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AbstractThe Wahls diet is a modified Paleolithic diet that emphasizes dark green leafy vegetables, colorful fruits, high-quality animal proteins, and omega-3 polyunsaturated fatty acids, while limiting grains, legumes, dairy products, sugar, and processed foods containing proinflammatory omega-6 fatty acids. The Wahls diet may reduce inflammation, oxidative stress, and mitochondrial dysfunction and has plausible mechanisms for slowing amyotrophic lateral sclerosis (ALS) progression. However, research on its dietary components in the ALS animal models has yielded conflicting results. Though multiple cohort studies suggest high carotenoids, omega-3 fatty acids and fruit intake are associated with reduced ALS risks, neither the diet nor its components has been demonstrated to slow down ALS progression in case studies or clinical trials. On the contrary, the Wahls diet, a restrictive, low-carbohydrate and low glycemic index diet, caused an average weight loss of 7.2% BMI in multiple sclerosis clinical trials, which is a significant concern for people living with amyotrophic lateral sclerosis (PALS) as weight loss is associated with faster ALS progression and shorter survival. Considering the above, we cannot endorse the Wahls diet for slowing ALS progression. [ABSTRACT FROM AUTHOR]

Background: Beneficial effects from practising a Paleolithic diet as compared to a diabetes diet on weight, waist circumference, satiety, leptin, HbA1c and glucose control in randomised controlled trial participants with type 2 diabetes could be due to lower leptin resistance. Support for this hypothesis comes from an in vitro experiment that showed that digested wheat gluten, which is excluded from a Paleolithic diet, inhibits leptin from binding to its receptor, thus indicating a possible dietary cause of leptin resistance. However, the clinical relevance of the latter finding is unclear since removal of enzyme activity from the gluten digest by heat treatment also abolished leptin binding inhibition. Assessment of leptin binding inhibition in vivo is possible by comparison of total leptin levels with those of 'biologically active' leptin bound to its receptor (bioLep). Objectives: To assess the effects of a Paleolithic diet compared to a diabetes diet on leptin binding inhibition and to replicate our in vitro study. Methods: BioLep and total leptin levels were measured in secondary analysis of fasting plasma samples from our open label random order three plus three-month long cross-over trial performed in 2005–2007, that compared a Paleolithic diet with a diabetes diet in participants with type 2 diabetes without insulin treatment (per protocol). BioLep was also measured in vitro for known recombinant leptin concentrations incubated with a series of concentrations of 10 kDa spin-filtered digested wheat gluten, with or without prior heat treatment, at 100ºC for 30 min and centrifugation. Results: There was no difference between diets when comparing differences between bioLep and total leptin levels and their ratio in the 13 participants, three women and 10 men, aged 52–74 years with a mean BMI of 30 kg/m2 and a mean diabetes duration of eight years. We found no carry-over or period effect for bioLep and total leptin. In vitro, wheat gluten digest inhibited leptin binding in a dose-dependent manner but not after heat treatment. Conclusions: We found no leptin binding inhibition after the Paleolithic or diabetes diet, possibly due to its abolishment from cooking-related heat treatment of wheat gluten. Trial registration: Registered on 14/02/2007 at ClinicalTrials.gov Identifier: NCT00435240. [ABSTRACT FROM AUTHOR]

Inductively coupled plasma mass spectrometry (ICP-MS) has been used for analysis of the bones of archanthropus, ancient bear, southern mammoths, dinosaurs, as well as soils collected in various parts of Uzbekistan. The concentrations of 64 elements have been detected including thorium and uranium for which isotope compositions were also analysed. The comparison of the ICP-MS data with the results we obtained earlier for some bones using instrumental neutron activation analysis (INAA) is presented. The concentrations of 234, 235, 238U are up to two orders of magnitude elevated compared to the soils (e.g.238U in south mammoth bone—130.1 mg/kg, and that of soil is only 1.6 mg/kg). The levels of 236U, and 239, 240, 242, 244Pu isotopes (possible neutron capture products of 235U and 238U) correspond to a count rate of blank samples. In addition, the isotope analysis confirms the uranium in the bones and surrounding soils is natural (the average determined for all samples uranium ratios 235U/238U = 0.0071 ± 0.0003 (2-sigma errors). The concentration of 230Th (which is the part of 234U and 238U decay chain) is also elevated in the bones compared to the surrounding soils, however, the concentrations of stable 232Th largely correspond to those of the soil. The excess uranium detected in bones is most probably due to the preferential accumulation from soil, and not to the paleo diet. [ABSTRACT FROM AUTHOR]

