The Antidepressant Diet

The connection between carbohydrates, serotonin, and antidepressant weight gain

Obsessed with Counting Calories? There's an App for That!

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It had to happen. Once digital electronic calorie tracking became available on the smartphone, uncounted numbers of diet-obsessed women began fixating over how many calories they were putting into their bodies every day. Of course, the Apps did not generate the calorie-counting obsession; rather it allowed the already compulsive mind to note and record the caloric value of every morsel of food swallowed. These Apps remove the guesswork from figuring out how many calories three Cheerios or a sprig of parsley contain. And none of this information has to be written down since it is all on the App.

The very many Apps available to inform the eater about his minute-to-minute calorie intake and to record it for eternity, if necessary, are useful for the diet newbie, the dieter in denial, and the dieter who is not losing weight. Presumably keeping a daily record of calories consumed, and perhaps calories expended, through physical activity will make losing weight less haphazard and more scientific and controllable. One can’t pretend or hope that a recently consumed snack has fewer calories than it actually contains, or excuse lack of weight loss to the phases of the moon or bad karma. No longer is it necessary to pore over a thick book of calorie counts to work out a meal plan that meets the diet plan’s calorie allowance, or add up at the end of the day how many calories you have consumed. The App will do all that for you and perhaps motivate you to use up 400 or 500 calories through exercise so you can indulge in a treat and still lose weight.

Unfortunately not everyone uses these calorie-counting Apps for healthy dieting. The down side of these Apps is that they reinforce compulsive dieting, and its unfortunate outcome of anorexia. Just a brief scan of personal anecdotes from self-described compulsive calorie counters sadly confirms how hard it is for some people, often women, to eat when they see how many calories they are consuming. Like a miser who cannot bring himself to spend money even when he needs to, the compulsive calorie counter has a hard time consuming calories, even when such behavior may jeopardize his/her health. If the goal is to become as thin as possible, then doing so requires eating as little as possible. So it is easy to see how individuals with this mindset can have their App tell them what foods contain the least amount of calories, i.e. a leaf of iceberg lettuce versus one leaf of spinach, or one radish versus one half of a cucumber.

One wonders whether compulsive calorie counters recognize that calorie intake keeps us alive? The non-intake of calories is called starvation, and its outcome is always the same, which is not good. Without calories coming in, the body has no way of obtaining the energy to carry out the functions that keep us alive. We are not plants that are able to convert the energy of light from the sun into chemical energy necessary for growth. Moreover, unlike plants that make their own food (remember photosynthesis?), we also must eat because our bodies require nutrients that we are unable to synthesize ourselves.

Thankfully in this country we are not vulnerable to the many diseases brought on by an inadequate intake of these essential nutrients, since we have available so many foods that provide them. But it wasn’t so long ago that people were dying from scurvy caused by lack of vitamin C, developed the malformed bones of rickets due to lack of vitamin D, or experienced nerve or cardiac disorders due to the absence of vitamin B1.

So, to be truly useful in keeping us healthy (as well as thinner), Apps should be designed to advise the user to make food choices according to nutrient content. Why not have an App suggest eating spinach or kale rather than cucumbers or iceberg lettuce as the former are much denser in nutrients? Why not build an App that suggests to the user that she is not getting enough calcium and should start eating some low-fat dairy products? Or what about an App that alerts the user that, according to her weekly food record, insufficient protein and fiber has been consumed? Designed to capture and motivate the user to alter food choices, such Apps can improve nutrient intake - or at least tell the user to call her mother and ask her what to eat.

 

Judith Wurtman, Ph.D., is the co-author of The Serotonin Power Diet and the founder of a Harvard University hospital weight-loss facility.

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