Showing posts with label Palatability and obesity. Show all posts
Showing posts with label Palatability and obesity. Show all posts

Monday, 15 August 2011

Taubes Schools Guyenet!

People practically beg me to write up some thoughts specifically about Gary Taubes. I have done so in the past, but not necessarily in thorough detail. When I did write about Taubes, I often championed him for pointing out that obesity is not a simple matter of calorie consumption, calories burned via exercise, willpower, discipline, and so forth. Gary Taubes, as well as several others, have shown the world very clearly that the status quo on what causes obesity and how to lose weight is really dumb, and a near-hilarious oversimplification.

Where Taubes went astray is when he offered up a counter-explanation. He had us all at “it’s not all about calories” and totally lost us when he wrote “it’s all about carbohydrates.” The latter is an even dumber, even more overly-simplistic and easy-to-disprove theory than the “gluttony and sloth” theory proscribed to by the bulk of the diet and medical industry.

Still to this day it totally baffles me that Taubes went down that rabbit hole, and it baffles me even further that he remains entrenched in that belief despite continuing to study the subject. Even the tiniest little peep outside of the low-carb blindfold reveals a waiting line of contradictions to what some might call the “carbohydrate hypothesis,” which is and should be the laughingstock of all theories on obesity (along with any other hypothesis that begins with a macronutrient followed by the word “hypothesis”).

Blaming obesity on fat, or carbohydrates, or protein is like blaming global warming on either Italians, Mexicans, or the Irish. There is no sole contributor or cause of global warming. Sure, carbohydrates – just like protein and fat and a dozen other things, contribute to obesity. But that doesn’t mean that carbohydrates are the cause of all obesity. Any and all “one cause” theories of obesity will ultimately fail, leaving the ones that get the most dogmatic and ruffled in defense of those impossible theories looking the most foolish.

Anyway, enough of that. At the recent Ancestral Health Symposium, which is some kind of Paleo orgy that I did not attend because I had to paint my house and wash my cat, Debbie Young – known as the beloved “Haguilera,” “Grassfed Mama,” and many other nicknames, managed to get Taubes talking down to Stephan Guyenet on video. Taubes, high and mighty and proud, seems to think that he disproves “Guyenet’s” theory on palatability (showing Taubes’s complete lack of education about obesity research – the infancy of this idea arose several decades ago at least, and I have of course written and spoken about it for years now – in my book 180 Degree Metabolism, on the blog here as “The Pleasure Center Activation Theory” or PCAT, and in many interviews – hell even the former head of the FDA, David Kessler, has written a book about it).


He “disproves” it by pointing out that there was a famine preceding the Pima obesity epidemic. Then he goes on to show more ignorance and lack of openness about palatability’s role in obesity, by thinking that a liquid diet is “palatable.” Oh yes, you know those liquid diets. So palatable that after a week you are reaching for anything other than liquid – the barrel of a gun perhaps, to stick in your mouth. Yes scary Gary (I think you could see his skin color turn green and a few seams burst on his clothing during this masturdebate), monotony is a factor in how rewarding a food is.

Try gaining weight eating to appetite of any one food and that food only. It’s not easy. It’s not easy because it’s not enjoyable. It’s not enjoyable because it doesn’t stimulate the pleasure centers in our brain. Those pleasure centers are highly involved in the regulation of appetite – and perhaps even metabolism as well, because they seem capable of causing leptin resistance.

Switching gears here, famine causes a drop in metabolism and makes the pleasure centers in the brain increasingly hypersensitive to stimulation. This helps the body secure food better. You derive more pleasure from eating, are more drawn to calorie-dense foods (calorie-density is a big factor in ‘palatability’), are obsessively fixated on food, and it takes far more food to satisfy your appetite. But even if you don’t satisfy your appetite because there isn’t enough food available to do so, your body still works hard to store fat when you are in this state. You can still become quite fat on a low-calorie diet. Calorie restriction or famine has always been known to trigger hypometabolic and hyperphagic (eat more, burn less, exercise less) in people – and also create intrauterine changes that make a child come into the world ready to defend itself against famine by naturally wanting to eat more and exercise less – and maintain a lower body temperature among other famine-friendly adaptations).

