Getting nutrition facts and judgements confused

This is what nutrition science can tell us:

  • The average nutrient content of a particular food, and the average effect a food or nutrient has on particular health biomarkers for a group of people under experimental conditions.

This is what nutrition science can’t tell us:

  • That a food or nutrient is good or bad.
  • How you should and shouldn’t be eating.
  • That you can’t eat a particular food or nutrient if you want to.
  • That not eating a certain way means you have failed or are wrong.
  • That physical health must be your most important life value.
  • That a lower body weight is superior to a heavier body weight.

[Note: Overeating, food cravings, meal skipping, eating disorders and feelings of stress around food often start to resolve, once we stop confusing the two.]

Appreciating the complexity in nutrition

I was cleaning out my study the other day when I came across a dated nutrition book. Flicking through the pages, its central theme was one you have surely heard of: eating less fat will help you to lose weight and find better health.

It may vary between fat, sugar, carbohydrate or fructose, but my experience is that most popular nutrition books are based on this idea.

Important to understand, then, that nutrition is never actually linear, and always far more complex. For example, our current understanding of the relationship between fat, weight gain and health changes according to numerous variables. Here are just a few:

  • There are many different types of fatty acids, some which have vastly different health effects from others.
  • The quantity of fat that is consumed changes the health effect; consuming some fat is healthier than avoiding it entirely or consuming it in excess.
  • Foods contain much more than just fat, and some high-fat foods can be rich (or poor) sources of health-promoting nutrients like dietary fibre and antioxidants.
  • Eating less fat typically means that we will eat more of something else, and the health consequences of eating less fat are very dependant on what that something else is.
  • Fat consumption can improve the absorption of other essential nutrients, and the health consequence of this depends on your current intake of these nutrients.
  • Believing a low-fat diet is ‘good’ can actually increase our consumption of low-fat cookies and other low-fat discretionary foods.
  • How fat is cooked can change its chemical nature and subsequent health effect.
  • There is a wide variation in the metabolic response between individuals, even after digestion of the very same food. What works for one individual may not work for another.
  • Telling people to avoid the foods they enjoy can make them crave and overeat them even more.
  • Our beliefs about the health effects of what we eat likely affect their actual health outcome.

We live in a complex world, and it’s human nature to try and simplify it. To remove the many moving variables at play so that it fits into our current level of understanding. I think that’s why we mostly look at nutrition through a linear lens, arguing that the solution lies in avoiding fat, sugar, starch, salt, grains, dairy, soft drink or bread.

In reality, though, the better solution exists at the higher levels of thinking.

Thinking that considers the wider variables, understands their interconnectedness, recognises the ambiguity and appreciates the complex.

4 protein swaps that will improve your health

1. Swap processed red meats (such as sausages, bacon, ham and salami) for unprocessed red meats (such as beef, lamb and pork) and reduce your intake of preservatives, salt and nitrates, improve heart and metabolic health, and prolong your life.

2. Swap unprocessed red meats for poultry or eggs and reduce your intake of heme iron, and improve bowel and heart health.

3. Swap poultry or eggs for seafood (particularly oily fish) and increase your intake of iodine, selenium and omega-3, and improve heart health.

4. Swap seafood for legumes (such as baked beans, chickpeas, red kidney beans and lentils) and increase your intake of plant protein and dietary fibre, improve heart and metabolic health, and prolong your life.

Yes, protein can promote fullness, increase metabolic rate, stimulate the growth of muscle, and support weight management.

But food, of course, is much more than just protein.

3 things you should know about dairy

To understand how dairy foods (milk, yoghurt and cheese) affect health, consider these 3 nutrition principles:

1. Foods are much more than negative nutrients.

Yes, dairy foods are typically rich in saturated fat. But consider recent scientific research:

The health benefits of dairy, including lower and higher fat ones, makes sense: dairy foods can contain magnesium, calcium, protein, riboflavin, Vitamin B12, conjugated linoleic acid, and fermentation by-products, including probiotics, prebiotics and bioactive peptides, too.

2. Moderation in all things.

The relationship between dairy and health changes according to the amount that is consumed. Consider:

  • The relationship between cheese and heart health appears to be somewhat curvilinear, with the healthiest intake around 40 grams.
  • Large quantities of dairy may slightly increase the risk of prostate cancer.

3. There is no perfect diet.

Instead, there are many different ways to eat healthily, and no ‘best’ recommendation with regards to dairy. Consider:

  • Our body adapts according to what we eat: it has long been known that the absorption of numerous minerals is improved when their intake is low.
  • Nutrients are typically found in array of different foods, and dairy is not required for adequate calcium intake (just consume other calcium rich foods), nor is milk required for optimal bone health.
  • Dairy is not an essential food group, and the health benefits associated with its consumption can be found from eating a variety of other foods, particularly minimally processed plants.

