Tonight on Summer Tomato Live we’ll be talking to Alexia Tsotsis of TechCrunch about how she got over her fear of carbs and lost weight in the process.

Join us live here at 6pm PST to ask Alexia your questions. To participate click the red “Join event” button, login with Twitter or your Vokle account. There is no password for this event.

I encourage you to call in with video questions, particularly if your question is nuanced and may involve a back and forth discussion. Please use headphones to call in however, or the feedback from the show is unbearable.

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For The Love of Food

Welcome to Friday’s For The Love of Food, Summer Tomato’s weekly link roundup.

This week’s top 10 require careful reading and a little extra thinking, but it’s worth it. Learn why daily activity is more important than formal exercise, how habits can affect your food intake, some encouraging news from the USDA and more.

Want to see all my favorite links? Be sure to follow me on on Digg. I also share links on Twitter (@summertomato) and the Summer Tomato Facebook fan page. I’m very active on all these sites and would love to connect with you.

Links of the week

• Routine Chores Might Help Keep Dementia at Bay <<This title is misleading, because the most interesting part of this story is that daily activity is more effective than formal exercise for burning calories. Also, this preserves your mind. (Medline)
• People eat out of habit, a study finds, even when food is stale <<This is exactly why I’m always encouraging you to eat mindfully. Interestingly, in this study even eating with your non-dominant hand seemed to help. (Los Angeles Times)
• Nutrition: A Low-Calorie Meal Is Shown to Pay Off <<BS of the week. I’m all for eating less and I think you can be successful at it, but this is a poorly designed study using junk food as a meal and it only lasted 2 weeks. How that can be considered “effective” is beyond me. (New York Times)
• USDA seeks method to compensate farmers for GM contamination <<Remember in the movie Food Inc. when Monsanto sues an organic farmer because their seeds contaminated his crop? Hopefully this works out and puts and end to ridiculous things like that. (Food Politics)
• Why I never eat breakfast cereal. <<Breakfast cereal isn’t really food, and my friend Yoni who works with obesity patients for a living thinks it may also prevent weight loss. Worth considering. (Weighty Matters)
• Eating purple potato may lower blood pressure for the overweight <<This really isn’t necessarily restricted to purple potatoes. What it shows is that at least some potatoes aren’t as bad for you as bread. (Los Angeles Times)
• Helpful Gut Microbes May Differ Based on Diet <<I find this new area of research absolutely fascinating. This study shows heavy meat eaters have different microbial gut patterns than herbivores. At this point there’s no reason to prefer one to the other, but down the line it may help explain why dietary patterns are more important to your health than short-term changes. (Medline)
• Vitamin D levels tied to colon cancer risk <<Yet another reason to be sure your vitamin D levels are in a healthy range. Mine weren’t until I started taking supplements. (Medline)
• Hyperinsulinemia: Cause or Effect of Obesity? <<For geeks’ eyes only. Understanding this article requires a fairly sophisticated understanding of human metabolism and biochemistry, but if you have those things and are interested in exploring some of the fallacies of Gary Taubes’ carb argument, you’ll love this one. (Whole Health Source)
• roasted tomato and thyme soup <<A beautiful looking recipe, though I would personally leave out the sugar since tomatoes are so sweet right now. (the sophisticated gourmet)

What inspired you this week?

For The Love of Food

Welcome to Friday’s For The Love of Food, Summer Tomato’s weekly link roundup.

This is probably the best week of the year so far for food and health writing. Taubes’ provocative piece on sugar and its possible role in cancer is a must read. Also check out the latest consensus on saturated fat, the power of exercise, and the lovely ingredient found in processed ice creams.

Want to see all my favorite links? Be sure to follow me on on Digg. I also share links at Twitter (@summertomato) and the Summer Tomato Facebook fan page. I’m very active on all these sites and would love to connect with you.

Links of the week

• Is Sugar Toxic <<This is the first I’ve seen Gary Taubes emphasize the unique danger of sugar (particularly fructose) over other carbs. Does sugar cause cancer? We aren’t sure yet, but it is time to start having this discussion. (New York Times)
• A consensus paper on dietary fats and cardiovascular disease <<It seems all the most important nutrition scientists got together to discuss the real data on saturated fat. So far? Not guilty. Processed meats though? Not so good. (Nutritional Blogma)
• Vegetarians May Be at Lower Risk of Heart Disease, Diabetes and Stroke <<BS of the week. The only reason I’m mentioning this weak paper is because it made so many headlines. I just want to point out that in the first Adventist Study (this is the 2nd) when they compared vegetarians to healthy omnivores (as opposed to people on the standard American diet, which we already know kills people) there was no difference. Here they didn’t bother to be so rigorous. (ScienceDaily)
• Obstacles Seen in Poor Areas for New Farmers’ Markets <<BS of the week part deux. This just makes me sad. The regions that need farmers markets the most are getting nothing but red tape. (New York Times)
• Diet Plus Exercise Is More Effective for Weight Loss Than Either Method Alone <<We already know diet is much more effective than exercise for weight loss (this confirms it), but when used together it seems to be a powerful combo. (ScienceDaily)
• Eating more carbs at dinner may help with weight loss and cholesterol levels, a study finds <<Not sure why this headline doesn’t mention that the participants also ate more protein at breakfast. (Los Angeles Times)
• Changing Trends in Hip Fracture Incidence Around the World <<Since we talked about dairy and osteoporosis this week, here are the latest trends worldwide. (ScienceDaily)
• Organic label makes foods seem tastier, more healthful <<Food companies use this to sell more (organic) junk food, but you can use it to justify shopping at the farmers market. (Los Angeles Times)
• Lessons of guacamole <<One of my all time favorite seasonal dishes. Great tips here by Michael Ruhlman.
• Jamie Oliver: There’s Beaver Anal Gland in Ice Cream <<Look what Jamie Oliver told David Letterman. Yummy right? (Eater)

What inspired you this week?

