Heres one tip for how to eat at the holidays: Dont
take your cues from Santa. The sugary cookies and fat-laden
fruitcakes the mythical North Pole resident eats are a
no-no. But you dont have to go no-carb to stay fit
at the holidays, either, University of Florida researchers
say.
In fact, many dieters may actually be cutting out the
wrong foods altogether, according to findings from a UF
paper published recently in the European Journal of Nutrition.
Dieters should focus on limiting the amount of fructose
they eat instead of cutting out starchy foods such as
bread, rice and potatoes, report the researchers, who
propose using new dietary guidelines based on fructose
to gauge how healthy foods are.
Theres a fair amount of evidence that starch-based
foods dont cause weight gain like sugar-based foods
and dont cause the metabolic syndrome like sugar-based
foods, said Dr. Richard Johnson, the senior author
of the report, which reviewed several recent studies on
fructose and obesity. Potatoes, pasta, rice may
be relatively safe compared to table sugar. A fructose
index may be a better way to assess the risk of carbohydrates
related to obesity.
Many diets -- including the low-carb variety -- are based
on the glycemic index, which measures how foods affect
blood glucose levels. Because starches convert to glucose
in the body, these diets tend to limit foods such as rice
and potatoes.
While table sugar is composed of both glucose and fructose,
fructose seems to be the more dangerous part of the equation,
UF researchers say. Eating too much fructose causes uric
acid levels to spike, which can block the ability of insulin
to regulate how body cells use and store sugar and other
nutrients for energy, leading to obesity, metabolic syndrome
and type 2 diabetes, said Johnson, the division chief
of nephrology and the J. Robert Cade professor of nephrology
in the UF College of Medicine. UF researchers first detailed
the role of uric acid on insulin resistance and obesity
in a 2005 study in rats.
Certainly we dont think fructose is the only
cause of the obesity epidemic, Johnson said. Too
many calories, too much junk food and too much high-fat
food are also part of the problem. But we think that fructose
may have the unique ability to induce insulin resistance
and features of the metabolic syndrome that other foods
dont do so easily.
About 33 percent of adults in the United States are overweight
or obese, according to the Centers for Disease Control
and Prevention.
Studies at other institutions have shown that following
a low-glycemic diet can reduce the risk for diabetes and
heart disease, but the effect could occur because these
dieters often are unintentionally limiting fructose as
well by cutting out table sugar, Johnson said.
Processed foods have a lot of sugar, Johnson
said. Probably the biggest source (of fructose)
is soft drinks.
Johnson also noted that, in relation to obesity, the
type of fructose found in foods doesnt seem to matter.
For example, the fructose in an apple is as problematic
as the high-fructose corn syrup in soda. The apple is
much more nutritious and contains far less sugar, but
eating multiple apples in one sitting could send the body
over the fructose edge.
In another UF paper, published in October in the American
Journal of Clinical Nutrition, Johnson and his collaborators
tracked the rise of obesity and diseases such as diabetes
with the rise in sugar consumption. The rates of hypertension,
diabetes and childhood obesity have risen steadily over
the years.
One of the things we have learned is this whole
epidemic brought on by Western diet and culture tracks
back to the 1800s, he said. Nowadays, fructose
and high-fructose corn syrup are in everything.
Aside from soft drinks, fructose can be found in pastries,
ketchup, fruits, table sugar and jellies and in many processed
foods, including the sugar substitute high fructose corn
syrup.
UF researchers plan to test a low-fructose diet in patients
soon, Johnson said.
Kathleen Melanson, an associate professor of nutrition
and food sciences at the University of Rhode Island, said
establishing a fructose index for foods could be
an appropriate approach, depending on how foods
are classified. It makes sense to limit foods prepared
with high fructose corn syrup and table sugar, which often
contain empty calories, but fruits are an important part
of a persons diet, she added.
One concern I have always had with the glycemic
index is the potential to pigeonhole foods as good or
bad, she said.