Saturday, February 27, 2010

Halfway House: Acceptable Recipes for Partly-Primal Living?

My roommate is overweight.

Okay, obese.

Last week, he informed me that he has gained 24 pounds in the past 6 months – and that was from a starting point of at least 20 pounds over his ideal weight. He’s ready to get rid of it.

But there’s a catch: He’s not ready to get rid of his favorite foods – which, like most of our favorites, are those addictive, sugary, bready carbs.

He’s watched the primal lifestyle work its magic on me, but going primal seems like too big a change. "Isn’t there some kind of compromise?" he asked.

I told him I’d give it some thought.

Indeed, something I’ve wondered about for a long time is whether a person does more harm or good by switching from the Standard American Diet (SAD) to a partly primal diet.

On one hand, Mark Sisson and others promote the so-called 80/20 rule; that is, 80% compliance with 20% flexibility for what some people call “cheats” and others call “staying sane.” There’s plenty of anecdote out there indicating that people do indeed experience significant improvements in health and body composition while enjoying a lot of breathing room in a generally primal(ish) eating plan.

But then there’s the other side. In their excellent book Protein Power, the Drs. Eades point out that the consumption of carbohydrate with other macronutrients (protein and fat), actually causes a greater insulin spike than the consumption of carbohydrate alone. If that is true, we have to ask ourselves whether I’d be doing my roomie a disservice by recommending that he increase fat and protein unless he is willing to let go of the carbs. After all, I’d hate to encourage further insulin resistance and fat storage by encouraging the consumption of high-fat AND high-carb meals that will raise blood sugar, necessitating an insulin release that promptly shuttles energy from both the carbs and the fat straight into those expanding fat cells without passing Go or collecting $200.

So what’s the answer?

Perhaps it is most practical to go back to the anecdotal evidence. A friend of mine recently cut back on grains and sugars – didn’t even remove them entirely! – and saw an impressive drop in blood pressure over the course of just a few weeks. Ironman recalls how, when he first started exploring primal, he cut out pasta and bread (but not all grains) and dropped ten pounds in two weeks – ten pounds, mind you, that had hovered around his middle despite years of extensive endurance athletics. The stories are varied and countless, but almost all indicate reasonable (and sometimes impressive) results from partial compliance.

So. If my roomie wants to consider 80/20, how might that look? I can think of a few options:

1. Calculate by number of meals. Say we figure on 3 meals per day, 7 days per week. That’s 21 meals per week. 20% of that equals 4.2 meals. So, he could eat 17 primal meals and 4 whatever-he-wants meals every week. Sounds reasonable. But, it doesn’t figure in impromptu passes by the office candy bowl, the temptation of ice cream with a late-night movie, that afternoon Mountain Dew habit…all of which cut pretty deeply into that 20%, leaving little wiggle room for actual meals.

2. Calculate by number of calories. My roomie is a pretty big guy, but not very active. For the sake of argument, let’s give him 2,200 calories per day. (Yes, I know it’s not all about calories, but about the hormonal impact of foods on energy usage. More on that later.) 2,200 calories per day x 7 days per week = 15,400 calories per week. 20% works out to 3,080 calories. That equals one Domino's pizza and a few bottles of soda. No more wiggle for the rest of the week. Of course, there’s the option of spreading it out a bit more, say over a few servings of pasta, a couple bowls of raisin bran, a some chocolate chip cookie dough, and a package of Jiffy cornbread mix. Livable? Depends who you are.

(Incidentally, for those who comprise their 20% of borderline primal goodies instead of SAD selections, 3,080 calories equals roughly four sweet potatoes, two bars of 85% chocolate, 6 ounces of aged Gouda, and a nightly glass of pinot noir.)

