The Physical Performance Podcast

I recently spoke to the guys at The Physical Performance Show and featured on their podcast.

See their blurb and outline below:

In episode 126 of The Physical Performance Show Brad Beer has a conversation with Dr Peter Brukner OAM – Prof Sports Medicine, Author, Founder SugarByHalf.

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By way of introduction, Dr Brukner is an OAM Order of Australia Medallist and he’s a world renowned Sports and Exercise Medicine Physician and Researcher. Up until recently Dr. Brukner was the team Doctor for the Australian Cricket Team, a position that he held for 5 years.  Dr. Brukner held similar positions at the Liverpool Football Club and Melbourne and Collingwood AFL Clubs and the Australian Soccer Team and also Sports Doctor across multiple National Olympic Commonwealth Games Athletics Teams.

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Dr. Brukner is a Professor of Sports Medicine at Latrobe University, he is also the author of numerous books including Clinical Sports Medicine and Food for Sport. Dr. Peter Brukner is also the author of the recently released A fat lot of Good – how the experts got food and diet so wrong and how you can take back control of your health.  The information inside this book will really have an impact on your physical performance and your health.  ‘A Fat Lot of Good’ is an exploration into our current food guidelines and how Dr Brukner believes we got it so wrong.  He shares how he changed to a low carbohydrate, High Fat consumption and he shares why he made this change and how it can improve your health.

Dr Brukner is spending and devoting the remainder of his career on his campaign called Sugar by Half that is aiming to reduce added sugars by 50% to better our health. During this conversation we discuss the low carb, high fat lifestyle eating, the benefits of it, the state of the nation, how we got it so wrong, the demonising of fats and how that happened.  Why we don’t need to drink as much as we think we do, the five golden tips, eating and diet for athletes as well as debunking a few myths.

Timeline:

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0:00 Start
1:30 Introduction to Dr Peter Brukner
5:50 Why Peter wrote the book ‘A fat lot of Good’
13:00 Peter’s health now
17:15 Shane Watson – Australian Cricketer
20:20 The 5 Rules of this way of life.
33:00 High Obesity Rates
38:00 Dietary Guidelines from the 1980s
46:00 Eating fat to lose fat.
48:20 Brain Fog
53:00 Salt
56:00 Sugar by half campaign
1:02:00 Athlete nutrition
1:06:00 Best Advice – Just eat real food
1:07:00 Physical Challenge: 20 push up challenge
1:08:20 Purchase a copy of the book
1:15:42 Finish

Monthly Blog - June 2018

What’s in this month’s blog…….

  • What have I been up to
  • A Fat Lot of Good update
  • Book of the Month – What the Fast
  • Website of the Month – Ditch the Carbs
  • Movie of the Month – The Magic Pill
  • Food of the Month – Greek yoghurt
  • Research Paper of the Month – The Virta story
  • My story – Cheryl Smith

What have I been up to

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It’s been another busy month on the road

First stop was Sydney for the Low Carb Down Under Sydney show run by doctors Doron Sher and Paul Mason. Great line up of speakers, packed house at Sydney Uni and a great dinner afterwards.  

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Always a joy catching up with Gary Fettke and Maryanne Demasi. Sold lots of books too.

Next was another trip to Sydney to have lunch with Sami Inkinen. A long way to go for lunch you might say, but Sami is pretty special. Click this link to have a read of this article from Forbes.

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Sami is a hugely successful entrepreneur businessman (Trulia.com), a world champion ironman triathlete, and the star of the movie Cereal Killers 2 in which he and his wife Meredith rowed a boat from San Francisco to Hawaii in record time on a low carb high fat diet. Here is the Cereal Killers 2 trailer. Worth watching the whole thing if you haven’t already.

Sami’s current project is Virta Health which is a online program to reverse Type 2 diabetes without the use of medications by focusing on diet and lifestyle.

Low carb pioneers Steve Phinney and Jeff Volek (pictured) are involved as well as Sarah Hallberg who has an outstanding TED talk with 3.4M viewers here.

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 Karim Khan and I with Jeff Volek

Virta has been going for a couple of years now and initial results are very impressive. The Virta studies are highlighted in this month’s medical journal articles later in this blog.

