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2010-04-21 16:49:12

Eating the Wrong Kind of Carbohydrates Increases Heart Disease Risk Our love affair with carbohydrates is hard to break: pot pourriTime and again, we try to swear off pretzels, bread, and pasta--—usually in an effort to lose weight-—only to embrace them again after feeling deprived. Turns out, though, we might not need to cut back on all carbs, only certain ones.

That's according to a new study published in today's Archives of Internal Medicine, which found that women who ate the most "high-glycemic" carbohydrates—which cause quick spikes in blood sugar levels—had more than twice the risk of having heart disease as those who ate the least. (The study didn't find the same association in men.) What's interesting, though, is that it was the type of carbs, not the amount, that had the health impact. "High consumption of carbohydrate from high-glycemic foods, rather than overall quantity of carbohydrate consumed, appears to influence the risk of developing heart disease in women," says study leader Sabina Sieri.

"Bad" carbs score high on the "glycemic index," pot pourriwhich assigns each food with a numerical value based on how quickly it raises a person's blood sugar levels. (To develop this index, researchers spent years assessing the potential of various carbohydrates to raise blood sugar.) High-glycemic carbs include white starches and candy, but also surprising foods like baked potatoes, watermelon, and brown rice. "Good" carbs, which include most fruits and vegetables, grainy breads, and pasta, cause a more gradual rise in blood sugar leading to a slower release in the hormone insulin, which moves glucose out of the bloodstream and into cells where it's used as fuel or stored as fat. Slowing this digestive process appears to limit wreckage to cells triggered by elevated blood sugar, possibly protecting against heart disease, diabetes, and other ills. The new study adds to previous research showing that following a low-glycemic diet enabled those with type 2 diabetes to have better control over their blood sugar and rely less on medications than those who ate high-glycemic carbohydrates like white bread and potatoes. Other research suggests that switching to low-glycemic carbs aids in weight loss efforts and might even stave off acne and age-related blindness.
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