The Food Tree

The Food Pyramid RevampedA Rational Approach to NutritionA Rational Approach to Nutrition

Ranveig Elvebakk, MD

The Food Tree

The Food Pyramid RevampedA Rational Approach to NutritionA Rational Approach to Nutrition

Ranveig Elvebakk, MD

Why the Food Pyramid And Diets don't work

Because they are fads rather than science.

Why the Food Pyramid And Diets don't work

Because they are fads rather than science.

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”

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”

Normal Weight:

BMI: Weight in kilos/height in meters squaredBMI: Weight in kilos/height in meters squared

Normal Weight:

BMI: Weight in kilos/height in meters squaredBMI: Weight in kilos/height in meters squared

What does the body have to work with?

Protein Protein

Fat Fat

What does the body have to work with?

Protein Protein

FatFat

Carbohydrates (Alcohol)

PROTEIN

Complete, all 20 amino acidsSources: Animal, dairy, eggs, soySupports lean tissueMay be burned for energyDaily requirements Daily requirements

PROTEIN

Complete, all 20 amino acidsSources: Animal, dairy, eggs, soy

FAT

Sources: 1) Sugar. 2) FatNot created equal: Good, bad and ugly Needed for:Insulation/Cell walls/Storage/Hormones/EnzymesEssential Fatty Acids: Omega 3/6Essential Fatty Acids: Omega 3/6Daily Requirements

FAT

Not created equal: Good, bad and ugly

Insulation/Cell walls/Storage/Hormones/EnzymesEssential Fatty Acids: Omega 3/6Essential Fatty Acids: Omega 3/6

CARBOHYDRATES (CHO)

CHO=SUGAR OR GLUCOSE/FIBERNot created equal: Good, Bad and Ugly Glycemic Index (GI) scale 0Sugar feeds the Inflammatory Chain: Omega 6Creates Physical AddictionCreates Physical Addiction“The Other Alcohol” Insidious.Daily Requirements.

CARBOHYDRATES (CHO)

CHO=SUGAR OR GLUCOSE/FIBERNot created equal: Good, Bad and Ugly Glycemic Index (GI) scale 0-100, Sugar feeds the Inflammatory Chain: Omega 6Creates Physical AddictionCreates Physical Addiction“The Other Alcohol” Insidious.

The Glycemic Index of Carbohydrates

(Ability to raise insulin)

0--------------------------------------------------fiber<veg<legumes<berries<fruit<grains<sugarfiber<veg<legumes<berries<fruit<grains<sugar

natural alcohols < beer < wine < liquor

Micronutrients--------------------

The Glycemic Index of Carbohydrates

(Ability to raise insulin)

--------------------------------------------------100fiber<veg<legumes<berries<fruit<grains<sugarfiber<veg<legumes<berries<fruit<grains<sugar

natural alcohols < beer < wine < liquor

--------------------Toxicity Addiction

INSULIN

MASTERSWITCH :

TURNED ON BY SUGAR

RUNS YOUR WEIGHTRUNS YOUR WEIGHTRUNS THE INFLAMMATORY CHAIN, by diverting omega FA to omega 6 (MBS)

RUNS YOUR WEIGHT AND HEALTH

INSULIN

MASTERSWITCH :

TURNED ON BY SUGAR

RUNS YOUR WEIGHTRUNS YOUR WEIGHTRUNS THE INFLAMMATORY CHAIN, by diverting omega FA to omega 6 (MBS)

RUNS YOUR WEIGHT AND HEALTH

Omega 6 fatty acids

INFLAMMATION

This could manifest in anything from acne, asthma arthritis, depression, insulin resistance, diabetes, 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.

Omega 6 fatty acids

INFLAMMATION

This could manifest in anything from acne, asthma arthritis, depression, insulin resistance, diabetes, 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.

Weight and Health are a Balance:

Set our omegaSet our omega

Weight and Health are a Balance:

Set our omega-balanceSet our omega-balance

By keeping our Glucose(G-I curve) in the G

(see next slide)

The Glucose-Insulin curve is our tool

By keeping our Glucose-Insulin I curve) in the G-I window

(see next slide)

Insulin curve is our tool

Adding to The Food Tree to keep us on that normal Gus on that normal GAdding to The Food Tree to keep us on that normal G-I curve:us on that normal G-I curve:

The G-I curve of two types of sugar-

Weight Gain and Inflammation

I curve of two types of -eaters

Weight Gain and Inflammation

GLUCOSE-INSULIN CURVE

Thermostat of Inflammation, Health, Illness.Satiety, Hunger, Weight

Quality of Life, Life SpanAddictionAddiction

Set by sugar

INSULIN CURVE

Thermostat of Inflammation, Health, Illness.Satiety, Hunger, Weight

Quality of Life, Life SpanAddictionAddiction

Set by sugar

Markers of Inflammation and Cardiovascular Disease

Evidence for Inflammation as Key to Pathogenic Mechanism in Atherosclerosis.Mechanism in Atherosclerosis.

