You Don't Have To Go No-Carb: Instead, Think Slow Carb

Jan 11, 2020
Originally published on January 13, 2020 8:27 am

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It's trendy to go low-carb these days, even no carb. And, yes, this can lead to quick weight loss.

But ditching carbs is tough to do over the long haul. For starters, you're swimming upstream. On average, adults in the U.S. get about 50% of their daily calories from carbohydrates. And, if you truly cut out all carbs, you'll have to give up fruits, vegetables, whole grains and beans — which are the building blocks of a healthy diet.

So why do carbs get such a bad rap? Well, as we discuss in our new Life Kit podcast, a lot of us are choosing the wrong kind of carbs.

"We've known for decades that different foods affect the body differently," says Dr. David Ludwig. He's a professor of nutrition at the Harvard School of Public Health and the co-director of the New Balance Foundation Obesity Prevention Center Boston Children's Hospital.

So let's compare two carbohydrate-rich foods. If you're shopping in the bread aisle, you can pick white bread or a whole-grain bread, maybe pumpernickel or rye. They may have about the same number of calories, but the whole grain has a lot more going for it.

"When you eat a whole-kernel, minimally processed grain ... they take a while to digest. Blood sugar rises relatively more gently. You produce less insulin calorie for calorie," Ludwig explains. Think of whole grains as slow carbs because of this slow digestion. (Other slow carbs include fruits, vegetables, beans and grains.)

Whole grains — which include everything from whole wheat to brown rice to steel-cut oats and farro — are also rich in fiber. A new study published in The Lancet finds that people who eat a diet rich in fiber and whole grains have a reduced risk of Type 2 diabetes, stroke, coronary heart disease and colorectal cancer. (For more, we have this primer on whole grains. )

Here's what to visualize: When you eat whole grain wheat bread, you're getting everything that comes in the wheat kernel. This includes the fiber-rich bran. It also includes the germ, which is the embryo of the seed, so it contains everything that's needed to nurture new life. Think of wheat germ as a little packet of nutrients, including zinc, magnesium and Vitamin E.

But with white bread, all this good stuff has been stripped out during processing. All that's left is starch, which is one step away from turning to sugar in your body. "Refined starch is the hidden sugar," says Dr. Dariush Mozaffarian, dean of the nutrition school at Tufts University.

And it's not just white bread. Many of the packaged snacks we eat, such as pretzels and crackers, are often made from refined starch. So when you eat these foods, that starch can "slam into your bloodstream, raising blood sugar and insulin," Ludwig says. And this can send a signal to the body to store fat and leave you feeling hungry.

I've experienced this. I know if I eat a scone or chocolate croissant for breakfast, I'm hungry an hour later. But, if I eat an egg and a piece of whole grain toast, I'm set until lunch. That's because I'm getting plenty of fiber — which slows down digestion — as well as fat and protein that leave me feeling sated.

So I've cut back on refined carbs. And the science suggests this is the way to go. The authors of the latest Lancet study say their findings "provide convincing evidence for nutrition guidelines to focus on increasing dietary fiber and on replacing refined grains with whole grains." U.S. Dietary Guidelines recommend that at least half of your daily grain consumption should come from whole grains. But currently, most Americans under-consume whole grains and exceed the recommended limits on refined grains.

David Ludwig says it's time we "just get off the roller-coaster" — the cycle of spiking blood sugar and hunger that refined carbs can cause. He says aim to replace refined carbs with whole fruits (the fiber in them slows digestion), beans, nuts, a variety of healthy fats and plenty of protein.

So what does that look like on our dinner plates? David Ludwig has teamed up with his wife, Dawn Ludwig, a professional chef. They've collaborated on cookbooks designed to help people eat smarter.

"I don't want anyone to feel deprived ... or that they have to give up anything," Dawn Ludwig says. "I want to meet people where they are."

Here's how she thinks about building a quick and easy dinner meal. Pick a protein, whether it's plant-based — such as tofu — or meat. Include some healthy fats, such as olive oil. Chop up some vegetables. "Then, have the whole grain be the side dish," she says. To tie the meal together, try one of her sauce recipes below. (For an example of a complete meal, check out this recipe for Dawn Ludwig's Japanese Buddha Bowl.)

