terça-feira, 11 de junho de 2019

Kourtney Kardashian Cheated On The Keto Diet Once A Week With An All-You-Can-Eat Buffet

Kourtney Kardashian 2018 GQ Men of the Year Party - Arrivals

Stefanie KeenanGetty Images

  • Kourtney Kardashian shared what she eats on a cheat day on her lifestyle site, Poosh.
  • The reality stars allows herself sweet treats, like Double Stuf Oreos, waffles with syrup, and chocolate croissants, every day.
  • But when she followed the keto diet, she restricted herself to one cheat day every week.
  • If your Memorial Day weekend included a few indulgent meals, you're in good company. Kourtney Kardashian, former keto diet proponent, also loves a good cheat day. She shared her favorite ways to indulge in a handy cheat day guide on her lifestyle website Poosh.

    The reality star divulged all the sweet details on what she personally eats for cheat days. "I cheat twice a day with a little something sweet after lunch and dinner," she said.

    What that "something sweet" is can vary. Sometimes it includes Double Stuf Oreos and other days it's a chocolate croissant or waffles drenched in syrup. "On my recent trip to Turks, we had a handful of junky foods, like Double Stuf Oreos and Cheetos for all of us to snack on," Kourtney added.

    She admits that her cheat days looked a lot different when she followed the keto diet, back in 2017. Then, Kourtney limited herself to one cheat day each week. "But when I did the keto diet, I was very strict six days a week and my cheat day was on Sundays," she shared.

    Check out these other celebrities who are obsessed with keto:

    It may have been only one day each week, but Kourtney really milked it. "I'd go to the farmers market before church and get a matcha latte and chocolate croissant from Alfred's, and then after church, I'd head to Soho House for their buffet (all-you-can-eat waffles with butter and syrup)," she explained.

    Kourtney's recent 40th birthday celebration included plenty of cheat day-worthy sweets, too. There were cookies shaped like her face and a cake inspired by a photo of her perching on a bathtub in her birthday suit, of course.

    "Yes, indulging every once in a while is self-care," she shared in the Poosh post. "Whether you follow a strict diet or not, we all deserve days off. No guilt and no boundaries."

    segunda-feira, 3 de junho de 2019

    Healthy Eating on the Keto Diet

    After hearing all the buzz, seeing all of the before and after photos, the rave reviews, and the temptingly delicious recipes, you finally decided to start the popular Keto Diet. You eat all of the right 'Keto friendly' foods and you reduce your carbohydrate intake but as you stand on that scale, you find yourself getting more and more disappointed. It's been two weeks, four weeks, six weeks on the diet and … nothing. At this point, you may have given up and decided that this diet just isn't working for you and isn't helping you lose the weight. Although, it may be time for a little reality check. It isn't the Keto Diet, it's you.

    Board-certified physician of internal medicine, Dr. Limansky says that the diet is about more than food, "It's a lifestyle." Dr. Limansky is also the co-founder of a company called BiohackMD, a platform created for the sole purpose of teaching others about the diet and how to do it well. He says, "There is so much that goes into the diet that in order to maximize it's "hack" and get the benefit, all factors must be taken care of."

    What Is the Keto Diet?

    The Keto diet is just that, a diet. It is different from most diets out there because it is a sustainable practice that encourages eating real, whole foods. When it comes to the Keto diet, it really isn't about not eating; it's about eating the right foods. And what many people don't realize is that it takes a holistic, 360 approach to do so. If you take the supplement, for example, but are not eating properly, the diet won't work and the weight that you wish to target will simply not be lost.

    The Process of Ketosis

    The purpose of the diet is to burn fat using the process of ketosis. ketosis is a state in which the body lacks a store of glucose to burn for energy, leading the body to burn fat instead. This leads to a buildup of acids called ketones, hence the Ketogenic diet. What this ultimately does is it "hacks" the body into burning fat and losing weight. Although, the only way for ketones to work is if there is mostly fat available in the stomach. If you are consuming too many carbohydrate-rich food products, the body will be unable to achieve this state of Ketosis and if the body is not in ketosis, the fat will not be burned. It's really that simple. So, the next time that you give the Keto diet a try; you should keep this one mantra in mind, "high fat, high fat, and high fat."

