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Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups

Rydhög, Björn ; Granfeldt, Yvonne LU ; Frassetto, Lynda ; Fontes-Villalba, Maelán LU ; Carrera-Bastos, Pedro LU and Jönsson, Tommy LU (2019) In Clinical Nutrition Experimental 25. p.29-35
Abstract

Background: Dietary compliance assessments are absent in clinical studies on Paleolithic diet. We therefore developed a ‘Paleolithic Diet Fraction’ (PDF), calculated as the fraction of intake from Paleolithic food groups, to assess compliance with Paleolithic diet in a previously reported study. Methods: 29 male patients with ischemic heart disease, impaired glucose tolerance and waist circumference > 94 cm, were randomized to a Paleolithic or Mediterranean-like diet for 12 weeks. Mean daily PDFs were calculated for dietary energy and weight for all participants using four-day weighed food records, and linear regression analysis was performed between PDF and primary outcome measures plus leptin for both diet groups combined. Results:... (More)

Background: Dietary compliance assessments are absent in clinical studies on Paleolithic diet. We therefore developed a ‘Paleolithic Diet Fraction’ (PDF), calculated as the fraction of intake from Paleolithic food groups, to assess compliance with Paleolithic diet in a previously reported study. Methods: 29 male patients with ischemic heart disease, impaired glucose tolerance and waist circumference > 94 cm, were randomized to a Paleolithic or Mediterranean-like diet for 12 weeks. Mean daily PDFs were calculated for dietary energy and weight for all participants using four-day weighed food records, and linear regression analysis was performed between PDF and primary outcome measures plus leptin for both diet groups combined. Results: PDFs were just above 80% for the Paleolithic diet group and around 40% for the Mediterranean-like diet group. We found associations between PDF and outcome measures of similar strength as previously reported for group differences, and an association with weight, for which no group difference was previously found. Conclusions: Calculation of PDF demonstrated a mean compliance of just above 80% in the Paleolithic diet group and association studies indicated a clinical relevance for PDF. Trial registration: ClinicalTrials.gov NCT00419497 retrospectively registered.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Compliance, Ischemic heart disease, Paleolithic diet, Paleolithic diet fraction, Satiety, Type 2 diabetes
in
Clinical Nutrition Experimental
volume
25
pages
29 - 35
publisher
Elsevier
external identifiers
  • scopus:85063436249
ISSN
2352-9393
DOI
10.1016/j.yclnex.2019.03.002
language
English
LU publication?
yes
id
23808d1b-b838-4154-a283-64ce1393de6f
date added to LUP
2019-04-08 14:56:45
date last changed
2023-12-17 13:31:04
@article{23808d1b-b838-4154-a283-64ce1393de6f,
  abstract     = {{<p>Background: Dietary compliance assessments are absent in clinical studies on Paleolithic diet. We therefore developed a ‘Paleolithic Diet Fraction’ (PDF), calculated as the fraction of intake from Paleolithic food groups, to assess compliance with Paleolithic diet in a previously reported study. Methods: 29 male patients with ischemic heart disease, impaired glucose tolerance and waist circumference &gt; 94 cm, were randomized to a Paleolithic or Mediterranean-like diet for 12 weeks. Mean daily PDFs were calculated for dietary energy and weight for all participants using four-day weighed food records, and linear regression analysis was performed between PDF and primary outcome measures plus leptin for both diet groups combined. Results: PDFs were just above 80% for the Paleolithic diet group and around 40% for the Mediterranean-like diet group. We found associations between PDF and outcome measures of similar strength as previously reported for group differences, and an association with weight, for which no group difference was previously found. Conclusions: Calculation of PDF demonstrated a mean compliance of just above 80% in the Paleolithic diet group and association studies indicated a clinical relevance for PDF. Trial registration: ClinicalTrials.gov NCT00419497 retrospectively registered.</p>}},
  author       = {{Rydhög, Björn and Granfeldt, Yvonne and Frassetto, Lynda and Fontes-Villalba, Maelán and Carrera-Bastos, Pedro and Jönsson, Tommy}},
  issn         = {{2352-9393}},
  keywords     = {{Compliance; Ischemic heart disease; Paleolithic diet; Paleolithic diet fraction; Satiety; Type 2 diabetes}},
  language     = {{eng}},
  month        = {{03}},
  pages        = {{29--35}},
  publisher    = {{Elsevier}},
  series       = {{Clinical Nutrition Experimental}},
  title        = {{Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups}},
  url          = {{http://dx.doi.org/10.1016/j.yclnex.2019.03.002}},
  doi          = {{10.1016/j.yclnex.2019.03.002}},
  volume       = {{25}},
  year         = {{2019}},
}