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Judith J. Wurtman, PhD

Judith J. Wurtman, PhD

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Does Avoiding Carbs Make Men Grumpy?

Posted: 03/11/11 07:48 AM ET

An article in the March issue of Details, a magazine devoted to men's fashions, entertainment, sports and food, devoted a long article to the evils of eating carbohydrates. Normally I do not read this magazine but I picked up a copy in my unisex hair salon because the magazine cover announced that the reader would be able to find out if carbohydrates were more addicting than cocaine.

It is a good thing that hair loss does not follow reading outrageously wrong articles because otherwise I would have had to cancel my appointment. It is not necessary to reiterate the errors concerning carbohydrates and metabolism; how eating any carbohydrate is going to cause immediate obesity (I wonder why so many people in the rice-eating countries of the world look so thin?) and how the brain can get along perfectly well without carbohydrate as its source of energy.

I was curious as to whether the author would advocate the cessation of breast feeding because the major energy source is carbohydrate, or whether he might promote eating lard rather than pasta before a marathon to make sure the muscles had enough energy? The author had it all wrong when he said carbohydrates are addicting. If so, then water must also be addicting, as we all need to consume it every day.

The article gave egregious examples of men stuffing themselves with bagels, doughnuts and brownies and suffering the consequences of bizarre moods, continual hunger and, of course, massive weight gain. Clearly the author has never been to a fast-food restaurant and seen grown men stuffing themselves with triple hamburgers coated with fatty sauces dripping off bacon and cheese slices. I suspect the men eating all that beef are not much thinner.

What is especially worrisome about the diatribe against carbohydrates is the effect this will have on men's moods. Is it possible that by avoiding carbohydrates, men might become irritable, grumpy, less focused, more restless and depressed? If so, might the cause be too little serotonin?

Do men realize that they, like women, need to eat carbohydrates in order for their brains to make serotonin? The only way their brains make new serotonin is when an amino acid, tryptophan, gets into the brain. This amino acid rarely, if ever, gets into the brain when protein is consumed. Tryptophan enters the brain only after any non-fruit carbohydrate is consumed. The process is facilitated by insulin. (Contrary to its evil character as described by the article, insulin in essential for life -- just ask any diabetic.) As soon as tryptophan gets into the brain, serotonin is made and its ability to carry out its many functions is enhanced.

Serotonin regulates mood, appetite, pain, temperature sensation and is involved in sleep. Too little of this essential neurotransmitter can cast the blanket of symptoms similar to PMS over a man. Think about those symptoms: i.e., anger, depression, fatigue, impulsive behavior, confusion, inability to remember and irregular sleep. These are linked to insufficient serotonin activity in a woman as she approaches the end of her menstrual cycle. Women know how to handle these symptoms. They eat carbohydrates, make new serotonin, and feel better.

Now men are lucky. In addition to being able to lose weight more easily on a diet (or so we women believe), they start out with more serotonin in their brains. That is just the way it is. So when men read an article exhorting them to throw away their Raisin Bran and eat egg yolks for breakfast, or shun any food that is not protein and fat, their brains do not immediately suffer from their carbohydrate-free diet. It takes much longer for the drop in serotonin levels to have an impact on their behavior than it would for a woman who has less to begin with. But eventually they too will need to make more or their moods may begin to change.

Life is too short and uncertain to go through it without enough serotonin. When a potato, bowl of rice or cup of cereal can help replace nasty moods with tranquil ones, why not indulge?

 

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09:35 AM on 03/12/2011
As usual, there's no mention of the impact or omega-6/omega-3 imbalance in either the article or comments.

Whatever the ratio of fat to carbohydrate intake, it's crucial to obtain a balanced intake of omega fatty acids. Typically, an industrialized food supply furnishes way too much omega-6 and far too little omega-3. In fact a dose/response relationship exists between omega-6 intake and homicide rates. (Google:Increasing homicide rates and linoleic acid consumption among five Western countries)

There's lots of excitement, of late, about using therapeutic doses of omega-3s to improve mood or treat depression. Unfortunately, the benefits derived from reducing omega-6 intake get little press.