The Selvicciola necropolis is a large burial site dated to the Copper Age, located on the mid-Tyrrhenian side of Central Italy, in the Fiora river valley. Despite post-depositional disturbances, 32 prehistoric tombs were found, generally in a good state of preservation, with a total number of 119 individuals identified. In the present study, radiocarbon and stable isotope measurements on bone collagen are combined with skeletal data for 71 of these individuals. We aim to investigate possible changes in food practices and burial patterns throughout time. In detail, the results allowed us to define a timeframe for the use of the cemetery of at least 2000 years, with the two most ancient individuals found in tomb 17 and dated to around 3950 cal BC, assigning this a necropolis chronological investigation of the so-called Rinaldone culture. Stable carbon and nitrogen isotope analysis confirmed a predominantly agropastoral subsistence strategy for this prehistoric community. Although the plant intake consisted mainly of C3 species, we further discuss the fact that the stable isotope data suggest an increase in the consumption of C4 plants over time. The integration of radiocarbon and isotopic data with the skeletal evidence and material culture provides an interesting insight into the funerary world of this community, highlighting the importance of Selvicciola for the understanding of life in the Mediterranean at the transition between the fourth and the third millennia BC.

Copyright of Food & Health (2602-2834) is the property of Scientific Web Journals (SWJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Selvicciola necropolis is a large burial site dated to the Copper Age, located on the mid-Tyrrhenian side of Central Italy, in the Fiora river valley. Despite post-depositional disturbances, 32 prehistoric tombs were found, generally in a good state of preservation, with a total number of 119 individuals identified. In the present study, radiocarbon and stable isotope measurements on bone collagen are combined with skeletal data for 71 of these individuals. We aim to investigate possible changes in food practices and burial patterns throughout time. In detail, the results allowed us to define a timeframe for the use of the cemetery of at least 2000 years, with the two most ancient individuals found in tomb 17 and dated to around 3950 cal BC, assigning this a necropolis chronological investigation of the so-called Rinaldone culture. Stable carbon and nitrogen isotope analysis confirmed a predominantly agropastoral subsistence strategy for this prehistoric community. Although the plant intake consisted mainly of C3 species, we further discuss the fact that the stable isotope data suggest an increase in the consumption of C4 plants over time. The integration of radiocarbon and isotopic data with the skeletal evidence and material culture provides an interesting insight into the funerary world of this community, highlighting the importance of Selvicciola for the understanding of life in the Mediterranean at the transition between the fourth and the third millennia BC. [ABSTRACT FROM AUTHOR]

This article examines the difficulties and limitations of conducting scientific research on weight loss diets. It acknowledges the complexity of the human body and the individual differences in genetics, microbiota, and metabolism, which make it challenging to apply study results to everyone. The article emphasizes the importance of understanding the nature of science and the presence of uncertainty in research. It suggests that relying on expert consensus and multiple studies is more reliable than basing decisions on a single study or personal opinions. The article warns against the trend of "Do Your Own Research" (DYOR) without considering the expertise of scientific experts. It discusses the dangers of misinformation and pseudoscience in weight loss diets, such as relying on plausibility rather than solid evidence, favoring anecdotes over data, and being influenced by personal motivations. The article also mentions the issue of conflict of interest in nutrition research, where studies may be biased or manipulated to support specific claims. It emphasizes the importance of using reputable sources and expert consensus when making dietary choices. [Extracted from the article]

Huntington's disease (HD), a rare autosomal dominant neurodegenerative disease, causes the gradual deterioration of neurons in the basal ganglia, specifically in the striatum. HD displays a wide range of symptoms, from motor disturbances such as chorea, dystonia, and bradykinesia to more debilitating symptoms such as cognitive decline, behavioral abnormalities, and psychiatric disturbances. Current research suggests the potential use of dietary interventions as viable strategies for slowing the progression of HD. Most notably, the Mediterranean, vegan, carnivore, paleo, and ketogenic diets have gained attention due to their hypothesized impact on neuroprotection and symptomatic modulation in various neurodegenerative disorders. Despite substantial nutritional differences among these diets, they share a fundamental premise—that dietary factors have an influential impact in modifying pertinent biological pathways linked to neurodegeneration. Understanding the intricate interactions between these dietary regimens and HD pathogenesis could open avenues for personalized interventions tailored to the individual's specific needs and genetic background. Ultimately, elucidating the multifaceted effects of these diets on HD offers a promising framework for developing comprehensive therapeutic approaches that integrate dietary strategies with conventional treatments. [ABSTRACT FROM AUTHOR]

