Episode 5

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0:00:02 > 0:00:04Millions of us will have made drastic changes to what we eat

0:00:04 > 0:00:06because we have been told it will do us some good.

0:00:06 > 0:00:09But some of what is recommended can be very controversial.

0:00:09 > 0:00:11So today we will be investigating the quick fix fads that could be

0:00:11 > 0:00:14doing us more harm than good.

0:00:18 > 0:00:21Every day we are bombarded with conflicting information about our

0:00:21 > 0:00:22favourite foods.

0:00:24 > 0:00:26One minute we are told something is good for us,

0:00:26 > 0:00:30the next it's not and we're left feeling guilty about what we're eating.

0:00:33 > 0:00:37We've been wading through the confusion to separate the scare stories from

0:00:37 > 0:00:41the truth so you can choose your food with confidence.

0:00:49 > 0:00:52Hello and welcome to Food: Truth Or Scare,

0:00:52 > 0:00:54where we go behind some of these big,

0:00:54 > 0:00:58bold headlines to tell you whether what you can eat really can transform

0:00:58 > 0:01:01your health or even, as in the case of one of today's films,

0:01:01 > 0:01:04just keep you from reaching for another biscuit.

0:01:04 > 0:01:07But what the papers don't always tell us is that lurking behind some of

0:01:07 > 0:01:11those reports is advice that could have a long-term impact on your health

0:01:11 > 0:01:15and if some of the critics are to be believed, could even be dangerous.

0:01:15 > 0:01:19So if you want to know the truth about the foods and diets that the papers

0:01:19 > 0:01:22just can't seem to make their minds up about,

0:01:22 > 0:01:25then you are absolutely in the right place because we have everything you

0:01:25 > 0:01:26need to know.

0:01:28 > 0:01:31Coming up... Will completely cutting out certain foods from your diet

0:01:31 > 0:01:35do you any good or could it be a food fad too far?

0:01:36 > 0:01:40I just read in a clean eating book recently that a lettuce leaf makes a

0:01:40 > 0:01:42great substitute for bread.

0:01:42 > 0:01:46And the headlines that question everything we thought we knew about fat.

0:01:46 > 0:01:51Could it really be true that all we've been told about eating too much is wrong?

0:01:51 > 0:01:54The report is actually quite misleading and actually that could

0:01:54 > 0:01:58have quite damaging and detrimental effects on public health.

0:02:03 > 0:02:06Chris, this first film was something that in a way you and I come from

0:02:06 > 0:02:09different sides, different points of view really.

0:02:09 > 0:02:12We certainly do. Did you know that up to two thirds of people have

0:02:12 > 0:02:16considered cutting out entire food groups from their diet because they

0:02:16 > 0:02:19think it will be good for them? That is more often than not dairy and

0:02:19 > 0:02:22gluten, which my wife, who is a coeliac, cannot have at all.

0:02:22 > 0:02:25But you have had to do something similar, haven't you?

0:02:25 > 0:02:27I did. I actually quite by accident found out that I was classified as

0:02:27 > 0:02:34prediabetic and so I was advised by this top doctor that I should really

0:02:34 > 0:02:37cut out sugar, but he said you have got to cut out carbs as well.

0:02:37 > 0:02:41So by cutting out carbs as well as sugar it meant that I avoided being

0:02:41 > 0:02:44a type 2 diabetic and I lost 2st in weight.

0:02:44 > 0:02:45Well, that's absolutely fine.

0:02:45 > 0:02:49It's one thing cutting something out on clear medical advice and it's

0:02:49 > 0:02:53quite another to do it for lifestyle reasons, and however popular cutting

0:02:53 > 0:02:56out entire food groups seems to be in headlines like this one,

0:02:56 > 0:02:57some reports say

0:02:57 > 0:03:01it might not actually be that good for us after all.

0:03:01 > 0:03:05So I set out whether to see whether exclusion diets are a short cut to good

0:03:05 > 0:03:09health or a short-lived fad that could lead to long-term problems.

0:03:11 > 0:03:14For years the papers have loved to tell us how to eat better,

0:03:14 > 0:03:18but it seems the days of just cutting down on the bad things are long gone.

0:03:18 > 0:03:22Now we are being told to cut some foods out of our diets altogether.

0:03:22 > 0:03:26Whether it's dropping gluten, wheat, dairy, sugar or carbs,

0:03:26 > 0:03:30we are told that so-called exclusion diets can apparently do everything

0:03:30 > 0:03:32from help you to lose weight,

0:03:32 > 0:03:36boost your energy, and even protect against conditions like diabetes.

0:03:36 > 0:03:40But the same papers that appear to love them aren't shy about giving them

0:03:40 > 0:03:41a bashing too.

0:03:43 > 0:03:46And I have to say it's going to take quite a lot to convince me that these

0:03:46 > 0:03:50diets are a good idea because I've got personal experience of what it's

0:03:50 > 0:03:53like for someone who has no choice but to avoid gluten.

0:03:54 > 0:03:56Now, my wife is a coeliac,

0:03:56 > 0:03:59so I know how hard it is when you are trying to cut out certain food

0:03:59 > 0:04:03groups. Why anyone would want to do it voluntarily is beyond me.

0:04:03 > 0:04:07But Rebecca Hudson from Woking thinks she has got plenty of reasons to

0:04:07 > 0:04:09exclude gluten from her diet too.

0:04:10 > 0:04:15I can get quite bloated sometimes and I get quite tired and lethargic and

0:04:15 > 0:04:17I can get like a few outbreaks of spots and things.

0:04:17 > 0:04:22I've decided to give up gluten because I think it would be interesting to

0:04:22 > 0:04:24see if some of my symptoms go.

0:04:26 > 0:04:30From what she's read Rebecca thinks going gluten free really could help,

0:04:30 > 0:04:32so she is going to try it for a month.

0:04:32 > 0:04:34And for a bit of moral support

0:04:34 > 0:04:39she is calling on her boyfriend and school sports coach, John, who will

0:04:39 > 0:04:41be trying out an exclusion diet too.

0:04:41 > 0:04:44He will be giving up dairy for a month because he wants to cut down his

0:04:44 > 0:04:46body fat and improve how he feels.

0:04:49 > 0:04:52Recently just reading newspapers I read that some people do it to clean

0:04:52 > 0:04:55out their body and say, "Right, let's try something else."

0:04:55 > 0:04:57That's what I believe, but it could be completely wrong.

0:05:00 > 0:05:03Before they have to give up any of the foods they love

0:05:03 > 0:05:09the couple have invited Rebecca's twin sister Natasha around for a last supper.

0:05:09 > 0:05:13So, who do you think is going to find it harder out of the two of you?

0:05:14 > 0:05:16- John.- Yeah, I think John.

0:05:18 > 0:05:21Rebecca and John aren't alone in trying something like this.

0:05:21 > 0:05:25In fact, it's been estimated that four in ten of us are now following

0:05:25 > 0:05:26a specialist diet

0:05:26 > 0:05:30and that includes those who have cut entire food groups to help lose

0:05:30 > 0:05:32weight or even make them feel better.

0:05:34 > 0:05:37But dietician Dimple Thakrar thinks it is a food fad that could actually

0:05:37 > 0:05:39be dangerous for our health.

0:05:40 > 0:05:45So, people are choosing to cut dairy or gluten.

0:05:45 > 0:05:48- Yeah.- Why are you not recommending people do this?

0:05:48 > 0:05:51OK, so for example gluten.

