Fika, a coffee break with pastries, is a very strong cultural phenomenon. The pastries Swedes have are generally of very high quality and many of them also contain a considerable amount of fat, which as we know, helps buffer glycemic load. While it's mentioned in the study in passing, I think it should instead be one of the core focus points, it's hard to assess the effect of this as opposed to plain added sugar.
And lastly, Swedes are very outdoorsy people. On any day of the week, you can see people strolling on nature trails, of which there are plenty, and spending a lot of time active in general. I would not be surprised if a large part of the health outcomes we see in statistics can be attributed to variance in this.
So to summarize, while these results are interesting, I think there are too many hidden influences here that are not controlled for to really generalize these results in any way.
Today I think swedes in general consume a lot more sugar and much more in a super processed way that we used to. The culture of only eating candy on saturdays is probably alive and kicking among many children but I think isn't that strong anymore with grown ups. A lot of swedes, including myself, struggle with overweight and I think it is mostly how the food culture has changed to go from european to american inspired.
It's basically impossible to find a restaurant close to a highway that doesn't serve ultra processed food that is cooked in some other kitchen far away or simply fast food where it used to be common place to have basically home cooked meals everywhere you went. Now it's mostly low quality crap food just like the USA.
Also the pasteries to the fikas have changed to be more processed. Everything is made with vegetable oil instead of butter etc. Even things that are supposed to be healthy like yoghurt and similar things are filled up with thickener additives or unnecessary added sugars.
Unfortunately Sweden goes along to be more and more americanized (especially food-wise) and I think it sucks. I wish Sweden would be more like the rest of europe and keep it's food culture.
TL;DR: It used to be like the OP said, but it isn't anymore. It is hard to eat healthy because manufacturer keep pushing so much crap in their products and the availability of crappy food items is just insane.
Not sure what to make of this -- some kind of other latent explanation (e.g. that many of those with the lowest intake of treats were on a diet due to bad health?).
From the discussion section:
> One aspect to take into consideration is however that there is a social tradition of “fika” in Sweden, where people get together with friends, relatives, or coworkers for coffee and pastries (41). Thus, one could hypothesize that the intake of treats is part of many people's everyday lives without necessarily being related with overall poor dietary or lifestyle patterns, and that it might be a marker of social life.
I'd naively expect most healthy people to fall in the second-to-lowest bracket—they're not actively restricting, but they don't have the pervasive bad habits of the highest consumers.
Yes, I'm questioning if high fructose corn syrup is worse for the body than table sugar. From everything I've ever seen, that tends to be the case.
Or could it be that the non-fructose corn syrup artificial sweeteners are having more of a negative impact as people do not limit their in-take of those beverages since there's "no sugars" or "0 calories"?
That chemist is my mom. So I'm biased. ;-)
The puzzle is whether table sugar and high fructose corn syrup have different dietary effects, and if they do, why. I don't think it's a settled matter.
If there is a difference in fructose and high fructose corn syrup it would likely be the fact that it is corn based. Corn has been selected to be farmed with high glycophosate (round up ready), which metabolically different from other corns and produces some proteins not found in non GM corn. https://enveurope.springeropen.com/articles/10.1186/s12302-0...
Anyway, apparently HFCS contains about 50% glucose so it would require insulin, but less than pure glucose.
When you say insulin isn't needed for fructose it's a fundamental misunderstanding on a few different things.
High fructose corn syrup floods the system (body) and it can't process it quick enough.
I don't like HFCS--I think it gives sodas a flavor I can best describe as "sharp," based on blind taste tests I've done comparing same-brand sugar and HCFS sodas--but I don't see solid evidence that it's worse than sucrose. I think it's mostly used as a scapegoat by people who don't want to conclude that sugar in general is bad for you.
[1] https://www.fda.gov/food/food-additives-petitions/high-fruct...
I don't know how you would design a study around it, and this is an anecdote, but I find sugar sweetened soda to be much less palletable than HFCS sweetened soda.
That wouldn't necessarily show up in a study comparing equal intake, but could be a factor in reducing intake of sweetened beverages in places without HFCS compared to those places with.