There exists an optimum intake for essential fatty acids. Exceeding the optimum intake produces marginal benefits. In fact, as the dose increases, it eventually becomes toxic. Does it make sense, then, to increase omega-3 beyond the optimum dose to treat a mood disorder when the omega-6 dose is already in the toxic range?

For further discussion, Google "Hibbeln Lands omega-6 mood."
02:13 PM on 03/12/2011
Hibbeln’s 2004 article does not suggest a dose-response relationship between omega-6 intake and homicide rates. It was a retrospective, population-based study (1961-2000) that inferred per capita intake of omega-6 from WHO data on disappearance rates of omega-6 containing seeds and cross-referenced it with age-adjusted homicide rates. The article stresses that omega-6 intake cannot be isolated from other factors that are correlated with homicide rates:

The large differences in homicide mortality rates among the five countries suggest that many societal and economic factors contribute to greater risk of homicide.

We do not propose that increased linoleate consumption during 1961 to 2000 can be isolated from many other societal, cultural, economic, or nutritional factors that might contribute to increased risk of homicide.

Factors that must be considered (from the article) in relation to increasing homicide rates: declining integrity of US social systems, increasing divorce rates, disintegration of the family unit, prevailing violence in the media, availability of weapons, drug & alcohol use, gang behaviours, dysphoric/discontented youth,

Promising research exists regarding the ratio of omega-6 to omega-3 and use of omega-3 in treatment of depression, anger, violent behaviors and bipolar disorders. It appears that Dr. Hibbeln is amongst the forerunners in this regard, but additional research is needed to understand the role of these fats in the physiological, biochemical, emotional and psychological function of the human body and how they relate to the occurrence, prevention and control of complex violent behaviours.
03:29 PM on 03/12/2011
truszkowski, Are you, by any chance, a dietitian, nutritionist, or food scientist associated with the International Food Information Council Foundation (IFICF)? The tenor of your response brought the IFICF to mind.

You listed some other factors relating to homicide that you seem to regard as something other than nutritional, factors such as divorce rates, the disintegrating family unit, drug and alcohol use, gang behaviors, and dysphoric/discontented youth. In my experience, food choices affect these problems as well. In fact, sociologically speaking, it makes little sense to deal with these sorts of problems with talk therapy without first checking to see if brain chemistry is operating properly.

I still say it looks like there exists a dose response relationship between homicides, whether accidental or deliberate, and omega-6 intake. To be sure, excessive added sugars intake is another likely factor affecting emotions and behavior. Google "Whole Health Source: Vegetable oil and homicide."
05:08 PM on 03/12/2011
@dave brown.

i'm actually a health professional in the musculo-skeletal realm, well versed in evidence-based medicine with strong interests in whole-food nutrition, neuropsychology and a host of other things that would take up the entire 250 word limit to list. the basis of my professional practice is to attempt to identify and resolve the root problem and thus eliminate the need to treat symptoms and chase pain in the long term. i try to post on topics and comments that will lead me to learn or consider something in a new way and as such, your post caught my eye.

in fact, each of the factors that i listed came directly from the full-text of the Dr. Hibbeln paper you cited. however, i do completely agree with you that food choices affect us right down to our basic body biochemistry and that our basic body chemistry can affect everything from the ability of cartilage and other soft tissues to heal to the expression of complex behaviours.

however, i do not feel that the research in this area has yet evolved to the point of dose-response relationships and upon reading Hibbeln's article, it seemed to me that he agreed (at least at that point in time).

and it's funny that you mentioned Whole Health Source. i came across it when i was doing some background reading in regards to your first post and spent a few hours reading and bookmarking pages.

