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

Summary: 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...

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Main Authors: Björn Rydhög, Yvonne Granfeldt, Lynda Frassetto, Maelán Fontes-Villalba, Pedro Carrera-Bastos, Tommy Jönsson
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Clinical Nutrition Experimental
Online Access:http://www.sciencedirect.com/science/article/pii/S2352939319300107
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author Björn Rydhög
Yvonne Granfeldt
Lynda Frassetto
Maelán Fontes-Villalba
Pedro Carrera-Bastos
Tommy Jönsson
author_facet Björn Rydhög
Yvonne Granfeldt
Lynda Frassetto
Maelán Fontes-Villalba
Pedro Carrera-Bastos
Tommy Jönsson
author_sort Björn Rydhög
collection DOAJ
description Summary: 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. Keywords: Paleolithic diet, Compliance, Paleolithic diet fraction, Ischemic heart disease, Type 2 diabetes, Satiety
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spelling doaj.art-b55c70c535d147b0aabb8a8fe5b6f6812022-12-21T19:26:09ZengElsevierClinical Nutrition Experimental2352-93932019-06-01252935Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groupsBjörn Rydhög0Yvonne Granfeldt1Lynda Frassetto2Maelán Fontes-Villalba3Pedro Carrera-Bastos4Tommy Jönsson5Center for Primary Health Care Research, University of Lund, SwedenDepartment of Food Technology, Engineering and Nutrition, University of Lund, SwedenDepartment of Medicine, University of California San Francisco, CA, USACenter for Primary Health Care Research, University of Lund, SwedenCenter for Primary Health Care Research, University of Lund, SwedenCenter for Primary Health Care Research, University of Lund, Sweden; Corresponding author.Summary: 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. Keywords: Paleolithic diet, Compliance, Paleolithic diet fraction, Ischemic heart disease, Type 2 diabetes, Satietyhttp://www.sciencedirect.com/science/article/pii/S2352939319300107
spellingShingle Björn Rydhög
Yvonne Granfeldt
Lynda Frassetto
Maelán Fontes-Villalba
Pedro Carrera-Bastos
Tommy Jönsson
Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups
Clinical Nutrition Experimental
title Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups
title_full Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups
title_fullStr Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups
title_full_unstemmed Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups
title_short Assessing compliance with Paleolithic diet by calculating Paleolithic Diet Fraction as the fraction of intake from Paleolithic food groups
title_sort assessing compliance with paleolithic diet by calculating paleolithic diet fraction as the fraction of intake from paleolithic food groups
url http://www.sciencedirect.com/science/article/pii/S2352939319300107
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