"I do a lot of really simple five-minute sauces that I have in my fridge that I can pull out" for dinner, Ludwig says. She tosses all the ingredients for the sauces in Mason jars and mixes them in the jar with one of those stick immersion blenders, so there's not much cleanup involved, and they store well in the refrigerator.

And here's one final tip for all of you who have a hard time turning down a baguette, croissant or warm basket of rolls: Eat them at the end of a meal.

Why? A small study published a few years back found that, compared with eating bread at the beginning of a meal, people who saved the rolls for the end had a 30% lower peak in blood sugar. Now, this may not have the same effect on everyone, but it suggests that timing matters.

NPR's Maria Godoy contributed to this report.


Dawn Ludwig's 5-Minute Sauces

Cashew Balsamic Dressing

Prep time: 5 minutes. Makes about 1 cup.

2 1/2 tablespoons soy sauce
1 1/2 tablespoons balsamic vinegar
2 tablespoons water
1/2 cup neutral-tasting oil, such as high-oleic safflower or avocado oil
1/4 cup cashews

Place all the ingredients in a wide-mouthed mason jar or cup that will fit an immersion blender without splashing. Pulse a few times to blend until the cashews are in small pieces but still chunky. Place a lid on the jar. For best results, set aside for at least one hour to allow the flavors to develop. The dressing will keep in the refrigerator for one to two weeks.

Ginger Tahini Dressing

Prep time: 5 minutes. Makes about 1 cup.

1/4 cup tahini
2 tablespoons white miso paste
1 2-inch piece ginger, peeled and thinly sliced
2 teaspoons rice vinegar
1 teaspoon soy sauce
1/2 cup warm water

Place all the ingredients in a wide-mouth mason jar or cup that will fit an immersion blender without splashing. Blend, working the blender into the pieces of ginger until smooth. Add additional water as needed to reach the desired consistency. Place a lid on the jar. For best results, set aside for at least one hour to allow the flavors to develop. The dressing will keep in the refrigerator for one to two weeks.

Moroccan Sauce

Prep time: 7 minutes. Makes 2/3 to 3/4 cup.

1 2-inch piece fresh ginger, peeled and sliced into thin rounds
3 medium cloves garlic
1 3- to 4-inch piece fresh turmeric, peeled, or 1 teaspoon ground turmeric
(optional) 2 teaspoons paprika
1 teaspoon ground cumin
1 teaspoon ground coriander
1/2 teaspoon ground cinnamon
1/4 teaspoon ground cloves
Dash of freshly grated nutmeg
1/4 teaspoon ground white or black pepper
9 or 10 sprigs cilantro, stems and leaves coarsely chopped
1/4 cup extra-virgin olive oil
1/4 cup water
1/2 teaspoon salt
Dash of cayenne pepper, or to taste (optional)

Place all the ingredients in a wide-mouth mason jar or cup that will fit an immersion blender without splashing. Blend, working the blender in the jar until the garlic, ginger and turmeric are smooth. Place a lid on the jar. For best results, set aside for at least one hour to allow the flavors to develop. The dressing will keep in the refrigerator for up to two weeks.

Thai Peanut Sauce

Prep time: 5 minutes. Makes about 1 3/4 cups.

1 large orange, 4 small clementines or 2 large tangerines, peeled, seeded and cut into 1-inch pieces
1 1/2-inch piece fresh ginger, peeled
1 teaspoon fresh lime juice
1/2 cup peanut butter (no sugar added)
1 teaspoons unseasoned rice vinegar
2 tablespoons water
1 tablespoon soy sauce
1/4 teaspoon salt
1/4 to 1/2 teaspoon cayenne pepper, or to taste

Place all the ingredients in a wide-mouth mason jar or cup that will fit an immersion blender without splashing. Blend until the orange is fully blended and the sauce is thick and creamy. Adjust seasoning to taste. Place a lid on the jar. Allow the flavors to develop for one hour or more in the refrigerator. The dressing will keep for about a week.