Photo by Werwin15

The science of aging is among the most dynamic and provocative in modern biology. Over the past two decades we have seen a virtual explosion in research investigating the molecular and behavioral systems that control the aging process. But the more researchers uncover about the science of aging, the more questions emerge.

Dietary restriction has long been considered the most potent regulator of aging. Restricting food intake by any means induces a series of metabolic changes in organisms from yeast to primates that serve to extend life. Studies are currently underway to investigate the ability of dietary restriction to extend life in humans.

Several biological changes are known to occur upon the onset of dietary restriction including a decline in reproductive ability, increased stress resistance and a slowdown of some metabolic processes.

Insulin signaling was among the first molecular pathways to be identified in the regulation of aging, and offered a direct tie between diet and the aging process.  In 1998 UCSF scientist Cynthia Kenyon showed that removing an insulin receptor gene (daf-2) in worms could double their lifespan. Her lab later showed that removing another insulin signaling gene (daf-16) could extend life even longer. I spoke to Kenyon about the relationship between diet and aging for this article.

Blocking insulin signaling in these worms did not just prevent the worms from dying and allow them to age longer. Instead the aging process actually slows so that older worms continue to behave like young worms. Also, as these experiments were repeated in different animals, it was shown that lowering insulin signaling also helps protect animals from stress and diseases such as cancer and heart disease.

Insulin is released as a direct response to glucose in the blood. This means that any time you eat a meal with carbohydrates, you are increasing your insulin signaling and likely accelerating aging. But this does not mean that you will live forever if you stop eating carbohydrates.

Interestingly, protein metabolism also contributes to accelerated aging, but through a different mechanism. Even more intriguing is that restricting protein increases lifespan to a greater extent than restricting sugar.

So is it simply calories that promote aging?

Probably not. For one thing, the effect of a calorie from protein is greater than a calorie from carbohydrate, making it unlikely that a calorie is the basic unit of impact. Second, there is evidence that calories are not required to accelerate aging.

Recent studies have shown that the mere act of smelling food can reduce lifespan. The mechanism for this effect is still unknown, but seems to be tied to respiration.

According to Kenyon it is clear that “sensory perception influences lifespan,” at least in worms and flies.

Thus it is likely that aging is controlled by the interaction of several pathways, including metabolism, respiration and stress. Importantly, however, lifespan seems to be dependent on a handful of specific pathways rather than global changes in cellular function or breakdown. The idea that aging is an inevitable function of time must be put aside given the evidence that it is controlled at a genetic and environmental level.

This makes sense when you think about it. Different organisms exhibit vastly different lifespans and rates of aging that are too great to be explained by some kind of universal cellular breakdown. A more parsimonious hypothesis is that organisms differ in specific genetic factors that, combined with environmental influences, regulate lifespan.

So how should we mortal humans react to these findings?

The genes linking diet and aging are highly conserved through evolution, indicating that there is a great chance human aging is sensitive to diet. Indeed, insulin-related genes have been found to be important in long-lived human populations. This suggests that the pathways discovered in worms and other organisms have similar functions in humans.

What is not clear is how much influence diet has on lifespan and to what extent we are able to manipulate it. It is already known that abnormal insulin activity in humans is linked to higher disease rates, especially “diseases of civilization” such as heart disease, hypertension, type 2 diabetes and cancer. And these diseases are clearly associated with diets rich in processed foods, especially refined carbohydrates.

The effect of protein consumption on lifespan in humans has yet to be investigated. Envisioning an experiment that would test the influence of smelling food on human aging is difficult to even imagine.

Although direct evidence is not available, there is good reason to suspect that a diet with low glycemic load may extend human lifespan. In November 2009, Kenyon’s lab reported that adding glucose to a worm’s normal diet shortens lifespan, but has no effect on the long-lived worms that lack insulin signaling genes daf-2 and daf-16. This discovery prompted Kenyon herself to adopt a low-carbohydrate diet.

Despite this there is still not sufficient evidence to recommend a calorie restricted diet for humans to extend life, largely because optimal nutrition levels for a given individual are unknown. However, most people would benefit vastly by eliminating processed foods and refined carbohydrates from their diets as much as possible.

Focusing on fresh, whole foods, enjoying an occasional glass of wine, avoiding smoking and getting regular exercise can add 14 years to the life of an average person. Maintain a healthy weight as well and your outlook gets even better.

Would you change your diet to be healthier and live longer?

Originally published February 3, 2010.