More importantly, this shows that palatability is relative. The Pima, with a history of eating a very sparse diet of lean meats, vegetables, and starchy unprocessed grains and legumes (they were lean of course, as are the modern-day Maycoba in Mexico who still eat a more traditional diet – a huge point, as their diet was much higher in carbohydrates by percentage of ingested calories BEFORE their obesity epidemic than after it), must, by definition, have highly sensitive reward circuitry to be compelled to eat these foods. Any increase in palatability – such as the addition of fat, sugar, white flour, more calorie-dense foods (which those all are of course), liquid calories (not to be confused with liquid diets – liquid calories are very palatable until they comprise roughly 50% of the diet or more, then they become unpalatable and solid food becomes more palatable!), and so forth, will result in weight gain until the reward centers have adjusted.

Of course, with palatability being relative, undergoing an extreme period of starvation makes food of any kind much more hyperpalatable. And the offspring born of that generation are born with a lot more receptors for pleasure neurotransmitters like dopamine. They, in essence, come into the world with “thrifty genes.” This is precisely why, in my view, the fattest people on earth are the ones that underwent the most sudden increase in palatability of their diets (the choice of the word “diet” is key here – we are not talking about the palatability of isolated substances, like sugar – which has very low palatability eaten with a spoon out of a bag – and who the hell could drink high-fructose corn syrup straight out of a bottle?... but the palatability of the diet as a whole). I also think a sudden shift from high activity levels to low activity levels has the same effect – particularly if that activity is a high volume of low-level cardiovascular exercise. In fact, the 15 or so pounds of excess fat I carry all came in a sudden burst of going from 40 hours per week of exercise to 0 while eating to appetite of the highest-palatability diet achievable (note: weight gain stopped when body temperature returned to normal… high-volume exercise lowered it from 98.0 to 96.2F (morning axillary reading)).

And although palatability is a huge and undeniable factor in obesity, both Guyenet and I and anyone of sound mind know that it is just one factor in obesity. One of many.

Others include – and there are potentially dozens of others:

1) Type of fats consumed in the diet, and thus comprising tissue – most seed oils are metabolically-suppressive and just so happens to be a staple of the Pima in the form of “fry bread” – deep-fried white flour. This has proven to be a much bigger factor in insulin resistance than the consumption of carbohydrates, which generally have an inverse correlation with insulin resistance (in other words, the more carbs a population consumes by percentage of dietary intake, the lower the body weight… one of those teency weency contradictions waiting patiently for Taubes to “discover” it).

2) Fiber consumption – while this is a major factor in palatability (the more fiber, the less palatable the food is), fiber ferments into acetic, butyric, and propionic acids with known metabolism-stimulating and insulin-sensitizing properties. These fats are highly protective against the metabolically-suppressing fat found in seed oils. Giving butyric acid to rodents lowers appetite and stimulates metabolic rate – resulting in eating less, exercising more, burning more calories at rest, and maintaining much lower body weight. A wise man virtually incapable of being schooled by Gary Taubes showed me that. He had some funny French name. Stephan or something.

3) Metabolic rate – Metabolic rate is a massive factor in obesity. This is poorly understood by the mainstream that thinks metabolism is best gauged by total calories burned. Metabolic rate is the amount of energy and oxygen consumed per unit of lean body mass. The obese consume far less per unit of lean body mass (adjusted for the added metabolic needs of excess fat tissue). Body temperature is probably the best exterior indicator of metabolic intensity. A recent study on dogs revealed that the fatter the dog, the lower the body temperature (of course, starving dogs would negate this correlation, but we’re not talking about what happens with food shortage as that is irrelevant to modern humans). Women have a higher metabolic rate than men. Small dogs have a higher metabolic rate than big dogs. Small people have a higher metabolic rate than big people. That’s probably why they tend to live longer and age more slowly.

4) Stress - Stress is an undeniable factor in obesity. Stress comes in hundreds of forms. Poor nutritional status, loss of loved one, divorce, sleep apnea, chronic infection, inflammation, poverty – these are but a very short list of potential stressors. Stress impacts weight by raising the glucocorticoid hormones, which has a strong association with insulin resistance unlike eating carbohydrates – the low-carb scapegoat in the cause of insulin resistance – but one with such a paltry amount of scientific backing it should be classed alongside of Nessie and Bigfoot.

5) Psychological factors – Restrained eating has a strong correlation with obesity, particularly amongst young kids that are restrained from eating certain foods or the quantity they desire by their parents. Many people respond to being told they shouldn’t eat something by avoiding it for a short time and then bingeing on it – ignoring satiety signals and eating well beyond them with coinciding weight gain. This is of course just a drop in the barrel on psychological factors that influence someone’s eating, behavior, activity levels, and in the end – body composition.

