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Banting discriminates against women

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Young woman and scale from Shutterstock
Young woman and scale from Shutterstock

There seems to be no end in sight for the Banting / Tim Noakes' Diet saga.

As the fracas gathers momentum, thanks largely to frantic media coverage, the chief protagonists are making more and more scientifically irrational statements. The Sunday Times recently featured an article entitled “Noakes makes a U-turn on dairy’s 'green' status”, and reported that one of his acolytes Dr Glen Hagemann has banned “slow-losing women” from his crash-diet courses.

Hogarth also nominated Tim Noakes as “Mampara of the week”, and I didn’t know whether I should laugh or cry.   

Low-carb diets come and go


Back in the day when I was at university, Dr Atkins published a whole series of books on his version of the zero/very-low-carb, high-protein, high-fat diet – and made millions of dollars. He also founded an empire manufacturing zero-carb foods.

In the 21st century the low-carb, high-protein diet has been rediscovered and repackaged by a number of opportunistic authors, cashing in on the public’s unquenchable desire for a quick-fix diet miracle. 

The same old story


In 2009, “The Metabolism Miracle” by Diane Kress was hailed as a “New York Times Bestseller”.  It promised “3 easy steps to regain control of your weight... permanently”. The author, Diane Kress, a registered dietician, practising in the USA for more than twenty-five years, recommended an 8-week, high-protein, low-carb detox period to allow the pancreas and the liver to rest and regenerate.

This author was honest enough to admit that “a very-low-carb diet isn't nutritionally balanced, but a temporary choice to reset a healthy metabolism”.

During Step 1, the 8-week, very-low-carb period, slimmers with so-called Metabolism B were urged to cut out most carbs and concentrate on eating lean protein foods. Only 5 x 5g of carbohydrates were allowed per day. Patients were also encouraged to drink plenty of water, eat every five hours (a variation of the “nibbling diet”), take vitamin and mineral supplements, do physical exercise, practise deep breathing, do relaxation exercises and apply the principles of positive thinking. According to Kress (2009), the purpose of Step 1 was to “re-programme your metabolism”.

Then in 2010, there was Dr Pierre Dukan who devised a French variation of the Atkins Diet, which was, of course, named "The Dukan Diet". In this book, he divides his diet into four phases, which he calls the "Attack Phase", the "Cruise Phase", the "Consolidation Phase" and the "Stabilisation Phase". The window dressing is French, but the basic principles are pure Atkins Diet.

In 2011 it was the Cura Romana Weight-loss Plan by Leslie Kenton that hit the shelves. New Yorkers were obsessed with the book. It shot to the top of the bestseller lists and probably made Ms Kenton lots of money.

It also advocated an Atkins-type diet but allowed so few kilojoules that it bordered on starvation. In addition, dieters were encouraged to use a homeopathic human chorionic gonadotrophin (HCG)spray to aid weight loss.

And now we have the "Real Meal Revolution" written by Dr Tim Noakes et al., which has dieters in South Africa in a protein- and fat-feeding frenzy.  

In my opinion, the most concrete results achieved by these books were the large amounts of money in the pockets of their authors...

Basic physiology


I wonder who taught these people who set themselves up as dietary experts their physiology. Let’s look at the banning of female Banters by Dr Hagemann as an example.

One of the first things students of nutrition are taught is that the so-called Basal Metabolic Rate(BMR - the amount of energy used during 24 hours while physically and mentally at rest) of individuals can vary because it's influenced by many factors, including gender. Men, particularly young men, have a much higher BMR than females of the same age.

This higher turnover of energy and higher energy requirement is caused by the male hormone testosterone and the quantity of muscle tissue in a male body (the more muscle tissue your body contains, the higher the demand for energy will be to maintain the status quo).

I can remember, writing years ago, that we females are at a disadvantage, and that if we follow the same slimming diet and do the same amount of exercise as men, we'll lose less weight/fat, and at a slower pace. It’s “tough, but true”.

This isn't a new discovery and it's very unfair to use it to discriminate against women when it comes to weight loss. 

More women in South Africa need to lose weight than men, according to the results of the 2012 South African National Health and Nutrition Examination Survey, which indicate that 64% of our women are either overweight or obese, compared to 30.7% of men.

However, the “Banting refusal” may actually be a blessing in disguise, because we can but hope that it will encourage the women in our country to use more sensible and balanced slimming diets combined with regular exercise to lose weight.

- (Dr Ingrid van Heerden, registered dietician, October 2014)

Sources:
- Dukan, P (2010). The Dukan Diet. Hodder & Stoughton, UK.
- Govender S (2014A). Noakes makes a U-turn on dairy’s ‘green’ status. Sunday Times, 19 October 2014, p. 5.
- Govender S (2014B). "Slow-slimming women’ not welcome in diet crash-course". Sunday Times, 19 October 2014, p. 5.
- Hogarth (2014). Mampara of the Week: Tim Noakes. Who moved my yoghurt? Sunday Times,19 October 2014.
- Kenton L (2011). The Cura Romana Weightloss Plan. Bantam, Press, London.
- Kress D (2009). The Metabolism Miracle. Da Capo Press, Philadelphia, USA.
- Mahan LK et al (2012). Krause’s Food & the Nutrition Care Process. 13th edition. Elsevier Press. USA.
- SANHANES-1 (2013). South African National Health and Nutrition Examination Survey. Published by HSRC Press, Cape Town).

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