Photo by TheGiantVermin

We all know the story. Eating carbohydrates causes a spike in blood sugar, which results in a surge of insulin. Insulin shuttles all that extra sugar into your fat cells and you become obese. Over time, your poor helpless organs become resistant to insulin and you develop type 2 diabetes, heart disease and high blood pressure, thereby shortening your life by 7 years.

All of that is true.

The story is more complicated, however, because all carbs are not created equal.

I’m not here to tell you sugar and flour won’t make you fat, they will. But unrefined foods that just happen to be slightly higher in starch or sugar don’t, in reasonable quantities, elicit giant blood sugar spikes or abnormally high insulin levels.

Instead, unprocessed carbohydrates generate gentle, moderate rises in your blood glucose and insulin, giving you a small but long-lasting supply of energy your muscles can use for several hours. This is what is supposed to happen when you eat nourishing food, and normal healthy people have no reason to fear it.

(In my experience, eating intact grains can even curb sugar cravings and help you avoid those late night slip ups that undo all your progress and riddle you with guilt.)

So what are these magical carbs that don’t make you fat? Pretty much anything you can find in nature. If it comes in a box and has a prominent “whole grain” sticker on it, you’re barking up the wrong tree.

Don’t get me wrong, this is not a license to gorge yourself on grains or any food. Eat enough of something, or eat it quickly, and you’ll still end up with more sugar in your blood than your body knows what to do with. But in moderate quantities you can eat from the following list without risking your life or growing out of your favorite jeans.

10 Tasty Carbs That Won’t Make You Fat

1. Fruit

Popular diets like Slow-Carb recommend limiting fruit, mainly because it makes “rapid fat loss” a little less rapid. However you can continue to lose weight even while eating fruit, so long as you don’t pig out on it. Fructose, the sugar in fruit, is bad for you not because it raises your blood sugar, but because it is converted to fat in the liver. However the relatively small amounts of fructose present in whole fruit is nothing to worry about.

2. Beans

Though beans are relatively rich in carbs, a substantial portion of it is fiber and the overall glycemic load is pretty low. Beans are also an excellent source of iron, protein and folate, as well as essential minerals.

3. Oats

Oatmeal is tricky because Quaker and other companies have somehow convinced us that cooking real oats is too hard and time consuming for any civilized human being. This conveniently allows them to mark up the prices on their instant, pre-sweetened varieties that are closer to dessert than they are to a healthy breakfast. But in reality real rolled oats are low calorie, high fiber, and not fattening in the least. They also cook up in minutes.

4. Dairy

Have you ever checked the label of plain yogurt and wondered how all that sugar got in there? No you’re not crazy, it’s just that the FDA nutrition labels don’t distinguish between added sugar (sucrose or fructose) and naturally occurring sugars like lactose, the sugar in milk. In reasonable quantities and without added sugars (read labels carefully), unsweetened dairy products will not usually contribute to fat accumulation.

5. Lentils

Like beans, lentils are full of fiber and slowly digesting. If anything, adding lentils to your diet will likely help you lose weight, not make you gain it.

6. Farro

One of my favorite foods, farro is a dense and chewy grain with a thick husk and rich flavor. Although it is a grain, farro is very filling and a little goes a long way. No need to spike your blood sugar with this stuff.

7. Wine

Though people often cite wine and alcohol as having a lot of calories, your body digests alcohol calories different than sugar calories and they have virtually no impact on glycemic response. Though there are many reasons to keep your wine portions under control, sharing the occasional bottle won’t stop you from losing weight.

8. Quinoa

Technically a seed and not a grain, quinoa (keen-wah) is high in protein and fiber, and has a very low glycemic index. It’s also high in iron, has a complete amino acid profile (great for vegetarians) and cooks in almost no time.

9. Brown rice

A lot of people claim to dislike brown rice, but cooked properly it can be a beautiful addition to almost any meal. A small serving of brown rice can make your salads, stir fries and other vegetable dishes more satisfying, while not forcing that big blood sugar spike you’d get from eating bread.

10. Potatoes

This may surprise you, but moderate amounts of potatoes cooked in healthy oils (not processed vegetable oils) won’t make you fat. Potatoes are actually fairly high in iron, vitamin C, vitamin B6 and minerals, making them a healthy alternative to other starches so long as you don’t go nuts.

What are your favorite healthy carbs?

For The Love of Food

Welcome to Friday’s For The Love of Food, Summer Tomato’s weekly link roundup.

Before we get started, I want to send you over to Quirky to help a little more with our farmers market bag design. We’ve already picked a winner, but now we’re looking to add features that will take it from awesome to super duper awesome. I know some of you are brilliant, so please come by and submit your ideas and modifications. Even if you don’t have anything to add, please vote on your favorite features.

After a lot of time off, we have some wonderful and inspiring stories this week. 3 simple recipes could set you up for life in the kitchen, more farmers markets are staying through the winter, and the “all carbs are better than all fat” dogma is finally being kicked to the curb.

I read many more wonderful articles than I post here each week. If you’d like to see more or just don’t want to wait until Friday, be sure to follow me on Twitter (@summertomato) or the Summer Tomato Facebook fan page. For a complete list of my favorite stories check out my links on Digg. I’m very active on all these sites and would love to connect with you.