    What Should I Be Eating, Anyways?

    Even if you have tried the diet before, you still may be wondering what the heck to eat.

    Along with a low carb diet (not eating more than 50 gram per day), a moderate amount of protein is necessary to the Keto diet. Protein is especially important for a healthy body as it gives you strength, keeps you full longer, and supports the proper functioning of your cells. Unfortunately, however, too much protein can halt the process of ketosis, turning amino acids into blood sugar and keeping you from burning fat. What you want to do is eat just the right amount of protein. That's 60-120 grams of protein per day, depending on your weight.

    Just Say No to Processed Foods

    Now that you know which ratio is conducive to successful Ketosis, there is one big word that you should cross off your grocery list. That word is "processed." Any food that is processed does a lot more damage to your body than you would think. In order to give processed foods a longer shelf life, food companies will pour chemicals and additives into their products. Not only is this unnatural and unhealthy to the body but it also keeps you from entering the state of ketosis.

    Luckily there is an easy way to avoid processed foods, and that's by focusing on eating real, simple foods. Your grocery list should mostly consist of low carb vegetables. Although, it's important to note that potatoes, yams, and beets are incredibly high in carbohydrates. In fact, in just one potato, there are over 30 grams of carbohydrates. Your go-to vegetables should instead include broccoli, spinach, zucchini or cabbage. Avocados are the miracle vegetable of the Ketogenic diet. Avocados are naturally low in carbs, high in fat and packed with a variety of essential vitamins and minerals including Vitamin K, B-6, folate, potassium, and more. Other healthy options include eggs, meat and fish to fill you up and energize your day.

    The Keto diet is a lifestyle and like any lifestyle choice, it requires a conscious effort towards your goals. That means putting in the work to sustain the diet and to keep the weight loss going. The Ketogenic diet is really what you make of it and with a holistic approach; you will find a major transformation.

    Thinking about trying the keto diet to lose weight? Here’s what you need to know

    Forget the fat-free diet. One of the latest trending diets involves eating lots of high-fat foods and curbing carbs. Would you like to eat as much bacon, butter, eggs and lamb shanks as you want? Enter the ketogenic diet, or keto, for short. This low-carb regimen has a reputation for being effective for weight loss, but registered dietitians like Andrea Hiatt at Novant Health Weight Loss Services said it’s not a long-term, sustainable option for anyone looking to shed some pounds.

    What is the keto diet?

    The keto diet is a high-fat diet  built around meals that are 55% to 60% fat, around 30% to 35% protein and 5% to 10% carbohydrates from total daily calories. To give you a benchmark, for those on a 2,000-calorie-per-day limit, this would mean consuming around 110 grams of fat, 20 to 50 grams of carbohydrates and 75 grams protein. For example, here’s a typical daily routine on a keto diet: Eggs cooked with coconut oil for breakfast, salmon cooked with olive oil for lunch, and grass-feed beef cooked with avocado oil for dinner.

    Hiatt, who works with those looking to lose weight, said that while this low-carb plan â€" some say it’s similar to the popular Atkins diet â€" can help people lose weight quickly, it’s also a very restrictive diet that can be hard to follow long-term.

    How does it work?

    The keto diet is built around severely curtailing consumption of carbs, which deprives the body of glucose, a main source of energy for all cells. The goal is to achieve a metabolic state in the body known as “ketosis.” When this happens, the body produces an alternative fuel called ketones, made from stored fat. As the body burns that fat, you start losing weight. The time it takes for individuals to reach ketosis varies by person, according to Hiatt, but in general, it takes around two to four days, sometimes even a week.