6) Dieting – Along the same lines as restrained eating, dieting is, in the words of a more astute obesity researcher than Taubes (Paul Campos), “perhaps the single greatest predictor of future weight gain.”

There are tons of others of course. We’ve already touched on heredity and the influence it can have over your metabolism, appetite, reward centers, nutritional status, and fuel partitioning (whether the food you eat becomes fat, muscle, energy, heat, excess poop, etc.). Digestion is a factor. Liver function is a factor. There are viruses known to cause obesity. Many drugs cause obesity – like corticosteroids for example.

Anyway, a theory attempting to pin it all on carbohydrates – especially when carbohydrates are the staple foods of the world’s leanest populations in Asia and Africa, as well as the staple of the vast majority of our primate cousins – not to mention there is a preponderance of massive weight loss success stories out there by people eating high-carbohydrate diets, is hardly worth acknowledging. But I didn’t want anyone thinking Taubes had schooled anyone, much less one of the most level-headed, promising, and up and coming health and nutrition researchers on the face of the earth. Taubes ranted and embarrassed himself. Schooled? I don’t think so.

Obesity is caused by a large combination of things. The typical obese person did not become obese by eating to appetite of a diet of boiled potatoes, fruits, and lentils. Nor did they do it eating a boring diet of hard-boiled eggs, bacon, cheddar cheese, and steak. The trigger of obesity is highly individual and extraordinarily complex – even multi-generational. Hopefully this will help to end the foolish bun vs. burger game. The only way to win that game is “not to play.”

Thursday, 29 July 2010

The Flavor-Calorie Theory

In March I did a quick video introducing Seth Roberts, a Berkeley psychologist, and his interesting theory known as the flavor-calorie association theory of body weight set point regulation. I also mentioned Roberts’s pioneering work in 180 Degree Metabolism – in the lengthy discussion about the going theories on what causes leptin resistance and a rise in set point.



I am still incredibly captivated by this theory, and really struggle to find loopholes and flaws in it. It’s come to the forefront recently as I have experienced a tremendous anorectic (hunger-suppressing) effect from eating a high-starch/low-fat diet, which contains much lower flavor intensity (it’s bland as hell) and much lower calorie density (8 pounds of potatoes contain the same amount of calories as 1 pound of butter, for example) – both prominent factors in the creation of flavor-calorie associations that increase hunger and lower metabolism. These, of course, are telltale signs of an increase in bodyweight set point. I, on the other hand, have experienced a big decrease in appetite and a rise in metabolism – down 5 pounds in the first 27 days of July.

For more on increasing metabolism, please read this FREE 180DegreeHealth EBOOK.

Here are the prime factors in the flavor-calorie theory, which explains numerous diets all under one umbrella…

1.) Calorie density – the more calorie-dense a food is, the more it triggers an activation of reward centers in the brain and a mysterious rise in weight set point.

2.) Absorption rate – the faster a food is absorbed, the stronger the flavor-calorie association and the larger the rise in the activation of reward centers in the brain and a rise in set point that occurs when these pleasure centers are tickled.

3.) Flavor-intensity – the more highly-flavored the food is, the more it raises set point

4.) Food familiarity – the more you eat ditto foods with a strong flavor-calorie association (like, say, Cool Ranch Doritos), the more you start to prefer those foods, the stronger the flavor-calorie association becomes, and the more fattening those foods become.

5.) Liquid vs. Solid – Liquids, in general, promote stronger flavor-calorie associations and are more fattening than solid foods – raising the set point.

There is ample evidence supporting all of these arms of the flavor-calorie association hypothesis. Of course, what I just described is the food produced by food companies – packaged/processed foods, fast food, and other restaurant food. This is something that anyone with personal experience and the eyes to see can observe. Most don’t develop severe weight problems eating homemade, solid, unsweetened, unrefined food with a low calorie density and no added flavor enhancers. Most who do develop weight problems do so by repeatedly eating specific foods that are scientifically-designed to outcompete other foods in activating reward centers in your brain and creating strong flavor-calorie associations that make plain food increasingly unpalatable and undesirable.

Food companies have this down to a science – serving up food that is designed to be masticated and absorbed more quickly, enhanced with MSG and other flavor enhancers, and washed down with a highly-sweetened beverage in liquid form, sometimes sweetened with Aspartame or other highly-sweetened substance that causes a stronger flavor-calorie association and an increase in bodyweight set point.