Medium matters - that sugar in an orange is dissolved in the juice which is locked in the pulp.
Who knows what the bioavailability of the sugar is in that messy fibrous orange you partially chewed? I guarantee it'll be less than that pure refined sugar in the spoon.
Our "datafication" of nutrition and stuff like calories has led to so much silly pseudoscience.
Calories are my biggest pet peeve of BS to take with a grain of salt. Why are we basing our nutrition and diet on the performance of the food in a bomb calorimeter?
It is not:
https://fdc.nal.usda.gov/food-details/746771/nutrients
In fact an orange is a mixture of glucose, fructose, and sucrose (which itself is glucose and fructose). An orange actually looks surprisingly like table sugar in terms of the sugar types, although you are correct that the pulp / fiber / etc do mean that the response of our body is likely different.
https://www.sciencedirect.com/science/article/abs/pii/S00223... (unclear disaccharide effect of sucrose)
https://www.science.org/doi/abs/10.1126/science.493983 (unclear, but seemingly harmful, disaccharide effect of sucrose)
https://www.sciencedirect.com/science/article/abs/pii/S00223... (disaccharide effect of sucrose but not maltose)
https://link.springer.com/article/10.1007/s00394-011-0228-x (unclear, but seemingly beneficial, disaccharide effect of sucrose)
https://www.cambridge.org/core/journals/journal-of-developme... (unclear, but seemingly harmful, disaccharide effect of sucrose)
https://onlinelibrary.wiley.com/doi/abs/10.1002/hipo.22368 (very surprising beneficial disaccharide effect of sucrose that should require further confirmation)
https://journals.plos.org/plosmedicine/article?id=10.1371/jo... (John Ioannidis, Why Most Published Research Findings are False, cold shower to the preceding)
I think that at least it is not obvious that sucrose intake should be equivalent to invert sugar intake. In order for sucrose to be saccharified, the enzyme sucrase must be produced; in order for sucrase to be produced, some internal regulation must occur; if some internal regulation occurs, other effects are at least possible. But no such effect has been clearly demonstrated as far as I can tell.
Study is from Sweden. I think high fructose corn syrup may be a North American thing.
May be the case for Sweden, but the 'strict EU regulations' ceased to exist in 2017.
I'd guess that applies to 'much of Europe' too, then.
That aside, we always had https://en.wikipedia.org/wiki/Inverted_sugar_syrup , which is frowned upon by many.
My assumption is that the GP expects that it will be gutted by the Department of Government Efficiency and/or be significantly laid off via Schedule F conversion [2]. However, rules made earlier this year by the OPM should limit that specific method of getting rid of civil servants [3].
[0] https://www.cnn.com/2024/12/03/politics/chad-chronister-trum...
[1] https://apnews.com/article/chad-chronister-trump-withdrawing...
[2] https://www.axios.com/2022/07/22/trump-presidency-schedule-f...
[3] https://www.govexec.com/workforce/2024/04/opm-issues-final-r...
It is. It's not a common ingredient here in Europe or most places in the world. Corn syrup is a weird side effect of subsidized corn farming in the US. This causes all sorts of health issues in the population.
Anyway, you'd struggle to find it in supermarkets or in food outside the US. Even coca cola doesn't use corn syrup in it's beverages outside the US. As far as I know, there is no major taste difference and I've never heard any US people complain about their coke tasting a bit off outside the US. But I don't drink cola that often myself.
( https://de.wikipedia.org/wiki/Invertzucker#Verwendung )
It is listed on so many labels as ingredient that it is really hard to avoid.
Apparently, you are not well informed about the happenings across the pond. It is well known that Coke made in Mexico uses sugar, and it is a known thing in the US to get Mexican Coke. There used to be a small plant in Dublin, Texas that made Dr. Pepper with sugar that was a well known for the different taste. Eventually Dr. Pepper won it's case against the Dublin plant and it is no longer available.
To claim that there's no taste difference between sugar vs HCFS just shows you're not well informed on the topic.
