South Beach. Atkins. Hamptons. Fat Choices in these Diets

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Low Carb Based On Science

• Fred Pescatore, MD
• July 18, 2004
• Las Vegas, NV

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Moving Beyond the Fad

• 48 Americans Trying to Control Carbohydrates
• 26 Americans are Actually Controlling
  Carbohydrates
• Most are Eating 50 More Carbohydrates than they
  think they are
• New Declaration - Low Carb is Dead
• Good News - Trend can now become a Reality
• Main Stream Retailers Take Up Market Share

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The Low Carb Peak
Current State of the Industry

• Early 2000s with Atkins and South Beach
• Atkins Nutritionals
• South Beach teaming with Kraft
• ABC declares very few Americans actually
  following SB, Atkins or the Zone
• The Consumer is Confused and Getting Burned Out
  with Product Overload and Not Losing Weight
• Low Carb at a Crossroads but can be Saved

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The Health Food Store in Todays Low Carb
Environment

• Looked upon as Primary Educator
• Transition from Sugar Based, Carb Packing,
  Insulin Drugged-Out Society to Whole Foods
  Approach
• Act as a Half-way House
• Low Carb Must Move from Trend to Lifestyle to
  Health
• Entice the customer with something they want and
  get them hooked on something they need by
  educating them as to why they need it
• Create a base of customers who are successful

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The New Weapons of Meal Destruction
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Our current system is flawed

• Retail and Manufacturers have rushed to market
  products
• Unhealthful, Cheap Ingredients - including corn
  starch, corn syrup solids, enriched flour
• Ingredients that have no place in the kitchen of
  any low carb dieter
• Poor Food Quality
• Products of No use to diabetics
• Replacement of Sugar with Sugar Alcohols - no
  diminution in sweet tooth
• The results are
• People not Losing Weight
• Blood Sugar Rising, not decreasing
• This is because we have allowed the leader in the
  industry to move us in the wrong direction and
  directly to mass market

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When Math Doesnt Add Up
Net/Effective Carbs - subtraction, subtraction,
subtraction - the wrong philosophy for long term
success and long term health Marketing Gimmick -
invented as response to FTC crackdown Sugar
Alcohols GI discomfort and customer
dissatisfaction Must Decrease Americas Sweet
Tooth Soluble vs. Insoluble Fiber- how to
count? Total Carbs count for weight loss Net
Carbs May Count for Maintenance Both the health
industry and the big manufacturers continue to
manipulate the supplement and food supply, label
and ingredients and exert influence on the FDA
and FTC
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FDA Low Carb Ruling Most Likely Scenario

• Total Carbs Fiber Net Carbs
• No distinction between soluble v insoluble fiber
• 8 grams of carbs will be considered low carb
  32 calories (traditional stance) per serving
• Allow ALL manufacturers to subtract fiber,
  including farmers who can subtract for vegetable
  fiber in the fruits and vegetables they grow
• Sugar alcohols will not be subtracted although
  the ADA stance is to allow for subtraction of
  half the amount
• None of this is based in science, but by
  recommendations of multiple committees.

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THE FUTURE OF LOW CARB DIETING

• Marriage of Low Carb with the Mediterranean
  Approach
• Wellness Approach to Weight Loss - Healthy Eating
  as Key
• Lean Protein, Vegetables, Fruits, Nuts, Seeds,
  Whole Grains, Moderate Alcohol Consumption
• Builds on and Goes Beyond the Popular Low Carb
  Diets by increasing Monounsaturated Fats
• Whole Foods - Minimally Processed and Optimally
  Nutritious
• Portion Control- realistic and actual

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The Most Popular Diets
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Fat Choices in these Diets
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Why a New Diet Paradigm?

• Obesity Statistics
• 80 of All Americans gt BMI greater than25
• 33 of all children are obese
• 60 of all Americans are overweight or obese
• 145,000,000 adults are overweight or obese
• 18 million kids are overweight or obese
• Double the rate of 30 years ago
• Increased 50 in the last 10 years
• Increased 80 since 1980

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Obesity Directly Affects

• Cardiovascular disease
• Stroke, high blood pressure, Lp(a),
  cholesterol levels, C-reactive protein and
  Homocysteine levels
• Diabetes
• Increased mortality and morbidity
• Increased risk for cancer
• Second Leading Cause of Death

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The Insulin Connection

• Since 1980 - Increase in corn syrup consumption
  to 20 of our carb calories for a total of 10 of
  our total carbs (up to then, carb consumption was
  relatively steady)
• Switch from whole grains, vegetables and fruits
  to simple carbs and sugar
• Skyrocketing Obesity and Diabetes Rates
• Increase in Sugar and Simple Carbs leads to
  Increase in Insulin Production and Insulin
  Resistance

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How Do Low Carb Diets Work?