Links of the week

• 3 Recipes to change your life and the world <<Just getting started cooking and eating healthy? It’s much easier than you think. All it takes is 3 basic recipes to get started, according to Mark Bittman. (New York Times)
• More Farmers’ Markets Expand To Year-Round <<How awesome is this?! Seems voting with your fork (and dollar) is actually working. Don’t worry America, better food and markets are heading your way–all year! (Huffington Post)
• A reversal on carbs <<Hopefully this is not news to anyone here, but it’s good to see that science is finally overtaking decades of nutrition dogma. Truth FTW! (Los Angeles Times)
• Americans Falsely Believe Their Diet Is Healthy <<Possibly related to the above stated dogma, 90% of the population of the most unhealthy country ever thinks they’re doing a darn good job in the nutrition department. Yikes. (Discovery News)
• Bread at top of UK sodium-rich food purchases <<BS of the week. The BS here is not the finding (it’s hard to argue with), it’s the conclusions drawn by the scientists and, therefore, the journalist. Data says a bunch of crappy processed food is filled with sodium–bread being highest on the list–and the conclusion is not that we should eat less crap, but that we should ask food manufacturers to add less salt. Somehow I doubt everyone would become magically healthier. (Medline)
• Year In Dieting: Distraction, Noise Cause Overeating <<More evidence that being present and eating mindfully can help curb overeating. (NPR)
• Phys Ed: Does Exercising Make You Drink More Alcohol? <<Cause and effect still isn’t sorted out, but isn’t this interesting? I know for sure it applies to me and most of my friends. (New York Times)
• Fishy diet comes with lower risk of stroke <<Good news for fish eaters, bad news for vegetarians. It’s still not clear what exactly in fish makes it so healthy, but isolating omega-3s hasn’t helped much. (Medline)
• The Five Obstacles to Eating Right <<This looks like it might prove to be an interesting series on the obstacles to healthy eating. Probably worth following along. (Slate)
• Stovetop “Sous Vide” Episode 1: The Best Duck Breast Ever <<Sous vide without spending $450? Yes please. (Food Wishes)

Photo by Venex_jpb

If there is a single subject that befuddles the health-conscious eater, it is undoubtedly carbohydrates.

Most of us have seen the impressive results of at least temporarily restricting carbs, but studies examining the long-term effects of carbohydrate restriction are often ambiguous. Also, while some experts argue fervently for a low-carb lifestyle, some nutritionists still warn about the dangers of eating too much fat or protein.

So how do we know what to believe?

A full examination of the science behind carbohydrate metabolism is beyond the scope of a single blog post, and is in fact not entirely understood by the scientific community (for a thorough review of this topic read Gary Taubes’ book Good Calories, Bad Calories, which I have reviewed here).

However, there are a few things we do know about carbohydrates that are worth pointing out.

Lesson 1: Refined grains contribute to nearly every chronic disease in modern civilization.

It is universally agreed in the nutrition community that refined, processed carbohydrates are the worst things to eat on the entire planet.

And it is impossible to overstate how remarkable this is.

The nutrition community is one of the most disagreeable bunches in all of science. But across the board–from vegans like Colin Campbell to carnivores like Robert Atkins–not a single one of them considers processed carbs to be nutritionally neutral. They all consider them dangerous.

Without question, refined carbohydrates contribute to poor health.

Lesson 2: Vegetables protect against nearly every chronic disease in modern civilization.

Where things start to get more complicated is with unrefined carbohydrates, and the various iterations of this definition. There is ample evidence that the carbohydrates contained in vegetables are not harmful, and possibly beneficial.

To call these vegetable carbohydrates “fiber” is to oversimplify the science, but suffice to say that vegetables are good for you and contribute to your good health.

This is also generally agreed upon.

Lesson 3: Whole grains are different from intact grains.

Few people will argue against my first two points. But bring up whole grains and you will unleash a fury of controversy. Some people believe whole grains to be the cornerstone of any healthy diet, while others consider them superfluous and possibly detrimental to good health. You can find dozens of PhDs and MDs to back up your claims no matter what camp you align with.

So why is there so much disagreement? What does the science say?

The problem is that nutrition science conducted in free-living humans is virtually impossible to interpret. This is largely because the studies are so difficult to control and people’s behavior and self-reporting are so unreliable. Another problem is that the definition of “whole grains” has been watered down to a point where it is virtually meaningless.

One reason whole grains are hard to identify is because the US Food and Drug Administration (FDA) has created a definition that is friendly to food companies, but not to consumers.

The FDA requirements for a manufacturer to use the term “whole grain” on its label (along with the respective health claims) are as follows:

“Cereal grains that consist of the intact, ground, cracked or flaked caryopsis, whose principal anatomical components – the starchy endosperm, germ and bran – are present in the same relative proportions as they exist in the intact caryopsis - should be considered a whole grain food.” (emphasis added by me)

Get it? To be considered “whole,” grains do not actually have to be intact.

Thus food manufacturers create products using this loose definition to their advantage, demolishing grains as normal, then adding back the required ratios of grain parts (germ and bran) to meet the standard.

