100 Joel Fuhrman, M.D.
One could write an entire book describing and explaining Sears's
inaccuracies, which is not the purpose here, so I will merely high-
light a few of his major errors.
Sears's claim that Americans have dramatically cut their fat in-
take is incorrect. In fact, nationally recognized food surveys, such as
the National Food Consumption Survey and the National Health and
Nutrition Survey, indicate that Americans consume somewhere be-
tween 34 and 37 percent of their calories from fat.^24 Americans are
still eating a very high fat diet. The reason for the rise in obesity in
America is no mystery: we eat a high-calorie, high-fat diet. We are
eating more meals outside the home, relying more heavily on con-
venience foods, and consuming larger food portions. Consistent with
trends in weight, caloric intake rose 15 percent between 1970 and
1994.^25 The data actually shows increased consumption of junk food,
fat, and calories in recent years.^26
Weight has increased in America simply because total calorie
consumption has risen and activity or exercise has fallen. Our diets
are more nutrient-deficient than ever. Precisely balancing your pro-
tein and fat intake to enter some hypothetical zone will not make
you lose weight, unless you have reduced calorie consumption.
Numerous epidemiological and clinical trials have shown that di-
ets low in fat and high in complex carbohydrates correlate with lower
body weights worldwide. High-fat diets always show a direct response
relationship not only to obesity but also to heart attacks and cancer.^27
How Important Is the Glycemic Index?
According to Sears, the rate at which carbohydrates enter the blood-
stream (a food's glycemic index) determines whether or not we
maintain good health and optimal weight. Yet scientific evidence in-
dicates that the glycemic index of a food is not a reliable predictor of
the effect food has on blood glucose levels, cholesterol, and insulin
levels.
28
In his book. Sears warns that eating bananas, carrots, lima beans,
and potatoes could be dangerous to your health merely because they
have a higher glycemic index. Obviously, the glycemic index is not the
major factor in deciding whether we should consider a food healthful.
We wouldn't want to recommend a diet of all high-glycemic
foods; however, the addition of nutrient-dense foods such as ba-
nanas, papayas, apricots, carrots, and lima beans is healthy and con-
ducive to weight loss. Just because the glycemic index of these