Major increase in diabetes nationwide 1990-1998

[Locke, Christopher R.]

I agree that portion sizes are a major reason for the increase in obesity
and diabetes, but I'm hesitant to directly link it to carbohydrates only.
The portion sizes in restaurants are calorie dense not only because of hefty
servings of carbohydrates but also huge portions of protein (8 oz chicken
breasts, 16 oz. Steaks) and enough fat for a day or two in some meals.  

Therefore, I think our attention should be paid to total calories since we
know that high levels of body fat and a sedentary lifestyle lead to insulin
resistance.
  
Chris Locke
Assistant Director, Wellness
University of Miami
(305) 284-8502
(305) 284-4469 (FAX)
clocke at miami.edu


	-----Original Message-----
	From:	Haines, Susan 
	Sent:	Friday, August 25, 2000 10:35 AM
	To:	Public Health Nutrition Discussion and Information Group
	Subject:	RE: Major increase in diabetes nationwide 1990-1998

	As well as the large portions, the majority of carbohydrates that
	restaurants offer are not whole grain.

	Susan Haines
	Princess Margaret Hospital

	> -----Original Message-----
	> From:	Dixon, Lori Beth (NCI) [SMTP:dixonl at mail.nih.gov]
	> Sent:	Friday, August 25, 2000 10:01 AM
	> To:	Public Health Nutrition Discussion and Information Group
	> Subject:	RE: Major increase in diabetes nationwide 1990-1998
	> 
	> Keep in mind the portion sizes behind 1 serving of carbohydrate (1
serving
	> =
	> 1 slice of bread, 1/2 cup of pasta).  The average bagel today is
~3
	> servings.  The average serving of pasta is much more than 1/2 a
cup (look
	> at
	> the portions served in restaurants and you can imagine it's at
least 3-4
	> servings).  It's very easy for many people, especially if they eat
out
	> frequently, to exceed the recommended number of carbohydrates for
a given
	> calorie level.  National averages of carbohydrate intake are
within the
	> recommended range, but these are likely affected by
underreporting.  
	> 
	> Americans are eating more calories in general, many of which
reflect
	> carbohydrates.  Increased calories contribute to the increase in
obesity,
	> which contribute to the increase in diabetes.
	> 
	> Not the recommendations of carbohydrates per se.
	> 
	> Beth Dixon
	> 
	> Beth Dixon, PhD
	> Applied Research Program, DCCPS, NCI
	> EPN Suite 4005
	> 6130 Executive Blvd, MSC 7344
	> Bethesda, MD  20892
	> Phone: 301-435-4986
	> FAX: 301-435-3710
	> 
	> 
	> -----Original Message-----
	> Sent: Friday, August 25, 2000 9:48 AM
	> To: Public Health Nutrition Discussion and Information Group
	> Subject: Re: Major increase in diabetes nationwide 1990-1998
	> 
	> 
	> 
	> Is it at all suspected that the "6-11 servings of carbohydrate a
day"
	> recommendation has anything to do with the enormous increase in
diabetes?