    Originally, the keto diet was developed in the 1920s by doctors who wanted to treat epilepsy in children to help prevent seizures. This method is still used today and is considered an option for some children with uncontrolled epilepsy. There’s ongoing research on whether keto diets can also help patients with type 2 diabetes manage their symptoms. Some early studies have shown that the keto diet could be an effective alternative that helps patients rely less on drugs.

    The keto diet has been shown to create metabolic changes in the body that are helpful for those who are overweight, such as rapid weight loss, reduction in insulin resistance and reducing blood triglyceride levels (a type of fat found in your blood).

    Is it right for you?

    Are you looking to lose weight and be healthier for the long run? Hiatt suggests that the best way to make a sustainable transformation is to make a lifestyle change, rather than a short-term change of diet.

    “There are a lot of factors behind weight gain, which include not just what we eat, but how we think and how active we are, so I always advise my clients that you can lose weight short-term on a diet but it’s really a lifestyle change that’s going to help prevent you from regaining that weight back,” she said.

    The hard part about keto

    Like any eating regimen, consider the pitfalls before jumping on the keto diet bandwagon. As Hiatt pointed out, the diet is rigid and can be hard to follow-through on.

    For example, drastically reducing carb-intake can be challenging and can lead to discomfort, irritability, loss of libido, nausea and even vomiting.

    Hiatt also added that women who are pregnant, plan to become pregnant or plan on breastfeeding should avoid the diet. Those with gallbladder problems, kidney, liver or heart diseases should also definitely consult with their provider before starting the diet.

    The bottom line?

    Radically restricting the kinds of food you eat over the long run is difficult to sustain at best, Hiatt said. Moderation and plenty of exercise have a far better chance of helping you achieve your goal.

    “A lot of folks come to me and say that they want to get started on a keto diet after reading stuff online, but I always recommend that you get educated by a professional to see if it’s right for you or try a more balanced diet first instead,” said Hiatt. “I joke that the first few days on the keto diet you turn into a gremlin because it’s such a drastic change for your body.”

    If you’re looking to start on the path of sustainable weight loss, the advice is this: Do your research and don’t be afraid to consult a professional before delving into a plan that may not work for you. In addition, look at the big picture and set realistic goals that involve a lifestyle change, rather than a short-term diet alone.

    Start the conversation and talk to a Novant Health primary care provider to take the first step towards your weight loss goals.

    domingo, 2 de junho de 2019

    Healthy Eating on the Keto Diet

    After hearing all the buzz, seeing all of the before and after photos, the rave reviews, and the temptingly delicious recipes, you finally decided to start the popular Keto Diet. You eat all of the right 'Keto friendly' foods and you reduce your carbohydrate intake but as you stand on that scale, you find yourself getting more and more disappointed. It's been two weeks, four weeks, six weeks on the diet and … nothing. At this point, you may have given up and decided that this diet just isn't working for you and isn't helping you lose the weight. Although, it may be time for a little reality check. It isn't the Keto Diet, it's you.

    Board-certified physician of internal medicine, Dr. Limansky says that the diet is about more than food, "It's a lifestyle." Dr. Limansky is also the co-founder of a company called BiohackMD, a platform created for the sole purpose of teaching others about the diet and how to do it well. He says, "There is so much that goes into the diet that in order to maximize it's "hack" and get the benefit, all factors must be taken care of."

    What Is the Keto Diet?

    The Keto diet is just that, a diet. It is different from most diets out there because it is a sustainable practice that encourages eating real, whole foods. When it comes to the Keto diet, it really isn't about not eating; it's about eating the right foods. And what many people don't realize is that it takes a holistic, 360 approach to do so. If you take the supplement, for example, but are not eating properly, the diet won't work and the weight that you wish to target will simply not be lost.