Circulation 2003;107:499

Markers of Inflammation and Cardiovascular Disease

Evidence for Inflammation as Key to Pathogenic Mechanism in Atherosclerosis.Mechanism in Atherosclerosis.

Circulation 2003;107:499

METABOLIC SYNDROME

Waist: Men 40”, women 35”Fasting triglycerides 150 or above

HDL cholesterol <40 in men, <50 in womenHDL cholesterol <40 in men, <50 in womenFasting Blood sugar 100 or more

Blood Pressure >130/85

METABOLIC SYNDROME

Waist: Men 40”, women 35”Fasting triglycerides 150 or above

HDL cholesterol <40 in men, <50 in womenHDL cholesterol <40 in men, <50 in womenFasting Blood sugar 100 or more

Blood Pressure >130/85

SUGAR EATER'S SYNDROME:

Waist: Men 40”, women 35”Fasting triglycerides 150 or above

HDL cholesterol <40 in men, <50 in womenHDL cholesterol <40 in men, <50 in womenBP 130/85 or above

Fasting Blood sugar 100 or more

SUGAR EATER'S SYNDROME:

Waist: Men 40”, women 35”Fasting triglycerides 150 or above

HDL cholesterol <40 in men, <50 in womenHDL cholesterol <40 in men, <50 in womenBP 130/85 or above

Fasting Blood sugar 100 or more

DIABETES TYPE 2 the overt expression of sugar eater's syndrome

Exhaustion of our pancreas from having to Exhaustion of our pancreas from having to overproduce insulin to keep up with the sugar we eat.

This insulin feeds inflammation ever higher.

DIABETES TYPE 2 the overt expression of sugar eater's syndrome

Exhaustion of our pancreas from having to Exhaustion of our pancreas from having to overproduce insulin to keep up with the sugar we eat.

This insulin feeds inflammation ever higher.

What to do about it?

We could give more medications to lower blood sugar.sugar.

Look what happens when we do:

What to do about it?

We could give more medications to lower blood sugar.sugar.

Look what happens when we do:

UK Prospective Diabetes Study VA Feasibility Study 1998

“Tight glucose control does not improve eventsIncreased mortality in metformin/sulfonylurea Increased mortality in metformin/sulfonylurea

group”

Giving more medications to lower blood sugar in diabetic actually increases the risk of death

UK Prospective Diabetes Study VA Feasibility Study 1998

“Tight glucose control does not improve eventsIncreased mortality in metformin/sulfonylurea Increased mortality in metformin/sulfonylurea

group”

Giving more medications to lower blood sugar in diabetic actually increases the risk of death

Intensive treatment to lower blood sugar may be dangerous to your

health

The ACCORD STUDY 1998

Intensive treatment to lower blood sugar may be dangerous to your

The ACCORD STUDY 1998-2004

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% DM remission 73% vs. 13%

Dr John Buse, U of North Carolina, Chapel Hill

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% DM remission 73% vs. 13%

Dr John Buse, U of North Carolina, Chapel Hill

Sugar is a potential metabolic poison because it creates inflammation and addiction.

Food is not addictive, sugar is

But we have to eat

Treatment for metabolic syndrome is not to remove our stomachs or food,

but to remove sugar

Sugar is also extremely Psychologically Addictive

Sugar is a potential metabolic poison because it creates inflammation and addiction.

Food is not addictive, sugar is

But we have to eat---

Treatment for metabolic syndrome is not to remove our stomachs or food,

but to remove sugar

Sugar is also extremely Psychologically Addictive

The Addictive Power of Sugar

-can you imagine the utter disgrace of this man in the gutter with crumbs on his face

The Addictive Power of Sugar

can you imagine the utter disgrace of this man in the gutter with crumbs on his face

So you say:

I am thin, I can eat what I want,I am thin, I can eat what I want,this does not concern me”

So you say:

I am thin, I can eat what I want,I am thin, I can eat what I want,this does not concern me”

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

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 1998-2004

Dyslipidemia

Elevated apo B/apo A-I ratio

Hypertension

Elevated fasting blood glucose or diabetes

Cardiometabolic Abnormalities Associated

With Normal-Weight Obesity

Elevated fasting blood glucose or diabetes

Low HDL cholesterol

Elevated leptin

Elevated C-reactive protein

Prevalence of metabolic syndrome

Women

Men

Source: Dr. Romero-Corral

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.