The reasons why I find this theory to be so compelling:

1) Humans are the only creatures that have the intelligence to specifically manipulate their food in such a way (combining certain ingredients, cooking, adding spices, chemical flavor enhancers). The only creatures that eat food that comes in such a package are humans and their pets, the only creatures on earth that suffer from obesity (and giant squirrels and chipmunks that are fed this food by humans).

2) In simple laboratory studies, feeding a highly-sweetened substance like Saccharin, an artificial sweetener with no calories, increases food consumption and body weight.  According to Roberts's theory, you would also see artificially-sweetened beverages consumed by themselves as opposed to with a big calorie load in a mixed meal NOT be fattening or induce greater calorie consumption, which may indeed be true. 

3) In simple laboratory studies, feeding more liquid calories and fewer solid food calories increases calorie consumption and body weight. For example, feeding sucrose in granulated form is not fattening. Feeding sucrose as part of a liquid solution is very fattening.

4) High-fructose corn syrup, which is a liquid and is also sweeter than sucrose due to its higher concentration of fructose, is markedly more fattening than white sugar.

5) The strongest association between obesity and food is the association between obesity and soft drinks, highly-sweetened, rapidly-absorbed, liquid food that tastes exactly the same every time you drink it.

6) Lab animals that are fed “chow,” which, because it is more palatable than fat, carbohydrate, and protein separated into different bowls, causes the lab animals to become fatter and maintain a higher weight set point than controls. When the controls are switched to chow, they do not gain weight, suggesting that flavor-calorie associations that affect bodyweight set point occur in youth to a greater degree than adulthood (perhaps a reason why Granny can eat all kinds of things without getting fat that make YOU blow up like a balloon).

7) Feeding humans less calorie-dense foods, such as a diet high in fiber and water content from fruit, vegetables, and unrefined starches causes a massive decrease in calorie consumption – up to an instant 40% decrease with no decrease in satiation reported (from Burkitt et. al.’s Western Disease).

8) Diets that are sweetened vs. diets that are unsweetened are much more fattening and promote greater calorie intake.

9) Refined carbohydrates, which are more calorie-dense and more rapidly absorbed tend to increase calorie intake and body fat, whereas unrefined carbohydrate diets have the opposite effect.

10) Low-carbohydrate diets are comprised of foods that are not particularly palatable, and typically decrease appetite and body weight.

11) Low-carb diets that contain artificial sweeteners often negate the hunger-suppression and weight loss effect of a low-carb diet. Even Atkins reported this, and advised those who weren’t losing weight to make sure they excluded aspartame from their diets.

12) Displacing more homecooked food, which generally has low flavor-intensity, natural flavor variability, slow absorption, and less calorie-density with packaged, processed, refined, rapidly-absorbed, chemical flavor-enhanced ditto foods and restaurant foods parallels a huge rise in obesity. It’s reported that calorie intake per capita has increased 20% in the United States since the early 70’s.

13) Obesity was unheard of in all places in which unrefined carbohydrates were ingested as opposed to refined carbohydrates.

14) There are strong associations between obesity and the flavor enhancer MSG.

I could go on for a while here, but that is a good starting point. Ideally we would all be able to raise body temperature without any increase in body weight. Instead, this could be achieved by lowering body weight set point. Of course, lowering the weight set point is easier said than done, and is, as I discussed in my conversation with Sean Croxton last night, perhaps the most important secret yet to be revealed.

But I do find this theory to be solid and applicable. Those attempting to lose weight may find much better success…

- eating almost exclusively homecooked whole foods

-cooking differently each time or with the addition of different spice combinations to reduce flavor-calorie associations

-eating lots of food that is not calorie dense – like root vegetables and vegetables

-avoiding all liquid calories

-eating foods that require lots of chewing

-keeping fat intake reasonable (which decreases flavor-calorie associations), and being wary about foods with strong flavor-calorie associations where fat and carbohydrate are conjoined and in ditto form – pizza, ice cream, fast food, chips, cookies, etc.

-keeping sweets to a minimum, especially when combined with a calorie-dense meal. Fruit, which has a very low-calorie density, eaten by itself, does NOT form strong flavor-calorie associations. When consumed with a high-calorie load after a mixed meal, I find fruit to be very fattening, and juices even more so, which would be expected if Roberts’s theory is accurate.

-not seasoning foods too heavily

For more on Seth’s theory, read the Shangri-La Diet or Seth’s free report here:

http://sethroberts.net/about/whatmakesfoodfattening.pdf