> Regardless of what was actually in the serving containers, people stuck by their original choice. Those who preferred what really was the Mexican Coke the first time (we'll call these guys the Mexico Boosters) unanimously picked the Coke that I told them was the Mexican Coke the second time, whether it really was or was not. Even when the containers were completely removed from the test and the Coke was served in plastic cups, the Coke labeled as Mexican was picked by the Mexico Boosters every time.
[1] https://www.drpepper.com/s/products/dr-pepper-made-with-real...
The easier explanation is that most "treats" are low glycemic as they are paired with a fat. Where with a can of coke you are ingesting 40g of sugar mixed with some flavorings and water.
Basically his take is that while glucose can be distributed in the bloodstream, fructose is broken down by the liver. With high intakes of fructose comes an overwhelming of the liver and higher incidence of fatty liver plus visceral fat. And those things are highly associated with bad health outcomes
Worth a read if you’re interested
The issue is that soft drinks are generally bad for cardiovascular health, whether sugar sweetened or not.
https://doi.org/10.1001/jamainternmed.2019.2478
Plausible mechanism is that acidic drinks cause tooth enamel degradation, and poor dental health is a known risk factor for cardiovascular disease.
I haven't read this study, but any study that isn't complete garbage normally would examine the to groups across all variables (age, gender, weight, health, etc) and deliberately control for any systematic differences between groups.
EDIT: From the article: "[There's a] need for future research to incorporate more accurate measures, such as urinary sodium excretion, to more precisely assess the impact of sodium intake as a potential confounding factor."
My best example of this is peanut butter. I love peanut butter but started making my own with just dry roasted unsalted peanuts and a small amount of salt.
Still enjoyed the things I wanted and fully sustainable. Didn’t actually eliminate anything and no “cheat” days.
Somewhat recently I had a PB craving so I got a jar. Was shocked at how sweet it was.
[0] - https://www.nutritionix.com/i/kirkland-signature/organic-pea...
In my house there is no ready-to-eat food at all. I'm not just going to go to the kitchen and cook a potato when I feel a bit peckish.
But this seems difficult for many people. Personally I find hunger to be a normal part of every single day. I don't fear it or feel the need to squash it the moment it arises. I also don't feel any discomfort when I'm not surrounded by ready-to-eat food at all times. But many people do seem to feel a constant need to have food available and find it deeply uncomfortable if the next meal doesn't seem readily available.
A lot of people get hypoglycemic (ie, irritable) when low on blood sugar, so for them, snacking is an acceptable evil (esp. if only healthier snacks are stocked).
For me, I find whipping up some dill/garlic/mayo dip + cut carrots, or celery + good PB a meaningful snack.
My guideline is to try to find a good carb/fiber ratio (pref: 5:1), and avoid added sugars.
But anyway, what you've written is basically my point. If you want/need to snack then unless you think ahead and make healthy snacks available then it's going to sugar/junk that you find in the socially acceptable junk machine.
Saturated fats, like anything, are bad in excess. However, avoiding them completely is bonkers - and leads to people replacing (ok) fats with additional eating - mostly with sugary snacks.
You don't have to make your own peanut butter but it tastes even better than a good peanut butter like Kirkland/Adams/etc. Some stores allow you to grind nuts on-site (almond/peanut) and charge you for the output.
And it's all upside (your body feels better afterward) no downside. (Ok, it's more expensive.) Especially when combined with other sweet ingredients, e.g. a banana – equally if not more delicious.
What I've read is that peanut oil is valuable as an industrial lubricant, so they siphon it off, replace it with palm oil, and then use sugar to obscure the flavor change.
UK PB is NFG.
- Sweetened beverage were linked to cardiovascular disease
- Table sugar, honey, jams, and marmalades were a little linked
- Pastries, ice cream, chocolate, and sweets were negatively correlated
Pastries, ice cream, etc are high in fats, and thick, so they may break down and get absorbed by the body slower while soda is just sugar water so it may flood the body faster.
Alternatively, maybe it’s a time-of-day thing? A dessert you eat after a meal means you’re consuming it on a full stomach while a snack is consumed empty.