0:05:51 > 0:05:55Gluten is contained in wheat and bread.

0:05:55 > 0:06:00If we remove those foods from our diet and not replacing them,

0:06:00 > 0:06:05we are actually removing a really good source of starch carbohydrates.

0:06:05 > 0:06:07You're reducing your energy intake.

0:06:07 > 0:06:12A good source of B vitamins, of iron, of calcium.

0:06:12 > 0:06:17Dairy, again, a good source of protein, a good source of calcium.

0:06:17 > 0:06:20So, again, removing those you could become deficient in them.

0:06:20 > 0:06:24'The potential side effects could be so serious that the British Dietetic

0:06:24 > 0:06:28'Association says that anyone wanting to do an exclusion diet should seek

0:06:28 > 0:06:30'professional advice first.'

0:06:31 > 0:06:37Unless you've been tested and diagnosed by a medical professional and then

0:06:37 > 0:06:43supported with a dietician, we wouldn't recommend exclusion diets.

0:06:43 > 0:06:47However, if you choose to do that for lifestyle reasons,

0:06:47 > 0:06:53it is really important that you seek the support of a dietician.

0:06:53 > 0:06:56While Dimple takes a dim view of exclusion diets,

0:06:56 > 0:06:58other experts are less critical.

0:06:58 > 0:07:03Nutritionist Yvonne Bishop-Weston says some of her clients do say they

0:07:03 > 0:07:06feel better after excluding certain foods,

0:07:06 > 0:07:09so we asked her to help Rebecca and John through their month-long

0:07:09 > 0:07:14experiment. She is paying the couple and Natasha a visit for a pre-diet checkup.

0:07:14 > 0:07:16So, how has dinner been going?

0:07:16 > 0:07:19To see whether the diets do have the positive effects that Rebecca and

0:07:19 > 0:07:23John are hoping, Yvonne is getting them to rate out of ten how

0:07:23 > 0:07:26they feel now, and she will do the same at the end of the experiment.

0:07:27 > 0:07:31First, marks for how tired they feel, with one being not at all and ten

0:07:31 > 0:07:33being exhausted.

0:07:33 > 0:07:36Are you able to give that a number?

0:07:36 > 0:07:38- Four.- Thank you. What about you?

0:07:38 > 0:07:41When it gets to mid morning I'm like, "I'm really tired".

0:07:41 > 0:07:44And if I'm here I really want a nap and sometimes I do.

0:07:44 > 0:07:47So Rebecca gives her tiredness levels as seven,

0:07:47 > 0:07:51but both she and John say their biggest concern is with their digestion.

0:07:52 > 0:07:55Rebecca, what would you say are your key digestive symptoms?

0:07:55 > 0:07:57Sometimes I can just get quite bloated.

0:07:57 > 0:08:00Sometimes I go to bed and I'll be like, "I feel really full".

0:08:00 > 0:08:03What about you, John? There were a few things that you marked down

0:08:03 > 0:08:06on your digestive system. Now, this is not a competition.

0:08:06 > 0:08:08- I know.- You don't have to beat her numbers.

0:08:08 > 0:08:09It is a competition.

0:08:09 > 0:08:11THEY LAUGH

0:08:11 > 0:08:16Rebecca gives herself a six for bloatedness and John gives himself a seven.

0:08:16 > 0:08:19He also rates his digestive troubles a three,

0:08:19 > 0:08:21but Rebecca has other ideas.

0:08:23 > 0:08:24- That is...- Gassy.

0:08:24 > 0:08:27LAUGHTER

0:08:27 > 0:08:31Should we ask? Should we put gas, as reported by Rebecca?

0:08:31 > 0:08:34It's bad, it's like a seven.

0:08:34 > 0:08:38John's greatest hope for the diet is that he will lose some body fat.

0:08:38 > 0:08:4083.4.

0:08:40 > 0:08:42So Yvonne takes a whole range of other measurements...

0:08:44 > 0:08:45Suck in.

0:08:47 > 0:08:50So, I've got some food diaries here for you.

0:08:50 > 0:08:51..before leaving them,

0:08:51 > 0:08:55ready to start their month-long diets the next morning.

0:08:55 > 0:08:58It will be really interesting to come back to these scores,

0:08:58 > 0:09:02- back to these symptoms, in a month's time, and see if we've found any changes.- Yeah, excited.

0:09:02 > 0:09:06Yvonne will keep an eye on the couple's diets over the next

0:09:06 > 0:09:10month and is optimistic they could both feel healthier.

0:09:11 > 0:09:16I am expecting if gluten is an issue for Rebecca to see a change in her

0:09:16 > 0:09:20waist. Not her level of body fat, but her level of bloating.

0:09:20 > 0:09:22I think with John it's going to be harder to work out whether it's made

0:09:22 > 0:09:25a difference or not. He is interested in looking at a change in body fat

0:09:25 > 0:09:28percentage, but his body fat percentage is already really good.

0:09:28 > 0:09:32Yvonne will be back in four weeks' time to see how they got on.

0:09:32 > 0:09:36But according to some headlines Rebecca and John could end up less healthy,

0:09:36 > 0:09:40depending on the foods they choose to replace all that gluten and dairy

0:09:40 > 0:09:42they would otherwise be eating.

0:09:42 > 0:09:44For someone with coeliac disease, like my wife,

0:09:44 > 0:09:47there is no option but to go gluten free.

0:09:47 > 0:09:50But while only one in every 100 people are coeliac,

0:09:50 > 0:09:55one in five have bought or eaten gluten-free products and they have done it

0:09:55 > 0:09:59mainly because they believe that gluten may be bad for them,

0:09:59 > 0:10:00'and though that means more choice,

0:10:00 > 0:10:05'dietician Dimple Thakrar says not everything available will be as healthy

0:10:05 > 0:10:06'as it might appear.'

0:10:06 > 0:10:10- So, my wife's a coeliac, so she can't eat gluten.- Yeah.

0:10:10 > 0:10:15I've noticed that the "free from" range of products available has grown

0:10:15 > 0:10:19- exponentially.- Yes.- How do you think they stack up?

0:10:19 > 0:10:21If we look at the fat content,

0:10:21 > 0:10:24there's probably two to three times more fat in the gluten-free bread

0:10:24 > 0:10:28than there is in a normal slice of bread.

0:10:28 > 0:10:30- So...- So people... Some people,

0:10:30 > 0:10:34- could be cutting out gluten...- And thinking they are doing the right thing...

0:10:34 > 0:10:37Whereas actually they could be increasing their fat.

0:10:37 > 0:10:41And therefore increasing their risk of heart disease and weight gain.

0:10:42 > 0:10:43Back in Woking,

0:10:43 > 0:10:48John and Rebecca are getting to grips with the reality of their exclusion diet.

0:10:48 > 0:10:50John has cut dairy and Rebecca has cut gluten.

0:10:50 > 0:10:54But as their video diaries show, things aren't as easy as they'd hoped.

0:10:54 > 0:10:56So I'm feeling pretty annoyed today

0:10:56 > 0:10:58and it's all because of coffee shops.

0:10:58 > 0:11:01They don't really have many options

0:11:01 > 0:11:03at all available to anyone that is

0:11:03 > 0:11:05"free from".

0:11:05 > 0:11:08Pastries, butter in the sandwiches,

0:11:08 > 0:11:11just dairy in everything.

0:11:11 > 0:11:14I went to a cafe with some friends we all got

0:11:14 > 0:11:15bacon rolls. My little

0:11:15 > 0:11:21gluten-free roll was half the size and I had to pay more for it.

