I have seen and heard many silly things in my life but this advice, if true, is
definitely the most outrageous for its effect on destabilising the general
public. The reasons are not difficult to
understand and that is why I find it amazing that experts, who should know
better, are failing to comprehend the science and psychology of eating and how
people react to lifestyle changes.
I have been involved in scientific research for
more than half a century and I cannot understand the sense of reducing sugar
consumption by 50%. May be the experts
know something that is not easy to reach and understand but then I am used to
delving into latent information in data and I can’t find much to go on – I am
confused. How will an average person
understand this advice is beyond comprehension?
The current guidelines are 50g (10% of recommended energy intake) per day. For my lifestyle – most meals are cooked at
home from fresh ingredients, we drink water with most meals, no sugar in tea
and coffee – we are just about there in sticking to the limit. Most fruits bring in 10g naturally occurring
sugar and with five fruits a day, it is already 50g with no margin left. Reducing intake of sugar to 25g will require
a drastic change in the eating habits and associated lifestyle changes. Nobody likes changes in the way they do
things – it causes stress, headache – might induce trauma, can make you feel
depressed, can give you skin problems and whatever else. This recommendation is prescribing all of
these malaise to the whole nation.
As any nutritionist will tell you that the following equation holds (over long
term):
Energy in – Energy used = Change in Weight
If you
eat too much and do not burn it by some activity then you will gain weight and vice versa. It does not really matter in what form the
energy intake is (fat, carbohydrate or protein), the body will eventually obey
the equation.
Most carbohydrate is converted to some type of sugar as a first step in
digesting the food and the recommendation for daily carbohydrate consumption is
about 250g. We all eat foods like potatoes, bread, rice that are rich in starch
(carbohydrates). Let us take a quick look how these foods affect the body when
we eat them.
The first step in digesting the food is to break down the complex carb
molecules to simpler glucose molecules and this already starts when you are
chewing the food. Starch is converted to
glucose (a type of sugar readily absorbed by the body). Glucose molecules go
into the blood stream and are responsible for increasing the blood glucose level for a short time until insulin released by the body metabolizes it to produce
energy. If you are diabetic, insulin
might be in short supply or ineffective, and the blood sugar level stays high for longer. You need medication to help the metabolic
process.
The longer blood sugar levels stay
high the greater are your chances to become diabetic in due course. If the food you eat spikes the blood sugar
level higher then it will take longer to return to normal and it is considered
bad for your health. They actually have
a measure of the spike – the Glycemic Index (GI) which is used as a predictor of a carbohydrate’s effect on blood glucose. GI of a food is a number measured relative equal weight of glucose in their ability to increase blood sugar level.
Glucose has
a GI of 100. Some other carbohydrates have GI as follows:
Sugar 68; White Bread 70; Baked Potato 85; White
Rice 64 etc.
The more important number is Glycemic Load (GL) which is how an average portion
of the particular food will affect your blood glucose level.
Glycemic Indexes and
Glycemic Loads for Common Foods
GI and GL for Common Foods
|
Food
|
GI
|
Serving Size
|
Net Carbs
|
GL
|
Peanuts
|
14
|
4
oz (113g)
|
15
|
2
|
Bean
sprouts
|
25
|
1
cup (104g)
|
4
|
1
|
Grapefruit
|
25
|
1/2
large (166g)
|
11
|
3
|
Pizza
|
30
|
2
slices (260g)
|
42
|
13
|
Low fat
yogurt
|
33
|
1
cup (245g)
|
47
|
16
|
Apples
|
38
|
1
medium (138g)
|
16
|
6
|
Spaghetti
|
42
|
1
cup (140g)
|
38
|
16
|
Carrots
|
47
|
1
large (72g)
|
5
|
2
|
Oranges
|
48
|
1
medium (131g)
|
12
|
6
|
Bananas
|
52
|
1
large (136g)
|
27
|
14
|
Potato
chips
|
54
|
4
oz (114g)
|
55
|
30
|
Snickers
Bar
|
55
|
1
bar (113g)
|
64
|
35
|
Brown
rice
|
55
|
1
cup (195g)
|
42
|
23
|
Honey
|
55
|
1
tbsp (21g)
|
17
|
9
|
Oatmeal
|
58
|
1
cup (234g)
|
21
|
12
|
Ice
cream
|
61
|
1
cup (72g)
|
16
|
10
|
Macaroni
and cheese
|
64
|
1
serving (166g)
|
47
|
30
|
Raisins
|
64
|
1
small box (43g)
|
32
|
20
|
White
rice
|
64
|
1
cup (186g)
|
52
|
33
|
Sugar
(sucrose)
|
68
|
1
tbsp (12g)
|
12
|
8
|
White
bread
|
70
|
1
slice (30g)
|
14
|
10
|
Watermelon
|
72
|
1
cup (154g)
|
11
|
8
|
Popcorn
|
72
|
2
cups (16g)
|
10
|
7
|
Baked
potato
|
85
|
1
medium (173g)
|
33
|
28
|
Glucose
|
100
|
(50g)
|
50
|
50
|
Glycemic Index (GI) and Glycemic Load (GL) for a few common foods.
GI of 55 or below are considered low; 70 or above are considered high.
GL of 10 or below are considered low; 20 or above are considered high.
One can’t help to
notice that sugar is not very important in spiking the blood glucose level while
potato and rice based dishes are the most effective.
The question is - why target sugar intake when everything
else is as important, if not more so?
I have not talked
about other possible actors that might be responsible for increase in obesity
in developed countries (may be subject of another blog). Things like our sedentary lifestyle – we are
not as active now as we used to be thirty or forty years ago. Children, in particular do not play outside
much and sit in front of TV etc. Then
the modern lifestyle creates more stress – lot of people deal with stress by
eating more and the equation tells us that they will gain weight.