It's definitely not impossible this is the reason. Fat massively affects how fast sugar gets absorbed and this is something that seems to not have gotten much attention in terms of nutrition in general despite things like gi index (which just looks at individual foods in their own).
If the thing that makes sugar bad is spiking blood sugar too much, it could be that how/when people consume it isn't being considered enough because of the assumption that it's always bad and needs to be eliminated as much as possible in general and so there's no point in trying to identify situations where it's not as harmful.
But it could also just be some sort of issue with this study.
If you want GOOD ice cream, you need sugar. Or maybe antifreeze. But I’d rather have the sugar.
I know what you mean, though. Years ago I used to just use liquid stevia, and texture was never quite the same.
More to the parent comment's point, there's a big difference between ice cream and something like hard candy or soda. Calories being equal, ice cream (even with full sugar) is going to be much better for you due to the proportionally higher fat and lower sugar content. A friend of mine once lost a lot of weight by going on an "ice cream diet", which wasn't quite keto but I imagine likely a bit closer to it than a standard American diet.
1: https://www.lowcarbfoods.com/low-carb-white-sugar-sweetener-...
> admitting to eating ice cream might correlate with metabolic health
That is, ice cream might well be bad for you but if you experience the bad effects, you might stop admitting that you eat ice cream and thus add an opposite data point in the study.
Is all I wanted to know, study confirms my beliefs. Back to the pastry shop for me.
2) "Added sugar intake was positively associated with ischemic stroke and abdominal aortic aneurysm, although the highest risks of most outcomes were found in the lowest intake category."
????
For example, it's entirely plausible that being at high risk of any of these diseases would cause people to cut back on their sweetener intake into the lowest consumption bracket, leading to unhealthy individuals showing a bimodal distribution (those who cut back dramatically on advice from doctors and those who have very very bad habits) while healthy people have a more typical curve.
For example, people who don't drink any alcohol are more likely to die than people who drink a little bit. Why? Because people who don't drink at all tend to be those with liver damage or former alcoholics who have already done permanent damage.
I suspect a similar explanation here. People who avoid added sugar probably have other health complications going on that force them into the lowest intake category.
If I am reading this right, it means small amount is even worse than a lot of it.
I know, it may come as a shocker to many (most?) people.
https://www.heart.org/en/healthy-living/healthy-eating/eat-s...
Who argues that added sugar is required by the body? I think you might be conflating people who argue that the body requires glucose to function.
You don’t have to take my word for it; you can take one of UCSF professor Lustig.
https://robertlustig.com/metabolical/
Edit: yes of course, glucose is the energy of life but you don’t need to consume it. I think all(?) carbohydrates break down into glucose; ergo you can get it from broccoli. Simple test is blood glucose finger prick test after eating.
But I did mean that there are people that argue that you need added sugar for proper nutrition. These people exist.
the guy who claims fructose is poison? I won't be taking that source at face value. You are revealing your bias very plainly (which was already pretty obvious with your initial smug comment)
> These people exist.
If they do, they are such a small group they are not worth mentioning let alone claiming "it may come as a shocker to many (most?) people."
To finish: there are already numerous studies documenting that fructose is not that good for you; it is, after all part of high fructose corn syrup…
Published: 04 December 2024
Dietary fructose enhances tumour growth indirectly via interorgan lipid transfer
https://www.nature.com/articles/s41586-024-08258-3
Edit: for what it’s worth if you’re curious you can google most of these things yourself unless you don’t know how to but it is neither my responsibility nor my job to find these things for you or convince you. It is your job to convince yourself. If you pay me enough, I can work trying to convince you. In general I was trying to raise awareness of a fact as a form of „public service”. You are welcome to believe what you want and don’t have to agree with anything I say. But you’re are not welcome to be lazy and expect me to find things online for you.
lol a study on rats? for someone who sees themselves as doing a "public service" and telling everyone to "do their own research", you sure don't add much to the conversation. It's ok, I knew that to be the case from the get go. Good luck on your crusade.
If you want human studies here’s one:
The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders:
https://pmc.ncbi.nlm.nih.gov/articles/PMC6549781/
As I said earlier, learn to google yourself.
