A diet meant to help people lose weight may
put you at a higher risk for heart diseases.
New research linked the low car,
high fat diet to higher levels
of blood bad cholesterol.
We're talking keto.
It's double the person's risk
of developing heart disease.
Joining us now is Doctor
Pyle Coley to talk about it.
And first of all,
there are those that may be.
We're living without any any
reading or hearing about.
I'm on keto.
What is Quito?
You know, one out of five Ameris
are on keto or keto like diet.
And essentially it's a diet that
induces a state called ketosis.
That's where the name comes fro,
which is a state of starvation.
So normally if you think about
how our body consumes energy,
it it uses carbohydrates,
sugar as energy.
When it doesn't have carbohydra,
it starts to break down fat to liberate
the sugars and the energy that it needs.
So a keto diet.
It's basically very low in sugat
high in fat to really encouragee
body to go into that state of ketosis,
starvation,
essentially to breakdown fat.
So it would not be at all
surprising to see these results
of people having higher levels f
bad cholesterol or heart diseas.
That diet sounds like it would
be ticketed in that direction.
Well, you know, you'd be surprid
people lose weight on it because
you're breaking down carbohydra,
so they think it's better for t.
But one of the reasons the researchers
actually decided to study this s
because they saw people coming o
their clinic on the keto diet h.
Consumptions of saturated fat
and animal products and their
cholesterols were off the chart.
So in fact, the study from this weekend
at the American College of Cardiology
meeting showed us that your LDL,
which is your super bad cholest,
goes up and your apolipoprotein,
which is another thing attachedo
the bad cholesterol, goes way u.
Heart attacks, strokes,
heart disease doubled over 12 y.
I know you were there with a
lot of really smart people.
But when you say that, that's ad
sell to someone that's lost weight on
keto to say this isn't good for.
I'm glad you lost weight and
you're feeling great otherwise.
But by the way, you got enough
knock off on the bacon, the egg,
the cheese and all the good
stuff. Well, I'd say a
couple of things to that.
The first is this is an associa,
not a causation. So we,
we know that the diet is
associated with this higher ris.
Now, could you be doing something else
also that increases your risk or is it a
causation that still remains to be seen.
The second is that everyone
responds differently.
Yeah, so some people,
an average your cholesterol will
go up with the keto diet cause
you're consuming a lot of extra,
but some people will actually go down.
So you really want to
personalize an approach here.
And I would say the third and
probably most important is befoe
you start keto or if you're on ,
you really have to talk to your doctor.
Because if you think about what
you're doing when you're deprivg
your body of carbohydrates,
things like fruits and vegetabl,
things that have fiber,
antioxidants, vitamins,
you,
we don't know the long term effects of that.
This is one of the first peaks
into the future.
So maybe you want to have a base
and know where you are before you go in
with some of those some of that data.
But also it doesn't sound like there's
a real variable here like you'rt
going to say I want to go on Keto 2 which
does include some of the good f.
It's like it only works if you're all in
pretty much. I mean now there's
varying levels of how much you
restrict your you know your your
carbohydrate intake so you can go 25%,
less than 10% what have you.
But it's pretty much all in.
And again the the problem here is that.
Creates the nutritional
imbalance in your body.
So it works to help you lose we,
but to what end because you're
actually becoming unhealthier as
evidenced by this association of
increased risk of heart disease.
So I would say portion control,
getting active,
those are the sort of most healthy ways
to get the weight off and keep it off.
Keto also, incidentally,
is hard to maintain over a long period
of time and has been associatedh
the risk of inflammatory marker.
And I've heard
like there's not a lot of fiber,
there's not a lot of other thins
in it, but there were a lot of
women in this study. Yes, why
so it's very interesting.
So normally in clinical trials
we have one out of four women.
This had almost three out of four women.
And I think that really attests
to the fact that women and the
literature shows this are more
amenable to lifestyle changes,
are more compliant with dietary
changes as compared to men.
And that's why this population s
enriched for people who were sof
self reportedly on this keto diet. So
let's talk about the history of
dieting because your dad always had a
great tip for you as far as dieg
and not about you in particular.
But we have always tell her eats
or eat less or shut your mouth.
That was his two things.
You'll just shut your
mouth or eat less. And then
we had simple hit diets and all
of a sudden diets became hot.
The Atkins Diet and all these things.
Yeah, Paleo and all these thing.
Mediterranean and they're all te
magic diet until they're found t
to be just another kind of gimm.
I'm going to quote your dad
here and shut your mouth.
My gosh, just went Frank Meads.
So just as we get older, you kn,
every decade of our life,
our metabolism slows down.
Our basal metabolic energy needs go down,
but what do we do?
We either keep eating the same
or eat more and move less.
So every decade of our life,
we actually need to cut
down our calorie count.
And reducing our caloric intakes
been associated with higher longevity,
living longer and healthier.
We're told, though, these,
like the Mediterranean diet,
is supposed to be very healthy.
Yeah, they're not a way to go.
Some of them just say they
want to start with lose weight.
Some say this is a healthier di.
Are there, are there diets that
you might find people you know t
you would steer people towards
that might be effective and heay
for sure, but I wouldn't call them diets.
And I think that's the misnomer because
the diet suggests a drastic cha.
I would say the Mediterranean eg
pattern and if the dash diet or dietary
approaches to stop hypertension,
which is a low sodium diet,
those are the two that have acty
proven to improve cardiovascular outcomes.
But there are approaches to living where you
sort of pick foods that are more favorable,
you change your lifestyle accordingly.
You reduce the sodium intake,
you increase the potassium inta.
So not necessarily something foa
short period of time to lose the weight,
but something to help maintain a
healthy lifestyle over decades.
When you talk about potassium
in this and that, people's like,
I also want to enjoy life meals.
I want to enjoy life.
I want to are the is the Mediterranean
eating pattern or the dash diet,
or are they flavorful?
They're extremely flavorful.
In fact, I would say Mediterran,
the hummus, and you, you know,
you've got your legumes,
you've got your beans, avocados.
You know, all kinds of good
stuff so you can enjoy life.
You just have to,
you have to remember,
if you don't, you know,
give up a little bit today,
you're gonna pay for it later.
And it's really important to
be mindful of what we put
inside our bodies because food
is the best first medicine
and portion control and moving.
And it's Taco Tuesday. Sorry.
That's all I could think. Bocado Taco.
Alright. It's always good to see you.
Thanks again, Doctor Pyle Coley.