    The Process of Ketosis

    The purpose of the diet is to burn fat using the process of ketosis. ketosis is a state in which the body lacks a store of glucose to burn for energy, leading the body to burn fat instead. This leads to a buildup of acids called ketones, hence the Ketogenic diet. What this ultimately does is it "hacks" the body into burning fat and losing weight. Although, the only way for ketones to work is if there is mostly fat available in the stomach. If you are consuming too many carbohydrate-rich food products, the body will be unable to achieve this state of Ketosis and if the body is not in ketosis, the fat will not be burned. It's really that simple. So, the next time that you give the Keto diet a try; you should keep this one mantra in mind, "high fat, high fat, and high fat."

    What Should I Be Eating, Anyways?

    Even if you have tried the diet before, you still may be wondering what the heck to eat.

    Along with a low carb diet (not eating more than 50 gram per day), a moderate amount of protein is necessary to the Keto diet. Protein is especially important for a healthy body as it gives you strength, keeps you full longer, and supports the proper functioning of your cells. Unfortunately, however, too much protein can halt the process of ketosis, turning amino acids into blood sugar and keeping you from burning fat. What you want to do is eat just the right amount of protein. That's 60-120 grams of protein per day, depending on your weight.

    Just Say No to Processed Foods

    Now that you know which ratio is conducive to successful Ketosis, there is one big word that you should cross off your grocery list. That word is "processed." Any food that is processed does a lot more damage to your body than you would think. In order to give processed foods a longer shelf life, food companies will pour chemicals and additives into their products. Not only is this unnatural and unhealthy to the body but it also keeps you from entering the state of ketosis.

    Luckily there is an easy way to avoid processed foods, and that's by focusing on eating real, simple foods. Your grocery list should mostly consist of low carb vegetables. Although, it's important to note that potatoes, yams, and beets are incredibly high in carbohydrates. In fact, in just one potato, there are over 30 grams of carbohydrates. Your go-to vegetables should instead include broccoli, spinach, zucchini or cabbage. Avocados are the miracle vegetable of the Ketogenic diet. Avocados are naturally low in carbs, high in fat and packed with a variety of essential vitamins and minerals including Vitamin K, B-6, folate, potassium, and more. Other healthy options include eggs, meat and fish to fill you up and energize your day.

    The Keto diet is a lifestyle and like any lifestyle choice, it requires a conscious effort towards your goals. That means putting in the work to sustain the diet and to keep the weight loss going. The Ketogenic diet is really what you make of it and with a holistic approach; you will find a major transformation.

    sexta-feira, 31 de maio de 2019

    Why Some People Find The 'Keto Diet' Simply Unbearable (And Totally Not Worth It)

    For me, it was a lot worse than just feeling hungry.

    I've been on a diet since I was a teenager.

    Sometimes, it's the latest and trendiest — like the keto diet I tried recently, or maybe Atkins or Paleo or Slim Fast or South Beach Diet I tried in the past.

    Other times, it's been something of my own devising, like the summer I subsisted on little more than Diet Coke and Granny Smith apples (which I do not recommend).

    Each time I've kept thinking that if I could just shed a few pounds, I'd feel so much better — not only in my clothes, but in my soul.

    But when trying to eat according to a ketogenic meal plan, I quickly learned that I was not going to feel better on this diet (and ended it fast enough to avoid a full-blown "keto flu").

    The keto diet side effects I experienced were bad, especially the keto-related irritability — which isn't talked about enough.

    Think of keto as a ramped-up version of the high-protein, low-carb Atkins Diet. The idea is that by starving your body of carbohydrates, you go into a metabolic state known as "ketosis," where your body starts to burn fat instead of the sugar it usually gets from carbs.

    According to one popular keto diet website, that means eating less than 50 net grams of carbs a day (though 20 to 30 net grams is considered deal). This is equivalent to eating one medium apple per day.

    RELATED: Should I Be On The Keto Diet? Here's What You Should Know Before You Try It

    Ketosis, as defined by WebMD, "is a normal metabolic process, something your body does to keep working. When it doesn't have enough carbohydrates from food for your cells to burn for energy, it burns fat instead. As part of this process, it makes ketones.