Dietary fiber is technically carbs (that the human body cannot digest and burn) and if a person eats no fiber, his gut microbiota withers, which is pretty bad, but won't kill him any time soon.
I.e., wouldn't enough rice and potatoes suffice?
I am near certain that the rest of my diet didn't shift in any significant fashion, certainly not enough to replace the caloric intake of 2 to 3 sodas per day and the soda itself was largely replaced with black coffee.
Anyway I don't know what to take from this. I have not gone back to drinking soda, and I never really lost that weight. I suspect that our diets might be more complex than we realize though. I am not a doctor, your mileage may vary.
Weight is a function of calories in and calories out.
If you removed the calories from sugary drinks from your diet and kept the same level of activity, you will lose weight. Conversely, if you replaced those calories or reduced your activity, you will maintain weight.
More than likely you unconsciously compensated for the loss of calories elsewhere in your diet.
Processed food contributes more to weight-gain than would the same amount (in terms of calories) of a non-processed one.
Increasing physical activity has NOT shown that it's a good way to lose weight. Being mindful of what you eat, on the other hand...
A friend told me he wouldn't eat nuts because they are too caloric... ????
> Processed food contributes more to weight-gain than would the same amount (in terms of calories) of a non-processed one
The type of food and additives (ultra processed vs raw) can affect factors like satiation, water retention (not body mass), energy levels (and thus affect expenditure), etc. But for your body to gain cellular mass ("gain weight"), you necessarily have to have an excess of calories (calories consumed > calories expended).
Except that it is not. X calories of refined food would contribute more to weight-gain than would X calories of almonds.
Taking directly from Dr Giles Yeo's book:
I’m not asking anyone to count calories at all, because the number of calories, simply taken in isolation, and out of context from whence they came, is not a particularly useful piece of information. Don’t get me wrong, calorie information does of course have its place. For one thing, calories are useful in quantifying portion sizes, so a 200-calorie portion of French fries will have twice the energy as a 100-calorie portion of fries.
[...]
[We] now know that the Atwater factors, both general and specific, are inaccurate, because they don’t take into account diet-induced thermogenesis (DIT), which is the energy, given off as heat, that is required for the metabolism of food. Fat has a DIT value between 0 and 3 per cent, meaning that for every 100 metabolisable calories of fat, it will cost between 0 and 3 calories to process. The DIT value for carbohydrates is between 5 and 10 per cent, meaning that for every 100 metabolisable calories of carbs, it will cost between 5 and 10 calories to process. While protein has the highest DIT value at 15 and 30 per cent, meaning that for every 100 metabolisable calories of protein, it will cost between 15 and 30 calories to process.
Yeo and most nutritionist would agree that certain foods provide "higher quality" calories and certain foods provide "lower quality" calories that affect things like your perceived satiation and energy levels.
But at a chemical level, the fat, protein, and carbohydrates function exactly the same way because at the cellular level, there are only so many chemical pathways to produce energy.
So yeah, eating the equivalent caloric amount of almonds vs fries leaves you feeling different levels of energy and satiation. Your body may even absorb the calories at different rates. It'll receive more proteins and fats from the almonds and more carbohydrates from the fries. But if your body expended more calories than you absorbed, the net effect is a loss of mass.
Yes, I agree with this. This is called Net Metabolisable Energy[1] and is something mentioned in the book.
I think I said it badly, because I still think calories matter. Just that it matters more what kind of food you're eating rather than just reading the food label.
In one study they fed rats 90% of their calories from HFCS and they had no health consequences so long as the total calories were controlled to be the same as thr non HFCS group.
The "type of calorie" theory is generally proposed by popular psuedo science articles that appeal primarily to overweight people who are looking for easy answers that don't require them to do something challenging. Meanwhile people on ozempic lose weight while eating junk. Your body doesn't care where the calories come from, all that matters is that you don't eat too much.
"Pseudo science" like a guy who got an OBE for his research? That's a first one.
By "something challenging", are you referring to physical activity? Physical activity is good and must be done whether or not you need to lose weight. The point is that physical activity alone is not enough.