These recipes are excerpted from Always Delicious, by David and Dawn Ludwig, and Always Hungry? by David Ludwig and are used with permission.

Copyright 2020 NPR. To see more, visit https://www.npr.org.

MICHEL MARTIN, HOST:

So now it's the new year, and with it comes the usual onslaught of diet advice and the latest fads. But if you're looking for a healthy approach to eating that doesn't require counting calories every day or giving up carbs, then listen up. From our Life Kit podcast team, NPR's Allison Aubrey reports on one strategy that focuses on slow carbs, not no carbs.

ALLISON AUBREY, BYLINE: If you want to eat in a way that makes you feel good or maybe even slim down a bit, you may assume that calories are part of the story - and they are. Matt Hartings, a chemistry professor at American University, helps demonstrate how calories are calculated.

MATTHEW HARTINGS: So what we're going to do is we are going to burn our food.

AUBREY: We've got two foods here - a piece of white bread and some whole wheat kernels. And to get a calorie count, he will calculate how much heat each piece of food generates as it burns.

HARTINGS: Now, you see the smoke coming out from in there?

AUBREY: Oh, yeah. Look at that flame.

HARTINGS: These things are burning, and we're measuring the amount of energy that comes off when they burn. It's the same reaction that goes on in our bodies.

AUBREY: Turns out, the white bread and the wheat have about the same number of calories, but there's a catch. This doesn't mean they offer the same nutrition.

HARTINGS: How the calories themselves burn in our bodies is different from one food to the next.

AUBREY: Once you understand this, it may help you make better choices, especially when it comes to which carbs to eat. Not all carbs are created equally. Here's David Ludwig, a physician and co-director of an obesity prevention center at Boston Children's Hospital.

DAVID LUDWIG: We've known for decades, if not a century, that different foods affect the body differently apart from their calorie content.

AUBREY: What I've learned is that when I eat foods akin to white bread, full of a bunch of highly refined flour and sugar, I'm starving an hour later. These processed foods can actually make me feel hungrier. But by comparison, if I eat whole grains, say, with an egg for breakfast, I feel full for hours. David Ludwig says these whole grains have a lot more going for them nutritionally.

DAVID LUDWIG: When you eat a whole kernel, minimally processed - so things like wheat berries, barley and rye - they take a while to digest. Blood sugar rises relatively more gently. You produce less insulin calorie for calorie.

AUBREY: And over the long term, this is good. By sticking with foods that give you plenty of fiber, protein and healthy fats, you can help prevent spikes in blood sugar. And limiting foods full of refined carbs like that white bread and sugar may help prevent weight gain and Type 2 diabetes. Ludwig says the more processed the grain, the more good stuff has been processed out, leaving just a bunch of starch.

DAVID LUDWIG: And it slams into the bloodstream, raising blood sugar and insulin, potentially stimulating hunger, maybe even slowing down metabolism.

AUBREY: Given this advice to aim for slow carbs that digest slowly, how might you think about dinner differently? David Ludwig teamed up with his wife Dawn, a chef, to write some cookbooks. As a rule of thumb, you want to fill half your plate with veggies and leafy greens. And then Dawn Ludwig says, to build a meal, don't just pile a bunch of pasta on your plate.

DAWN LUDWIG: First, look at what's your fat, what's your 4 to 6 ounces of protein? And then think about what is going to be the slow carb.

AUBREY: Maybe a side of brown rice or quinoa. Then, to top it off, she says make a tasty sauce.

DAWN LUDWIG: I do a lot of really simple five-minute sauces that I have in my fridge - you know, Greek dressing or a Moroccan sauce or a coconut curry.

AUBREY: She says having these sources on hand is a simple way to turn a few ingredients into a healthy meal. Allison Aubrey, NPR News.

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MARTIN: For more tips on healthy eating and lots of other tools to help you get it together, check out NPR's Life Kit podcast at npr.org/lifekit. Transcript provided by NPR, Copyright NPR.