0:11:21 > 0:11:22Blooming ridiculous.

0:11:22 > 0:11:25I did have to steal a few tomatoes off the cocktail sticks and a few

0:11:25 > 0:11:27lettuce leaves. But that was that it.

0:11:27 > 0:11:28I kind of felt a bit like a rabbit.

0:11:28 > 0:11:32Well, later in the programme we'll see if things got any easier for John

0:11:32 > 0:11:34and Rebecca and if, after a month,

0:11:34 > 0:11:39their exclusion diets have made any difference whatsoever to how they feel.

0:11:46 > 0:11:49Now, excluding whole food groups from your diet is one way that lots of

0:11:49 > 0:11:51people are choosing to lose weight.

0:11:51 > 0:11:55But if that's a bit extreme and you'd prefer just to cut down,

0:11:55 > 0:11:58rather than cutting something out completely then you might go for one of

0:11:58 > 0:12:00the more tried and tested ways to lose weight.

0:12:00 > 0:12:03So, for example, Chris, if you decide to lose weight,

0:12:03 > 0:12:05not that you need to, of course, how would you choose to do it?

0:12:07 > 0:12:08Oh, I don't know. Low fat foods, I suppose.

0:12:08 > 0:12:11- Why low-fat?- Low-fat foods help you lose weight, don't they?

0:12:12 > 0:12:15You see, that's what we've always been told,

0:12:15 > 0:12:19but I've been on the trail of the story that said exactly the opposite

0:12:19 > 0:12:22and told us to forget everything we thought we knew about weight loss.

0:12:25 > 0:12:29For decades fat, particularly saturated fat,

0:12:29 > 0:12:31has been public health enemy number one,

0:12:31 > 0:12:33as indeed so many of us are aware.

0:12:33 > 0:12:38It's going to clog your arteries up sooner or later if you keep eating saturated fat.

0:12:38 > 0:12:42Well, every time I've joined Weight Watchers I've been told to eat less

0:12:42 > 0:12:43saturated fat.

0:12:43 > 0:12:46Saturated fats, you have to get them in there because it's part of your

0:12:46 > 0:12:48diet, but too much I don't think would be right for you.

0:12:50 > 0:12:53We've reported on the confusion around the role of saturated fat

0:12:53 > 0:12:56in our diet before. But last spring,

0:12:56 > 0:13:00it looked like decades of official advice had been overturned when a

0:13:00 > 0:13:02raft of new headlines suddenly announced that,

0:13:02 > 0:13:06far from being the enemy we'd long been told it was,

0:13:06 > 0:13:10that fat could be a friend for anyone trying to slim down.

0:13:10 > 0:13:14Unsurprisingly, such a unexpected and controversial message

0:13:14 > 0:13:16made a very big splash in the papers.

0:13:16 > 0:13:21Now, many, many newspapers reported roughly the same thing.

0:13:21 > 0:13:23They had rather similar headlines,

0:13:23 > 0:13:28and all of them saying that this particular study or report says that all of

0:13:28 > 0:13:32the traditional views we have had of trying to lose weight in the past are wrong,

0:13:32 > 0:13:36and what we should be doing instead of swapping high-fat foods for

0:13:36 > 0:13:39low-fat foods, it should be the other way round.

0:13:39 > 0:13:44We should be eating a lot of high-fat foods, even saturated fats.

0:13:46 > 0:13:48Now, while it might sound extraordinary,

0:13:48 > 0:13:51the report the headlines were based on came from some members of the

0:13:51 > 0:13:54health charity the National Obesity Forum.

0:13:54 > 0:13:58And it said the Government's advice to reduce the amount of saturated fat

0:13:58 > 0:14:02we eat to help control our weight and avoid conditions like heart disease

0:14:02 > 0:14:03was wrong.

0:14:05 > 0:14:07It's such a big sort of wide subject, isn't it?

0:14:08 > 0:14:11Trudi Deakin is one of the authors of the report.

0:14:11 > 0:14:15She says when the nation turned to low-fat foods we replaced the fat with

0:14:15 > 0:14:19carbohydrates and sugar and, as far as she is concerned,

0:14:19 > 0:14:23far from helping us to lose weight that's contributed to the highest levels

0:14:23 > 0:14:24of obesity ever.

0:14:27 > 0:14:29So, Trudi, practically as far as I can remember back,

0:14:29 > 0:14:34the message has always been no fat, low fat, light everything.

0:14:34 > 0:14:37We live in a fat-phobic nation, don't we?

0:14:37 > 0:14:41And the science came out in the 1950s and 1960s

0:14:41 > 0:14:43and it was bad science,

0:14:43 > 0:14:49unfortunately. And at that time there was not one clinical trial

0:14:49 > 0:14:54that showed that reducing total fat

0:14:54 > 0:14:56and reducing saturated fat in the diet

0:14:56 > 0:14:59would improve health outcomes at all.

0:15:00 > 0:15:03While Trudi might consider it bad science,

0:15:03 > 0:15:06those studies were the basis for the Government's first official

0:15:06 > 0:15:10guidelines for what we should eat, published in 1983.

0:15:10 > 0:15:15But Trudi doesn't think they've had the intended effect on the nation's health.

0:15:15 > 0:15:20When the dietary guidelines were published in 1983,

0:15:20 > 0:15:24then the prevalence of diabetes was 1.4%, it's now 6%.

0:15:24 > 0:15:31- Wow.- Prevalence of obesity was 6% - 8%, it is now 25%.

0:15:31 > 0:15:34- That's scary, isn't it? - So two thirds of the population were overweight.

0:15:34 > 0:15:38So people don't get up in the morning and say,

0:15:38 > 0:15:42"I want to get fat," but they are following the guidelines and they're

0:15:42 > 0:15:46having a low-fat, high carbohydrate diet and it's not working.

0:15:46 > 0:15:49Eating fat doesn't make you fat.

0:15:49 > 0:15:54'Instead, Trudi says it's a combination of carbohydrates and processed fats

0:15:54 > 0:15:55'that lead to obesity.'

0:15:56 > 0:15:59So, where do you stand on what's good fat and what's really bad fat?

0:15:59 > 0:16:02The healthy fats are the natural fats.

0:16:02 > 0:16:07So avoid the fake foods, avoid the junk foods, avoid the processed foods,

0:16:07 > 0:16:10let's kind of base our meals on real foods.

0:16:10 > 0:16:13Oily fish, butter, lard.

0:16:13 > 0:16:16If you turn around and look at the ingredients of butter,

0:16:16 > 0:16:18you will see buttermilk.

0:16:18 > 0:16:22If you pick up a low-fat spread and look at the ingredients,

0:16:22 > 0:16:24how long are they? I mean, they're really long,

0:16:24 > 0:16:27full of processed and artificial ingredients.

0:16:27 > 0:16:30'And while I can see that that makes sense,'

0:16:30 > 0:16:35I worry that headlines declaring that fat is good go against everything we've

0:16:35 > 0:16:38been told, not least because four years ago my husband, Stephen,

0:16:38 > 0:16:40had a small heart attack,

0:16:40 > 0:16:43and most experts would agree that saturated fat

0:16:43 > 0:16:45is one of the causes of heart disease.

0:16:45 > 0:16:48'But Trudi stands by her report.'

0:16:48 > 0:16:51I don't mean this unkindly, but are you right?

0:16:51 > 0:16:52Absolutely, yes.

0:16:52 > 0:16:54I mean, the evidence is there.