    "If you're healthy and eating a balanced diet, your body controls how much fat it burns, and you don't normally make or use ketones. But when you cut way back on your calories or carbs, your body will switch to ketosis for energy."

    On the keto diet, I was hungry all the time. But like so many other women, I thought it would be worth it.

    I felt sure that if I lost a bit of weight, I'd swan around without a care in the world, nary a self-conscious thought. I'd ooze newfound confidence, self-esteem and charisma. I'd be a funnier, prettier version of myself. For the first time ever, I'd wear skinny jeans and shorts that are actually short!

    This thinking was nonsense, of course, yet that didn't stop me from dreaming skinny dreams.

    In this respect, I'm not at all unique.

    It's said that half of all American women are on a diet at any given time, and many of us are perennial dieters. Deprivation is the mainstay of our existence, from the time we have our first period to the time we have our last — and maybe even after.

    It is the language in which we are fluent, the creed to which we are devout.

    We may lapse, but we get back on the wagon time and time again, never relinquishing our faith that a better, thinner existence is waiting for us on the other side.

    I know that I am more than the size of my jeans.

    I should know better than to let a billion-dollar industry poke holes in my self-esteem. I should just eat and drink and be merry, because I am not at all merry when I am on a diet.

    And I was certainly not merry when side effects of the ketogenic diet kicked in.

    RELATED: Everything You Can And Can't Eat On The Keto Diet

    In general, entering ketosis is safe. However, WebMD cautions that high levels of ketones in the body can lead to dehydration, and can even change the chemical make-up of your blood.

    One case study published in the Journal of Investigative Medicine explains that, "in face of stress, the harmless 'dietary ketosis' can lead to profound acid-base disturbances due to massive overproduction of ketone bodies that overwhelms the acid buffer system of the body."

    After beginning a keto diet, signs your body is in a state of "full" ketosis include bad, fruity-smelling breath and urine, as well as a cluster of symptoms referred to as keto flu, which include: "brain fog, headache, chills, sore throat, digestive issues, dizziness, insomnia, irritability, and more."

    Registered Dietitian and Counselor Audrey Tait says these symptoms are a natural byproduct of going keto.

    "Brain fog happens when the body does not get enough of the right kind of carbohydrates," Tait explains. "The best sources of carbohydrates are whole grains, fruits, vegetables, legumes, and milk. The carbohydrates get broken down in the body into glucose. This glucose is used for energy to do work and energy for the brain."

    Once the initial fog subsides, ketosis is said to actually improve brain clarity and overall energy levels, but I never made it to that point.

    In addition to being used for weight loss, the ketogenic diet is believed by many to offer health benefits for people with certain medical conditions, including type 2 diabetes and epilepsy.

    One article from Harvard Medical School explains as follows:

    "We have solid evidence showing that a ketogenic diet reduces seizures in children, sometimes as effectively as medication. Because of these neuroprotective effects, questions have been raised about the possible benefits for other brain disorders such as Parkinson's, Alzheimer's, multiple sclerosis, sleep disorders, autism, and even brain cancer. However, there are no human studies to support recommending ketosis to treat these conditions ...

    "A ketogenic diet also has been shown to improve blood sugar control for patients with type 2 diabetes, at least in the short term ... However, there is no long-term research analyzing its effects over time on diabetes and high cholesterol."

    RELATED: What Happened When I Tried The Keto Diet

    As I quickly discovered, the ketogenic diet is not for wimps. It is an extreme and notoriously difficult diet to follow.

    Being on a restrictive keto diet for a long time could potentially mess with your metabolism, not to mention your cholesterol levels, since you essentially gorge on fat all day long.

    A keto diet may also come with a host of unpleasant, even dangerous medical issues, including:

  • constipation
  • hypoglycemia
  • vitamin deficiencies
  • kidney stones
  • balance issues
  • loss of bone density
  • headaches
  • lightheadedness
  • menstrual irregularities
  • dehydration
  • As mentioned above, I've tried other high-fat, low-carb diets in the past, and they were predictably hellish-but-doable.

