma Blair; Dennis Harvey wrote that Stiles was "wasted," and Stephen Holden called her "a serious actress from whom comedy does not seem to flow naturally.". 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. Stiles played a Wisconsin co-ed, with dreams of becoming a doctor, who is swept off her feet by a Danish prince in The Prince and Me (2004), directed by Martha Coolidge. Many people incorrectly believe that the Atkins Diet promotes eating unlimited amounts of fatty meats and cheeses. Stephen Holden referred to her as one of the cinema's "brightest young stars," but the film met with generally unfavorable reviews. [5] (http://www.lowcarb.ca/articlesb/article332.html). Her next leading role was in Mona Lisa Smile (2003) as Joan, a student at Wellesley College in 1953, whose art professor (Julia Roberts) encourages her to pursue a career in law rather than becoming a wife and mother. Robert Eckel of the American Heart Association says that high-protein, low-carbohydrate diets put people at risk for heart disease. Aimee Agresti quoted producer Lynda Obst as saying Stiles was turning into the next Meryl Streep. Dr. Stiles also had small roles as a CIA operative in The Bourne Identity (2002) and its sequel The Bourne Supremacy (2004). 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. She has an effect on people," said Channing. Robert Atkins, claiming that the Atkins diet regimen caused severe heart disease, making it necessary for him to undergo angioplasty. Channing was impressed by her co-star: "In addition to her talent, she has a quality that is almost feral, something that can make people uneasy. and the estate of Dr. Stiles also played opposite Stockard Channing in the dark art house film The Business of Strangers (2001) as a conniving underling who exacts revenge on her cold boss. 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. In David Mamet's State and Main (2000), about a film shooting on location in a small town in Vermont, she played a teenage girl who seduces a film actor (Alec Baldwin) with a weakness for young girls. 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. She told Rolling Stone that despite rumors, she did all her own dancing in the film, though the way the film was shot and edited made it appear otherwise. 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. Rolling Stone pronounced her "the coolest co-ed", putting her on the cover of its April 12, 2001 issue. [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. The role won her two more MTV awards for "Best Kiss" and "Best Female Performance", and a Teen Choice Award for best fight scene for her battle with Bianca Lawson. 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. At her new, nearly all-black school, she falls in love with Sean Patrick Thomas, who teaches her hip-hop dance steps that get her into The Juilliard School. 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. Her next commercial success was in Save the Last Dance (2001), as an aspiring ballerina forced to leave her small town in downstate Illinois to live with her struggling musician father in Chicago after her mother is killed. 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. Neither was a great success; O had been subjected to many delays and a change of distributors and Hamlet was an art house film shot on a minimal budget. j. The second was playing Ophelia in Michael Almerayda's Hamlet (2000), with Ethan Hawke in the lead. Condemned by the American College of Sports Medicine in Medicine and Science in Sports and Exercise 33 (2001): p.2145. The first was playing the Desdemona role, opposite Mekhi Phifer in the title role, in Tim Blake Nelson's O (2001), Othello set in a high school. i. She subsequently appeared in two more Shakespearean adaptations. Johns Hopkins University White Paper, 2004. a Teen Choice Award nomination for their on-screen chemistry. Condemned by Johns Hopkins in Diabetes 2004. Her next starring role was in Down to You, which was heavily panned by critics but was a financial success, and earned Stiles and her co-star Freddie Prinze, Jr. h. Adina Hoffman praised her as "a young, serious looking Diane Lane" and Martin Hoyle said Stiles played Kat "with bloody-minded independent charm from the beginning with hints of wistfulness beneath the determination.". Condemned by American Heart Association in Circulation 104 (2001): p.1869. Foreign critics applauded her work as well. g. She won an MTV Movie Award for "Breakthrough Female Performance" for the role, and the Chicago Film Critics voted her the most promising new actress of the year. Condemned by the American Kidney Fund in American Kidney Fund news release, 25 April 2002. The role that made her a star was Kat Stratford, opposite Heath Ledger, in Gil Junger's 10 Things I Hate About You (1999), an adaptation of The Taming of the Shrew set in a Seattle high school. f. and went direct-to-video. Condemned by ACS in American Cancer Society; Weighing In on Low Carb Diets, 2004. Joe Balthai wrote she was "the darling of the 1998 Sundance Film Festival" and Internet movie writer Harry Knowles said she was the "discovery of the fest," but the film was not commercially released in the U.S. e. Her first lead was in Wicked (1998), playing a teenage girl who murders her mother so she can have her father all to herself. 