This is how products like Froot Loops get spiffy health labels claiming they lower heart disease when any unbiased nutrition scientist would agree that, with 41% sugar by weight, Froot Loops almost certainly contribute to heart disease.

On the other hand, there is compelling data that intact whole grains contribute to better health.

Lesson 4: Eating grains is a personal choice, not a nutritional imperative.

The good news is that it is really easy to tell the difference between fake “whole” grains and intact whole grains. If a food actually looks like a grain (i.e., it retains its original form and bran covering), then it is an intact grain. If it looks like a Cheerio, chip, loaf of bread or pasta with a “whole grain” label, then it is a fake whole grain.

People following a primal or paleo diet will argue that this difference is irrelevant and that all grains (and legumes?!) are unnecessary for good health. Personally I disagree, but remain fairly neutral on the personal choice of removing grains from the diet entirely.

Grains do not appear to be necessary for survival (Inuit tribes survive without them), but optimal nutrition may require slightly more effort than would be necessary following a traditional balanced diet.

This is generally how I feel about all healthy, restrictive regimens such as vegetarian, vegan and raw diets. You can make it work for yourself if you are willing to make sacrifices and put in the effort.

However you should be aware that for many people, myself included, cutting whole grains out of your diet completely is extremely difficult and, if you ask me, unnecessarily painful.

Conclusion

When making food choices about grains, the critical question is not whether or not a food is “whole” grain but whether the grain is intact. For this reason, it matters very little if you substitute “whole grain” products for regular refined products such as pasta.

Examples of intact grains are oats, barley, brown rice, whole wheat, quinoa (sort of) and faro. White rice is not a whole grain, and is closer to a refined grain than a whole grain.

For optimal health, processed and refined grains should be eaten very sparingly. Small amounts such as those eaten in traditional cultures can be part of any healthstyle, but including them is a personal choice that will depend on your own goals and preferences.

The irony is that if you are able to remove processed foods from your diet, the way you eat could probably be described as low-carb. But this label really undermines a healthstyle based on real food.

Though I eat relatively few grains compared to most Americans, I cringe when I see the shining example of low-carb living, The Atkins Diet website, with images of fake pancakes and pasta plastered all over it. If that is what low-carb is, I want nothing to do with it.

Processed food is still processed food, whether the carbohydrates have been synthetically removed or not. Stick to eating real food and you’ll never have to worry about carbs.

Do you count your carbohydrates?

Originally published November 25, 2009.

Good nutrition advice is not easy to come by, but we have to start somewhere.

It is probably obvious to most of you that public education on diet and health is vastly inadequate. We learn virtually nothing in school, and what they do manage to pass on is less-than-useful or just simply wrong.

Advice changes from year to year, sometimes drastically.

Everyone claims to be a nutrition expert, but very few people are actually trained enough to understand the complex and sometimes contradictory findings made by scientists in the field.

But although there are few sources you can trust, some books do stand out as valuable for understanding the basics of health and nutrition. Good Calories, Bad Calories by Gary Taubes is by far the most thorough I’ve found, and is essential reading for anyone who has an honest desire or need to understand how diet impacts health.

Taubes makes a detailed and compelling case that refined carbohydrates are the primary cause of weight gain and “diseases of civilization” such as heart disease, hypertension and diabetes. In my view, any honest and opened-minded scientist would have to largely agree with him.

Good Calories, Bad Calories is 468 pages and contains over 100 additional pages of references, which is nothing short of astonishing. Taubes explores every aspect of the science behind weight control including the most puzzling and frequently ignored evidence, which he argues is the most important.

Scientists depend on statistics, but have a tendency to ignore outliers which can make data difficult to interpret. Taubes instead points to these anomalies as evidence of flawed or incomplete theories, and suggests that isolated populations (outliers) such as the Inuit and Maasai tribes actually help the most in explaining diet-related health patterns.

Taubes argues extensively (sometimes a bit heavy-handedly) against lazy scientific thinking that relies too heavily on conventional wisdom and the appeal of simple ideas. This point is a major theme of the book and is exemplified by chapter 2, “The Inadequacy of Lesser Evidence.” He goes to great lengths to explain how our tendency not to scrutinize established theories breeds scientific closed-mindedness and can perpetuate flawed ideas for decades.

Ultimately Taubes uses this argument to directly challenge one of the most prevailing health theories in Western civilization: the cholesterol–heart disease hypothesis.

Taubes provides hundreds of pages of data and analysis to make the point that total cholesterol is not a good predictor of heart disease or mortality. Specifically LDL cholesterol is only loosely associated with heart disease (at best) and HDL cholesterol (the higher the better) is a much better indication of vascular health. (Read more: How To Raise Your HDL Cholesterol)

Once this basic premise of health is thrown into question, Taubes carries you through the logic of why a high-fat diet cannot be responsible for heart disease (remember the Inuit) and instead presents why quickly digesting carbohydrates are the most likely culprit.

Fundamental to this argument is the tie between heart disease and type 2 diabetes (along with other “disease of civilization” or metabolic syndrome), which are both inextricably linked to carbohydrate consumption. The logical conclusion from his analysis is that all calories are not created equal, despite what we are told daily by the nutrition community and the media. Understanding the logic behind this argument can fundamentally change the way you approach food and is the best reason to read Good Calories, Bad Calories.

