The Food Pyramid Revamped A Rational Approach to Nutrition

1. The Food Tree
The Food Pyramid Revamped
A Rational Approach to Nutrition
Ranveig Elvebakk, MD

2. Why the Food Pyramid And Diets
don't work
Because they are fads rather than science.

3. 1918: Lulu Hunt Peters, MD
“Heretofore you have known, only in a dumb, despairing way, that all the
foods you like are fattening and you must avoid them as the pestilence.”
“Guide to Diets and Calorie Counting”

4. Normal Weight:
BMI: Weight in kilos/height in meters squared

5. What does the body have to work
with?
Protein Protein
Fat Fat
Carbohydrates
(Alcohol)

6. PROTEIN
Complete, all 20 amino acids
Sources: Animal, dairy, eggs, soy
Supports lean tissue
May be burned for energy
Daily requirements

8. FAT
Sources: 1) Sugar. 2) Fat
Not created equal: Good, bad and ugly
Needed for:
Insulation/Cell walls/Storage/Hormones/Enzymes
Essential Fatty Acids: Omega 3/6
Daily Requirements

9. CARBOHYDRATES (CHO)
CHO=SUGAR OR GLUCOSE/FIBER
Not created equal: Good, Bad and Ugly
Glycemic Index (GI) scale 0
0-100,
Sugar feeds the Inflammatory Chain: Omega 6
Creates Physical Addiction
“The Other Alcohol” Insidious.
Daily Requirements.

10. The Glycemic Index
of Carbohydrates
(Ability to raise insulin)
0--------------------------------------------------
--------------------------------------------------100
fiber<veg<legumes<berries<fruit<grains<sugar
natural alcohols < beer < wine < liquor
Micronutrients--------------------
--------------------Toxicity Addiction

11. INSULIN
MASTERSWITCH :
TURNED ON BY SUGAR
RUNS YOUR WEIGHT
RUNS THE INFLAMMATORY CHAIN,
by diverting omega FA to omega 6 (MBS)
RUNS YOUR WEIGHT AND HEALTH

13. Omega 6 fatty acids
INFLAMMATION
This could manifest in anything from acne, asthma
arthritis, depression, insulin resistance, diabetes,
heart disease, stroke, high blood pressure, migraines,
polycystic ovarian disease, low sperm count,
indigestion, psoriasis, gum disease and a host of
other illnesses.

14. Weight and Health are a Balance:
Set our omega
omega-balance

15. By keeping our Glucose
Glucose-Insulin
(G-I curve) in the G window
I G-I
(see next slide)
The Glucose-Insulin curve is our tool
Insulin

17. Adding to The Food Tree to keep
us on that normal G curve:
G-I

21. The G-I curve of two types of
I
sugar--eaters
Weight Gain and Inflammation

24. GLUCOSE-INSULIN CURVE
INSULIN
Thermostat of Inflammation, Health, Illness.
Satiety, Hunger, Weight
Quality of Life, Life Span
Addiction
Set by sugar

25. Markers of Inflammation and
Cardiovascular Disease
Evidence for Inflammation as Key to Pathogenic
Mechanism in Atherosclerosis.
Circulation 2003;107:499

26. METABOLIC SYNDROME
Waist: Men 40”, women 35”
Fasting triglycerides 150 or above
HDL cholesterol <40 in men, <50 in women
Fasting Blood sugar 100 or more
Blood Pressure >130/85

27. SUGAR EATER'S SYNDROME:
Waist: Men 40”, women 35”
Fasting triglycerides 150 or above
HDL cholesterol <40 in men, <50 in women
BP 130/85 or above
Fasting Blood sugar 100 or more

28. DIABETES TYPE 2
the overt expression of
sugar eater's syndrome
Exhaustion of our pancreas from having to
overproduce insulin to keep up with the sugar we eat.
This insulin feeds inflammation ever higher.