Then it was on to Europe.

I have been to hundreds of conferences in my medical career, but I have never experienced anything like what I witnessed at the Public Health Collaboration conference in London recently.

Professor Tim Noakes, the South African who has, more than anyone else, influenced people around the word to abandon the low fat way of eating and adopt a low carb healthy fat lifestyle, or as the South Africans call it, the Banting Diet was one of the invited speakers a the conference. For the past couple of years Tim has been involved in a ‘trial’ after he was accused of giving misleading advice over twitter some years ago. He has been the subject of a bitter, nasty campaign to discredit him led by the dietitians and certain medical practitioners in South Africa. Tim was found ‘not guilty’ at his trial, but the prosecution appealed the verdict. The appeal was held in February this year and at the time of the conference we were still awaiting the result.

I gave the opening address of the conference held at the Royal College of general Practitioners in London and was asked to give a “State of the Nation’ address updating the audience on what had been happening in the low carb world in th previous 12 months. I presented the more important research papers that had been published since the 2017 meeting and then concluded by saying how fortunate we were to have a number of low carb ‘heroes’ speaking at the meeting including Sam Feltham, Zoe Harcombe, Aseem Malhotra and David Unwin. Then when I spoke abut our ‘superhero Tim Noakes’ the audience as one stood up and gave him a standing ovation. Amazing!

Tim gave his keynote address on Sunday morning and took the audience on his journey of the last few years. It was a dramatic, emotional story and he had the audience spellbound for over an hour. The Liverpool born and bred Professor finished his talk by playing the Liverpool football cub anthem ‘You’ll Never Walk Alone’ which was an appropriate theme for his struggles. As you can see from this brief video excerpt, for the whole three minutes of the song, the audience gave Tim a standing ovation. It was incredibly emotional and I doubt there was a dry eye in the house. Have a listen. I have never witnessed anything like it at a conference.

Tim was responsible for getting me started on my low carb journey and this is what I say in the ‘My story’ section of the book ….

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Soon after that birthday, I read something from my old friend and colleague Professor Tim Noakes, who is generally considered to be the pre-eminent sports scientist in the world. Tim had started advocating a low-carb diet without the usual restrictions on fat. He was on this diet himself with dramatic results, and was encouraging others, including athletes, to adopt it too. Tim is a lateral thinker who constantly challenges the orthodoxies of sports science. He wrote Lore of Running, a massive tome that’s essential reading for any serious runner or sports scientist, and has fascinating thoughts on a whole range of topics (including cricket and Bradman’s backlift!). So when Tim Noakes comes out and states categorically that everything we believe about diet, obesity and heart disease is wrong, we all need to sit up and take notice. 

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But surely, I thought, the medical, nutrition and sports science community could not have been so far off the mark for all these years in advocating a diet low in saturated fat (to prevent heart disease) and high in complex carbohydrates (to fuel exercise). And yet that’s exactly what Noakes was saying. He even apologised for advocating a high-carb diet in Lore of Running – no doubt he will change that for the next edition.

Tim’s conversion certainly got me thinking. I wanted to find out more.

And here we are with a certain book …..

Some of the heroes are shown here – Aseem Malhotra, Zoe Harcombe and David Unwin. David’s wife Jenny is trying to work the camera and my friend Karim Khan, the editor of the British Journal of Sports Medicine has photobombed in!

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And then just last week, the verdict of the Tim Noakes appeal hearing was finally announced and Tim was completely exonerated (again). Here are two excellent descriptions of the whole saga, the first from Tim’s co-author in the Lore of Nutrition, Marika Sboros and the other from Nina Teicholz – both worth a read.

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After the London conference Diana and I had a week until the next gig in Barcelona, so we headed to Spain and the Basque country. First stop was Bilbao home of the magnificent Guggenheim Museum

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The area is famous for its food and wine and we got into the local version of tapas the pintxos – going from bar to bar and tasting the delicacies laid out on the bars.