Despite this, Taubes’ book is rarely the first I recommend to people who come to me for nutrition advice. There are a few reasons for this, but the main one is that Good Calories, Bad Calories is not an easy read. I’m a scientist and nutrition data junkie, and this book still took me months to get through (I normally read 4-5 per month). For your average eater, a book like this can quickly become a burden and many people will give up before getting to the good part (about half way through it starts to pick up substantially).

In the first few chapters I was put off by the book’s almost defensive tone. A large part of the first section is dedicated to discrediting the character of a pioneering scientist and father of the dietary fat–heart disease hypothesis, Ancel Keyes. Presumably this depiction is intended as background so the reader understands why Keyes so aggressively disseminates a theory that isn’t fully proven. However, I found the extensive character attack unbecoming for a book espousing science and experimental data, and it seemed unnecessary.

Another reason I resist recommending this book as nutrition advice is that it doesn’t offer much in the way of actual advice. Taubes certainly provides compelling evidence that carbohydrates are best avoided and that dietary fat is safer than presumed, but how much of this knowledge can be translated directly to daily life isn’t clear. For practical advice, I prefer Michael Pollan’s In Defense of Food (based largely on the same data).

Scientifically I also have a few issues with Good Calories, Bad Calories. First, the vast majority of the experiments Taubes cites are early diet studies, many from the turn of the century. While these experiments are clearly important, most of them do not reflect long-term (more than 6 months), real life dietary habits. These studies were also almost entirely dependent upon self-reported dietary intake, which is known to be quite inaccurate.

Much of Taubes’ argument about calories is based on the premise that overweight people eat the same amount or less than lean people. This was once thought to be the case, but recently more thorough studies have shown that overweight and obese people do indeed eat more. The problem is that all people (both lean and obese) are poor judges of food intake, and this discrepancy is largest with the biggest meals consumed. This means people who eat the largest meals tend to underestimate their calories the most, and meal size is correlated with body weight.

This does not mean that I disagree entirely with Taubes’ theory on calories. I was more convinced by the rodent studies he presented where dietary intake was tightly controlled and measured. In some of these, obese animals did seem to eat the same or less than leaner animals (always be careful reading too much into rodent data). Interestingly, the difference in body weight was always accounted for by differences in physical activity, a point I find extremely fascinating.

Since mice obviously do not exercise for the purpose of fitting into skinny jeans, the activity differences observed between obese and lean mice is clearly a fundamental change in metabolism (balance of energy use and intake). If this is true and can be manipulated by diet composition rather than voluntary exercise (which causes overeating), as Taubes suggests, this has tremendous implications for treating obesity and disease through selective diets and metabolic manipulation. I think Taubes makes a strong case for this and it is a point that should be taken very seriously by the scientific community.

My final issue with the book is how the data was presented to seemingly support a diet of almost entirely meat and animal products. While Taubes does not come out directly and say “the healthiest diet is 100% meat,” people without a knack for thinking like a scientist can easily come away with this impression (I’ve seen it).

[note: My guess is this is why I get so many emails from people asking me to help them choose between this book and The China Study (click for review), which both come off as scientific but also as diametric opposites. Personally I do not see a huge conflict between the data presented in the two books, but see it as an issue of interpretation. On this point, my vote goes to Taubes for his superior logic and reasoning.]

My own interpretation of the data presented in this book, however, is not that all carbohydrates are the enemy, but rather that quickly digesting (processed) carbs are the real problem. Taubes never refutes this as far as I could tell, though he does glorify meat-based diets (again remember the Inuit) as the best for optimal nutrition, while belittling the case for a balanced diet. But there is an important difference between saying “meat is good” and “all plants are bad,” which he never directly asserts.

Yet many people still take from this book that a protein and fat-based diet is the healthiest option, which is a flawed interpretation. Vegan diets with no animal products whatsoever can be perfectly healthy, as can largely meat-based diets, and that both are perfectly legitimate is a point that is easily forgotten by the end of Good Calories, Bad Calories.

But while the value of eating plants is an important question for the practical implications of Taubes’ theory of calories, it is not fundamental it.

Summary

Taubes’ meticulous research and overly-thorough analysis represent both the strengths and weaknesses of this book. His case for the role of metabolism in health and obesity, and against the dogma that “a calorie is a calorie” is a tremendous contribution to the field of nutrition. However, this depth can make Good Calories, Bad Calories cumbersome and difficult to read.

Final Grade: A

What did you think of Good Calories, Bad Calories?

You may also enjoy:

• Dr. Robert Lustig’s lecture on the dangers of frutcose
• My guest post at MizFitOnline.com, When Is A Calorie Not A Calorie
  

Despite being female and thus held to tough and often unrealistic physical standards, hitting the end of my third decade doesn’t cause me anxiety about either my appearance or place in the world.

In my experience, age is not an amount of time but a state of mind. As a child I always wanted to be a grown up, so I acted like one. It freaked my parents out sometimes, but that’s just how I was. In my mind, I still feel pretty much the same in that regard. I love to work hard and I thrive in positions of responsibility. Since both these traits get more important with age, I have actually enjoyed stepping into the adult role I’ve always felt I belonged in.

But that’s only one part of me.