94-3700, 1993. Night Shyamalan's Wide Awake. No. Pakula's The Devil's Own (1997) and in M. Also condemned by National Institutes of Health in NIH Publ. She also had small roles as Harrison Ford's daughter in Alan J. d. Stiles' first film was a non-speaking part in I Love You, I Love You Not (1996) with Claire Danes and Jude Law. "a nightmare of a diet." --Journal of the American Dietetic Association 102 (2002): p.260. In the spring of 2004, she made her London stage debut opposite Aaron Eckhart in a revival of David Mamet's play Oleanna at the Garrick Theatre. c. Reviewing the production, Ben Brantley of The New York Times saluted Stiles as "the thinking teenagers' movie goddess" who put him in mind of a "young Jane Fonda". Everett Koop (Shape Up America! news release, 29 December 2003). She graduated to adult roles by performing in Eve Ensler's The Vagina Monologues and, in the summer of 2002, appeared as Viola, the lead role in Shakespeare in the Park's production of Twelfth Night with Jimmy Smits. "unhealthy and can be dangerous." --C. Stiles started acting at age eleven, performing with New York's La MaMa Theatre Company, securing work by submitting photographs of herself in costume to the company and asking that she be kept in mind for juvenile roles [6] (http://www.juliastiles.net/theater.html). b. The actress has described herself as a feminist and wrote on the subject in The Guardian [5] (http://film.guardian.co.uk/features/featurepages/0,4120,1240843,00.html):. “...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. Stiles has also worked for Habitat for Humanity, building housing in Costa Rica [2] (http://www.habitat.org/newsroom/2000archive/1insitedoc004229.htm), and has worked with Amnesty International to try and raise awareness of the harsh conditions of immigration detention of unaccompanied juveniles; Marie Claire magazine, in January 2004, featured Stiles' trip to see conditions at the Berks County Youth Center in Leesport, Pennsylvania [3] (http://www.amnestyusa.org/artistsforamnesty/feb2004.html) [4] (http://www.amnestyusa.org/artistsforamnesty/july2004.html). a. Stiles is a Democrat who supported John Kerry's candidacy for President of the United States [1] (http://www.juliastiles.net/news.html#), and her official site, which her mother helps to maintain, provides a link to Moveon.org. 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:. She attended a Quaker school in Manhattan and is an English major at Columbia University in New York City, though she has several times interrupted her studies to pursue her film career (she is graduating in May 2005, five years after entering College). Some experts have even suggested Atkins' plan is quackery. Julia Stiles was born the eldest of the three children (two daughters and a son) of John O'Hara, a teacher and businessman, and Judith Stiles, a potter. 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 Stiles isn't working, she actively supports a variety of progressive and liberal issues. With its emphasis on fatty foods, the Atkins diet has generally been considered by most medical and nutritional experts to be unsound. After beginning her theater career in small parts, she has moved on to leading roles in plays by writers as diverse as William Shakespeare and David Mamet; her film career has been both a commercial and critical success, ranging from teen romantic comedies such as 10 Things I Hate About You (1999) to dark art house pictures such as The Business of Strangers (2001). But many in the scientific community also raise serious concerns:. Julia O'Hara Stiles (born March 28, 1981 in New York City) is an American stage and screen actress. 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). [7] (http://film.guardian.co.uk/features/featurepages/0,4120,1240843,00.html) (Mona Lisa Smile, Oleanna and feminism). Low-carbohydrate diets have been the subject of heated debate in medical circles for three decades [1] (http://www.lowcarb.ca/). June 17, 2004. (See New Scientist, 21 May 2003.). "Who's afraid of the 1950s?" The Guardian (London). The study followed the diets of 63 obese men and women. Julia Stiles. 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). (General material). In the study, conventional dieters' HDL cholesterol raised by only 1.6% while their triglyceride levels did not improve significantly. 