42.0% 33.9%

40.2% 27.2%

27.7% 20.2%

26.6% 16.2%

Cardiometabolic Abnormalities Associated

With Normal-Weight Obesity

Normal-weight

obese

Normal-weight/

normal-fat controls

26.6% 16.2%

26.2% 22.9%

25.6% 7.1%

12.2% 8.7%

13.0% 2.8%

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.

Overweight and Malnourished

Half of Americans do not get enough Calcium, Magnesium and Potassium Magnesium and Potassium

NHANES 2003

Overweight and Malnourished

Half of Americans do not get enough Calcium, Magnesium and Potassium Magnesium and Potassium

NHANES 2003-2004

Proof of omega 6 inflammationat work in normal weight persons:

The omega 6 inflammatory Cis found in people of any weight is found in people of any weight

who eat too much sugar!

Take a look:

Proof of omega 6 inflammationat work in normal weight persons:

The omega 6 inflammatory C-Reactive Protein is found in people of any weight is found in people of any weight

who eat too much sugar!

Take a look:

Khaw et al 2001/ Selvin et al 2005

Blood sugar predicts cardiac risk in an almost linear fashion in non-diabetic subjects.

Annual meeting of the European Association for the Annual meeting of the European Association for the Study of Diabetes 2008:

Every 1% rise in HbA1C increases Heart Risk by 11%

Khaw et al 2001/ Selvin et al 2005

Blood sugar predicts cardiac risk in an almost linear diabetic subjects.

Annual meeting of the European Association for the Annual meeting of the European Association for the Study of Diabetes 2008:

Every 1% rise in HbA1C increases Heart Risk by 11%

AHA/CDC Scientific Statement

Markers of Inflammation can predict future Cardiovascular events even in healthy persons

Circulation 2003;107

AHA/CDC Scientific Statement

Markers of Inflammation can predict future Cardiovascular events even in healthy persons

Circulation 2003;107-499

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 A 1% increase in absolute concentration of HbA1c is associated with a 10-20% increase in CV disease

risk.

Current opinion in lipid therapy 17(6):6372006. Khaw, Kay-Teewa, Wareham, Nicolas B

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 A 1% increase in absolute concentration of HbA1c is 20% increase in CV disease risk.

Current opinion in lipid therapy 17(6):637-643 Dec Teewa, Wareham, Nicolas B

SUGAR EATERS SYNDROME in NORMAL WEIGHT PERSONS

Fasting triglycerides 150 or aboveHDL cholesterol <40 in men, <50 in womenHDL cholesterol <40 in men, <50 in women

BP 130/85 or higherFasting Blood sugar 100 or more

SUGAR EATERS SYNDROME in NORMAL WEIGHT PERSONS

Fasting triglycerides 150 or aboveHDL cholesterol <40 in men, <50 in womenHDL cholesterol <40 in men, <50 in women

BP 130/85 or higherFasting Blood sugar 100 or more

How do we test for Sugar Eater’s Syndrome?

HbA1CHbA1C

How do we test for Sugar Eater’s Syndrome?

HbA1CHbA1C

How do we treat it?

THE FOOD TREETHE FOOD TREE

How do we treat it?

THE FOOD TREETHE FOOD TREE

The Food Tree

1) Target Protein to protect your lean body2) Keeps insulin in the G-

to keep omega 3 high3) The veg/fruits for fiber and other nutrients 4) Keeps meals small and balanced 5) Keeps you full!4) Keeps meals small and balanced 5) Keeps you full!

The Food Tree is anti-obesity and antiand will naturally bring you back to normal weight and good health

The Food Tree

1) Target Protein to protect your lean body-I window

3) The veg/fruits for fiber and other nutrients 4) Keeps meals small and balanced 4) Keeps meals small and balanced

obesity and anti-inflammatory and will naturally bring you back to normal

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 The prescription for your individual Food Tree

is in the book

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 The prescription for your individual Food Tree

is in the book

The Food TreeThe Food Tree