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Palaeolithic diet decreases fasting plasma leptin concentrations more than a diabetes diet in patients with type 2 diabetes: a randomised cross-over trial.

ABSTRACT: We have previously shown that a Palaeolithic diet consisting of the typical food groups that our ancestors ate during the Palaeolithic era, improves cardiovascular disease risk factors and glucose control compared to the currently recommended diabetes diet in patients with type 2 diabetes. To elucidate the mechanisms behind these effects, we evaluated fasting plasma concentrations of glucagon, insulin, incretins, ghrelin, C-peptide and adipokines from the same study.In a randomised, open-label, cross-over study, 13 patients with type 2 diabetes were randomly assigned to eat a Palaeolithic diet based on lean meat, fish, fruits, vegetables, root vegetables, eggs and nuts, or a diabetes diet designed in accordance with current diabetes dietary guidelines during two consecutive 3-month periods. The patients were recruited from primary health-care units and included three women and 10 men [age (mean ± SD) 64 ± 6 years; BMI 30 ± 7 kg/m(2); diabetes duration 8 ± 5 years; glycated haemoglobin 6.6 ± 0.6 % (57.3 ± 6 mmol/mol)] with unaltered diabetes treatment and stable body weight for 3 months prior to the start of the study. Outcome variables included fasting plasma concentrations of leptin, adiponectin, adipsin, visfatin, resistin, glucagon, insulin, C-peptide, glucose-dependent insulinotropic polypeptide, glucagon-like peptide-1 and ghrelin. Dietary intake was evaluated by use of 4-day weighed food records.Seven participants started with the Palaeolithic diet and six with the diabetes diet. The Palaeolithic diet resulted in a large effect size (Cohen's d = -1.26) at lowering fasting plasma leptin levels compared to the diabetes diet [mean difference (95 % CI), -2.3 (-5.1 to 0.4) ng/ml, p = 0.023]. No statistically significant differences between the diets for the other variables, analysed in this study, were observed.Over a 3-month study period, a Palaeolithic diet resulted in reduced fasting plasma leptin levels, but did not change fasting levels of insulin, C-peptide, glucagon, incretins, ghrelin and adipokines compared to the currently recommended diabetes diet.ClinicalTrials.gov NCT00435240.

SUBMITTER: Fontes-Villalba M

PROVIDER: S-EPMC4877952 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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Palaeolithic diet decreases fasting plasma leptin concentrations more than a diabetes diet in patients with type 2 diabetes: a randomised cross-over trial.

Fontes-Villalba Maelán M Lindeberg Staffan S Granfeldt Yvonne Y Knop Filip K FK Memon Ashfaque A AA Carrera-Bastos Pedro P Picazo Óscar Ó Chanrai Madhvi M Sunquist Jan J Sundquist Kristina K Jönsson Tommy T

Cardiovascular diabetology 20160523

<h4>Background</h4>We have previously shown that a Palaeolithic diet consisting of the typical food groups that our ancestors ate during the Palaeolithic era, improves cardiovascular disease risk factors and glucose control compared to the currently recommended diabetes diet in patients with type 2 diabetes. To elucidate the mechanisms behind these effects, we evaluated fasting plasma concentrations of glucagon, insulin, incretins, ghrelin, C-peptide and adipokines from the same study.<h4>Method ...[more]

PMID: 27216013

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Project description:Polyhedrons, spheroids and bolas (PSBs) are present in lithic series from the Lower Palaeolithic onwards and are found in several regions of the world. Nevertheless, very little is known about them. We propose here to summarise, illustrate and discuss the current state of our knowledge about these artefacts. Based on the available data in the literature and on our observations of several collections, we set up a database comprising 169 Palaeolithic assemblages with PSBs. Thanks to the statistical analysis of these data, we aim to highlight potential relationships between PSB characteristics (e.g., quantity, raw material) and assemblage composition and context, according to regions and chrono-cultural attributions. We also aim to discuss the question of artefacts from possible independent local histories, especially in Northwest Europe, where these objects are scarce. Our study concludes that hard stones (stones with high resistance to a physical constraint) available locally were generally selected to produce PSBs. Soft sedimentary rocks are suitable for their manufacture, and were selected too, whereas siliceous materials were left aside. We hypothesise that the scarcity of PSBs in Northwest Europe could result from a combination of cultural and environmental factors: it could be part of a regional tradition, influenced by the abundance of siliceous materials in the environment. In this region where the lithic production is widely made of flint, even though other materials were available, objects made from hard stones are scarce, resulting in a toolkit with only rare PSBs and cleavers. Was flint too brittle for the functions of PSBs? Raw materials of PSBs are often similar to those of heavy-duty tools in assemblages, which could provide other clues about their functions (e.g., tasks requiring a resistance to shocks). It is possible that their raw materials partly conditioned their final shape. PSBs can comprise a wide variety of artefacts, that for some could have change of status (e.g., from cores to percussive tools), diffused, adapted but also reinvented over two million years.

Dataset Information

Palaeolithic diet decreases fasting plasma leptin concentrations more than a diabetes diet in patients with type 2 diabetes: a randomised cross-over trial.

Publications

Palaeolithic diet decreases fasting plasma leptin concentrations more than a diabetes diet in patients with type 2 diabetes: a randomised cross-over trial.

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