29. What to do about it?
We could give more medications to lower blood
sugar.
Look what happens when we do:

30. UK Prospective Diabetes Study
VA Feasibility Study 1998
“Tight glucose control does not improve events
Increased mortality in metformin/sulfonylurea
group”
Giving more medications to lower blood sugar in
diabetic actually increases the risk of death

31. Intensive treatment to lower blood
sugar may be dangerous to your
health
The ACCORD STUDY 1998
1998-2004

32. Bariatric Surgery
Rx: Stop eating
“The best therapy we have for diabetes today”
“Strong evidence that we can cure diabetes”
DM remission 73% vs. 13%
Dr John Buse, U of North Carolina, Chapel Hill

33. But we have to eat
eat---
Sugar is a potential metabolic poison
because it creates inflammation and addiction.
Food is not addictive, sugar is
Treatment for metabolic syndrome
is not to remove our stomachs or food,
but to remove sugar
Sugar is also extremely Psychologically Addictive

34. The Addictive Power of Sugar
-can you imagine the utter disgrace
can
of this man in the gutter with crumbs on his face

35. So you say:
I am thin, I can eat what I want,
this does not concern me”

36. Metabolically Obese Normal Weight
(MONW)
Normal weight persons with
1)Muscle loss 2) Fat Storage 3) Inflammation
Ruderman 1998, Goodpasture 2003, Dr. Abel
Romero,The Mayo Clinic at 2008 AHA conference
from NHANES study 1998
1998-2004

37. Cardiometabolic Abnormalities Associated
With Normal-Weight Obesity
Normal-weight Normal-weight/
obese normal-fat controls
Dyslipidemia 42.0% 33.9%
Elevated apo B/apo A-I ratio 40.2% 27.2%
Hypertension 27.7% 20.2%
Elevated fasting blood glucose or diabetes 26.6% 16.2%
Low HDL cholesterol 26.2% 22.9%
Elevated leptin 25.6% 7.1%
Elevated C-reactive protein 12.2% 8.7%
Prevalence of metabolic syndrome
Women 13.0% 2.8%
Men 12.8% 5.4%
Notes: Based on 12-year follow-up data from the Third National Health and Nutritrition
Examination Survey of 2,127 adults. All differences are statiscally significant.
Source: Dr. Romero-Corral

38. Overweight and Malnourished
Half of Americans do not get enough Calcium,
Magnesium and Potassium
NHANES 2003
2003-2004

39. Proof of omega 6 inflammation
at work in normal weight persons:
The omega 6 inflammatory C C-Reactive Protein
is found in people of any weight
who eat too much sugar!
Take a look:

40. Khaw et al 2001/ Selvin et al 2005
Blood sugar predicts cardiac risk in an almost linear
fashion in non-diabetic subjects.
diabetic
Annual meeting of the European Association for the
Study of Diabetes 2008:
Every 1% rise in HbA1C increases Heart Risk by
11%

41. AHA/CDC Scientific Statement
Markers of Inflammation can predict future
Cardiovascular events even in healthy persons
Circulation 2003;107
2003;107-499

42. HgA1C as a marker of
cardiovascular risk
HbA1C concentration predicts CV risk both in
people with diabetes and in the general population.
A 1% increase in absolute concentration of HbA1c is
associated with a 10-20% increase in CV disease
20%
risk.
Current opinion in lipid therapy 17(6):637
17(6):637-643 Dec
2006. Khaw, Kay-Teewa, Wareham, Nicolas B
Teewa,

43. SUGAR EATERS SYNDROME
in NORMAL WEIGHT PERSONS
Fasting triglycerides 150 or above
HDL cholesterol <40 in men, <50 in women
BP 130/85 or higher
Fasting Blood sugar 100 or more

44. How do we test for Sugar Eater’s
Syndrome?
HbA1C

45. How do we treat it?
THE FOOD TREE

46. The Food Tree
1) Target Protein to protect your lean body
2) Keeps insulin in the G- window
-I
to keep omega 3 high
3) The veg/fruits for fiber and other nutrients
4) Keeps meals small and balanced
5) Keeps you full!
The Food Tree is anti-obesity and anti
obesity anti-inflammatory
and will naturally bring you back to normal
weight and good health

48. The Food Tree in Weight Loss
Weight loss happens right after you eat.
Space out your meals evenly
The more evenly spaced the better!
The prescription for your individual Food Tree
is in the book

52. The Food Tree