I’ve heard advice not to eat full cream dairy (it’s high in fat!), not to eat low-fat dairy (it’s high in sugar!), not to eat cheese (it’s high in calories!), not to have cow’s milk (it’s not fermented!), and not to eat any dairy at all (it’s not natural!).

Yet my interpretation of the nutrition research is that all can be compatible with good health; yet none are essential for it.

Eat more from what you do enjoy, and enjoy more from what you do eat.

Why a calorie is not always a calorie

A calorie rich food is not always fattening, and a lower calorie food is not always less fattening. 

To demonstrate, consider these scientific findings:

  • Adding some calorie rich foods to your diet, such as nuts or olive oil, decreases waist circumference over several years.
  • Some other calorie rich foods, such as cheese, do not appear to be linked to weight gain over time. Yet some lower calorie foods, such as refined grains and potato, do.
  • Full-cream milk may actually reduce weight gain, whilst low-fat milk may not.
  • Diets high in calorie-rich foods can be better for body weight management than diets low in calorie-rich foods.

To understand this, consider the many ways a food can affect your energy balance, other than its calorie content. These include:

  • The amount of it you eat.
  • The other foods you might consume with it.
  • The foods from your diet it might displace.
  • How satisfied you feel during, and immediately after, eating it.
  • How full you feel several hours after eating it, and
  • The many ways it affects your bodies’ metabolic response, such as the resulting increase in your metabolic rate, the type and amount of hormones released to digest it, and how much your gut bacteria is fed by it.

In the short-term, weight loss is achieved by reducing calories, irrespective of food or diet.

But in the long-term, the regulation of body weight is far more complex. Some of the most calorie rich foods are among the healthiest foods that we can eat, and their consumption does not increase body weight in any way.

Much better than avoiding calorie rich foods, is to ask how you can consume more of your calories from health-promoting foods.

How you can eat less sugar and not lose weight

An important nutrition principle is the one of replacement: for every food (or nutrient) you remove from the diet, another usually takes its place.

One common limitation I see with many popular diets is that they fail to appropriately advise on replacement. Low sugarlow fat and low carb can each be effective for better health and body weight. But they can each be pointless exercises, too.

To demonstrate, consider these well established research findings:

  • Replacing sugar (and other carbohydrates) with protein reduces weight gain. Yet replacing sugar with other carbohydrates (starchy foods like white bread, rice and crackers), does not.
  • Replacing fat with protein and fibre reduces body weight. Yet replacing fat with carbohydrate, does not.
  • Replacing carbohydrate with polyunsaturated fat (found in sunflower, safflower and soybean oil, and a variety of nuts, seeds and oily fish) reduces heart disease risk. Yet replacing carbohydrate with saturated fat (found in some meats, dairy and butter), does not.

Talking about what to eat less of, matters. But talking about what to eat instead, matters even more.

The high-fat, high-calorie foods that you should be eating

The idea that we should limit the intake of all high-fat, high-calorie foods is now outdated and actually unhealthy.

Research conclusively tells us that most plant-based fats and oils should be promoted and encouraged, because adding them into our diet results in significantly better heart and metabolic health.

What’s more, this impressive health benefit is one that few other dietary changes can achieve.

From the literature, I think we can confidently conclude that even eating more fruits and vegetables or more whole grains, whilst still important, is unlikely to give us the same heart health benefits that eating more plant-based fats and oils does.

What are plant-based fats and oils?

Not all plant-based fats and oils are equal, but some examples I encourage are:

  • 30 grams (1 handful) of nuts or seeds,
  • 50mL of most vegetable oils (particularly extra-virgin olive oil or canola oil),
  • 50 grams (or 1/4) avocado,
  • 20 grams of nut spread,
  • If using salad dressings, to opt for full-fat salad dressings instead of low-fat salad dressings, and
  • If not using avocado or nut spreads, to opt for margarine instead of animal-fat or lower-fat alternatives, such as butter, honey or jam.

Will eating these foods make you put on weight?

Research now clearly tells us that the fat and calorie content of a food does not, surprisingly, predict its effect on our weight.

For example:

  • some high-fat, higher-calorie foods, such as nuts and cheese, are associated with less or no weight gain.
  • some low-fat, lower-calorie foods, such as soft drinks and refined grains (like white bread and white rice), are associated with significant weight gain.

Whilst there are a lot of factors at play here, fat is well-known to slow down digestion, and thus changes our hormonal response after eating.

This is thought to contribute to a foods impact on our weight in the long-term, and might be partly why skim-milk or low-fat milk does not appear to be any better for our weight than full-cream milk.

The bottom line

The healthiest way to manage your weight, I believe, is to mostly enjoy a wide variety of minimally processed plant foods, including the plant-based fats and oils listed above.

If your daily consumption of calories is something that needs to be addressed, the first step is eating less highly processed or “treat” foods, such as cakes, biscuits, soft drink, refined grains and confectionary.

The total calories that you consume every day is still important.

But the total calories (or total fat) found in a single food, is not.

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