    This time (maybe because I'm over 40 and 20 pounds heavier) was different.

    From day one, keto turned me into a monster.

    My irritability was intolerable. When I wasn't frantically Googling how to make keto "bread" (using fairy dust and a dozen eggs) and racking up my grocery bill with obscure ingredients like xanthan gum and psyllium husk, I paced the kitchen like a Bengal tiger.

    Whoever dared come too near risked getting mauled to within an inch of their life.

    Needless to say, my family was terrified. Even the dog gave me a wide berth.

    Across the dining room table, my husband shot my son a look of solidarity, as if to say, "Don't worry, kid, we will get through this dark time together. Your mother will come back to us ... Like she always does. In the meantime, we must exercise great caution. We must be strong and stick together."

    It's no exaggeration to say that my hunger consumed me.

    I foraged cupboards, looking for anything I was allowed to have. It wasn't long before rich slabs of brie and rashers of bacon lost their luster and I learned that the rich buttery goodness of butter is only at its best when it is slathered on something other than thin air.

    Although some report feeling satiated on a keto diet, I felt the complete opposite. When I wasn't eating, I was dreaming about eating. I had trouble thinking of anything else.

    Tait confirms that experiencing this kind of extreme irritability is not uncommon.

    But the worst part of the ketogenic diet wasn't even the carb withdrawal.

    After the first week of torture, I'd dropped a measly 2 pounds. A of couple days later, I bounced back to my starting weight. A few days on, I was down 4 pounds.

    By the end of the second week ... right back where I started.

    It felt like that bastard scale was playing me.

    RELATED: Details About The Rumored Smelly Side Effect Of The Keto Diet

    Although most people manage to lose weight quickly on keto, I was not most people.

    Maybe I was eating too much protein or too many veggies — who knows? But one thing had become abundantly clear: I'd never feel happy on keto.

    In addition to being hungry all the time on the ketogenic diet, I had no energy to exercise.

    Although the feeling of running on empty is supposed to pass after a while, I wouldn't know, because I never made it that far. I lasted just over two weeks.

    All told, I lost not a single pound ... or maybe I lost a couple. By the time I quit, it didn't matter.

    That final night, I celebrated the end of keto with a generous glass of Riesling and promptly kissed those theoretical lost pounds goodbye.

    If only I could eat what I should, when I should — they call that "intuitive eating".

    But food is never just food, is it?

    It is a missile. It is a grail. It's those damn skinny jeans.

    My mother, who dislikes cooking intensely, once wished for a pill humans could take to avoid meal prep. At first the thought depressed the hell out of me because what's a life without food? Without all the smells and textures, the smorgasbord of tastes and the ritual of eating together ...

    But after all the years I've spent obsessing about food, I must admit that pill is looking more appealing. I wish someone would hurry up and invent it already.

    In the meantime, I will hold out for the next faddish diet and pray that it's kinder than keto.

    RELATED: What The Keto Flu Really Is — And How You Can Survive It

    Julie M. Green is a Toronto-based writer and visual artist with an abiding love for bulldogs, vanilla lattes and 80s alternative. She goes by 'mom' to an amazing kiddo on the autism spectrum. Find her on Twitter for more.

    What Happens to Runners on a Ketogenic Diet?

    Think of this article as a Rorschach test. I'll describe some data from a recent experiment; you decide for yourself what meaning to extract from it. This, as far as I can tell, is the only safe way to write about low-carb, high-fat (a.k.a. ketogenic) diets for endurance athletes, without getting bogged down in endless debates about your motives, word choice, and sanity. So here goes nothing!