...to be continued.
05:35 PM on 03/12/2011
lastly, i am fairly well versed on the nasty role of added sugars in regards to emotions and behaviour. sadly, this information seems to be lost on way too many people as they chug away on soda, processed fruit juices (etc), only to derail their neuro-psycho-endocrine systems with wild sugar-fuelled rides.

either way, i appreciate the thoughtful response and inclusion of additional resources on the topic.

just wondering what realm you operate in and if are you in a lab or a clinic?
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stonemann
To argue with an idiot, can mistake you for one.
02:10 AM on 03/12/2011
I've been keto for nearly four years, meaning I consume no more than 30 grams of carbs a day. I'm finding Ms Wurtman's article hard to swallow. I find it amusing reading articles like these and not experiencing what they claim I should be. I have no mood swings or dips in energy, if anything, I have more energy. I weight train 5 days a week and co-own two gyms so I'm pretty active. My meal plan is simple; no sugar, starches or grains. Heavy on the meat, leafy vegetables; moderate on the dairy and nuts; light on the fruit in the form of berries, except avocados! Good stuff! Since fat and fiber are the only nutrients that satiates the appetite, your claim that simply eating carbs satisfies the appetite is not true. Fibrous carbs...yes, because of the fiber. Non fibrous carbs, revered to as high glycemic carbs, forces the body to release insulin and insulin increases the appetite. Your connecting carb consumption to serotonin release does support the assertion that carbs can be addictive, since other known addictive substances do the same. A typical fast food meal, cheeseburger, fries and soda, is very high in carbs, fat and calories and isn't much different than the pastries that are high in carbs, fat and calories. Finding a good diet is like finding a good soul mate; you've got to like it and be able to live with it. Above all, it must be good to you!
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fnygy
It seems my micro bio is empty. Hmmm...
10:56 PM on 03/11/2011
Perhaps the author should have differentiated between processed crap made with white flour and such and the essential nutrients found in fruits, vegetables and whole grains. Any so-called "low carb" diet that excludes fruits and vegetables isn't going to be healthy as these foods contain the nutrients essential to health. It's the same with proteins and fats - they are not all created equal. The fat from a walnut or avocado is good; the fat from red meat? Not so much.
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katmeyster
We don't have a spending problem.
09:12 PM on 03/11/2011
I am a woman and have been low carbing for years with great health benefits. My husband is diabetic and must be on a low carb diet (as should all diabetics and pre-diabetics) to maintain blood sugar levels in the 80's. This advice to eat carbohydrates for mood, or any other reason, may well be OK for people with a normal metabolism, healthy weight, and who are not insulin resistant or diabetic. But for the rest of us, its downright dangerous. Excessive carbohydrate consumption (which will be different depending on your current health), leads to excessive insulin response which is the cause of obesity, diabetes, heart disease, cancers, and potentially Alzheimers and auto-immune diseases. Diabetics especially need to come off the carbs to prevent the complications of the disease.

Mood is one thing, living a long, healthy life is another.

Suggest Richard Bernstein's Diabetes Solution and Gary Taubes' Good Calories, Bad Calories or Why We Get Fat -- lots of science to back up what I just said.
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fnygy
It seems my micro bio is empty. Hmmm...
10:52 PM on 03/11/2011
Carbohydrates come in many forms. Certainly, diabetics shouldn't eat simple carbohydrates in excess, but complex ones? What doctor advocates not eating say... spinach? Or kale? Or broccoli? All carbohydrates. The human body needs carbohydrates, fats and proteins and all the micronutrients and minerals contained therein.
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DrP
11:32 PM on 03/11/2011
I know of no low-carb diet plan that does not emphasize eating non-starchy vegetables such as you mention. The carbohydrate content is very low, and you are correct that the nutrient value is quite high.
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katmeyster
We don't have a spending problem.
01:37 PM on 03/12/2011
Low carb, not zero carb. We eat copious amounts of fresh green vegetables from our garden. We prefer to get most of our carbs from these veggies, smaller amounts of tomato, onion, and slightly starchier veggies -- and occasionally legumes and low-sugar fruits like blueberries. Full-fat Greek yogurt on occasion and macadamia nuts make good snacks. Oh, and you get all sorts of Vitamin D working out in the garden.

But no, diabetics do not need grains of any kind -- absolutely not essential to the functioning of the body and in fact they are toxic to a lot of people. We sometimes use almond flour, coconut flour or flax meal to make bread products.

