How Often Should We Eat?
- POSTED ON: Jan 30, 2013

 
What about eating frequency? How often should we eat?

Should we eat 3 Square Meals?

Or should we eat 6 Small Meals?

Or should we eat only inside a window of 8 hours or 5 hours?

Or should we, intermittently, have days with only one small meal, or even zero food in a total water fast?

Or should we eat whenever we feel Hunger?

Each of these “Diets”, “Non-Diets”, “Ways-of-Eating”, or “Lifestyles” claims that Scientific Research supports their individual position.

So what DO we do?
The following article by Dr. Yoni Freedhoff of WeightyMatters, supports my own personal position on this question.

Does New Study settle the
3 Square vs. 6 Small vs. the 8 hr Diet Debate?

So this month yet another study in a never-ending line of studies looking to compare the impact of meal frequency on fullness and biochemistry came out. This one suggested that small frequent helped decrease energy intake in normal weight men.

Honestly I pretty much disregard all of these studies.

Not because I'm doubting or questioning their results, just that I don't think their results really matter.

What I mean is that all of these studies fail to address the practical aspects of living with their recommendations, and as a clinician, that's really all that matters to me.

I've seen people controlling calories, loving life and preserving health with 6 small meals daily. I've seen people do the same on 2, 3, 4, and in some cases even 1 meal a day.

Regardless of the research that comes out, what matters more than what a physiology paper says is how you personally feel.

In my office we do tend to start people on small and frequent meals and snacks. But if that doesn't suit or help the individual we'll shift to 3 square meals. We've also recommended the intermittent fasting style that's suddenly finding some traction on the diet book shelves.

You need to find a life that you enjoy, and just because a new study or diet book suggests there's a "better", or "right", way, if you don't happen to enjoy it, it just isn't going to work.

The specific new study referred to is: Psychology and Behavior
www. sciencedirect.com/science/article/pii/S0031938413000243


According to all of the scientific research I’ve read, when we get right down to it, any actual “Health” or “Metabolic” Benefit Differences between all of these eating plans are truly miniscule, and therefore, not even worth the individual effort of personal consideration. The question to consider is which one can we DO?

I ask myself:


The Fast-5 Diet - Diet Review
- POSTED ON: Oct 25, 2012

 "The Fast-5 Diet and the Fast-5 Lifestyle" (2005) by Bert Herring M.D. is a weight-loss and weight-maintenance plan based on the concept of intermittent fasting. It consists of a single rule: limit calorie intake to no more than five consecutive hours in each day. The Fast-5 Lifestyle is an indefinite continuation of that diet for weight maintenance after the weight loss goal has been reached.

Dieters using the Fast-5 diet fast for nineteen hours total each day. This nineteen hours includes sleep. After the nineteen hours of fasting is complete, dieters then have five hours in which they can eat whatever they choose.

The suggested eating window is from 5pm - 10pm, but Dr. Herring indicates that the nineteen continuous hours of fasting time is the key to the diet's effect, and that the five-hour eating window may be set whenever it is most personally convenient.

The Fast-5 approach does not stipulate a calorie intake level. It relies on the eating schedule's effect of correcting appetite to determine proper intake, but doesn’t discourage the addition of a calorie counting approach. The Fast-5 Diet also does not specify food content or forbid any foods, allowing the approach to be used with any dietary preference.

The Fast-5 diet was developed based on the personal results Dr. Herring experienced while working at the National Institutes of Health and incorporates estimates of the eating schedule of ancient hunter-gatherer humans who ate without benefit of food storage or refrigeration.

Dr. Herring distinguishes Limbic hunger, which comes from that part of the brain that connects primitive drives, emotion, and memory, from Somatic hunger, which is the sensation of discomfort in the stomach area that is commonly known as hunger, or hunger pangs. Somatic hunger is the result of the interaction of many hormonal and nerve signals and incorporates more information than just whether the stomach is empty.

He says that Limbic hunger is the reason why it is hard to eat only one potato chip. Eating one chip triggers more appetite because primitive limbic signals tell the brain we should eat as much as we can while food is available. This leads to more eating, connecting in a vicious circle that doesn’t stop until the bag of chips is empty. The ancient instinct takes control of behavior, ignoring higher thinking and preferences. Limbic hunge...


More About Starvation Mode
- POSTED ON: Oct 24, 2012


"We never repent of having eaten too little.”
Thomas Jefferson (1743 -1826)


When Jefferson was the principal author of the Declaration of Independence in 1776, he was around 33 years old, and he lived until age 83 during a time when food was not as easily obtainable. Even though he did not experience our modern readily-available-highly-processed-food world he seemed to understand the value of eating less.

How little is "too little"?

I’ve noticed that people who eat far too much, seem to spend a lot of time worrying about eating too little. Why do people who are obese, or even merely overweight, fear eating too little, and just how little is too little anyway?

Many overweight and obese people appear to have an irrational fear of starvation mode.
However, one really can't eat too little for weight loss - Starvation Mode (the way most dieters define it) is a Myth.

"Starvation mode" is a phrase that gets thrown about loosely. Many people think that eating below 1000 to 1200 calories a day, will cause their metabolism to slow down so much that their body will stop losing weight. The reality is that until a male has only 5% excess body fat, or a female has only 10% excess body fat, it is very unusual for a person to go into “starvation mode”.