    The study in question, newly published in Medicine & Science in Sports & Exercise, comes from a group at the Sports Performance Research Institute New Zealand at Auckland University, led by doctoral student David Shaw. It's not a perfect study, but it has some notable strengths compared to a lot of diet-related research: a randomized trial with strict dietary control, and a 31-day period to adjust to the unfamiliar diet. And it tackles a very simple but athletically important question: do you get faster on a ketogenic diet, which is designed to teach your body to rely almost exclusively on fats and ketones (a supplementary fuel that your body produces in the near-absence of carbohydrate)?

    Some details: the study started with 10 trained male endurance athletes, all sub-3:30 marathoners running more than 30 miles per week, none with previous experience on a ketogenic diet. Two of them failed to stick to the study's conditions, so the final analysis includes 8 subjects. All of the subjects, in randomized order, completed two 31-day protocols: one consuming their normal diets, the other on a ketogenic diet, with a series of performance and physiological tests before and after each 31-day block. 

    The normal diets for these particular people averaged 42.9 percent carbohydrate, 38.5 percent fat, and 18.6 percent protein. The prescribed targets for the ketogenic diet were less than 50 grams per day of carbohydrate, 15 to 20 percent of calories from protein, and 75 to 80 percent from fat. The subjects were given free coconut oil, olive oil, LCHF cereal, and discounted fruits and vegetables, and their dietary reports were carefully monitored. They ended up averaging 34 grams of carbohydrate per day (4.1 percent of their calories), with 77.7 percent of their calories from fat and 18.2 percent from protein. Regular blood and urine tests confirmed that the subjects were indeed consistently in ketosis.

    There were two basic assessments. One was a progressively accelerating treadmill test, which allowed the researchers to measure VO2max at exhaustion, and also to assess efficiency at a range of different speeds as the treadmill accelerated. The other was a plain old run to exhaustion at pace equivalent to 70 percent of VO2max, which the subjects could maintain on average for about four hours (so, in other words, significantly slower than marathon pace, which is typically somewhere around 80 percent of VO2max). During the run to exhaustion, they either received a carbohydrate-based sports drink (during the normal diet trial) or an artificially sweetened drink with the same number of calories from coconut oil (during the ketogenic trial).

    In the efficiency test, there was no difference between the diets at the lower speeds corresponding to below about 60 percent of VO2max. Once the pace picked up to above 70 percent of VO2max, however, the runners on the ketogenic diet became significantly less efficient: they needed more oxygen and more energy to sustain a given pace. Their VO2max itself—that is, the maximum amount of oxygen they could use per minute—stayed the same on both diets, but the speed they could run at while consuming that oxygen was lower on the ketogenic diet.

    Interestingly, that echoes what Kieran Clarke, the co-developer of the ketone ester drink sold by HVMN, told me last year: "As soon as you're up to 75 percent of your maximum workload," she said, "I wouldn't even go near a ketone."

    That makes the run to exhaustion extra-interesting, because it was at 70 percent of VO2max, right around the threshold where efficiency seems to start suffering. So here's the Rorschach part of the article. On the left, you've got the before-and-after results for each of the eight subjects on their habitual diet (plus the average results with standard deviations shown); on the right, the same thing for the 31-day ketogenic diet.

    shaw_keto_h.jpg(Courtesy Medicine & Science in Sports & Exercise)

    So what's the verdict? The statistical analysis tells us that time to exhaustion was similar in both conditions: the average times before and after the ketogenic diet were 239 and 219 minutes, respectively, with a p value of 0.36. Three of the subjects lasted longer; five gave up sooner. The variation is much higher than after the habitual diet: some seem to have thrived, others tanked.

    The big question is how much we can or should read into those results. Would the three people who got better have shown similar results in another test a week later? A month later? How about the five people who got worse? Or is it just random scatter, since time-to-exhaustion tests are very sensitive to small perturbations in how you're feeling?

