The effects of the paleolithic diet on obesity anthropometric measurements
DOI:
https://doi.org/10.1590/1980-0037.2020v22e69957Resumen
Comparing the effects of Paleolithic Diet (PD) and of a Guidelines Substantiated Diet (GSD) on anthropometric indicators of obese individuals. Randomized clinical trial. Obese patients were divided into two groups based on dietary prescription: PD and GSD. These diets encompassed 82 and 73 patients, respectively, who were followed-up for 60 days. Anthropometric measurements were taken before the beginning of the trial, at the 30th day of it and at the end of the experimental period. At the 60th experimental day, there was 26.8% treatment abandonment by individuals in group PD and 19.2% by the ones in group GSD; there was not difference between groups (p = 0.684). Weight and height measurements were taken in order to determine body mass index (BMI), waist circumference (WC) and hip circumference (HC), which allowed determining the waist/hip ratio (WHR). There was no initial difference between groups in demographic, socioeconomic, exercising and anthropometric variables (p > 0.05). Group PD recorded the highest weight (p = 0.003), BMI (p = 0.002) and WC (p = 0.033) values at the 30th experimental day. Group PD kept the highest weight loss at the 60th day (p < 0,001), as well as the highest BMI (p < 0.001), WC (p = 0.002) and WHR (p = 0.002) reduction. PD is a feasible option to treat obesity, it led to reduced anthropometric markers. Other studies are necessary to assure the safety of its use for longer periods of time.
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World Health Organization (WHO). Global Health Observatory (GHO) data. Overweight and obesity. 2016.
Brasil. Ministério Da Saúde. Instituto Brasileiro de Geografia e Estatística. Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. VIGITEL. Brasília, 2019.
Boers I, Muskiet FAJ, Berkelaar E, Schut E, Penders R, Hoenderdos K, Wichers HJ, Jong MC. Favourable effects of consuming a Palaeolithictype diet on characteristics of the metabolic syndrome: a randomized controlled pilot-study. Lipids Health Dis 2014;13:160.
Manheimer EW, Van Zuuren EJ, Fedorowicz Z, Pijl H. Paleolithic nutrition for metabolic syndrome: systematic review and meta-analysis. Am J Clin Nutr 2015; 102:922–32.
Pocock SJ. Clinical Trials: a practical approach. John Wiley & Sons. 1983.
Brasil. Ministério Da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Caderno de Atenção Básica: Estratégias para o cuidado da pessoa com doença crônica: Obesidade. Brasília. 2014.
AACE/ACE. Guidelines American Association Of Clinical Endocrinologists And American College Of Endocrinology Clinical Practice Guidelines For Comprehensive Medical Care Of Patients With Obesity. Executive Summary. 2016.
ABESO. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes Brasileiras de Obesidade. 2016; 4ed – São Paulo http://www.abeso.org.br/uploads/downloads/92/57fccc403e5da.pdf Acessado em 29 de julho de 2019.
Menezes EVA, Sampaio HAC, Carioca AAF, Parente NA, Brito FO, Moreira TMM, Souza ACC, Arruda SPM. Influence of Paleolithic diet on anthropometric markers in chronic diseases: systematic review and meta-analysis. Nutr J. 2019;18(1):41.
Cordain L. Real Paleo. Fast & Easy. Houghton Mifflin Harcourt. New York, Boston. 2015.
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35(8):1381-95.
Stewart A, Marfell-Jones M, Olds T, Ridder H. International standards for anthropometric assessment. Australia: Natinal Library of Australia. 2011.
Brasil. C.N. De S. Resolução No 466, De 12 De Dezembro De 2012.
Jönsson T, Granfeldt Y, Erlanson-Albertsson C, Ahrén B, Lindeberg S. A paleolithic diet is more satiating per calorie than a mediterranean-like diet in individuals with ischemic heart disease. Nutr Metab (Lond) 2010;7:85.
Frassetto LA, Shi L, Schloetter M, Sebastian A, Remer T. Established dietary estimates of net acid production do not predict measured net acid excretion in patients with Type 2 diabetes on Paleolithic-Hunter-Gatherer-type diets. Eur J Clin Nutr 2013; 67(9): 899–903.