Its a great way of eating -- you should check it out.
11:04 AM on 03/12/2011
Saw Taubes on Oz the other day. No exercise????? Eat what you want, don't exercise and refuse to get your cholesterol checked???
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katmeyster
We don't have a spending problem.
01:52 PM on 03/12/2011
I felt that Taubes was set up by Dr. Oz -- there was no way he was going to listen to Taubes and he cherry-picked the most controversial (in the mainstream way of thinking) parts of the diet. His diet for the day was laughable -- we don't eat that way.

Many low carbers get a lot of exercise, but can you imagine the freedom a very obese person has knowing they can lose weight without exercise -- exercise is painful and can be very difficult on the joints of a very large person. Once they have lost weight, then they want to exercise because they are feeling so much better and lighter.

It is a revelation to someone who thinks they are lost to know how simple it is to turn their life around -- eating lots of fat and protein and not needing to exercise. This way of eating has saved countless lives. I wouldn't worry about the exercise part too much -- it will come eventually. Save the life first.

Cholesterol: Low carbers do not believe that total cholesterol has anything to do with heart disease and we concentrate on triglycerides and HDL levels. But our MDs try and push the statins even though we have amazingly good cholesterol profiles -- hence many of us pass on the cholesterol tests. By the way, low carbing also lowers your blood pressure so you can get off both the blood pressure meds and the statins -- the pushers (doctors)
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shirleybob2
04:36 PM on 03/11/2011
I'm not sure how this works for men (since I'm a woman), but I have been eating low carb for over two years now. I have been in perfect health, and my cholesterol level went from 205 to 140! I have resolved all issues with acid reflux, lost 60 pounds and can't imagine eating any other way again.
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DrP
11:36 PM on 03/11/2011
My brother and son both follow low-carb diets. My brother resolved mood/energy swings that he feared was chronic fatigue or some psychological disorder. When he was an organic vegan, he felt like he wanted to die every afternoon - a reaction to too much carbohydrate in his diet. He has been low-carbing for 11 years (and so have I; the whole family has serious insulin-resistance) My son has relieved his "ADHD" by eating an organic, low-carb diet. He is quite the cook and a pretty impressive "expert" on nutrition, which comes in handy as he works at Whole Foods!
02:41 PM on 03/11/2011
stop trying to turn men into women. ya hear?
12:46 PM on 03/11/2011
Is it possible that the mood-enhancing effects of serotonin have someting to do with the addictiveness of carbohydrates, which, according to the author, increase serotonin?

Also, is it possible that maintianing chronically elevated levels of insulin via high carbohydrate consumption in order to feel the "high" caused by high serotonin levels could be damaging in the long term?

Most drugs, for example, are powerful mood-enhancers in the short term. But we all seem to accept the fact that long term reliance on mood enhancers can ultimately lead to negative health outcomes.

Perhaps then, carbohydrate addictions are analogous to drug addictions. I don't really know much about this other than what the author wrote, but this seems like a fairly logical explanation.
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w84it
01:08 PM on 03/11/2011
I think the point being made is that carbohydrates are essential to metabolism and balanced health. The author is not talking about going hog wild on junk food and simple, processed carbs.

From my stand point, a low-carb diet is just as "extreme" as one high in simple, processed sugars and starch.
03:09 AM on 03/17/2011
Scientifically speaking, there are essential amino acids (protein) and essential fatty acids (fats) but there are no essential carbohydrates. None.
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Jazmo
Cause they're hip to the bull and hip to the lies.
11:36 AM on 03/11/2011
Of the female persuasion, nonetheless went low carb about 3 years ago to get rid of some cholesterol issues and have (mostly) maintained. The first few months were very difficult; since I got into the groove of it, I can honestly say I don't really miss carbs (ok, non-sweet carbs) and I do feel better. I don't think indulging once in awhile is a bad thing, but you have to be careful. In this day and age, with all our stressors, we can justify a reason for a big baked potato almost any day of the year!
11:29 AM on 03/11/2011
I've been eating raw, low carb for the last month and have been having all the symptoms described above. Now I have an excuse to bust out that bowl of Lucky Charms.
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08:24 AM on 03/11/2011
I've been eating low carb (40 - 50 g/day) since '97 and as a 39 yr old man I've never felt better..I don't think there's any negative effects whatsoever either mentally or physically.