In many other ways I’m as juvenile as ever. If you spend much time with me on Twitter (@summertomato) you’ve probably noticed I have the sense of humor of a 12-year-old boy. I blame my dad for that one. I’m also still shocked every time I hear that friends my age are getting married and having children. In my brain we’re not nearly old enough for that yet! But in reality, it is my friends who are normal and I’m the outlier.

Oh, and did I mention I’m still in school? Up until a couple years ago I carried a backpack with me everywhere, for better or for worse.

All these things give me a sense of agelessness, so it is hard to think of this birthday as anything but another day to do things I love. But part of my peace of mind certainly comes from the fact that I’m in pretty good shape physically–probably the best of my life. And at 30 this is definitely something to be proud of.

Summer Tomato readers know I attribute my good health almost entirely to my eating habits. I also spend a good amount of time in the gym, though I don’t workout nearly as much as I used to. But healthstyle extends to more than just diet and exercise.

Here I’ve compiled my favorite 30 habits to slow aging and keep you young in more than just your heart.

30 Healthstyle Tips To Keep You Young

1. Be happy The physical damage caused to your body by stress has only recently become appreciated by the scientific community. Fill your life with things you love and get rid of almost everything else. Practice stress relieving activities like meditation and exercise, and learn to appreciate joy when you find it. Happiness does a body good.
2. Eat vegetables There is good evidence that oxidative damage caused by toxins and metabolism contributes to the aging process at a cellular level. Foods (but not supplements) high in antioxidants seem to protect us from oxidative stress.
3. Avoid sugar Sugar is a direct cause of aging and significantly reduces lifespan in organisms from yeast to primates. Not by a small amount either.
4. Moisturize The appearance of your skin is largely dependent upon moisture. Help it out by using moisturizers to keep your skin soft and hydrated. Work with a professional to determine what type is best for you.
5. Don’t raise your eyebrows Credit my mother for teaching me this one, it has been a lifesaver. As a kid she used to warn me about raising my eyebrows, saying it would give me wrinkles and I’d regret it. I thought she was crazy, but still learned to express myself without much forehead crinkling. As a result I have far fewer forehead lines than some people years younger than me.
6. Sleep For me the most important determinant of how I look (and feel) on a given day is how much sleep I get. Seven hours is my ideal, but everyone is different.
7. Eat fish Some evidence suggests that the omega-3 fatty acids found in fish are particularly beneficial to the skin.
8. Wear sunscreen I love the sun and spend as much time in it as possible, but I never walk out the door without sunscreen on my face. UV radiation from the sun damages your skin and promotes aging.
9. Don’t smoke Smoking is one of the easiest ways to look older than you really are and shorten your life at the same time. Avoid both primary and secondary smoke like the plague.
10. Step out of your comfort zone Mental exercise seems to be one of the key elements of quality aging, but this doesn’t mean you should sit around all day doing crossword puzzles. Neuroscientist and cognitive aging specialist Dr. Adam Gazzaley suggests going out of your way to challenge yourself mentally, doing things like traveling and learning new languages even over the age of 60.
11. Take vitamin D Some research suggests that vitamin D may be particularly important in slowing the aging process. The jury is still out on the value of vitamin D supplements for aging, but they seem to have enough other benefits that it’s worth the investment.
12. Eat fruit Like vegetables, fruits have an enormous amount of antioxidants and help with hydration. Vitamin C in particular is thought to benefit skin.
13. No foundation or powder makeup Generally I avoid putting any makeup directly onto my skin. I realize I have a very flexible work environment and this is not possible for every woman, but skipping the makeup does help maintain your skin’s hydration and elasticity. I do wear makeup occasionally, maybe once or twice per week. But in general I find that mascara and lip gloss are enough for most situations.
14. Hydrate Your skin is very sensitive to water levels. Stay hydrated by sipping water and eating fruits and vegetables throughout the day.
15. Whiten teeth I know this isn’t something you can find at the farmers market, but when you drink as much coffee and red wine as I do, minor (and admittedly superficial) fixes like teeth whitening can go a long way. If you don’t believe me, try and remember the last time you saw a 20-year-old with yellow teeth….
16. Wear sunglasses If you’re a happy person (and I know you are), your wrinkles will most likely be caused by smiling and show up predominantly around your eyes. Block out extra sun (and look super cool) by always wearing sunglasses when you go outside.
17. Eat beans and lentils Legumes are a fabulous source of minerals that can help keep your skin hydrated and looking young.
18. Tea Afternoon tea time is one of the greatest discoveries I’ve ever made. Not only is tea full of antioxidants and other cancer-fighting compounds, a midday break can be just what the doctor ordered to sip away stress.
19. Cardio I’m not the biggest believer in cardio exercise for weight loss, but it is still important for vascular health. Not to mention how awesome you feel after a good session. Cardio doesn’t need to kill you, but you should do it regularly.
20. Strength training Building strong, toned muscles is one of the most effective ways to look younger than your years. Ask anyone who looks fabulous and they’ll swear by strength training. A little goes a long way.
21. Eat intact whole grains Intact grains (not fake “whole” grains that are ground into flour) are an excellent source of vitamins, minerals and soluble fiber. They are also perfect fuel for those killer workouts.
22. Olive oil It is hard to think of something more versatile, healthy and delicious than olive oil. It breaks my heart that dietary fat got such a bad rap the past few decades, since the benefits of healthy fats like olive oil are innumerable. Fat isn’t just “not bad” for you, it’s essential.
23. Kill your television We all have things we enjoy watching (I’m partial to NBA championship teams), but if it takes up a significant amount of your time each week (>5 hrs) it may be time to reevaluate. How many years of your life do you really want to spend on your couch?
24. Don’t stuff yourself Cutting back on calories is the single most effective way to slow aging and extend life. I don’t advise starving yourself, but it’s a good idea to avoid overeating in any situation.
25. Eat nuts Nuts are the perfect snack food and are filled with anti-aging fats, vitamins and minerals. They are also great for suppressing appetite–just don’t eat more than a handful.
26. Avoid dairy Studies of aging skin have shown that milk and milk products are associated with more aging and wrinkles.
27. Avoid processed meats Processed meats are associated with many different health problems in humans. No need to get too hung up on this, but you may not want to eat deli meat every single day if you want to stay young.
28. No processed carbohydrates Just like sugar, processed carbohydrates are a direct cause of aging and disease. I eat these things occasionally, but don’t let it happen too often.
29. Coconut oil Fats come in all different shapes and sizes, and I try to incorporate a good mix of all of them. Medium-chain fatty acids like those found in coconut oil are starting to be recognized as important by researchers, but the evidence is limited. Coconut oil is also a healthy source of saturated fat for vegetarians. I always use coconut oil when cooking Southeast Asian food.
30. Red wine Red wine has a powerful anti-aging compound in it known as resveratrol. Though it is unlikely that the dosage of resveratrol in red wine is high enough to impact lifespan, drinking alcohol in moderation is also associated with decreased risk of heart disease and other vascular problems. Cheers!