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From Bilbao it was a short train trip to San Sebastian a lovely old town also full of interesting bars and restaurants. Unfortunately it rained most of the time which restricted our moving around during the day but not our dining at night. Also got to watch the Champions League final in a bar full of fellow noisy Liverpool supporters – they don’t like Real Madrid in that part of Spain. Wrong result regrettably but a great atmosphere. It was good to see my grandson Teddy was up early at home to watch it as well in his Liverpool onesie!

Next we spent a few days in a small clifftop village called Alquezar, halfway between San Sebastian and Barcelona. Spectacular place with some great walks along the flooded river.

Then to Barcelona wearing my sports medicine hat for the Football Medicine conference, 3000 delegates from 90 odd countries coming together at the  magnificent Camp Nou stadium home of the famous Barcelona Football club.

Our sports medicine textbook is always popular at these conferences and Karim and I spent lots of time signing copies and having photos.

Then it was time to go home and enjoy some time in Melbourne before heading back to Europe in July.

Now I don’t want you to think I am at home twiddling my thumbs. The weekend after returning from Europe I was keynote speaker at the Massage and Myotherapy conference on the Gold Coast.  Spoke about nutrition up there as well, as massage therapists can play a very influential role in improving their clients’ health. I also had the chance to speak to a group of GPs at a Primary Health Care clinic in Werribee, a suburb in Melbourne’s west.

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 A Fat Lot of Good

My book has been out for a few weeks now and seems to be selling well. The publishers have already ordered a reprint so I guess that is a good sign. I have been signing books at various bookshops around the country and it has been pretty prominent in most of them.

I even snuck into the top ten best sellers section ….. and then two weeks later up to No 8 !!

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Have continued to do plenty of media appearances the latest being on ABC radio Melbourne with the brilliant Lindy Burns. The station received a massive response to posting the interview on Facebook and Lindy has changed her eating habits as well and tells me she is loving it.

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Bumped into a familiar face at Sydney airport - 

Usman has been on a healthy real food diet for the past six years.

A number of people have been enquiring how best to obtain a copy of the book if you are out of Australia. The best way is to go on to the Book Depository website and order through there. They offer free postage.

BOOK REVIEWS

Book reviews for A Fat Lot of Goo dare starting to roll in. Here is one from  Brisbane. It starts like this ….

A Fat Lot of Good by Dr Peter Brukner will be essential reading if you want to learn about the low carb and healthy fat (LCHF) diet that is starting to overtake the paleo diet:

Read it in full here

And Bondi Beauty likes it too …

BOOK OF THE MONTH - WHAT THE FAST

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A couple of years ago Auckland Professor of Public Health Grant Schofield along with dietitian Caryn Zinn and chef Craig Rodger put out an excellent book about low carb eating called What the Fat. It is one of my favourites.

Well they have done it again. This time a similar book about fasting called, very cleverly, What the Fast.

Both these books are a nice mix of science and recipes.

 

WEBSITE OF THE MONTH - DITCH THE CARBS

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    That’s Libby next to the copy of  A Fat Lot of Good  with Grant Schofield behind us.

That’s Libby next to the copy of A Fat Lot of Good with Grant Schofield behind us.

Libby Jenkinson is a pharmacist and mother of three who had always struggled with her weight until she discovered LCHF eating. She started a small website as a part time hobby three years ago and it has been a huge success – 1 million visits a month. That Iis a mind boggling figure. It really is a fantastic site.

If you are a parent struggling to think of good ideas for your childrens’ meals then this is the site for you.

https://www.ditchthecarbs.com

FILM OF THE MONTH - THE MAGIC PILL

Pete Evans doco/movie The Magic Pill has certainly been in the headlines recently.

Here is a trailer

The newly elected President of the AMA (Australian Medical Association) Dr Tony Bartone even wanted Netflix to remove the movie saying “Netflix should do the responsible thing. They shouldn’t screen it. The risk of misinformation … is too great.”

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Well I think the movie is great. It is entertaining, informative and sends the right message. I suspect Dr Bartone has not actually watched the movie – if he had, he would have been impressed. There are a lot of people who love to criticize Pete Evans, but as far as what food we should be eating, he is pretty much spot on.