I believe they are referring to self-control about the foods consumed. Were you being willfully obtuse about this, given this entire sub-thread is about calories and you're deflecting to exercise?
Then I don't understand how "overweight people avoiding something challenging" would use the excuse of the "type of calorie". It's a much harder concept to understand that fat, proteins and carbohydrates are absorbed differently. And you would also need to calculate it manually as packages don't take into account the difference of the composition of the food.
> Were you being willfully obtuse about this, given this entire sub-thread is about calories and you're deflecting to exercise?
Excuse me, but I am not the one who originally mentioned physical activity. In fact, I cited 2 paragraphs of a book I read talking only about calories absorption, and only 1 sentence of my comments was related to physical activity. Is that insufficient for you?
I think you replied to the wrong comment because I didn't make any point in the one you responded to. It's whatever, because I'm not alone on this hill and many nutrition experts agree on this. And I've chosen to give them credit and believe them as I'm not an obesity researcher.
> Doesn't bother me, my weight is fantastic.
No one asked.
I think he was just expressing frustration that the people who seem to have the most 'knowledge' about weight loss also seem to be the people who are not able to manage their own weight. This is despite the fact that controlling your weight is incredibly simple to do, it's literally "do the most obvious thing". The truth is that this is very hard to do, and in the face of an inability to control their own behavior they instead convince themselves that there's something very complicated going on.
> If you focus on health, your weight will take care of itself
There are some mornings when weighing on the scale where I notice that I lost more than 1kg (compared to 24 hours before). More often than not, I didn't even have a so-called "cheat meal". I eat healthily 95% of the time, so even if I eat junk food and gain 800g in a day I know I'm going to lose them by just sticking to my usual healthy habits.
I guess this was just a really long way of saying: fluctuations in body weight don't matter day-to-day if you stick to a healthy diet.
Taking into account my body weight (I'm lean, with muscles, and shorter than average for a man), I eat way more than I should be. My rice portion, which is a side, is sometimes as much as 250g. And this is about half my plate. Then I eat fruits, nuts during the day. All this after having eaten oatmeal for breakfast (about 100g). Dinner is a bit smaller than lunch but I eat at least twice what my parents would eat (granted, they are older).
Calorie counting is like counting MIPS or Mhz in a CISC architecture - when the IPC varies based instruction types processed - it's an incomplete (and IMHO useless) view.
> If you re-read what you wrote, then the point of calorie counting is simply usesless - because satiation and energy levels contribute to the other side of your calorie equation (you likely expend more energy).
In other words, you can lose weight even without exercise (increase in expenditure) as long as you decrease your consumption below your baseline caloric needs.
> ...aging
There can be no other way for the body to gain mass if not for caloric intake. Zero. You cannot gain any meaningful mass from water and air. Body mass is a conversion of ingested proteins, fats, and carbohydrates (along with other micronutrients); remove excess sources of protein, fats, and carbohydrates and the body has no mechanism to store excess energy.
You age and the calories out decreases; therefore, to maintain a stable body mass, your calories in must decrease as well. If you do not decrease calories in, then the result is gain in mass due to storage of excess calories.
Calories in, calories out.
The calories you consume affect your weight differently depending on your level of metabolic activity. So the key mediator here is how your body processes the calories you consume.
But talking about calories is wrong in any case. All calories are not the same. For example increasing glycemic index by consuming sugars and carbohydrates will lead to greater and more prolonged weight gain than consuming the same calorific load in protein - https://pubmed.ncbi.nlm.nih.gov/12081852/
It's simple misinformation to focus on calories rather than carbohydrate levels, physical activity, healthy gut bacteria etc.
Show me the study that says otherwise. The "complex interaction" theory is just an excuse used by people for failing to cut calories enough to lose weight. Notice that people taking GLP1 drugs don't have to adjust for all these complexities at all.
How does that number on the package get measured?
When I eat nuts, cashews, etc., did 100% of the food get digested and absorbed? A day later or so, there seems to be counterevidence of that plainly visible in the bathroom.