Do you have any anti-aging secrets?

For The Love of Food

Welcome to Friday’s For The Love of Food, Summer Tomato’s weekly link roundup.

I’ve been in such a wonderful mood lately, I hope it’s contagious. I’ve discovered tons of fantastic food blogs the past few weeks and really look forward to sharing the best of what I find with you. This week I have compiled a list of articles that made me smile. And just to keep the chill vibe, I omitted the B.S. of the week.

I still need votes for the People’s HealthBlogger Award by Wellsphere and would greatly appreciate your support. Wellsphere is a fantastic resource for anyone interested in healthy living. To vote for me you have to create an account with them, but you can delete it when you’re done (I have yet to get any spam). If you enjoy this blog, please take a minute to show your support. Much thanks to those who have already voted.

for Darya http://summertomato.com/

I read many more wonderful articles than I post here each week. If you’d like to see more or just don’t want to wait until Friday, be sure to follow me on Twitter (@summertomato) or the Summer Tomato Facebook fan page. For complete reading lists join me on the social bookmarking sites StumbleUpon and Delicious. I’m very active on all these sites and would love to connect with you there. (Note: If you want a follow back on Twitter introduce yourself with an @ message).

For The Love of Food

• Are vegetarian diets OK? <<Of course they are. Here’s a comprehensive examination on the health value of vegetarian and vegan diets by NYU professor of nutrition, Marion Nestle. Great info. (Food Politics)
• Fabulous <<This short post by Seth Godin isn’t about food per se, but is about appreciating the things in your life that are awesome, and why awesomeness breeds more awesomeness. This certainly matches my experience with real food. The more I love it and nurture it as an important part of my life, the better my life is all around.  It’s really about understanding your priorities. (Seth’s Blog)
• In Praise Of Slow Food <<Great article about slow food and the importance of eating for enjoyment. (Huffington Post)
• Phytoestrogens: Helpful or harmful? <<I get a lot of questions about the pros and cons of eating soy. Monica Reinagel, the Nutrition Diva, reviews the evidence. (Nutrition Data)
• To eat less, your body may want you to eat slowly << In my experience one of the main determinants of how much I eat is how quickly I eat. Now there’s some science that helps explain why. Learn mindful eating and how to become a slow eater. (Reuters)
• High-carb diets may put dieters in better moods << Here’s some evidence that extreme carbohydrate restriction can make people grumpy for an entire year. Doesn’t that sound fun? (Los Angeles Times)
• Worry Less, Cook More <<Short post by Mark Bittman on the most important skill to develop in the kitchen–confidence. Don’t strive for perfection, strive to get in there and start. (Bitten)
• How I Made My Wife a Lettuce Snob <<This is such a cute post by Jeff Clark, I adore it. Also a great example of how real food is like Pandora’s box. Once you’ve seen inside you can never go back. (Middle Aged and Living Well)
• Brussels Sprouts with Black Bean Garlic Sauce <<I found about a zillion new Brussels sprouts recipes on the internet this week, but this on intrigued me most. I rarely follow recipes, but I think I’m going to try this. Guest post at Simply Recipes by Garrett McCord from Vanilla Garlic.
• Making the World a Better Place, One Chicken Wing at a Time <<Absolutely brilliant demo by Chef John on how to properly eat a chicken wing. You’ll be amazed! (Food Wishes)

What made you happy this week?