It is interesting that doctors and dietitians don’t like anyone else commenting on food health issues. Medical arrogance I call it. Most doctors know absolutely nothing about nutrition – if they did they would not have gone along with the food and pharmaceutical industries’ promotion of a low fat diet for the past 40 years – a diet which has had disastrous consequences for us all.

Make up your own mind – have a look at The Magic Pill on Netflix.

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FOOD OF THE MONTH - GREEK YOGHURT

I love Greek yoghurt. I have it most days, often with my mixture of nuts and seeds along with some berries. A great morning meal.

A year or two ago it was hard to find a full fat Greek yoghurt in the crowded yoghurt section of your supermarket – all the yoghurts were low fat and many of them were ‘fruit yoghurts’ – all of which have high levels of sugar. But recently there seems to have been increased demand for full fat Greek yoghurts and they are not so hard to find. Make sure you get a full fat Greek yoghurt not a low fat or ‘lite’.

What do I look for in a Greek yoghurt? Well once I am satisfied that they are full fat, I check that there is no added sugar – the sugar content should be no higher than 5 or 6 grams per 100 mls which is the amount of natural sugar (lactose). Anything more than that probably has some form of added sugar. I also look for flavor and texture.

Choice recently published a good review of Greek yoghurts and tested 23 different ones. Here is the link to the Choice article with a spreadsheet comparing nutrient values.

https://www.choice.com.au/food-and-drink/dairy/yoghurt-and-ice-cream/articles/greek-yoghurt

They ranked three yoghurts highest for taste - Coles Greek Style Natural Yoghurt, Farmers Union Greek Style All Natural Yogurt, and Tamar Valley Greek Style All Natural Yoghurt. I tend to agree. I mainly use Tamar Valley but I am more than happy with the other two choices. My wife is a big fan of the Farmers Union brand.

RESEARCH PAPER OF THE MONTH

Earlier in this blog I mentioned meeting up with Sami Inkinen the founder of Virta Health. Virta which is an online program to reverse Type 2 diabetes has recently published its first 12 month results and they are worth a close look.

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As you can see they have pretty impressive reductions in all these parameters – weight, diabetes control, insulin resistance, use of medications etc.

Here is their weight data and unlike most weight loss programs this one seems sustainable

MY STORY

Each month I intend to publish as story from one of my readers, so please send us your stories. They are inspirational. 

CHERYL SMITH - My keto journey so far...

I have struggled with my weight as long as I can remember and have been a yo-yo dieter for most of my adult life (and yes there are very few diets I haven't tried, had a measure of short term success with and then failed). I wanted to find a way to be "healthy" but always found myself falling off the bandwagon and putting all the lost weight, and usually more, back on. 

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From my mid to late teens onwards I had issues with abdominal weight, irritable bowel, irregular menstrual cycle, hair loss, depression and yet was never thoroughly investigated.

A series of events after moving to Australia led to me being diagnosed with Autoimmune hypothyroidism, insulin resistance, non alcoholic fatty liver disease and PCOS.

I knew my lifestyle was the main problem but felt powerless to consistently change my way of living, instead giving in to huge carb cravings and feeding what had become an incessant appetite. In addition to the above issues I increasingly experienced bloating, fatigue and physical pain in my joints and back.

As a health care professional I was all too aware of where this road was taking me and I was becoming desperate to change direction. 

Fast forward to January of this year, I was the heaviest I'd ever been at 100kg and my blood tests weren't painting a pretty picture; they were a bit of a slap in the face to be honest- definitely a wake-up call!!!

I decided to go back (yes this was my 2nd attempt) on a ketogenic way of eating. 

Just after that decision I came across exogenous ketones and decided to use them to help the transition my way into ketosis. I love the keto way of eating, after all what's not to love about meat with creamy homemade sauces and vegetables dripping in butter!!!! So for me I've never struggled with the concept of adding the fat, reducing carbs has been my challenge.

Very quickly I noticed I wasn't feeling hungry as often so I started intermittent fasting (minimum of 16 hours in every 24) and for me that has been the most positive change. I only eat when I'm hungry and no longer because it's lunchtime or dinnertime.

