Once again I am confronted by the PCRM? I take it that you are neither familiar with them nor have done any follow-up research.
The PCRM is serious vegetarian based, and slant their opinions accordingly. Yes, to a degree I am poisoning the well, but also I would like to point out that they are significantly biased, and it shows.
Now, let us look at their site in more detail, and I am going to be harsh. For those of you who have had to push something through peer review, you will not be surprised. Those who have not: This sort of thing is part of the critical review process before something is viewed as credible, and is sadly lacking on the part of the PCRM.
New Scientific Review Explodes Low-Carb Myth
Two excerpts from not-exactly a top tier meta-analysis which state the dangers of carbohydrate restriction. Unfortunately, the data does not match up with their analysis, and the two quotes are taken out of context. Anyone can request the paper (copyright violation to publish), and I highly suggest you do so.
In a scientifically documented case in the United States, a 16-year-old girl who was on the Atkins diet died of a cardiac arrhythmia. Non causa pro causa. The girl had pre-existing conditions. Perhaps the author should have actually read the study.
Summary of this article: Op-ed piece with quotes taken out of context. This practice is dishonest in the extreme.
Health Risks of High-Protein Diets
Four paragraphs of nothing, then the statement Over the long run, ketosis can contribute to a variety of physical problems, including calcium losses, increased risk of osteoporosis, and an increased propensity to form kidney stones. And it actually has a reference. Unfortunately, the reference is discussing metabolic acidosis and not ketosis. Furthermore, there is only a single sentence in the entire paper, which one can request, that says there may be some relation between some of the effects and a high protein diet. Note the qualifiers. And this is based on extrapolation from rats to humans, which the author acknowledges is uncertain. Apparently this is good enough for the PCRM.
It is not good enough for me, and it should not be good enough for you.
High-protein diets typically contain higher-than-recommended amounts of dietary cholesterol, fat, saturated fat, and protein, and very low levels of fiber and some other important dietary constituents.
Odd. Any decent text on ketogenic dieting will recommend the restriction of saturated fat. Nice straw man.
And many people need far more protein that the RDA, and not just athletes. Anyone familiar with the outstanding research of Dr. Lemon is familiar with half-a-dozen studies that contradict this. And these are all studies that have passed extensive peer review.
he Nutrition Committee of the Council on Nutrition, Physical Activity, and Metabolism of the American Heart Association states,
Allow me to insert argument from authority and argument by assertion. Let us continue:
High-protein diets are not recommended because they restrict healthful foods that provide essential nutrients and do not provide the variety of foods needed to adequately meet nutritional needs. Individuals who follow these diets are therefore at risk for compromised vitamin and mineral intake, as well as potential cardiac, renal, bone, and liver abnormalities overall
It is a diet. Any restrictive diet, by reducing the intake of micronutrients, will automatically restrict the macronutrient intake as well. That was not so difficult, now, was it? And the circulation it was taken from once again never made it to peer review, let alone passed it. Once again, dishonest.
They then review a sample of the Atkins version of the ketogenic diet, and have deliberately picked the worst possible foods. This is so incredible dishonest and shows such a complete disregard for the scientific method that if I were to offer my opinion, I would get banned from this site. I will say no more on this particular portion of the website.
Colorectal cancer: They site a reference that has been ripped to shreds by so many others that I will not bother to do so once again. And they should know this, as it has been reported to them over a year ago.
Heart disease. Typical high-protein diets are extremely high in dietary cholesterol and saturated fat.
Odd, when, once again, a proper ketogenic diet recommends lowering the intake of saturated fat.
Of course, ignoring this allows them to present another straw man attack. Cowards.
Impaired kidney function Based on extracted data from a questionnaire. Oops. And then only in people with pre-existing conditions. Not exactly honest once again.
Osteoporosis Again, only in people with pre-existing conditions, which is one of the reasons a proper ketogenic diet recommends supplementing with calcium. And two of the references they site simply recommend calcium supplementation to people on a higher protein diet.
I am sick of this portion of the site, as they set up several more straw men. If all of that ever catches fire, their site will quickly burn to the ground.
Then they are requesting data from people who have trouble with a diet, and are including it as data. Not exactly responsible research.
My conclusion is the same conclusion that I reached when I was first asked to review it: The site is an utter joke, and a disgrace to those of us trying to display a little bit of integrity in the field of nutrition.