USE THE GLYCEMIC INDEX, NOT THE FOOD PYRAMID (9-2003) When I was in elementary school, back in the days when students’ desks had ink wells even if they hadn’t been used for some time, we learned that there were four food groups and that a good diet would consist of food from each one of these groups every day. We also learned that some food groups were better than others. I don’t really remember what the food groups were, or which ones were better. But I do remember the ones containing the best-tasting foods were the bad ones. Eventually, to make things simpler to remember, the U.S. Department of Agriculture came up with another idea. They would replace the cumbersome old four-food-groups system with a slick new pyramid scheme. Everyone knew what a pyramid looked like: It was broad at the base and pointed near the top. The idea was to cordon off segments of the pyramid and put food items in it. The bigger the segment, the more servings of that food you were supposed to eat. The USDA put breads, potatoes, and other starches at the base, meaning you could eat a lot of those things. Above that were things like fruits and vegetables. Then came the nuts and meats, and above that – at the very top – they put the fatty foods. So, now, a generation after our good-meaning friends in the government introduced America to its new-fangled food pyramid, most of us are fatter and unhealthier than ever. Could the USDA have gotten it wrong? You bet it could have – and did. Today, most nutritionists and health care professionals around the world are aware of a serious flaw in the USDA’s food pyramid. It treats all fats the same (they’re bad), and all carbohydrates the same (they’re good). But just as there are good apples and bad apples, there are also good fats and bad fats. There are also good carbs and bad carbs. The food pyramid doesn’t tell you which ones to eat, so obviously, we eat the best tasting ones, which happen to be mainly the bad ones. And because we’re following the government’s advice about what to eat, we must be getting healthier. But it’s apparent that we’re not. The latest research has discovered that those who eat certain types of fats, namely monounsaturated fats such as olive oil and those containing omega-3 fatty acids like fish oil, are healthier and have fewer heart problems. On the other hand, the trans-fats, found in commercially- prepared baked goods, stick margarine, and shortenings, are the worst fats of all. The verdict is still out on saturated fats. Most health care professionals say to steer clear of them, but others claim they are basically neutral, health wise. And what is true of fats is also true of carbohydrates. Studies on something called the glycemic index, which measures how rapidly certain carbohydrates are converted into blood sugar, show that not all carbohydrates are equal. The general rule of thumb is that the more highly-processed a carbohydrate is, the worse it is for you. But fiber-rich vegetables, fruits, and even some whole grains are generally considered healthy. Things like white or wheat bread, most cold breakfast cereals, donuts, cakes, and potatoes contain the fastest- acting carbs – the worst carbs. In fact, a plain baked potato is far worse than plain table sugar from a glycemic standpoint. And if you must eat bread, it is healthier to dip it into an olive oil spread, or even butter, than to eat it with nothing, because the added fat slows the conversion of the starch into blood sugar. But although the World Heath Organization has embraced the new ideas about nutrition, American organizations like the American Heart Association and the American Diabetic Association have been slow to change their decades-old recommendations on dieting. I guess it would just be too embarrassing for them to admit that they have been wrong all these years. Apparently, they would rather stick to their guns and continue to put American’s health in jeopardy than to acknowledge that they may have been wrong and accept the embarrassment.