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Dieting

Question: I have heard that the 'Mediterranean diet' is good for you. What is this diet and what countries eat this kind of diet?

Answer: The Mediterranean diet has received a great deal of attention lately because it has shown promise in reducing the development of heart disease and cancer. Interest in the Mediterranean diet arose as scientists compared the health of people in various countries. They found that people in certain countries had lower rates of heart disease and cancer. Investigation into the causes for these differences revealed that their diets were different from the typical American diet. Since then, scientists have looked specifically at these unique diets and tried to figure out what makes them so healthy.

The Mediterranean diet is the typical diet eaten by many people in countries like Italy and Greece. It usually consists of more bread and cereals, fresh fruit and vegetables, beans, and fish. Fat intake is mostly from olive oil and canola oil, with almost no butter or cream. Red meats and deli foods are rarely eaten, but poultry is occasionally eaten.

Scientists think that there are many potentially healthy nutrients contained in the Mediterranean diet. These include omega-3 fatty acids, oleic acid, fiber, antioxidants, vegetable proteins, and B-vitamins. In addition, the diet avoids potentially unhealthy things like saturated fat and red meat. Although the Mediterranean diet developed in Mediterranean countries and is still most common there, many people from other countries are finding that this diet is easy and enjoyable to follow.


Question: Is it true that dieting can actually make your stomach shrink?

Answer: No. The stomach cannot shrink below the size it is when it is empty.

Question: Some people say the Zone diet is good for athletes, and others say it's bad. Is it good or bad? Why?

Answer: Probably bad. The Zone diet was developed by Barry Sears, PhD. The diet was made popular by his book The Zone, which was published in 1995. The diet consists of calorie restriction and eating a standardized ratio of carbohydrates, fat, and protein. On the Zone diet, the average American male exercising three times a week would eat about 1,400 calories a day:

  • 40% of calories would come from carbohydrates.
  • 30% from fat.
  • 30% from protein.

By comparison, the average American male (not on a diet) eats about 2,000 or more calories a day:

  • 55% from carbohydrates.
  • 30% from fat.
  • 15% from protein.

In his book The Zone, Barry Sears claims that people on the Zone diet will gain a state of optimal health that includes maintaining an ideal weight and enhancing their athletic performance.

Unfortunately for the Zone diet, sports medicine experts have looked at the claims and concluded that the Zone diet is not likely to be good for athletes, and in some cases it may even decrease performance. The basic problem is that the diet does not give athletes in training enough calories. For example, the Zone diet would give marathon runners about 1,750 calories per day, while they actually need about 5,000 calories a day to meet their training needs. Athletes-in-training on the Zone diet would experience muscle mass loss and decreased athletic performance. Many research studies confirm this basic tenet of high-performance athletic training: Adequate carbohydrate and caloric intake is necessary to maintain performance. Athletes who exercise only 3-4 hours a week, however, do not necessarily need large caloric intakes and may be able to maintain performance on the Zone diet.

In summary, the overwhelming opinion among sports medicine experts is that the Zone diet is not good for athletes-in-training. The main problem for athletes on the Zone diet is inadequate intake of calories to meet their energy needs.

Question: I have been following the recommended diet for 2 weeks now and have lost 6 pounds, but I feel extremely tired and even have dizzy spells. Is this normal at the beginning of a diet?

Answer: I would suspect that many dieters believe that tiredness and dizziness go hand in hand with dieting, but it is not "normal" and certainly not healthy. If a diet is balanced and provides a reasonable number of calories and amount of fluid, you should feel well. Dieters following a very low calorie diet that results in the body getting little energy (calories) may frequently suffer from fluid and salt imbalances that can result in tiredness, lethargy, and dizziness. Dieters on a strict low-calorie diet should be supervised by a doctor.

If you are following the recommended diet, which provides a very moderate calorie decrease, it is unlikely that the calorie level would cause tiredness. It could, however, be caused by a major change in your eating or exercise pattern, by not getting enough fluids, or by other factors. Since you have lost quite a bit of weight in the first 2 weeks, it is possible that your calorie goal is a little too low; however, it is common to lose more quickly at the very beginning of a diet. If your weight loss does not balance out to a healthy loss of 1-2 pounds per week, you could increase your calories a bit.

Tiredness and dizzy spells can have many different causes. If these symptoms persist, consult your doctor.

Question: How many milligrams of sodium should a person on a low-sodium diet consume in a day?

Answer: Doctors recommend low-sodium diets to patients with a variety of medical conditions--particularly hypertension (high blood pressure) and diseases that involve edema (swelling) or fluid retention, like chronic kidney failure, heart failure, and liver failure.

A typical diet in the United States contains 4,000-6,000 milligrams (mg) of sodium a day. A "no-added-salt diet" contains 3,000 mg of sodium daily. A "low-sodium diet" contains 2,000 mg of sodium daily, and a "very-low-sodium diet" contains 1,000 mg of sodium daily. To consume less sodium, you can stop adding salt to your food, eat less processed foods that contain a lot of sodium, or even buy special low-sodium foods. The easiest way to find out the amount of sodium in your food is to read the nutrition labels. Nutrition labels on food packaging tell you how much sodium is in each serving of an item. Some patients find that talking to a nutritionist helps them determine which foods have the highest and lowest sodium content.

Doctors tell most patients to try a no-added-salt or low-sodium diet first. The kind of diet a doctor recommends depends on a patient's condition. If you want to start a low-sodium diet, talk to your doctor to find out what is right for you.

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