0:16:54 > 0:16:59Last year a systematic review was published on this very subject and what

0:16:59 > 0:17:05they concluded is that reducing saturated fat in the diet does not reduce

0:17:05 > 0:17:10cardiovascular disease or heart attacks and does not reduce strokes and

0:17:10 > 0:17:12does not reduce diabetes diagnoses.

0:17:14 > 0:17:18'I have to say, I find some parts of Trudi's argument quite convincing'

0:17:18 > 0:17:22but I can't shake all that long-standing medical advice about

0:17:22 > 0:17:25saturated fat and its link to heart disease.

0:17:25 > 0:17:29So I can understand why, when the study hit the papers last year,

0:17:29 > 0:17:31it was met with huge criticism,

0:17:31 > 0:17:36not least from the Government body responsible for protecting the nation's health.

0:17:36 > 0:17:41'Dr Alison Tedstone is chief nutritionist for Public Health England.'

0:17:41 > 0:17:43Well, Alison, presumably you've had a look at this report.

0:17:43 > 0:17:45- Yes.- And what's your immediate reaction to it?

0:17:45 > 0:17:47Well, it's an opinion piece.

0:17:47 > 0:17:51It's setting out the opinion of individuals and they've chosen studies to

0:17:51 > 0:17:52illustrate their opinion.

0:17:52 > 0:17:55So it's not a complete assessment of the evidence.

0:17:55 > 0:17:57Do you think it's irresponsible?

0:17:57 > 0:17:59Yes, we do think it's irresponsible.

0:17:59 > 0:18:03There is evidence to show if you increase your saturated fat intake

0:18:03 > 0:18:06you increase your blood levels of cholesterol and that will increase your risk

0:18:06 > 0:18:07of having a heart attack.

0:18:07 > 0:18:10Do you subscribe to the fact that there are any good fats?

0:18:10 > 0:18:15The advice is as it is for now and that is that all saturated fats

0:18:15 > 0:18:17should be lower within the diet.

0:18:17 > 0:18:19When you're choosing dairy products, for example,

0:18:19 > 0:18:23choose lower fat dairy products, don't choose full fat,

0:18:23 > 0:18:26go for the lower fat products.

0:18:26 > 0:18:30And there are many who share Alison's concerns about the National Obesity Forum report,

0:18:30 > 0:18:34pointing to what appears to be overwhelming evidence that

0:18:34 > 0:18:37saturated fats in particular are very bad for us.

0:18:39 > 0:18:41So, the report is actually quite misleading

0:18:41 > 0:18:43and actually that could have

0:18:43 > 0:18:45quite damaging and detrimental effects on public health.

0:18:45 > 0:18:48So it's not something I would recommend.

0:18:48 > 0:18:54Many years of research and also very recent research published in November 2016

0:18:54 > 0:19:00has linked saturated fat with a higher risk of heart disease.

0:19:00 > 0:19:04'And while Trudi might say the Government's decades of nutritional advice

0:19:04 > 0:19:08'is one of the contributing factors for record levels of obesity and'

0:19:08 > 0:19:13type 2 diabetes, Charlotte believes that is unfair because very few of us

0:19:13 > 0:19:15actually follow that advice.

0:19:15 > 0:19:19I think it's important for the public to be aware that actually only about

0:19:19 > 0:19:241% of the population actually adheres to our current dietary recommendations.

0:19:24 > 0:19:29So if you look at the fact that around 60% of adults are overweight

0:19:29 > 0:19:34or obese and only 1% of people are following the dietary guidelines,

0:19:34 > 0:19:39it doesn't really make sense that they are causing overweight and obesity.

0:19:39 > 0:19:43Well, with both sides arguing their evidence is the most convincing,

0:19:43 > 0:19:47clearly this is a disagreement set to rage on and on.

0:19:47 > 0:19:51And unless the rest of us study in detail what they are really saying

0:19:51 > 0:19:55it's all too easy to latch onto just one part of the argument,

0:19:55 > 0:19:59as perhaps was the case with how the papers reacted to this particular report.

0:20:01 > 0:20:05The newspaper will take this document and it will go, "Eat fat,

0:20:05 > 0:20:07"get thin," and that's what the public look at.

0:20:07 > 0:20:09It has to start somewhere.

0:20:09 > 0:20:12It's not easy, but what else can we do?

0:20:12 > 0:20:14Ignore the evidence?

0:20:14 > 0:20:18But as far as Alison is concerned, the evidence Trudi is pointing to simply

0:20:18 > 0:20:21- doesn't stand up.- It's quite difficult.

0:20:21 > 0:20:25We could spend the whole of Public Health England's resources on talking

0:20:25 > 0:20:29about articles that come up within the press, and we do what we can,

0:20:29 > 0:20:33but we also have a job to do, to check the evidence is correct and so on

0:20:33 > 0:20:36and so forth. I think the full dietary advice has changed.

0:20:36 > 0:20:41It's very important that evidence is looked at in a rounded and consistent and

0:20:41 > 0:20:43scientific way.

0:20:43 > 0:20:48So the official advice that we should cut down on fats remains the same.

0:20:48 > 0:20:51And in the meantime, perhaps the most worrying factor in all of this is how

0:20:51 > 0:20:56easy it might be for people to take an oversimplified message from a bold headline

0:20:56 > 0:20:59claiming that you can "eat fat to get thin".

0:21:06 > 0:21:10Still to come, we'll find out if our volunteers Rebecca and John feel any

0:21:10 > 0:21:14different after a month of cutting certain foods from their diet.

0:21:15 > 0:21:17I was in a town the other day and I went to three cafes,

0:21:17 > 0:21:19and no-one could feed me.

0:21:24 > 0:21:28Now, Gloria, whatever the theory is about either healthy eating or diets,

0:21:28 > 0:21:30there's one thing that for many of us stands in the way,

0:21:30 > 0:21:32and that's our appetites, isn't it?

0:21:32 > 0:21:34We've all had those days, haven't we,

0:21:34 > 0:21:36no matter how much you eat you never quite feel full,

0:21:36 > 0:21:39and when one or two biscuits quickly becomes the packet?

0:21:39 > 0:21:41I've been there myself, I have to tell you.

0:21:41 > 0:21:44And sometimes I'm filming all day and there is no food available,

0:21:44 > 0:21:49and at times I get so hungry that I could eat the table or those papers or

0:21:49 > 0:21:51anything at all just to get something.

0:21:51 > 0:21:53If you could refrain from eating the table and papers till the

0:21:53 > 0:21:55- end of the show...- I'll do my best.

0:21:55 > 0:21:56..that would be fantastic.

0:21:56 > 0:22:01Well, Paralympian Danny Crates is another one who just can't say no when

0:22:01 > 0:22:02it comes to certain foods,

0:22:02 > 0:22:06so we sent Danny to see if he could find an off switch for his appetite.

0:22:10 > 0:22:12'This is one of my favourite rooms in the house.

0:22:12 > 0:22:17'I'm always cooking, snacking and nibbling on something as I cook.'

0:22:17 > 0:22:18Just testing!

0:22:18 > 0:22:22'All my life I've had what you might call a big appetite.

0:22:22 > 0:22:25'As a kid, I used to steal whole packets of biscuits from the kitchen

0:22:25 > 0:22:28'cupboards, and these days, when I finish my dinner,

0:22:28 > 0:22:31'I'll hoover up anything left on the kids' plates.'

0:22:32 > 0:22:34- Do you know what?- What?

