What WWII-era research can teach us about why calorie restriction is so freaking rough

It was November 1944.

WWII was winding down in Europe, and the Allies knew that as they entered cities in previously German-occupied Europe, they’d be running into a lot of starved, emaciated civilians.

As Kalm and Semba point out in their great overview in the Journal of Nutrition, at the time, “very little was known scientifically about human starvation or how to deal with people who had undergone this extreme degree of starvation.”

So Ancel Keys, a young physiology professor at the University of Minnesota, recruited 35 healthy men, all conscientious objectors, and subjected them to 24 weeks of “semi-starvation.” During this time they ate approximately 1,560 calories a day, primarily in the form of potatoes, turnips, rutabagas, dark bread, and macaroni. The objective was to make the men lose 25% of their body weight, and then re-feed them back to normal.  They also were required to walk for 22 miles per week.

image-asset.jpg

And let’s talk about the crazy stuff that went down:

They felt exhausted, irritable, impatient, and easily annoyed. Men reported flipping out at each other for tiny things that wouldn’t otherwise bother them – their friends’ idiosyncrasies or waiting too long in a line.

They become obsessed with food. Several men started collecting cookbooks and recipes; one man, Carlyle Frederick, owned nearly 100 by the time the experiment was over. Another man was so tempted by a bakery window that he bought a dozen donuts and gave them to children on the street, just so he could watch their joy eating them. Men developed elaborate rituals to eat their food, or even mixed water in with the meal to make it look like more.

At first the participants were allowed to chew gum, but when some of them started chewing up to 40 sticks per day, gum was forbidden for fear that it would skew the results.

They stopped caring about almost anything else. One man reported that he couldn’t wait for the experiment to be over not because it would be an end to physical discomfort, but because it was both exhausting and boring to be so obsessed with food. When they went to the movies, “you weren’t particularly interested in the love scenes, but you noticed every time they ate and what they ate.” They lost all interest in women, dating, and sex.  

Perhaps the most telling element is how many finished the study. From Emily Deans:

"Only 32 of the original 36 completed the semi-starvation period. One man who broke diet admitted to stealing scrapings from the garbage cans, stealing and eating raw rutabagas, and stopping at shops to eat sundaes. Two of the men suffered severe psychological stress - one became suicidal, and another cut off three of his fingers in an act of self-mutilation. Both men were taken to a psychiatric hospital."

And once they ended the semi-starvation period?

All of the men agreed that even after their 3-month “rehabilitation period” they had still not fully recovered. One man had to have his stomach pumped in the hospital due to bingeing the first day after the experiment ended. Many reported that long after study ended, they still ate excessively. One described it as a “year-long cavity” that needed to be filled. Another, after finishing the study, reported that for a long time he “couldn’t satisfy his craving for food by filling up his stomach.”

Oh man.

That feeling – I can’t satisfy my craving for food by filling up my stomach – I can definitely relate to that.

In fact, I can relate to all of those feelings – feeling like everything a friend or lover does drives me crazy when I’m hungry, feeling obsessed with food, feeling anxious and irritable.

What is perhaps most striking to me about this is, first, how similar the conditions sound to many typical diets. The participants ate mostly “whole foods,” just in a restricted, 1600-calorie-per-day way. And it wasn’t like they were going to CrossFit or SoulCycle classes in addition — they had this experience just on ~3 miles a day of walking. In some ways, this is easier than the diets that many folks subject themselves to.

And yet: not only did they go a little crazy during the process, it took them between two months and two years to recover.

Obviously, these men were at a healthy weight before the study, and losing so much weight led them to become underweight. Moreover, it does seem that they didn’t have optimal levels of some nutrients – their diet seemed very low protein, for example. And yet, I think it still provides powerful lessons about the problematic and lasting effects of calorie restriction, especially on mental and emotional health.

So I'll ask you: Have you noticed any of these symptoms, when you've tried to restrict your eating in some way? Does hearing about this study make you consider them in a new light? 

..

..

This essay was originally shared in 2015, and edited for 2020. While I’m on maternity leave, I’m sharing some of my older, “best-of” posts, which you may not have seen yet!