Long-term effects of a Palaeolithic-type diet in obese postmenopausal women: a 2-year randomized trial

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Mellberg, CarolineUmeå universitet,Medicin (author)

Long-term effects of a Palaeolithic-type diet in obese postmenopausal women : a 2-year randomized trial

Article/chapterEnglish2014

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2014-01-29
Nature Publishing Group,2014
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LIBRIS-ID:oai:DiVA.org:umu-86275
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-86275URI
https://doi.org/10.1038/ejcn.2013.290DOI
https://gup.ub.gu.se/publication/190365URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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C. Mellberg, S. Sandberg and M. Ryberg share first authorship.T. Olsson and B. Lindahl share senior authorship.
Background/Objectives: Short-term studies have suggested beneficial effects of a Palaeolithic-type diet (PD) on body weight and metabolic balance. We now report the long-term effects of a PD on anthropometric measurements and metabolic balance in obese postmenopausal women, in comparison with a diet according to the Nordic Nutrition Recommendations (NNR).Subjects/Methods: Seventy obese postmenopausal women (mean age 60 years, body mass index 33 kg/m(2)) were assigned to an ad libitum PD or NNR diet in a 2-year randomized controlled trial. The primary outcome was change in fat mass as measured by dual-energy X-ray absorptiometry.Results: Both groups significantly decreased total fat mass at 6 months (-6.5 and-2.6 kg) and 24 months (-4.6 and-2.9 kg), with a more pronounced fat loss in the PD group at 6 months (P<0.001) but not at 24 months (P=0.095). Waist circumference and sagittal diameter also decreased in both the groups, with a more pronounced decrease in the PD group at 6 months (-11.1 vs-5.8 cm, P=0.001 and-3.7 vs-2.0 cm, P<0.001, respectively). Triglyceride levels decreased significantly more at 6 and 24 months in the PD group than in the NNR group (P<0.001 and P=0.004). Nitrogen excretion did not differ between the groups.Conclusions: A PD has greater beneficial effects vs an NNR diet regarding fat mass, abdominal obesity and triglyceride levels in obese postmenopausal women; effects not sustained for anthropometric measurements at 24 months. Adherence to protein intake was poor in the PD group. The long-term consequences of these changes remain to be studied.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Näringslära hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nutrition and Dietetics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
adipose tissue
diet
insulin resistance
postmenopausal
weight
adipose tissue; diet; insulin resistance; postmenopausal; weight

Added entries (persons, corporate bodies, meetings, titles ...)

Sandberg, SusanneUmeå universitet,Yrkes- och miljömedicin(Swepub:umu)suesag76 (author)
Ryberg, MatsUmeå universitet,Medicin(Swepub:umu)mary0013 (author)
Eriksson, MarieUmeå universitet,Statistik(Swepub:umu)maer0004 (author)
Brage, SMRC Epidemiology Unit, University of Cambridge, Cambridge, UK (author)
Larsson, ChristelGothenburg University,Göteborgs universitet,Umeå universitet,Institutionen för kostvetenskap,Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg,Institutionen för kost- och idrottsvetenskap,Department of Food and Nutrition, and Sport Science(Swepub:gu)xlachr (author)
Olsson, TommyUmeå universitet,Medicin(Swepub:umu)tool0003 (author)
Lindahl, BerntUmeå universitet,Yrkes- och miljömedicin(Swepub:umu)beli0020 (author)
Umeå universitetMedicin (creator_code:org_t)

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In:European Journal of Clinical Nutrition: Nature Publishing Group68:3, s. 350-70954-30071476-5640

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