0:22:34 > 0:22:37Because I only had a little bowl I might have to have a little bit more.

0:22:37 > 0:22:41'I have a constant appetite, and it doesn't go unnoticed in my house.'

0:22:41 > 0:22:46At night-time he sneaks in some cheese and crackers

0:22:46 > 0:22:48and oranges, but we know - whenever we come down,

0:22:48 > 0:22:51he leaves it all over the floor.

0:22:52 > 0:22:54- Hello!- Just a little bit extra.

0:22:56 > 0:22:59'I want to know what controls my appetite and whether anything is going to

0:22:59 > 0:23:02'stop me finishing off my kids' leftovers,

0:23:02 > 0:23:04'because even when I'm full I just keep on going.'

0:23:07 > 0:23:11For me, just like my boys, there's some foods I can't resist,

0:23:11 > 0:23:14even when I've had a massive meal.

0:23:14 > 0:23:17I know I don't need to eat any more but I can always find a little bit of room.

0:23:17 > 0:23:21And apparently, I'm not the only one who's affected by this.

0:23:23 > 0:23:27'Last autumn, this headline hit the papers, and it confirmed everything

0:23:27 > 0:23:29'I've always suspected.

0:23:29 > 0:23:32'Even when it feels like there's no room left in our stomachs,

0:23:32 > 0:23:36'lots of us can always sneak in an extra treat.

0:23:36 > 0:23:40'The man who was behind the study being reported is Dr Bernard Corfe,

0:23:40 > 0:23:42'who says that our brains find it

0:23:42 > 0:23:45'all too tempting to override our stomachs.'

0:23:45 > 0:23:48I don't seem to ever be able to stop eating.

0:23:48 > 0:23:50Is there any reason for that?

0:23:50 > 0:23:51Appetite is only part of the equation.

0:23:51 > 0:23:55There's all sorts of overrides that come from being presented with our

0:23:55 > 0:23:58favourite foods, even the smell of food or the thought of food,

0:23:58 > 0:24:01or being in a social setting and eating together.

0:24:01 > 0:24:05If you're amongst people who are continuing to eat you will continue to

0:24:05 > 0:24:06eat, too. So there's all sorts of

0:24:06 > 0:24:08overrides that come from your environment.

0:24:08 > 0:24:11'And those overrides can be anything from how tired we're

0:24:11 > 0:24:13'feeling to how happy we are.

0:24:13 > 0:24:18'It can also be about where we are or who we're with or simply just how much we

0:24:18 > 0:24:21'love the taste of the food in front of us.

0:24:21 > 0:24:25'Bernard says willpower can help overcome those temptations.

0:24:25 > 0:24:28'But, as I know all too well, that isn't easy.'

0:24:28 > 0:24:31Obviously, some people are much better at saying no than others.

0:24:31 > 0:24:34Is there a quick fix for those that can't say no?

0:24:34 > 0:24:36There are some people who are cutter-downers,

0:24:36 > 0:24:38and there are some people who are cutter-outers.

0:24:38 > 0:24:41And I know, for me, if I open a packet of biscuits the whole lot goes,

0:24:41 > 0:24:44but I can stop myself opening the packet of biscuits in the first place.

0:24:44 > 0:24:46And so, knowing yourself,

0:24:46 > 0:24:49knowing whether you're better just to avoid getting started helps you to

0:24:49 > 0:24:53sort of get a sense of what's going to work for you as an individual.

0:24:53 > 0:24:56'But in my house, temptation is everywhere.'

0:24:56 > 0:24:59So I guess hoovering up my children's leftovers is bad?

0:24:59 > 0:25:01I've been there.

0:25:01 > 0:25:03There is definitely calories in children's leftovers.

0:25:03 > 0:25:07'So it seems that controlling my appetite's off switch is not going to be

0:25:07 > 0:25:09'as simple as I first thought.

0:25:09 > 0:25:10'But all is not lost,

0:25:10 > 0:25:14'because according to dietician Linia Patel I'm far less likely to overeat

0:25:14 > 0:25:16'after meals if I eat foods that

0:25:16 > 0:25:18'will properly fill me up in the first place.'

0:25:18 > 0:25:22We need to look at the type of foods you're eating.

0:25:22 > 0:25:24The first thing that you need to do to help you fill up,

0:25:24 > 0:25:26you need to put lots of fibre on your plate.

0:25:26 > 0:25:30So, fibre would be things like vegetables and fruit or even beans.

0:25:30 > 0:25:33So what you might do is when you cook your next Bolognese is actually chop up

0:25:33 > 0:25:37lots of carrots and celery and mushrooms and peppers and also put

0:25:37 > 0:25:41a can of beans in there, because that fills you up instantly.

0:25:41 > 0:25:42Then you need to make sure you've

0:25:42 > 0:25:45got enough protein, because that keeps you fuller for longer.

0:25:45 > 0:25:47'So to test out whether Linia's right

0:25:47 > 0:25:51'and feeling full with the right foods CAN help overcome temptation,

0:25:51 > 0:25:54'I've recruited two self-confessed big eaters,

0:25:54 > 0:25:57'Rick and Mark from Basingstoke, who, like me,

0:25:57 > 0:26:01'can't resist tucking into more than they need.'

0:26:01 > 0:26:03Crisps are a big vice for me.

0:26:03 > 0:26:07I've got a real savoury tooth, so I really, really like crisps,

0:26:07 > 0:26:09so once I start picking I usually can't stop.

0:26:09 > 0:26:14Chocolate's my vice. So that's the unhealthy side of things.

0:26:14 > 0:26:18'He's probably a bit more...he's more of a grazer with those type of things,'

0:26:18 > 0:26:20whereas I tend to sort of binge-eat crisps.

0:26:20 > 0:26:23So we sort of... complement each other like that.

0:26:25 > 0:26:28'To see if they're reaching for snacks out of habit,

0:26:28 > 0:26:32'because they can't resist temptation or because the rest of their diet

0:26:32 > 0:26:35'isn't filling them up, Linia's going to analyse what they eat,

0:26:35 > 0:26:39'and for the last week Rick and Mark have each been keeping a food diary.'

0:26:41 > 0:26:44So, Linia, the food diaries are in, Richard and Mark's.

0:26:44 > 0:26:47- Yeah.- We'll look at Richard's first. Is there anything glaringly

0:26:47 > 0:26:48obvious to you?

0:26:48 > 0:26:51Well, what's happening here is he loves his sweet stuff.

0:26:51 > 0:26:53So very much a sweet tooth.

0:26:53 > 0:26:56So a lot of the foods coming through are going to be high in sugar,

0:26:56 > 0:26:58which is not going to help him feel full.

0:26:58 > 0:27:01Actually, it's just going to make him feel even hungrier and wanting to eat more.

0:27:01 > 0:27:06Mark doesn't eat as regularly, but he seems to eat large portions.

0:27:06 > 0:27:09So obviously he's eating because he's hungry, but he's eating beyond that.

0:27:09 > 0:27:14The other thing is that Mark drinks alcohol, and what alcohol does is it

0:27:14 > 0:27:16actually gives you an additional hunger.

0:27:16 > 0:27:19So you're much more likely to, you know, give in to

0:27:19 > 0:27:23the second packet of chips or have dessert because, you know,

0:27:23 > 0:27:25you don't care as much.

0:27:27 > 0:27:30'Linia wants to help Rick and Mark stop eating when they don't need to,

0:27:30 > 0:27:34'so she's come up with a menu she thinks should do just that

0:27:34 > 0:27:36'by keeping them full all day.