74-7. This counters one of the chief criticisms of Atkins' approach, which is that cholesterol is raised by eating fatty foods and meat. February 2003. 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%. 2. In both studies, subjects lost more weight on the low-carbohydrate plans. 51, n. 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. v. 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. YM. Low-fat diets are not automatically healthy ones. "No one can shut me up". Ketosis should not be confused with ketoacidosis, a serious medical condition seen in diabetics and alcoholics. Julia Stiles. It is biologically natural to burn fat - that's why we store it. (General material). 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. 112-5. 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. April 2004. Yet the studies on which the low-fat gospel was based were also small, and less definitive. 7, n. 3. So then the critics defend their low-fat position by noting, correctly, that the new studies were small. v. 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. Teen People. 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. "Julia Stiles gets real". The fat is a crucial part of Atkins, for fat is satisfying, it sates. Smith. 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. Jennifer L. The crucial issue is the sustainability of the diet in its Maintenance phase. (General material, Sundance). It is unfair to single out the Atkins or any low-carb diet for this factor. April 12, 1999. However, this is true of all diets, not just low-carb diets. 14. Opponents of the Atkins diet tend to claim that weight is regained when dieting stops. 153, n. But for many people, it seems, a low-carb diet may be more effective, and there is accumulating research confirming this. v. For some people, a low-fat diet may work as well as a low-carb diet, perhaps better. Time. As with any diet, the Atkins may not be effective for some people. "10 Things About Her: Julia Stiles' career is a class in teen stardom". Critics of low-carb dieting may also fail to consider a simple fact of life: people are built differently. Jeffrey Ressner. Agatston ("South Beach Diet") and many others. (10 Things). Atkins, but also renowned cardiologist Dr. 11. It's not just the cardiologist, Dr. July 9, 1999. 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 Independent (London). 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. "Shakespeare goes to the prom". However, when fat is reduced in a diet, the practical consequence is that people will substitute carbohydrates. Charlotte O'Sullivan. 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. (General material). 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. 415-7. Atkins backers maintain that, aside from trans fat, saturated fat is not harmful and is actually necessary in diet. Detroit, Michigan: Gale, 2002. 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. In Newsmakers 2002. 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. "Julia Stiles". Those claims persist today, even though there are now studies indicating the contrary:. Sarah Partin. When the Atkins diet was introduced in the 1970s, it was immediately attacked by existing experts, who claimed it was unhealthy and would fail. (General material). Whole, unprocessed food choices are emphasised, with the option to drop back to an earlier phase if you begin to gain weight. January 2003. 92-3, 155. 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. 11. 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. 100, n. The OWL phase lasts until weight is within 10 pounds (4.5 kg) of the target weight. v. A goal in OWL is to find the "Critical Carbohydrate Level for Losing". Glamour. Carb intake increases by 5 grams of carbs per day each week. "Julia speaks her mind". The Ongoing Weight Loss (OWL) phase of Atkins consists of an increase in carbohydrate intake, but remaining at levels where weight loss occurs. Gia Kourlas. These let the dieter monitor when they enter the ketosis, or fat burning, phase. (The 60's). Atkins suggests the use of KetoStix, small chemically reactive strips used by diabetics. February 5, 1999. E30. 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 New York Times. Caffeine and alcoholic beverages are not allowed. "This Time, Man, The 60's Go, Like Faster". 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. Caryn James. Carbohydrate intake is limited to 20 net grams per day. (Stockard Channing and The Business of Strangers). It is intended to cause the body to quickly enter a state of ketosis. December 7, 2001. E8. The Induction phase is the first, and most restrictive phase of the Atkins Nutritional Approach. The New York Times. There are four phases of the Atkins diet:. "At the Movies: Understanding a Dragon Lady". Preferred foods in all categories are whole, unprocessed foods with a low glycemic load. Dave Kehr. 