    The researchers offer one speculative answer to this question. You can divide the subjects into two groups based on their respiratory exchange ratio (RER) at the end of the VO2max test. The RER is the ratio between exhaled carbon dioxide and inhaled oxygen, and (with a few caveats) it tells you what mix of fat and carbohydrate you're burning: a value of 0.7 corresponds to pure fat, 1.0 corresponds to pure carbohydrate, and greater than 1.0 suggests you're going so hard that you can't supply oxygen quickly enough and are adding a significant amount of anaerobic energy.

    After 31 days of ketogenic diet, all the subjects had ramped up their fat-burning abilities (which is good), but had also lost some of their carbohydrate burning abilities (which is not good, particularly at near-maximal intensities where you're consuming energy very rapidly). In their post-keto VO2max test, 4 of the subjects had a final RER above 1.0, suggesting that they could still access carbohydrate and anaerobic energy at a reasonable rate, while the other 4 had a final RER below 1.0. Those with the lower RER were the ones who subsequently struggled in the time-to-exhaustion test: their average time decreased significantly by 237 to 174 minutes, and they had higher lactate levels at the end of the test. In contrast, those with the higher RER had lower lactate levels and no significant change in time to exhaustion (increasing from 241 to 265 minutes).

    Again, this is a highly speculative suggestion. The interpretation of RER at high intensities is problematic, and combing through post-hoc sub-groups of 4 people is a good way of finding patterns that don't really exist. But it's an idea to file away for future investigation: could a simple measurement of RER at VO2max give you a quick and reliable way of predicting who's likely to perform well or poorly once they've adjusted to a ketogenic diet?

    One final historical note: it's interesting to see how many echoes there are here from Stephen Phinney's 1983 paper on four weeks of ketogenic diet for cyclists, which has near-scriptural status in the ketogenic community. In Phinney's study, fat-burning was ramped up but high-intensity power was throttled: he noted "a severe restriction on the ability of subjects to do anaerobic work." In a time-to-exhaustion test, there was no significant change on average (147 to 151 minutes), but huge individual variations: one of the five subjects improved from 148 to 232 minutes, another decreased from 140 to 89 minutes. Shaw's new results seem surprisingly similar.

    To sum up the key points from the inkblot: at speeds faster than 70 percent of VO2max (i.e. well below marathon pace), efficiency was significantly impaired on a ketogenic diet. At speeds slower than 60 percent of VO2max, efficiency was unchanged. Right at 70 percent VO2max, time to exhaustion was unchanged on average—but the individual results in the graph above suggest the possibility of a more nuanced picture. You can decide which dot you think you'd be.

    My new book, Endure: Mind, Body, and the Curiously Elastic Limits of Human Performance, with a foreword by Malcolm Gladwell, is now available. For more, join me on Twitter and Facebook, and sign up for the Sweat Science email newsletter.

    quarta-feira, 29 de maio de 2019

    Kourtney Kardashian Details Her "Strict" Approach to the Keto Diet

    Kourtney Kardashian is generally known to fans as a disciplined eater, having discussed her weekly fast and her firm anti-dairy stance in the past. But she's also opened up about relaxing that plan when life circumstances require it.

    On her new lifestyle website Poosh, she described how her approach to restrictive dieting dovetails with her opinion that it must be balanced in order to work — and be sustainable.

    "I cheat twice a day with a little something sweet after lunch and dinner," she said. "But when I did the Keto diet, I was very strict six days a week and my cheat day was on Sundays."

    And — in keeping with Kardashian M.O. about most things — she didn't do cheat days halfway. "I'd go to the farmers market before church and get a matcha latte and chocolate croissant from Alfred's, and then after church, I'd head to Soho House for their buffet (all-you-can-eat waffles with butter and syrup)," she wrote. "On my recent trip to Turks, we had a handful of junky foods, like Double Stuf Oreos and Cheetos for all of us to snack on."

    The Feast is Bravo's digital destination serving culinary inspiration and essential food news. Like us on Facebook and visit daily for diet and wellness trends, kitchen hacks and tools — and the buzziest celebrity, chef, and restaurant happenings you need to know about right now.

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