What changes have I seen in the last four months? I sleep better, have more energy, the brain fog has gone, I have seen improvements in my memory and focus, I no longer have a constant background level of pain and the bloating has gone. A few weeks ago I found myself wanting to exercise!! 

And then there's the weight loss, currently sitting at a 21kg weight loss in the last 3 1/2 months. 

Have I arrived? No! But I am enjoying this new road I am travelling and the people who have joined me along the way! 

FINAL WORD

That’s it for this month. I am going to try and blog more frequently (and shorter) in future, so stay tuned. 

Peter Brukner

BRILLIANT DECEPTION BY THE BEVERAGES COUNCIL

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You have to hand it to the Australian Beverages Council. In a desperate attempt to stave off the introduction of a sugar tax, the Council today pledged a ‘voluntary reduction in total sugar in their beverages of 10% by 2020 and 20% by 2025.’

This seems at first glance like a truly noble gesture to improve the health of Australians. The reality of course is very different.

The Council is assessing any reduction in sugar by quantifying ‘aggregated sales weighted volume data’ using 2016 as a baseline. Well it so happens that sales of soft drinks in this country have declined by 7.5% in the past year so the Beverages Council will achieve its aim of a reduction in total sugar intake by its declining business – talk about making a success out of a failure – brilliant. Whoever thought of that is a genius.

They of course have no intention of reducing the sugar contents of their big sellers – Coke and Pepsi.

Instead, as a result of increasing public awareness of the dangers of excess sugar intake with campaigns such as SugarByHalf, I Quit Sugar etc, sales of soft drinks are steadily declining especially in higher socio-economic areas. These are largely being replaced by increased bottled water sales and as the same companies that make the soft drinks own most of the bottled water brands, the net economic impact on these big multinationals is minimal.

The saddest thing about today’s announcement was the pathetic endorsement by Australia’s (Ill) Health Minister Greg Hunt who has also been conned by the Beverages Industry, continuing the government’s subservience to the food and drink industry who have blocked all attempts to improve the health of Australians.

Depressing.

Australia's Obesity Crisis

The Australian Institute of Health and Welfare today released its Australia’s Health 2018 paper. As always it is full of fascinating information, but I want to focus on the most disturbing aspect of the whole report – Australia’s massive obesity problem.

Here are some of the high(low)lights contained in the report:

·      Australia’s measured obesity rate now ranks fifth among Organisation for Economic Co-Operation and Development (OECD) countries

·      Over the past two decades, the proportion of Australians with a healthy body weight has decreased, and the proportion who are obese has increased.

·      The rate of severe obesity (BMI >35) has almost doubled between 1995 and 2014/15

Before we go any further, just a brief reminder of how obesity is classified. The most popular method of classifying obesity is by your Body Mass Index or BMI which is calculated by 

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Here are the categories of obesity:

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Based on measured BMI, in 2014–15:

  • almost two-thirds (63%) of Australians aged 18 and over were overweight or obese (36% overweight but not obese, and 28% obese)
  • overall, men (71%) had higher rates of overweight and obesity than women (56%). A greater proportion of men (42%) than women (29%) were overweight but not obese, while a similar proportion of men (28%) and women (27%) were obese
  • men were most likely to be overweight but not obese at age 35–44 (48%), and to be obese at age 65–74 (38%). Women were most likely to be overweight but not obese at age 75–84 (41%), and obese at age 55–64 (35%) (Figure 4.10.1). 

Children (in 2014–15)

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·      one in 5 (20%) children aged 2–4 were overweight or obese—11% were overweight but not obese, and 8.7% were obese (ABS 2015)

·      more than 1 in 4 (28%) children and young people aged 5–17 were overweight or obese—20% were overweight but not obese, and 7.4% were obese

·      for both children and young people aged 2–4 and 5–17, similar proportions of boys and girls were obese

·      boys were most likely to be overweight but not obese at age 16–17 (29%), while this was most likely for girls at age 8–11 (21%). The highest prevalence of obesity was at age 16–17 for boys (8.2%) and age 5–7 for girls (12%) (Figure 4.10.2)

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