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. (10 Things). 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. 18. 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. July 8, 1999. This process (called lipolysis) begins when the body enters the state of ketosis as a consequence of running out of carbohydrates to burn. Financial Times. 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). "Martin Hoyle enjoys a film that turns the Bard's almost unplayable comedy into a teenage coup". While most of the emphasis in Atkins is on the diet, nutritional supplements and exercise are considered equally important elements. Martin Hoyle. 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. (Mona Lisa Smile). Dr. B8. The Atkins Nutritional Approach seems to provoke extreme reactions, to the point where even just discussing it can be a problem. December 19, 2003. 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 New York Times. 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. "Creeping 1953 Feminism Without Quite Dispelling Dreams of Prince Charming". Atkins represents a radical departure from prevailing theories. Stephen Holden. Atkins claimed that his diet stabilizes insulin and blood sugar levels, eliminating cravings and often reducing appetite. (A Guy Thing). According to Atkins, this causes food cravings and unstable blood sugar levels, which can cause mood swings, depression, and sleeping problems. B31. Atkins argued that many eating disorders are the result of hyperinsulinism, or excessive secretion of insulin which comes through eating too many carbohydrates. January 17, 2003. Dr. The New York Times. Atkins' New Diet Revolution, in which he updated some of his ideas but remained faithful to the original concepts. "A Hangover Is the Least of His Problems". It has been astonishingly popular in recent times because of his revised book, Dr. Stephen Holden. Atkins' Diet Revolution in 1972. (10 Things). Robert Atkins (1930-2003) in a series of books, starting with Dr. 7. It was popularized by Dr. July 26, 1999. 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. The Jerusalem Post. Dieting. "Good teen fun". Diet. Adina Hoffman. 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). January 20, 2003. Amer Jrnl Epidemiology 1994;139:493-503. Variety. Case-control study of risk factors for hip fractures in the elderly. Review of A Guy Thing. Cumming RG, Klineberg RJ. Dennis Harvey. 2, 504-511); this includes 72,000+ people and 18 years of data. (General material). 77, No. 192. See also follow-up in February, 2003 issue of the American Journal of Clinical Nutrition (Vol. December 2001. Amer Jrnl Public Health 1997;87:992-7. 231, n.6. Milk, dietary calcium, and bone fractures in women: a 12-year prospective study. v. Also, acidity from the typically high protein intake can cause osteoporosis (Feskanich D, Willett WC, Stampfer MJ, Colditz GA. Cosmopolitan. Atkins.com now suggests a fiber supplement. "The Hottest Chicks in Hollywood". The May 2004 Annals of Internal Medicine study showed that Atkins Dieters had significantly more diarrhea, general weakness, rashes and muscle cramps. Leslie Goober. 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 Prince and Me). (Dansinger, M.L., Gleason, J. 80, 86. The Atkins Diet came last in terms of weight lost at the end of the year. Variety. March 29, 2004. 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. "Not a Fresh 'Prince'". 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. Scott Foundas. 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. 74. 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. 7 July 2002. "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. 6, n. "sustained weight loss" --American Journal of Medicine, Volume 113, Issue 1, July 2002, Pages 30-36. v. "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. Biography. "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. "Stiles and Substance". "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. Alec Foege. April 12, 2001. (General material, college career). Issue 866. Rolling Stone. "Is Julia Stiles too cool for school?". Jancee Dunn. July 22, 2002. (Twelfth Night). The New York Times. "Wayward Currents in Uncharted Waters". Ben Brantley. (General material; biography for younger readers). Bear, Delaware: Mitchell Lane, 2003. Julia Stiles. John Bankston. October 28, 1999. (General material, Sundance). The Arizona Republic. "Screen Idol-escents". Joe Balthai. (The Prince and Me). B5. Newsday (Long Island, N.Y.) April 2, 2004. "Prince Charming isn't her crowning achievement". John Andrews. (Lynda Obst). 74-6. August 2002. 12. 15, n. v. Premiere. "Type A Student". Aimee Agresti. |