3. Forget the calculations. Of course, my roomie could choose to scrap the math altogether and shoot for 80% compliance without counting or tracking. For most people, this method will be the easiest to stomach – but I fear it will also be the least effective, mostly because people don’t usually have a good sense of how small 20% really is when you crowd it with big-ticket items like French fries and Milk Duds. Perhaps he could minimize the damage by trying for 100% on weekdays and complete freedom on weekends. More than a few bodybuilders and such swear by that kind of program.

…which leads me to a point that was called out during a recent discussion on the reader forums at Mark’s Daily Apple:

Fat + carbs + full glycogen stores = triglyceride factory (poor health and fat gain).

Fat + carbs + empty glycogen stores = glycogen storage (good health and potential for fat loss).

Duh. That’s pretty basic, but it’s easy to forget when we start thinking all about diet (which is, after all, the larger part of the leanness and health equation) and none about physical activity. If my roomie will drain his muscle and liver glycogen stores with, say, a couple heavy-lifting and a couple HIIT sessions per week, he’ll see much faster progress despite 20+% non-compliance on the nutrition side.

(But let’s not fall back on the old calories-in, calories-out theory of fat loss! Read this entertaining post by Tom Naughton for a more accurate accounting of what matters in terms of calorie intake and expenditure.)

Here’s another, important thought that came out of the forum discussion on being partly primal: It depends what part you choose. Pouring heavy cream on your Froot Loops because “fat is good!” won’t help you. Choosing to ditch sugar (even while holding onto grains, for now) will reap results. For many people – and I suspect my roomie is among them – the baby-steps approach will prove more manageable than the cold-turkey method I prefer. Every step away from the SAD will get you further down the right road.

There’s more than one way to skin a sabre tooth tiger.


East End Jenn said...

So glad you wrote this - it's something I've been wondering about for a while.

Funder said...

This was really helpful for me, too. I am really thinking about cutting out gluten and seeing how I feel. There's two reasons I just can't go full primal: I don't know if I can afford it, and I love cheese. I like milk, too, but honestly I don't drink that much of it - but a life without good cheese? I can't.

Anyway, hopefully I can figure out a compromise. :)

Jonna of Acer Farm said...

I have gone primal but I didn't realize it at the time because for me it was a slow gradual process based off of moving towards whole foods and lean proteins over a period of a year or more. When I found out about MDA, I realized the missing piece for me and jumped head first. It was the carbs and not even the sugar carbs. I was eating way too much in the way of grains like cereal (Go Lean , which I thought was sooo healthy) Pasta, beans and brown rice. As soon as I cut out all that, I really have noticed a big change. I feel 100 % better but I still haven't given up my greek yogurt and cheese, although I have cut back. I think the 80/20 plan can certainly work but you still have to be disciplined no doubt. I allow myself treats for special occasions, like bdays and such but I limit my intake. It's usually only a forkful or two instead of a whole piece of cake. I just try to remember the head ahce and sick feeling I am going to have to deal with after the fact if I eat the entire piece! That usually works for me!

Susan's Snippets said...

Tamara -

I have recently "sort of" started a primal eating lifestyle...”sort of” because at least 20 years ago I read the book “Sugar Blues” and for about 10 years after, I gave up ALL sugar starting January 1st of each year and would easily drop 30+ lbs. until my birthday at the end of August...when I would start gorging again and put most of the weight back on.

Realizing after those 10 years of yo-yoing that it wasn’t healthy..I then tried to eat sugar (carbs) moderately...without success.

Fast forward to the present and I found myself 51 years-old and a stem cell transplant for non-Hodgkin’s lymphoma survivor, whose body had not only been abused by me, but also thru two years of chemo and incredible radiation.

I “woke up” this past Sunday and decided to get serious about my weight/health. Today is day 5 of eating Primal and I feel good, satisfied, nourished and my pants are not digging into my waist line/muffin tops as bad as they were on Sunday.

Tamara, I will add you to the favorites on my blog and look very forward to learning and being inspired by someone who is not only talking the talk...

but walking the walk

ps – you might also notice that at the end I like to rhyme

most of the time