0:27:36 > 0:27:39'And it starts with their own individual protein-packed breakfast,

0:27:39 > 0:27:44'which Linia says should really fill them up.'

0:27:44 > 0:27:46This is breakfast this morning.

0:27:46 > 0:27:49This is my poached eggs.

0:27:49 > 0:27:54So, breakfast is two slices of wholemeal toast and some baked beans.

0:27:55 > 0:27:59'Linia's confident these combinations of protein and fibre will have a

0:27:59 > 0:28:03'longer-lasting satisfying effect and stop Rick and Mark's usual

0:28:03 > 0:28:05'mid-morning cravings.'

0:28:05 > 0:28:08I did enjoy something different for breakfast...

0:28:09 > 0:28:13..and I do feel a bit fuller than I normally would.

0:28:13 > 0:28:14So, I ate that quite slowly.

0:28:16 > 0:28:18I am quite full, so I'm going to stop eating.

0:28:18 > 0:28:23I'm going to save my apple for my mid-morning break and see how I get on.

0:28:24 > 0:28:26'So far, so good.

0:28:26 > 0:28:28'A healthy bit of fruit for a snack,

0:28:28 > 0:28:31'and four hours later it's time for lunch.'

0:28:31 > 0:28:32So, lunch today.

0:28:32 > 0:28:34And this is for me and Rick.

0:28:34 > 0:28:36'Lunch is a veg-packed salad with avocado,

0:28:36 > 0:28:39'tomato and salad leaves mixed with

0:28:39 > 0:28:42'some dressing and topped off with salmon.'

0:28:42 > 0:28:46Lunch has arrived. It's something different to what I'd normally have.

0:28:46 > 0:28:48'Gone are the sandwiches, crisps and sweets.

0:28:48 > 0:28:50'This looks good to me.'

0:28:50 > 0:28:52That was very nice and I am full.

0:28:52 > 0:28:54'Both of them admit to snacking most afternoons,

0:28:54 > 0:28:58'but Linia says their favourite crisps and chocolate aren't just unhealthy

0:28:58 > 0:29:00'but could send their blood sugar soaring.

0:29:01 > 0:29:05'And the crash likely to follow will make them even hungrier,

0:29:05 > 0:29:09'so instead she's advised healthier snacks - carrot sticks and hummus -

0:29:09 > 0:29:11'which shouldn't have the same effect.

0:29:11 > 0:29:13'And it's done the trick for Rick.'

0:29:15 > 0:29:18I'd normally reach for something sweet after lunch, but I didn't really

0:29:18 > 0:29:20need them. I really did fancy

0:29:20 > 0:29:23something sweet but I wasn't hungry for anything.

0:29:23 > 0:29:27'However, later on Mark did confess to sneaking in a few cheeky crisps

0:29:27 > 0:29:32'mid-afternoon. And for dinner, it's chicken, lentils and lots of veg,

0:29:32 > 0:29:35'which is so filling there's no room for pudding.'

0:29:36 > 0:29:42- I am a bit stuffed.- I would normally have ice cream or some chocolate, but

0:29:42 > 0:29:44I'm just full.

0:29:44 > 0:29:46I'm done, I think, for tonight.

0:29:47 > 0:29:49'Now, it was probably habit, not hunger,

0:29:49 > 0:29:52'that drove Mark to reach for those crisps earlier on,

0:29:52 > 0:29:54'but Rick was sufficiently satisfied

0:29:54 > 0:29:58'by Linia's meals to avoid any extra temptation.'

0:29:59 > 0:30:01Looking at what we've eaten today

0:30:01 > 0:30:06I think has changed my perspective on what I should be eating during

0:30:06 > 0:30:08the day to try and stop the snacking.

0:30:08 > 0:30:10'And even with Mark's crisps,

0:30:10 > 0:30:13'both of them have eaten less food than they normally would on a typical

0:30:13 > 0:30:16'day and consumed fewer calories.

0:30:16 > 0:30:20'And Linia says anyone can do the same by following three simple rules.'

0:30:22 > 0:30:24Fill up on fibre, so make sure you're getting some vegetables and fruit

0:30:24 > 0:30:27and beans and wholegrains onto your plate.

0:30:27 > 0:30:28Have protein on your plate,

0:30:28 > 0:30:33so include protein, like your meats and your dairy and your nuts,

0:30:33 > 0:30:35in your main meals and also your snacks.

0:30:35 > 0:30:38And then the third is include some fat in your diet, as well, because that

0:30:38 > 0:30:41really helps your body feely fully satisfied.

0:30:41 > 0:30:46'But, as Mark found, food alone can't always beat habit or temptation.

0:30:46 > 0:30:50'Most of us are thought to eat an average of 300 calories a day more than

0:30:50 > 0:30:53'we need. So, as Dr Bernard Corfe says,

0:30:53 > 0:30:57'the key to switching your appetite off is about more than simply what you

0:30:57 > 0:31:00'eat, and it's different for everyone.'

0:31:00 > 0:31:02What people need to do is keep a diary of food,

0:31:02 > 0:31:06keep a diary of physical exercise and understand, for them as an

0:31:06 > 0:31:09individual, that calorie excess is starting to creep in.

0:31:09 > 0:31:13And it's by understanding that and then starting to try to change that that you

0:31:13 > 0:31:16can get control of your diet again.

0:31:16 > 0:31:17It's about finding that balance?

0:31:17 > 0:31:20Absolutely. It's about the whole of your lifestyle.

0:31:20 > 0:31:24It's about identifying how you can expend more energy, perhaps, as well as

0:31:24 > 0:31:28taking in more energy, and many people go running or cycling or whatever

0:31:28 > 0:31:29so they can eat their favourite foods,

0:31:29 > 0:31:32and I'm sure there's lots of examples of that.

0:31:32 > 0:31:34'And I'm one of them.

0:31:34 > 0:31:37'Though I've retired from professional sport, I'm still active.

0:31:37 > 0:31:40'So perhaps I shouldn't be so worried about controlling appetite,

0:31:40 > 0:31:42'as long as I'm burning it off...

0:31:43 > 0:31:47'..which with any luck means I don't need to feel quite so guilty about

0:31:47 > 0:31:48'mealtimes with the kids.'

0:31:50 > 0:31:52That's all right, that one.

0:32:00 > 0:32:03For a host of quick and easy ideas

0:32:03 > 0:32:06to help you stay full for longer, go to:

0:32:07 > 0:32:11..where you'll also find plenty of other recipes on some of the topics

0:32:11 > 0:32:13we're covering in this series.

0:32:18 > 0:32:21Earlier in the programme, we left Rebecca and John in the middle of their

0:32:21 > 0:32:24exclusion diet, and I think it's fair to say neither of them were

0:32:24 > 0:32:26finding it as easy as they would have hoped.

0:32:26 > 0:32:30But cutting out entire food groups is part of a new healthy-eating

0:32:30 > 0:32:33movement that's gained a lot of column inches lately,

0:32:33 > 0:32:37clean eating. While fans say it's a no-diet diet,

0:32:37 > 0:32:41critics are saying that it's not only unnecessary but could be dangerous.

0:32:41 > 0:32:44So while Rebecca and John get used to their new regime,

0:32:44 > 0:32:47I want to find out whether clean eating's all it's cracked up to be.

0:32:49 > 0:32:52Two weeks into their month-long experiment with exclusion diets,

0:32:52 > 0:32:57dairy-free John and gluten-free Rebecca are off on a night out.