Purpose: Paleolithic Diet Fraction (PDF) estimates how large a portion of the absolute dietary intake stems from food groups included in the Paleolithic diet. In randomized controlled trials higher PDFs have been associated with healthier levels of cardiometabolic risk markers. Our aim was to build upon these findings by examining associations between PDF and mortality and incidence of cardiometabolic disease in the prospective Malmö Diet and Cancer Study. Methods: PDF was calculated from an interview-based, modified diet history method, and associations were estimated by using multivariable Cox proportional hazards regression. The examined cohort consisted of 24,104 individuals (44–74 years, 63% women) without previous coronary events, diabetes, or stroke at baseline (1992–1996). A total of 10,092 individuals died during a median follow-up of 18 years. Results: Median PDF was 40% (0–90%). The adjusted hazard ratios (HR) for PDF as a continuous variable (from 0 to 100%) were for risk of death from all causes 0.55 [95% CI 0.45, 0.66], tumor 0.68 [95% CI 0.49, 0.93], cardiovascular 0.55 [95% CI 0.39, 0.78], respiratory 0.44 [95% CI 0.21, 0.90], neurological 0.26 [95% CI 0.11, 0.60], digestive, 0.10 [95% CI 0.03, 0.30], and other diseases 0.64 [95% CI 0.41, 1.00]. The corresponding HR for risk of coronary event was 0.61 [95% 0.43, 0.86], for ischemic stroke it was 0.73 [95% 0.48, 1.09] and for type 2 diabetes it was 0.82 [95% 0.61, 1.10]. Conclusion: Observational data suggest an inverse association between PDF and all-cause as well as cause-specific mortality and incidence of cardiometabolic disease. [ABSTRACT FROM AUTHOR]

Copyright of Culture & Communication / Kültür ve İletişim is the property of Imge Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction and purpose Obesity is a serious health problem nowadays and it is becoming more and more common. There are plenty of causes of obesity including bad eating habits, genetic factors, and psychological factors. A lot of obese people look for a way to lose weight. Fad diets are popular dietary strategies which are promoted as a quick way to lose weight. This article highlights some popular dietary strategies including low-carbohydrate diet, low-fat diet, Paleolithic Diet and Detox Diet. The aim of this paper is to analyse their effectiveness in the process of successful weight loss and their health impact. State of knowledge According to WHO in 2022 1 in 8 people in the world were obese. Fad diets are promoted as methods to improve health and as a quick way to lose weight. However, available research suggests a rather unfavorable impact on human health in the context of long-term adherence to these diets. Limited data suggests the beneficial long-term health impact of such diets. Moreover, dieting and weight cycling caused by the repetitive process of weight loss after dieting and weight regain afterwards may also play a role in the development of obesity. Conclusion Fad diets are not recommended as a long-term way of nutrition. The main limitation of these dietary strategies is their short-term effectiveness rather than long-term. Adherence to these diets is hard for patients. Because of their strict rules and food exclusions, the risk of weight regain is high. Moreover, they do not show many positive long-term health consequences and they are not superior to conventional healthy diets. What’s more, strict obedience to fad diets for extended periods of time may be detrimental to the dieter's health.

Nutrition is an important risk factor for both Multiple sclerosis (MS) development and post-diagnosis disease prognosis. However, it is important to evaluate the diet as a whole instead of considering the effects of nutrients individually. In this systematic review, it was aimed to evaluate the effect of different dietary interventions in MS patients and to determine the most appropriate dietary model for this group. The search was carried out between February 2022 and March 2022 in three different databases, 'PubMed', 'Web of Science' and 'The Cochrane Library' over the university access network. After the search for the determined keywords, a total of 269 studies conducted between 2018 and 2022 were identified, but only 17 of them were found to be suitable for inclusion criteria. Although there are studies reporting positive health outcomes for energy-restricted/intermittent fasting diets, ketogenic diet, and modified paleolithic diet, these diets may not be applicable diets in the long-term as they may cause deficiencies of various nutrients. No current study was found for low-fat diets, gluten-free diet and Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet applied to individuals with MS. The Mediterranean diet, on the other hand, is more recommendable than other diet models due to the positive health results reported in long-term studies and the absence of any side effects. However, more studies are needed to reach a definite conclusion. [ABSTRACT FROM AUTHOR]

