Confused
about which carbohydrates you should be eating?
Welcome
to the club.
"It’s
the biggest lack-of-consensus issue in the U.S. diet
today," said Dr. Dariush Mozaffarian, associate professor
of epidemiology at Harvard School of Public Health. "We
don’t have a standard method for assessing their
quality."
Carbohydrates,
the most common of the three energy sources we get from food
(the others are fat and protein), reside in the vast majority
of our food, prominently in grains, vegetables, legumes and
fruits. They are essential to good health — as long as you
stick to the good sources and steer clear of the bad ones,
which are linked to obesity and a host of chronic conditions,
including diabetes and heart disease.
Most
health experts agree that processed foods, sweetened beverages
and refined grains such as white bread, pasta, flour and rice
(which are stripped of their nutrients) are among the worst
kinds of carbohydrate-rich foods you can eat.
Your
digestive system breaks them down too easily, flooding the
bloodstream with simple sugars (glucose), which in turn
prompts a surge of the hormone insulin to carry the glucose
into the body’s cells, said Michael Roizen, chairman of the
Cleveland Clinic Wellness Institute and co-founder of
realage.com. Too much blood sugar and insulin for too long can
be dangerous on several levels: more fat storage, less fat
burning, malfunctioning proteins that eventually lead to organ
damage, even cancer cell growth, Roizen said. Your brain also
gets addicted to the high glucose levels, leaving you craving
more.
What
constitutes a good carb, however, can be trickier.
It’s
not as basic as "simple" versus "complex,"
as fruits contain simple sugars but are a highly desirable
carb source.
Rather,
four main factors determine the quality of a carb, Mozaffarian
said: dietary fiber (the more the better); how fast it makes
your blood sugar rise (aka glycemic index, the lower the
better); whole-grain content (the more the better); and
structure (if it’s liquid, milled or pulverized, it’s not
as good).
So
Cheerios, which are made of 100 percent whole grain oats, get
a thumbs up for whole grain and fiber content, but the
pulverized nature of the oats makes it inferior to intact
whole grains, such as steel-cut oats, Mozaffarian said.
And
pasta? It seems like the quintessential fattening carb, but in
fact it has a lower glycemic index than rice or potatoes and
is a "reasonable choice," he said.
Speaking
of potatoes … the white ones have a high glycemic index, and
studies have shown them to contribute to weight gain, so
Mozaffarian banishes them to the "bad" list
alongside Skittles. But other nutrition professionals, such as
Stephanie Dunbar, director of nutrition and clinical affairs
and the American Diabetes Association, gives potatoes the
thumbs up because they have nutrients.
And then
you have Jonathan Bailor, a health and fitness researcher who
advises you source carbohydrates from citrus fruits, berries
and a host of nonstarchy vegetables, such as spinach, and stay
away from starches altogether — including whole grains. The
best foods to eat, Bailor said, are those with greater water,
fiber and protein content relative to their calories, so you
get more bang for your buck.
"It’s
not that whole grains are evil; it’s just absolutely not as
good for us as nonstarchy fruits and vegetables," said
Bailor, who recently published "The Smarter Science of
Slim" (Aavia; $34.95), the result of a decade of
reviewing more than 1,000 diet studies.
Reading
the nutrition label can help guide people through the morass.
Choose items with less sugar — Roizen says to aim for 4
grams or less — and more dietary fiber. And no, brown sugar
and honey aren’t metabolized any differently than the white
stuff.But sugar doesn’t tell the whole story, as refined
starches with little sugar are still terrible for you.
As a
general rule of thumb, Mozaffarian recommends that you look at
the ratio of total carbohydrates in a serving to dietary
fiber, as that captures both sugar and starch content. If the
ratio is 10:1 or more, avoid it. If it’s less than 5:1, it’s
very good.
If all
the confusion makes you want to reach for a bowl of mac-and-cheese,
rest assured that everyone can agree on this: Eating lots of
nonstarchy vegetables does every body good.
———
SHOPPING
LIST
Take
this list shopping to help you weed out the bad carbs.
BAD
CARBS:
Soft
drinks
Sports
drinks
Fruit
drinks
Beer
French
fries
White
rice
White
bread
Sugar-sweetened
cereals
Bagels
Baguettes
Croissants
Potato
chips
Pastries
Cookies
White
crackers
Brownies
Cakes
Pies
Candy
Sugar
Brown
sugar
Honey
Debatable
Corn
Popcorn
White
potatoes
Pasta
100
percent fruit juice (limited quantities)
GOOD
CARBS:
Spinach
Kale
Tomatoes
Mushrooms
Beets
Brussels
sprouts
Broccoli
Onion
Squash
Artichoke
Berries
Oranges
Tangerines
Melons
Mangoes
Pears
Peaches
Low-fat
Greek yogurt
Sweet
potatoes
Peas
Black
beans
Kidney
beans
Lentils
Brown
rice
Barley
Amaranth
Quinoa
Whole-grain
bread
Whole-grain
pasta