We are talking about the theory that if you eat fructose, or if you eat 'highly processed foods' there is some complex hormone response that causes those calories to be preferentially stored as fat or to slow the metabolism down so they aren't burned.
For sure you are correct when you say that the calories on the label of a food is just an estimate, and not a very good one.
When people talk about "restricting your caloric intake", they are very obviously talking about what's written on the package and not after making calculations based on whether it's fat, protein or carbohydrates. So I think both issues are very tightly related.
What's the diet you would eat every day to get into a calorie surplus even though you are in >500 calorie deficit according to the labels?
However, you can make the calculations based on the numbers I gave in my other comment - which are taken from Why Calories Don't Count from Dr Giles Yeo.
But this is assuming you calculate your daily calorie burn with one diet that is pure protein and then convert to one that has 100% calorie availability, you still can't overcome 500 calories of deficit on paper!
Realistically you would change diets, then find your baseline based on the new diet, and then calculate a calorie deficit from there. In that case you would be very close to a 500 calorie deficit, and you would unavoidably lose about 1lb of fat per week. A 500 calorie deficit sucks but you will adapt to it in a few months if you stick to it. I've managed to lose over 50lbs in the last year, probably close to 75lbs of fat mass. (I did use a GLP1, dieting is hard)
The cause of a failure to lose weight with moderate calorie restriction is always a failure to maintain the calorie restriction aka cheating on the diet (because it is incredibly hard to do when you aren't used to it).
I lived abroad for a year and, when coming back home, started eating healthily (i.e. more greens and less reds, avoiding added salt). In about 3 months, I managed to reduce my weight by 10% - about 6kg. Although I have to admit, if anything, I wanted to keep those kilograms because it was helping me for weight-training lol. My objective was never to lose weight.
oh well, you lost money then. It is not even difficult to understand, some types of food/digestion/absorption will hold more or less water weight to the body so it’s possible to lose total weight even eating above the daily needs, for example a nocarb diet
Whether you gain or lose weight through water weight has little to do with calories at all. If you take creatine, for example, it’s pretty normal to gain a few pounds of water weight until your creatine levels equalize in your body. That doesn’t mean that your body’s “metabolism” changes or something based on the calories you ingest. You’ve just got another pathway to gain/lose apparent weight, albeit temporarily.
Try this: when people on hn claim "ah but it's not calorie intake versus calorie expenditure!" you can assume in good faith that what they REALLY mean is "you are correct that it IS calorie intake versus calorie expenditure, AND there are subtle factors which impact both how efficient your body is at extracting energy from food and how efficient it is at performing work"
It's unlikely for the poor grandparent poster that they unlocked some latent ability to extract calories more effectively by reducing their sugar intake, and of course Occam's razor SUGGESTS that they simply started consuming more or exercising less to compensate, but there ARE reasons we study things like this.
Side note - this is remarkably similar to the 'when we say abolish the police, we mean abolish the police' conversation from a couple of years ago. In other words a classic motte and bailey.
If we're going to have sensible conversations about diet and weight gain. Which socially in the West we are long past the necessity for, we need to start addressing these issues holistically. The pedantry here is the repetition of silly mantras like 'calorie in calorie out' or 'just exercise'. The nuance required is understanding - and indeed researching how the composition of diet, the pricing and availability of nutritious food, our perniciously sedentary workplaces etc all contribute to obesity. And more importantly what can be done about these things on an individual and societal level.
Personally - I've found intermittent fasting to be the only way to control my weight. The research consensus seems to be that it's impact is simply through reduced calorific intake. However - this misses the fact that say one meal a day will actually change your gut microflora enough, and relatively rapidly, to reduce the cognitive load of healthier diet choices. You literally get less hungry and want highly processed, sweetened food less. And yes of course there's a complex interaction of motivation, behaviour patterns and so on at work also. This is why systemic approaches are always necessary to behaviour modification.
And just to add - these aren't subtle effects. Age related weight gain, while keeping diet and exercise consistent is something all of us experience. Similarly, most women will experience menopausal related differences in metabolism, usually leading to weight gain. Eliding the reality of how weight gain and maintenance work isn't useful.