0:32:57 > 0:32:59Where have you decided to take me, John?

0:32:59 > 0:33:02A lovely Italian restaurant near Woking.

0:33:02 > 0:33:07The only problem is that I can't eat anything on the menu.

0:33:07 > 0:33:08Interesting, John.

0:33:08 > 0:33:10We could be moving restaurants.

0:33:11 > 0:33:15Exclusion diets involve cutting whole food groups from your diet to improve

0:33:15 > 0:33:19your health, and these two started theirs because Rebecca wants to know if

0:33:19 > 0:33:22gluten is making her tired and causing digestive problems...

0:33:23 > 0:33:27..while sports coach John wonders if going dairy-free will help his

0:33:27 > 0:33:30digestion and lower his body fat.

0:33:31 > 0:33:33Now they're at the halfway point,

0:33:33 > 0:33:35they're checking in with nutritionist Yvonne Bishop-Weston.

0:33:37 > 0:33:41- Hi!- Hi, Yvonne.- Hello! Tell me, what's been happening?

0:33:41 > 0:33:44It's a bit of a challenge at lunchtime at school. All the hot dishes

0:33:44 > 0:33:47with the meat in tend to have butter in or cream in,

0:33:47 > 0:33:49so I'm struggling a bit on that side.

0:33:49 > 0:33:52I've been finding it all right. It's very challenging when I'm out and about.

0:33:52 > 0:33:55I was in a town the other day and I went to three cafes, and no-one

0:33:55 > 0:33:58- could feed me.- How's that affecting your health?

0:33:58 > 0:34:02How are you feeling with these long gaps between meals?

0:34:02 > 0:34:04Well, I'm actually feeling pretty great.

0:34:04 > 0:34:06I think I'm sleeping a tiny bit better.

0:34:06 > 0:34:08I'm not sure if it's a slightly deeper sleep.

0:34:08 > 0:34:10I'm waking up a bit more refreshed.

0:34:10 > 0:34:11Despite the challenges,

0:34:11 > 0:34:14overall Rebecca and John are still feeling positive.

0:34:14 > 0:34:16But to see if their confidence lasts,

0:34:16 > 0:34:19Yvonne and I will catch up with them at the end of the month.

0:34:20 > 0:34:23- So, speak soon. - Yes.- Any questions, get in touch.

0:34:23 > 0:34:26And if not, we'll speak again in two weeks.

0:34:26 > 0:34:29- Thank you very much, Yvonne. - Thank you.- You're welcome.

0:34:29 > 0:34:32But if exclusion diets have proved hugely popular,

0:34:32 > 0:34:36hot on their heels has come perhaps the ultimate example of the idea,

0:34:36 > 0:34:40a food regime that takes even more commitment, so-called clean eating.

0:34:41 > 0:34:44It's less a diet, more a way of life,

0:34:44 > 0:34:46championed by celebrity health gurus,

0:34:46 > 0:34:51driven by social media and all over the papers.

0:34:51 > 0:34:54But for every headline saying it's the key to a healthy and wholesome

0:34:54 > 0:34:59life, there's another dismissing it as an unnecessary and dangerous fad.

0:34:59 > 0:35:03Among those who have taken clean eating to heart are Christine Sutton

0:35:03 > 0:35:05and her husband, Thomas.

0:35:05 > 0:35:09When I'm clean eating, I would normally cut out bad starch,

0:35:09 > 0:35:13so high-GI-content foods like white bread, most breads, pasta,

0:35:13 > 0:35:17and just stick with meats, fruits, veg, nuts, things like that.

0:35:19 > 0:35:20Along with those,

0:35:20 > 0:35:24the couple also avoid almost all artificial ingredients and of course

0:35:24 > 0:35:27processed meats, even the ones they secretly love.

0:35:29 > 0:35:31Unfortunately, bacon is absolutely delicious,

0:35:31 > 0:35:35but it's not really conducive to that clean-eating mentality and clean-eating

0:35:35 > 0:35:38diet and feeling really good about the food that you're putting

0:35:38 > 0:35:40into your body.

0:35:40 > 0:35:44Thomas says he adopts clean eating when he wants to lose weight,

0:35:44 > 0:35:47but Christine tries to stick to the diet as much as possible and says she

0:35:47 > 0:35:51can really feel the difference to her health.

0:35:51 > 0:35:56I think that clean eating generally makes me feel a bit better, just

0:35:56 > 0:35:59generally in life. So I've got more energy,

0:35:59 > 0:36:02I'm less tired during the day at work.

0:36:02 > 0:36:03- Mm!- Really good.

0:36:04 > 0:36:07'But not all experts are persuaded on this one,

0:36:07 > 0:36:10'and food writer and journalist Bee Wilson doesn't believe

0:36:10 > 0:36:13'the idea has any genuine benefit.'

0:36:13 > 0:36:16Can you tell me a little bit about clean eating?

0:36:16 > 0:36:20- What is it?- Well, it's this phrase that's started to pop up over the past

0:36:20 > 0:36:23five years, and it's associated with these bestselling food books that

0:36:23 > 0:36:27promise that if only you can cut out loads of different food groups from

0:36:27 > 0:36:29your diet you will glow, you will be thinner,

0:36:29 > 0:36:32you'll be happier, you'll be able to do incredibly bendy,

0:36:32 > 0:36:34stretchy yoga moves.

0:36:34 > 0:36:39So do we have clean food and do we have dirty food?

0:36:39 > 0:36:41Is that the insinuation with this?

0:36:41 > 0:36:44Well, that's the suggestion.

0:36:44 > 0:36:48The idea is that somehow food is moral in some way and that there are

0:36:48 > 0:36:53these ingredients, which include anything from kale to avocado to coconut oil,

0:36:53 > 0:36:57that are somehow virtuous and pure, and if you can just put enough of

0:36:57 > 0:37:01those in your body you're going to be on some kind of higher plane.

0:37:01 > 0:37:04But what I really don't like about it is there is an assumption in that

0:37:04 > 0:37:07that somehow there must be other foods which are dirty.

0:37:07 > 0:37:12So clean eating includes taking out food groups,

0:37:12 > 0:37:16not just certain products but whole groups of food, is that correct?

0:37:16 > 0:37:20Yes, so they might say avoid all dairy, avoid all foods with wheat,

0:37:20 > 0:37:23avoid all gluten. And if I was offering that kind of dietary advice, I'd

0:37:23 > 0:37:27want to have really good backing and evidence behind it.

0:37:27 > 0:37:31But there isn't any. It's founded on kind of bad science at best.

0:37:31 > 0:37:35It's not generally great dietary advice to just tell people to cut out

0:37:35 > 0:37:40entire nourishing groups of food for no good reason.

0:37:40 > 0:37:43I just read in a clean-eating book recently that a lettuce leaf makes a

0:37:43 > 0:37:45great substitute for bread!

0:37:46 > 0:37:48'Back in Woking,

0:37:48 > 0:37:51'John and Rebecca are nearing the end of their exclusion diets.

0:37:51 > 0:37:54'Rebecca has cut out gluten and John has cut out dairy.

0:37:55 > 0:37:57'Now is the final weigh-in with Yvonne.

0:37:57 > 0:38:01'And it's clear Rebecca didn't find as many gluten-free choices as she'd

0:38:01 > 0:38:03'have liked.'

0:38:03 > 0:38:05So, how did it go?

0:38:05 > 0:38:07Yeah, it was good. It was a challenging month.

0:38:07 > 0:38:10I do travel around a lot due to my work.

