The Atkins diet proposes that, in order to lose weight, one should adopt an eating style that radically departs from the Food and Drug Administration's (FDA) food pyramid. It proposes the elimination of most carbohydrates as a source of energy; in the place of carbohydrates, the diet advocates the significantly increased consumption of fats, including trans fats and hydrogenated oils.
Carbohydrates are the most common source of energy in the American diet, and they occupy the bottom largest portion of the FDA food pyramid. Bran, cereal, bread, potatoes, and pasta all contain high amounts of carbohydrates. Eating carbohydrates result in the body's secretion of insulin. Insulin is a substance produced in the body to regulate the metabolism of carbohydrates.
In the 1960s, Dr. Robert Atkins created what is known today as the "Atkins diet" after reading an article in a scientific journal. The cardiologist claimed to have treated thousands of obese patients, as well as his own obesity, after following the new diet plan. In 1972, Atkins published Dr. Atkins' Diet Revolution. In 2001, Atkins published an updated version of this book. In 2003 and 2004, the so-called "Atkins Nutritional Approach" became popular nationwide as Americans flocked to the idea of unlimited meat consumption.
The Atkins diet does not require dieters to count calories, weigh in, or record foods eaten. Despite the apparent simplicity of this diet, experts have recently found long-term health risks, including type 2 diabetes, kidney impairment and other serious medical problems linked to this way of eating. Some of the recent popularity in the Atkins diet was based on the continuing misconception of the fad diets that one could lose weight and achieve physical fitness without exercising or controlling food portions.
The Atkins diet can be easily confused with South Beach diet. They both have the initial two weeks of restricting carbohydrates. However, after this initial phase, they differ in two significant ways. Under the South Beach diet, "good" carbohydrates are not discouraged, and "bad" fats are. The Atkins diet does not recommend any carbohydrate consumption. The safety and long-term efficacy of Atkins is a subject of debate in the medical community.
The role that the Atkins diet may or may not play in alleviating long-term trends of obesity and other metabolism related conditions requires further investigation.
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Despite the common public perception that the Atkins diet permits an unlimited consumption of greasy foods, it is actually recommended that dieters consume primarily lean meats, such as seafood and poultry.
Like many diet plans, the Atkins diet requires regular consumption of nutritional supplements, such as a multivitamin pill, and adherence to a regular exercise plan. The Atkins diet does not recommend individuals adopt the eating plan unless they abide by the nutritional supplements and exercise routine. A qualified healthcare professional should be consulted before beginning any new diet.
Under the Atkins diet, dieters are recommended to stop any unnecessary medications. Any changes to medication should be discussed with a qualified healthcare professional. Diuretics, and, to a lesser extent, other cardiovascular medications and diabetes medications, including insulin, when combined with this diet may produce a dangerous overdose. Psychotropic drugs, phenothiazines and anti-depressants such as Prozac®, tranquilizers, lithium, and similar drugs may cause metabolic resistance to the diet. Estrogen, prednisone and other steroids, and antiarthritic drugs, especially NSAIDS, may cause weight gain or prevent weight loss. For persons metabolically resistant, any medications may aggravate the condition.
Induction period (first two weeks): Dieters are permitted to eat no more than 20g of carbohydrates per day with a diet consisting of nearly unlimited meats, poultry, seafood, eggs, cheeses, oils, butter, margarine, bacon, and sausages. The 20g carbohydrate limit is generally derived from trace amounts of carbohydrates in sauces, dressings, cheeses and a couple cups of lettuce greens or vegetables daily. During these two weeks, participants are not allowed to have any milk, fruits, grains, cereals, breads, or "high glycemic index" vegetables such as potatoes, peas, corn, and carrots.
Ongoing weight loss period: Dieters begin adding about 5 more grams of carbohydrates to their diet weekly. This phase continues until the dieter is within 10 pounds of their target weight.
Pre-maintenance period: At this stage, dieters typically have only 5-10 pounds left to lose, and can increase carbohydrate intake by 10 grams each day for a week at a time.
Maintenance period: Generally, dieters consume no more than 90g of carbohydrates daily in the maintenance phase.
Forbes Magazine found the Atkins diet to be one of the five most expensive food diets available. According to this report, the Atkins diet costs, on average, $100.52 per week. This number is 84.6% higher than the $54.44 an average American spends per week on food.
Though a cardiologist wrote the Atkins books, there is currently no licensure or process for health care practitioners who advocate the Atkins diet to receive certification.