The problem seems to be that people confuse psychical activity with metabolic activity. The body isn't some kind of linear internal combustion engine. Numerous disease processes, medications etc will alter metabolic activity. A classic example is weight loss due to hypothyroidism.
> ...psychical activity with metabolic activity
Theres a moralistic inclination on HN to view complex descriptions of weight gain as defences of sedentary lifestyles and bad diets. Inarguably both are bad, obesity is bad etc. That's a separate issue from understanding why weight has increased globally - independently of dietary changes - including in both wild and lab animal populations - https://www.vox.com/2015/8/24/9194579/obesity-animals
Matter is neither being created nor destroyed, you are dealing with a bio reactor that has inputs and outputs and the bio reactor doesn't process everything with 100% efficiency.
The sugar in soda is already pretty simple, so what would gut flora actually do to it? What possible byproducts could there be from microbes processing fructose? If the sugars were entirely processed by the gut flora then that would generate a ton of heat and gas in the gut that would be uncomfortable at best or most likely just kill you.
Does gut flora influence how nutrients get absorbed? Almost certainly. Is there a behavioral and/or metabolic component to weight loss? Again, almost certainly.
But if you measure how many calories you were eating at maintenance and then eat 500 less per day, you will 100% lose weight. Will you lose a pound a week, the amount predicted by the simple caloric model of weight? You might lose a little less, but you will lose weight for sure.
As unreliable as Internet medical advice always is, am I to interpret that you're drinking coffee at all hours of the day? Sleep disturbances can lead to all sorts of new problems. Coffee has much more caffeine than soda or any common tea. Switch to something else after noon and see if it doesn't help.
Perhaps it was something along those lines for you.
For other readers: To expand on this, the paper in the parent comment is “Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel” (2017) – https://pmc.ncbi.nlm.nih.gov/articles/PMC5837225/
It refers to a second then-upcoming publication, which I believe is this one:
”Low-density lipoproteins cause atherosclerotic cardiovascular disease: pathophysiological, genetic, and therapeutic insights: a consensus statement from the European Atherosclerosis Society Consensus Panel” (2020) – https://academic.oup.com/eurheartj/article/41/24/2313/573522...
The difference between the titles: The 2017 paper discusses genetic, epidemiologic, and clinical studies and the 2020 one looks at pathophysiological, genetic, and therapeutic insights.
(Personally, I’m in the pathophysiology-and-molecular-biology-or-GTFO camp. And these papers are good to have.)
Thanks again! Just thought I’d share this second paper as I’d gone to look for it anyway.
> Questionnaire-based diet and lifestyle assessments were administered in 1997 and 2009
These kinds of studies are not good because of a number of factors -- Morality of foods (people often answer questionaires with ideals or what they "ought" rather than fact), People are very bad at estimating their intakes, the data is ~15 yrs ago meaning lots of things can change in the interim
> One aspect to take into consideration is however that there is a social tradition of “fika” in Sweden, where people get together with friends, relatives, or coworkers for coffee and pastries (41). Thus, one could hypothesize that the intake of treats is part of many people's everyday lives without necessarily being related with overall poor dietary or lifestyle patterns, and that it might be a marker of social life. Consumption of sweetened beverages, one the other hand, has been linked to lower overall dietary quality (42).
Note that the positive associations were correlated with a _social_ form of eating. We already know folks with strong social connections, and distracting ways to slow life and eating, have better health outcomes. Also consider the zero sum form of eating whereby 100 calories of sugary beverage crowds out 100 calories of nutrient dense food (eg: broccoli). My own personal bias is that this is why vegetarians enjoy some health benefits -- they're simply eating a lot more vegetables (and not because meats are themselves deleterious).
> No mention of adiposity (body fat percentage)
A person with low and stable fat% is likely to have a very different response to sugars than someone with a high fat% (insulin resistance) and instability (yoyo-ing seems to matter albeit unclear how)
> Cohort
Unless you're a Swede of the average genetic profile ~97-09 then there's a gradient of issues related to your differences.
I suspect the benefits of cardio outweigh the issues introduced by sugar, but I don't have the knowledge base to do anything more than speculate.