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Avoid grain, save the brain?

4/8/2014

2 Comments

 
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An article in Atlantic Monthly profiled a neurologist in San Francisco who says gluten found in many of the grain foods we eat today, like wheat, is so strongly linked to Alzheimer's disease that we should just stop eating grains altogether if we want to protect our brains. 

You can read more about the what Dr. Perlmutter, the neurologist I am referring to, has to say on this topic in his new book "Grain Brain." 

Coming back to the article and his ideas, says anything with a high glycemic index -- not just wheat, but also rice and other grains considered trendy because they're supposed to be healthy like quinoa and amaranth -- should be off-limits. So what is the link between carbohydrate-rich grains and dementia? No surprise: it's inflammation. 

"Over the last 40 years, people have become addicted to gluten, Perlmutter’s narrative goes. In combination with carbs, gluten’s influence on our diets explains why we get dementia—and every other common neurologic problem. 'Inflammation is the cornerstone of Alzheimer’s disease and Parkinson’s, multiple sclerosis — all of the neurodegenerative diseases are really predicated on inflammation. Who knew?'"

Another passage from the Atlantic Monthly article, written by a medical student and journalist:

"The New England Journal of Medicine article appears in my inbox, in which researchers conclude, 'Our results suggest that higher glucose levels may be a risk factor for dementia, even among persons without diabetes.'

'So, we control our blood sugar based on, oddly enough, our food choices,' Perlmutter says. 'Who knew? We need a low-carbohydrate diet that decreases your risk for diabetes, which will double your risk for Alzheimer’s. It’s really very straightforward. The empowering part of that is this is what our most well-respected science is telling us. It’s been kept from us. We’ve been basically told, do whatever in the heck you want. Eat whatever you like. Then you’ll have a magic pill that we’re going to develop for you to treat all of your maladies. That doesn’t exist for Alzheimer’s disease.'"


Another famous San Francisco doctor, a pediatrician famous for his lecture watched by millions on YouTube, explains fructose is a poison, and he has a common enemy with Dr. Permuttler, whose mission is to help people stop eating grains to save their brains:

"When Dr. Robert Lustig appeared on The Colbert Report earlier this year, he likened the toxicity of sugar to that of alcohol. Lustig is a pediatric endocrinologist at UCSF and the author of Fat Chance: Beating the odds against sugar, processed food, obesity, and disease . He may be most widely known for his 90-minute lecture on sugar, that has been viewed on YouTube more than 4 million times, in which he 'intend[s] to debunk the last 30 years of nutrition information in America.' The villain in his narrative is fructose. He is one of the physicians Perlmutter cites for support in Grain Brain.

"'There is no doubt in my mind,' Lustig told me last week, 'that insulin resistance drives dementia. We have causative data in animals, and we have causative medical inference data in humans. Basically, Alzheimer’s is a metabolic syndrome of the brain.'"

More evidence to support Dr. Permuttler's hypothesis:

"'That doubles your risk for Alzheimer’s disease. We were told, 'Eat more whole grain goodness. Eat more of what the U.S. Department of Agriculture is producing for you, and that will be good for you. Nothing could be further from the truth. Diets that are high in fat lower cardiovascular risk factors and are absolutely associated with a reduced risk for dementia. This was published in The Journal of Alzheimer’s Disease in January of 2012, research from the prestigious Mayo Clinic. People on a high-fat diet had a 44 percent risk reduction for developing dementia. Those on a high carb diet, which the government continues to recommend, had an 89 percent increased risk.'"

Let's hold pause, as not experts support Dr. Permuttler's hypothesis that eating grains causes decaying brains. Here is Dr. David Katz of Yale's Prevention Research Center criticizing Dr. Perlmutter's approach to focusing on one food group instead of many foods:

"'I also find it sad that because his book is filled with a whole bunch of nonsense, that’s why it’s a bestseller; that’s why we’re talking. Because that’s how you get on the bestseller list. You promise the moon and stars, you say everything you heard before was wrong, and you blame everything on one thing. You get a scapegoat; it’s classic. Atkins made a fortune with that formula. We’ve got Rob Lustig saying it’s all fructose; we’ve got T. Colin Campbell [author of The China Study, a formerly bestselling book] saying it’s all animal food; we now have Perlmutter saying it’s all grain. There’s either a scapegoat or a silver bullet in almost every bestselling diet book.'"

So my opinion? Based on all I have read and also my better health (improved cholesterol, less belly fat, more positive outlook) since cutting down significantly the grains in my diet, I believe that the grains we eat cause more harm than good. The nutrition - vitamins, minerals, and proteins - we get from whole grains can be gotten from other foods. And is there a link between eating grains and developing dementias like Alzheimer's disease? Yes I believe. And is the underlying cause inflammation? Probably yes.

So if you can quit eating so many chapattis or rotis, breads or cookies, cakes or bhajias, you will be better for it, especially into old age. 
2 Comments
Tushar link
4/14/2014 07:11:30 pm

The article is confusing to me..
some say meat is not good,dont eat that..
n then u r saying grains are not good,what are we supposed to it..

Reply
Raj link
4/20/2014 09:49:47 pm

Dear Tushar, I understand your frustration. I have had those frustrations too along this journey, and all the conflicting advice can be confusing.

So I will restate the basic message on eating food good for your body, which is simple: eat more fresh and real food, cut down on processed or packaged food, do not eat too much, and follow these rules as many days of the week that you can, always giving yourself one day off to break the rules.

By the way, it took me a couple years to cut grains down and create a better diet with plenty of good food options. So let me share what I regularly eat with you to help you see there are many options for better food.

I do eat grains in the form of breakfast cereal every morning. I also eat a few corn tortilla each week. And occasionally I will eat bread sandwiches. I used to eat much more grains (more sugary cereals, chips, cookies, and sandwiches everyday), so I am happy I cut down as I feel much better eating less grains.

I eat a salad nearly every workday, and yogurt or lassi too. I put fruit, usually berries, in my cereal and yogurt (or lassi) everyday.

I eat meat, mainly poultry and fish. And not too much, about 5 times per week. So as you can see, I am not against eating meat from a health standpoint.

I also eat egg dishes a few times a week, often wrapping it in a corn tortilla (which is a grain).

One day a week I don't follow the rules too closely. (Sometimes it is two days a week, depending on whether my parents or in-laws have given us food.) On this day, I may eat bhaji and roti made of millet, or tamarind rice, or pizza, and etc. I eat to enjoy these foods, but limit it to this day to make sure I do not make a habit of it.

I hope this helps!

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