Mellberg C, Sandberg S, Ryberg M, Eriksson M, Brage SC, Larsson C, Olsson T, Lindahl B. Long-term effects of a Palaeolithic-type diet in obese postmenopausal women: a 2-year randomized trial. Eur J Clin Nutr 2014;68(3):350-7.
Cordain L, Eaton SB, Sebastian A, Mann N, Lindeberg S, Watkins BA, O’keefe JH, Brand-Miller J. Origins and evolution of the Western diet: health implications for the 21st century. Am J Clin Nutr 2005; 81:341–54.
Kuipers R, Luxwolda MF, Dijck-Brouwer DAJ, Eaton SB, Crawford MA, Cordain L, Muskiet FAJ. Estimated macronutrient and fatty acid intakes from an East African Paleolithic diet. Br J Nutr 2010;104(11):1666-87.
Brasil. Ministério Da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Coordenação Geral de Doenças e Agravos Não Transmissíveis. Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022. Brasilia. 2011.
Bisht B, Darling WG, Grossmann RE, Shivapour ET, Lutgendorf SK, Snetselaar LG, et al. A Multimodal Intervention for Patients with Secondary Progressive Multiple Sclerosis: Feasibility and Effect on Fatigue. J Altern Complement Med 2014;20(5):347-55.
Blomquist C, Chorell E, Ryberg M, Mellberg C, Worrsjö E, Makoveichuk E, et al. Decreased lipogenesis-promoting factors in adipose tissue in postmenopausal women with overweight on a Paleolithic-type diet. Eur J Nutr 2018; 57:2877–2886.
Jönsson T, Granfeldt Y, Ahrén B, Branell U, Pålsson G, Hansson AC, et al. Beneficial effects of a Paleolithic diet on cardiovascular risk factors in type 2 diabetes: a randomized cross-over pilot study. Cardiovasc Diabetol 2009;8:35.
Masharani U, Sherchan P, Schloetter M, Stratford S, Xiao A, Sebastian A, et al. Metabolic and physiologic effects from consuming a hunter-gatherer (Paleolithic)-type diet in type 2 diabetes. Eur J Clin Nutr 2015;69(8):944-8.
Osterdahl M, Kocturk T, Koochek A, Wandell PE. Effects of a short-term intervention with a Paleolithic diet in healthy volunteers. Eur J Clin Nutr 2008; 62(5):682-5.
Ryberg M, Sandberg S, Mellberg C, Stegle O, Lindahl B, Larsson C, et al. A Palaeolithic-type diet causes strong tissue-specific effects on ectopic fat deposition in obese postmenopausal women. J Intern Med 2013;274(1):67-76.
Lindeberg S, Jönsson T, Granfeldt Y, Borgstrand E, Soffman J, Sjöström K, Ahrén B. A Palaeolithic diet improves glucose tolerance more than a Mediterranean-like diet in individuals with ischaemic heart disease. Diabetologia 2007; 50:1795–1807.
Boraxbekk CJ, Stomby A, Ryberg M, Lindahl B, Larsson C, Nyberg L, Olsson T. Diet-Induced Weight Loss Alters Functional Brain Responses during an Episodic Memory Task. Obes Facts 2015; 8:261–272.
Frassetto LA, Schloetter M, Mietus-Synder M, Morris RC, Sebastian A. Metabolic and physiologic improvements from consuming a paleolithic, hunter-gatherer type diet. Eur J Clin Nutr 2009;63(8):947-55.
Bligh HFJ, Godsland IF, Frost G, Hunter KJ, Murray P, Macaulay K, et al. Plant-rich mixed meals based on Palaeolithic diet principles have a dramatic impact on incretin, peptide YY and satiety response, but show little effect on glucose and insulin homeostasis: an acute-effects randomised study. Br J Nutr 2015;113(4):574-84.
Markofski MM, Dolan CT, Davies NA, Ryan EJ, Carrillo AE. BDNF decreases in response to an 8-week “Paleo” diet intervention. Brain Behav Immun 2017; 66: 38.
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