0:38:10 > 0:38:14I was just so frustrated that there weren't options available, because it is

0:38:14 > 0:38:17such a big problem. And I think that's where my frustration was coming

0:38:17 > 0:38:19from, was "Why don't you have the options?"

0:38:19 > 0:38:23Or if you do have the options, why am I paying double the price for it and

0:38:23 > 0:38:27why am I paying so much extra for it? It really just made me mad.

0:38:27 > 0:38:31- I got very passionate about it. - Right, OK. So, excluding dairy,

0:38:31 > 0:38:35you think you had a better diet as a result or ate more healthily?

0:38:35 > 0:38:37I think so. At the beginning not so much,

0:38:37 > 0:38:40but when I started to prepare my food a bit more I realised a lot of dairy

0:38:40 > 0:38:44was incorporated into naughty, what I call treat food.

0:38:44 > 0:38:46I had a high level of fat and sugar.

0:38:46 > 0:38:50I actually had to turn them away, so I ended up taking healthier options,

0:38:50 > 0:38:54like a bit of fruit rather than the cake that was on display.

0:38:54 > 0:38:58'A month ago, Yvonne asked John and Rebecca to choose a number out of ten to

0:38:58 > 0:39:02'describe how they felt about key areas such as tiredness and digestion.

0:39:02 > 0:39:05'Now, after a month of eating differently,

0:39:05 > 0:39:06'she's asking them to do the same.

0:39:06 > 0:39:09'So, will any of those numbers have changed?'

0:39:09 > 0:39:11Rebecca, before,

0:39:11 > 0:39:15you said in terms of your digestive system that the wind and the bloating

0:39:15 > 0:39:18was a six out of ten, and you've now given that a score of one.

0:39:18 > 0:39:21- Yes.- Wow.- So that's a huge difference.

0:39:21 > 0:39:24I was amazed. I didn't really know what to expect, but it really did

0:39:24 > 0:39:27improve, so I haven't had any problems.

0:39:27 > 0:39:30'Rebecca had also complained about her energy levels,

0:39:30 > 0:39:33'not least because she'd frequently need extra sleeps during the day.'

0:39:33 > 0:39:38Well, the energy was interesting, because at the huge old age of 24

0:39:38 > 0:39:40you were napping in the day!

0:39:40 > 0:39:42It would be weird. I'd be doing something and I'd have this

0:39:42 > 0:39:44overwhelming feeling of tiredness.

0:39:44 > 0:39:47It wasn't a long nap, it was about half an hour.

0:39:47 > 0:39:48But you still shouldn't need that.

0:39:48 > 0:39:52- But I needed it. Yeah, I needed it. - That's quite long.- I know.

0:39:52 > 0:39:54And, amazingly, that's completely gone.

0:39:54 > 0:39:55Yeah. I haven't napped at all.

0:39:55 > 0:39:59Like, at all. Can I clarify this? No naps!

0:39:59 > 0:40:03'So Rebecca's confident she has felt an improvement since giving up

0:40:03 > 0:40:07'gluten. And John, too, reckons he's feeling better.'

0:40:07 > 0:40:11So, for you, John, the things that really came up for you was the bloating,

0:40:11 > 0:40:13which was a seven out of ten.

0:40:13 > 0:40:16And that's reduced right down to a two,

0:40:16 > 0:40:18so again a really significant difference there.

0:40:19 > 0:40:23'But John's biggest aim for the diet was to cut his body fat,

0:40:23 > 0:40:26'and Yvonne's weigh-in shows he has lost four pounds.

0:40:26 > 0:40:30'He also says he has more energy and is sleeping better.

0:40:30 > 0:40:33'But while it would be easy to assume that means the exclusion diets have

0:40:33 > 0:40:38'worked, Yvonne says in fact often simply keeping a food diary is enough to

0:40:38 > 0:40:40'help you improve your diet.

0:40:40 > 0:40:45'So, in this case, which was the key factor, the dairy or the diary?'

0:40:46 > 0:40:51How much of this improvement do you think is down to, actually, your focusing

0:40:51 > 0:40:54on your diet more and how much of it do you think is actually due to the

0:40:54 > 0:40:58- lack of dairy?- I think 60% focus and maybe 40% dairy.

0:40:58 > 0:41:01Taking dairy out just made you a bit stricter.

0:41:01 > 0:41:03So could you do it indefinitely,

0:41:03 > 0:41:06"No more dairy for me permanently for the rest of my life"?

0:41:06 > 0:41:09No. I think life's too short to, you know,

0:41:09 > 0:41:11say no to the really good things in life.

0:41:11 > 0:41:14But 90% of the time I reckon I could.

0:41:15 > 0:41:17'Remember, John and Rebecca only did

0:41:17 > 0:41:20'this exclusion diet under the watchful eye of Yvonne.'

0:41:20 > 0:41:23If anybody else is looking at this and thinks, "Maybe I would

0:41:23 > 0:41:27- "benefit from cutting out gluten or dairy"...- Yeah.

0:41:27 > 0:41:28- ..what would you say to them?- Well,

0:41:28 > 0:41:30the first stop is always check it out with your GP.

0:41:30 > 0:41:33If you've been having symptoms for some time, talk them through,

0:41:33 > 0:41:35make sure there's nothing medically wrong.

0:41:35 > 0:41:38Once the GP says, "No, nothing medically wrong, on you go,"

0:41:38 > 0:41:43then it's looking at what might be causing the symptoms and only taking

0:41:43 > 0:41:45- out one food group at a time...- Yes!

0:41:45 > 0:41:47..because otherwise it can get REALLY complicated,

0:41:47 > 0:41:51and then to do what we've been doing here - to score,

0:41:51 > 0:41:54to have a look at the symptoms that you're looking at improving

0:41:54 > 0:41:57and see what number out of ten you would give those.

0:41:57 > 0:42:00Keep a food diary so that you can look back and say, "Well, actually,

0:42:00 > 0:42:03"was it the lack of dairy or was it just I ate better?"

0:42:05 > 0:42:09If I'm honest, I still think exclusion diets are a bit of a fad.

0:42:09 > 0:42:13But after seeing Rebecca and John so positive about how they feel,

0:42:13 > 0:42:15perhaps I'm not quite as sceptical as I was before.

0:42:16 > 0:42:20That said, I'd still draw the line at clean eating.

0:42:20 > 0:42:21There's no way I'm swapping my

0:42:21 > 0:42:25piece of toast at breakfast for a bit of lettuce.

0:42:33 > 0:42:36The papers just love a quick-fix weight-loss plan, don't they?

0:42:36 > 0:42:41Especially if it's something they can turn into a snappy headline followed

0:42:41 > 0:42:45by a list of tricks to tame your appetite or secrets to shed the pounds.

0:42:45 > 0:42:48We've all been there once or twice. But, as we've heard today,

0:42:48 > 0:42:52taking on board some of those headlines without finding out the bigger

0:42:52 > 0:42:55picture too could mean that you're making drastic changes to your diet

0:42:55 > 0:42:58that, in the worst cases, could even be dangerous.

0:42:58 > 0:42:59You can, of course,

0:42:59 > 0:43:03find recipes and ideas related to some of the things we've been talking

0:43:03 > 0:43:05about today and, indeed, all of this series at...

0:43:08 > 0:43:10And on that note, I'm afraid that's where we have to leave it for

0:43:10 > 0:43:13today. So until next time, thank you very much for your company

0:43:13 > 0:43:16- and from both of us, bye-bye. - Goodbye.