• Lower carb consumption will
• Decreasing Insulin Resistance
• Decreasing Glycemic Load
• Increase Thermic Effect of Foods
• This produces
• Positive Outcomes in Lipid Management, Lp(a),
  Homocysteine, Blood Sugar control (short and long
  term), CRP, weight loss and overall mortality

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The Truth About Fats

• Most Important Part of the Food Chain
• Try to Eliminate trans fats
• Avoid processed and damaged oils
• Reduce pro-inflammatory Omega 6
• Increase anti-inflammatory Omega 3
• Goal a 11 balance of 3 to 6
• Emphasize monounsaturated fats
• According to NCEP and AHA, 80 of the fat should
  be monounsaturated
• American Journal of Cardiology - July 7 landmark
  study on inflammation

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Choosing the best oil Macadamia-Why?

• Highest (up to 85) in monounsaturated fats
• Ideal 11 ratio of omega 36
• 15-20 Palmitoleic Acid (anti-microbial like
  Lauric Acid) highest in oleic acid (omega-9)
• 4 times more E than olive oil
• Smoke point 410º
• Olive Oil will break down at 360 º
• Where are there other monounsaturated fats?
• Avocados, sunflower seeds, olives, and some nuts

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The Protein Pyramid
WE NEED A PYRAMID FOR EACH FOOD GROUP

• Lean Protein Sources - wild fish, poultry, pork
  and red meat
• Decrease emphasis on processed meats like bacon
• Beans and Bean Products - adjuki, broad, kidney,
  black turtle, pinto, lima, mung, peas (legume),
  soy, black eyed peas, chickpeas, lentils, natto,
  tempeh, tofu (Category A mung, adjuki, soy,
  tofu, chickpeas and natto)
• Sea Vegetables - arame, hijiki, kombu, wakame,
  nori and dulse (not as high in protein as beans)
• Cheeses, Nuts and Seeds
• Whole Foods - not protein isolates

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Vegetable Pyramid

• Vegetables Salad (lt10 carb)
• Vegetables Most (lt30 carb)
• Vegetables Starchy - these include potatoes,
  corn and peas

Fruit Pyramid

• Encourage Melons, and Berries
• Next up is Nectarines, peaches, plums,
  grapefruit, etc.
• Avoid Tropicals

The Grain Pyramid

• Whole Grains - the word, whole must appear in
  the ingredient list, not on the label
• Brown Rice - explore alternate grains like
  quinoa, amaranth and spelt
• Whole Cereal Grains - buckwheat, oats, sorghum

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Why The Hamptons Diet

• Sane approach to weight loss and wellness - no
  food demonization
• Return to Health Industry Roots - back to whole
  foods, nutritional supplementation and away from
  packaged foods
• Take the power back from the large food companies
  and dont follow their poor examples
• Discourage over-consumption
• Encourage consumption of low carb vegetables and
  non-sugary fruits that are seasonal local
• There is more to health than convenience foods!

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The Health Wave of the Future

• Avoids trans fats like the plague
• Lower intake of unhealthful omega-6 fats
• Chooses healthy Monounsaturated fats
• Reduces saturated fat by using lean meats
• Supports organic food production and lower
  pricing
• Increase consumption of Whole Foods
• Less sugar alcohol consumption and change
  behaviors - better products wont replace bad
  behaviors

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Trends to Watch

• Hamptons Diet Phenomenon
• Stick together to fight Mass Market take-over of
  low carb
• Evolve Low Carb to Mean Health and Not a Fad
• Manufacturers Getting Back to Health Food Roots -
  Creating Healthy, Tasty Products
• Industry Needs a New Leader

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Contact Information
Fred Pescatore, MD 274 Madison Avenue - Suite
402 New York, New York 212-779-2944 www.hamptonsdi
et.com Book Signing - Booth 1629 - 1P - 2P