When it seems impossible for a dieter nearing goal to lose weight, they assume their metabolic process is slowing down, and think that they are “in starvation mode”. However, people with extra weight obtainable to oxidize, can oxidize extra body fat per second. The less human body fat one has, the less fat oxidized for each moment. So as one gets closer to the body’s individual reduction limit of human body weight, the slower one will burn up what body fat one has. This is why taking off the final 10 pounds happens very slowly, NOT because one is wrecking one’s metabolic process with an aggressive diet regimen.

By the way, I’m using the term…”excess fat”… to define the entire genetic make-up of an individual body, not “troublesome” fat on specific body areas that one wishes were leaner… like stomach or thighs, etc. It is not uncommon for someone who is “normal weight” or even “underweight” to be unhappy with the way their own body’s necessary fat is genetically distributed.

The article quoted below makes a number of good points:


Are You In The Starvation Mode or Starving For Truth?

Recently we discussed the myth that dieting can lead to an eating disorder and saw this common dieting myth was inaccurate.  Another common dieting myth held by people is that they may not be losing weight because they are in the "starvation m...


What if modern Theories about Food & Digestion are Wacked.
- POSTED ON: Oct 19, 2012

 

We now have enormous access to miscellaneous information via the internet. This means that a relatively intelligent, ordinary person, with a bit of formal education (such as myself), can be exposed to a myriad of possibilities…   together with little or no personal ability to determine the accuracy of the information provided.

Online time exposes us to ideas that are relatively new to us, and leads us to discover data and publications… including books and videos … that would have been otherwise unavailable to us.
Such exposure and discoveries make me think about things in ways I’ve not previously considered.  There are many great Theories in the world which modern Societies in general consider to be true…but .. chances are, some of them probably are not.

Along with many other people living in the “civilized” societies of the present, I am interested in my own eating and digestive process. Yes, eating is necessary for sustaining life, but I want to know more about how I can enjoy food  without getting fat.  In a way, eating is like sex. If there was no enjoyment in the process, people would be doing a whole lot less of it.

  So, what if the details we THINK we know about Food and the Digestive system are inaccurate?

I find it interesting to consider the possibility that much of the knowledge which we take for absolute truth about diet and nutritional information (which is often referred to as “conventional wisdom”), might be WACKED. When I say “wacked”, I mean “out of order, crazy, not in proper condition, screwed up, incorrect, so messed up it could be broken.”

What if?  

What if the state of our current knowledge regarding nutrition and the body is similar to that previous accepted Truth = “the world is flat”? Societies of the past functioned for long periods of history with what we consider now to be only minimal knowledge. Back in time, people did a great deal of traveling before they discovered that “the world is round”. We now tend to think of them as ignorant, but they were as knowledgeable and forward thinking as was possible at the time. People in the future might consider those of us who live here in the present, to be ignorant and backward.

   I recently read the following about how “calories” were discovered:


Up unt...


The 5 Bite Diet - Diet Review
- POSTED ON: Oct 16, 2012


Review of the 5 Bite Diet


 


The thin, large-print, paperback book “Why Weight Around” (2007) by Alwin Lewis, M.D., encourages readers to follow the five-bite diet for weight-loss. This is a self-published book through Lulu "vanity" press and it retails for around $25.

Dr Lewis recommends the 5 Bite approach to eating:

• Drink as much as you want as long as the drinks are free of calories.
• Skip breakfast
• Have 5 bites of any food for lunch.
• Have 5 bites of any food for dinner.
• Eat at least one bite of protein each day.
• Take a multi-vitamin supplement every day

Dr. Lewis assures the reader that after three days on this diet, that you will stop feeling hungry because your body will learn to feel full on this smaller amount of food. This is commonly known to be a valid statement, as hunger ordinarily leaves one’s body after approximately 3 days of starvation such as during a water fast.  He says the the body continually recycles amino acids so very little daily protein is actually necessary when on a weight-loss program.

The five-bite diet involves voluntarily eating the way people are forced to eat after a gastric bypass, in order to give a dieter the benefits of stomach stapling without the surgery. As with many diet plans, the principle of the five-bite diet is to exercise portion control in order to limit your calorie intake. The program allows you to choose to eat any food you want, which can help prevent the feelings of deprivation that often lead people to quit their diets. The five-bite diet is not designed to be a permanent plan. Once you've reached your weight goal, you're advised to resume your normal eating habits.

Dr. Lewis says the volume of 5 bites is about the same as a regular size Snickers candy bar, and recommends that people on the diet eat two Snickers bars a day in order to familiarize themselves with how much 5 bites is.

Dr. Lewis, …just like almost all diet book authors … claims to have successfully followed his diet himself, and at 6 ft tall, he says that he lost from his high of around 190 lbs down to 137 lbs. He recommends that, for good health and a more attractive appearance, everyone should achieve an 18.5 BMI, which is at the bottom border between underweight and normal weight.

Dr. Lewis practices Internal medicine in Burbank, California where he apparently treats obese, overweight, and normal weight patients who have a BMI above 18.5, by putting them on the 5 bite diet. His website, theslimmingstation.com offers an online membership, for $50 per year, but at times this membership fee is $50 per month. It also offers 3 months of weekly one-on-one telep...


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