Carbohydrates

As I mentioned above, more than half your daily calories should come from the two lower levels of the pyramid, which are principally sources of carbohydrates. By following this recommendation, you will automatically correct the typically excess intake of fats and animal protein so detrimental to the health of the cardiovascular system, liver, and kidneys. Because carbohydrate foods tend to be less calorie dense, people following this type of diet often weigh closer to the desirable than those eating the typical American diet. These carbohydrate foods are a better source of calories to fuel your muscles and brain, and should comprise the bulk of your daily intake of food.

Carbohydrates come in two forms: the first is digestible, consisting mainly of complex starches and simpler sugars; the second is indigestible fiber Many dietary guidelines recommend eating less sugar; one good reason is that for some people simple carbohydrates can make blood fats rise, perhaps even raising cholesterol levels. Some experts suggest that overconsumption of sugars also brings on diabetes. Don’t forget that alcohol of all kinds contains concentrated amounts of sugar.

Complex carbohydrates come from whole grains, fruits, and vegetables, especially the starchy vegetables such as potatoes, corn, and winter squash, and legumes such as peas, beans, and lentils. All of these foods are naturally high in vitamins, minerals, and fiber. Increasing carbohydrates in the diet is generally a good idea because they are less efficiently converted to storage fat, are more filling (which enhances the feeling of fullness), and lower in calories per volume than comparable processed and refined foods. I recommend getting 60% to 65% of total daily calories from carbohydrate foods; whenever possible, use whole grain bakery products such as breads, muffins, and so on made with reduced amounts of total and saturated fats. These products are higher in vitamins, minerals, and fiber, other nutrients that may help to postpone the onset of cardiovascular disease, arthritis, diabetes, and other chronic diseases.

The easiest way to tell which carbohydrates are simple or complex is to refer to their glycemic index, which is a measure of the carbohydrate’s ability to raise your blood sugar in a given period of time: the higher the index, the faster the blood sugar rises. High-index sugars and starches cause a quick spike in blood sugar often followed by a quick decline. The roller-coaster ups and downs may leave you looking for more sugar too soon, and in some sensitive people, may even raise saturated fat and insulin levels more than is healthy. Lower index sugars and starches sustain your energy and suppress your appetite over a longer period of time, usually without triggering fat and insulin overproduction.

Not surprisingly, simple sugars like glucose, honey, and maltose have the highest indices, followed by alcohol and refined breakfast cereals such as corn flakes or "puffed" grains. Both baked russet and instant potatoes are higher index foods. Refined (white) and wholemeal flours, as are found in most bread and bakery products, are all indexed at 100 by definition. Most people are surprised to learn that there is no difference between wholemeal and white breads; I presume it is because today’s whole wheat bread flour is as finely ground as white wheat flour. Wheat kernels themselves, as used in cracked wheat bread, for instance, have a much lower index. Other whole grains, all fruits, all legumes, all pastas, and all other starchy vegetables are moderately to extremely low on the glycemic scale. Some are lower because the fiber, which has not been stripped away by milling or processing, slows down their absorption, while others are lower due to the nature of the carbohydrate itself slowing the digestion. I believe the latter reason explains the interesting fact that honey has one of the highest indices and fructose, a common fruit sugar, is among the lowest of all foods. Fructose can be used as a sweetener that does not produce rapid rises in blood sugar. Another oddity is that both boiled and sweet potatoes are lower index foods, while baked russets are higher. I recommend using high-index carbohydrates sparingly, using the coarsest textured bread and bakery products, and using other whole grains, fruits, pastas, and starchy vegetables liberally.

Glycemic Index of Some Common Foods

In order to set a base number, researchers fed subjects 50 grams of white bread and measured their blood glucose level. This was assigned the number 100. Other foods are rated in comparison to this standard.

Honey 126
Cornflakes 121
Potato, baked russet 116
Bread, white 100
Bread, wholemeal 100
Oatmeal 88
Banana 84
Rice, white 81
Rice, brown 81
Sweet corn 80
All-Bran cereal 74
Beans, kidney, canned 74
Beans, baked, canned 70
Pasta, Italian spaghetti 67
Pasta, macaroni 64
Apple 52
Yogurt, plain 52
Milk, fat-free 46
Fructose 26

High-carbohydrate foods are also usually high in fiber. A high-fiber diet is associated with lower weight and also contributes to long-term cardiovascular health by lowering blood fats, cholesterol, and insulin levels. Fiber changes the types and proportions of bacteria in the gut and provides needed bulk in the colon.

Dietary fiber is the term used for several materials in plants that the body cannot digest or absorb from the small intestine, and fiber is categorized as soluble or insoluble. Soluble fiber, which dissolves in boiling water, forms a gel-like substance that adheres to food particles. Fats bind to these encapsulated food particles and are eliminated from the body. Bacteria in the large intestine ferment about 75% of consumed dietary fibers. Some research has shown that the byproducts of this fermentation process, particularly propionic and butyric acid, may lower serum cholesterol.

It is now widely accepted that soluble fiber helps to reduce risk of cardiovascular disease by lowering cholesterol. The American Heart Association recommends soluble fiber intake of 25-30 grams per day. Most American adults consume less than half this amount of fiber. By eating a wide variety of the recommended servings of fruits, vegetables, whole grains, and legumes, you will automatically increase your fiber intake. Most foods contain a combination of soluble and insoluble fiber, and both are important to good health. Foods richest in soluble fiber, which is the type believed to help reduce serum cholesterol, include oat bran, oatmeal, and rice bran. Most other whole grain foods are a good source of insoluble fiber. Note that some oat, bran, and other whole grain products (such as muffins and cookies) are high in fat. And some cereals don’t contain that much soluble fiber. Look for high-fiber cereals that contain at least 3 grams per serving. Always read the label to be sure you are getting a maximum amount of fiber in combination with low fat and cholesterol.

Beans, peas, and lentils are also good sources of soluble fiber. To help eliminate some of the gas problems associated with eating these foods, discard the soaking water and rinse beans before cooking to eliminate the indigestible sugars produced by the beans. Canned beans can be soaked in water for one hour and the water discarded. If you are unaccustomed to eating a substantial amount of high fiber foods, increase your fiber intake gradually. And be sure to drink plenty of water (6 to 8 glasses per day) to avoid constipation. Citrus fruits, strawberries, and high-pectin fruits such as apples are also high in soluble fiber.

I would like to note that there is a common misconception among healthy-minded people that brown rice is somehow vastly superior to white rice. Brown rice becomes white by polishing that removes a very thin layer of bran from each grain. When cooked, both types of rice contain essentially the same amount of protein: a little less than 3 grams per 100 grams. White rice is a little higher in calories — 130 vs. 111 — presumably because of its higher carbohydrate content (28 grams vs. 23 grams). The glycemic indices are identical at 81. The only significant difference seems to be in magnesium content, which is lower for white rice: 12 mg vs. 43 mg. However, this level of magnesium is quite low, and neither type of rice is a rich source. White rice is usually the only type available at Indian, Chinese, or Mexican restaurants; when you really need a break from the kitchen, I believe you can enjoy it without concern that you are not following the "whole grain rule."

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