The aim of this systematic review was to examine the characteristics of Paleolithic diet (PD) interventions designed for adult patients with autoimmune thyroid disease (AITD) in order to determine if diet elements have the potential to successfully reduce thyroid antibodies (Ab) such as thyroglobulin (Tg), thyroid peroxidase (TPO), and thyroid stimulating hormone receptor (TSHR), and improve thyroid hormones (thyroxine (T4), triiodothyronine (T3) and thyroid stimulating hormone (TSH)) or resolve AITD pathogenesis. Randomized controlled trials (RCTs) with an adult population of 18 years and older, diagnosed with Hashimoto's thyroiditis (HT) or Graves' disease (GD) (Basedow's), who were placed on a diet of Paleolithic or ancestral nature, and achieved reduction of AITD Abs, improvement of thyroid hormones, and, or resolution of AITD were searched. Various electronic databases were used. Bias was assessed using critical appraisal tools from the Scottish Intercollegiate Guidelines Network (SIGN) and Joanna Briggs Institute (JBI). Studies were excluded according to exclusion criteria and results analyzed. One randomized controlled trial (RCT), a pilot study, and six case studies were found. In total, eight AITD studies focusing on Paleolithic or ancestral interventions were located. In highlight, females were the predominant gender. Case studies solely focused on AITD with protocols ranging from 8–60 weeks. All studies showed clinical improvements, one had significant improvement, two showed AITD resolution. After structured evaluation of nutritional interventions utilizing the PD on the effects of AITD, it was concluded foods of ancestral nature along with the addition of specific supplements, food components, exercise and mindfulness meditation, and exclusion of modern day foods have a considerable impact on thyroid Ab and hormones. The relevant studies suggest while this dietary protocol can be useful in clinical practice, larger-scale studies need to be conducted. There are currently no dietary interventions recommended for the treatment of autoimmune thyroid disease. The Paleo diet has been documented to improve AITD antibodies and thyroid hormones in both Hashimoto's thyroiditis and Graves' disease. The Paleo diet can provide a natural source of nutrients similar to supplemental nutrients that have shown positive results on AITD. The paleo diet provides specific macronutrient percentages that may be beneficial in reducing AITD antibodies, while improving thyroid hormones. Methylation supplementation may be useful in AITD cases. [ABSTRACT FROM AUTHOR]

Introduction: Minimal erythema dose (MED) remains a parameter of paramount importance to orient narrow-band (NB)-UVB phototherapy in psoriatic (PsO) patients. Recently, circadian rhythm and diet were recognized as potential MED modulators, but their mutual interaction remains understudied. Thus, we aimed to evaluate the potential diet modulation of MED circadian oscillations. Methods: In the first phase, a cohort study was performed comparing potential MED oscillations (morning, afternoon, and evening) among omnivorous psoriatic patients before and after a phototherapy cycle and omnivorous healthy controls. The two groups were age-, gender-, skin-type-, MED-, and diet-matched. Then, in the second phase, another cohort study was carried out comparing MED oscillations 24 h after the last phototherapeutic session only in psoriatic patients cleared with NB-UVB and undergoing different diets (vegan, vegetarian, paleo , ketogenic, intermittent circadian fasting, and omnivore). Patients with different diets were age-, gender-, and skin-type matched. Results: In the first phase, we enrolled only omnivores, specifically 54 PsO patients and 54 healthy individuals. Their MED before and after NB-UVB therapy changed significantly among the three different time-points (morning, afternoon, and evening) (p < 0.001). The time effect was statistically significant in both groups before and after phototherapy. In the second phase, we enrolled 144 PsO patients (vegan, vegetarian, paleo, ketogenic, intermittent circadian fasting, and omnivore). MED circadian oscillations preserved a significant difference also after clearance and were influenced by diet type and time of day (p < 0.001). In particular, vegans displayed the lowest MED values, whilst Ramadan fasting showed the highest values in morning, afternoon, and evening. Conclusions: Diet, like other ongoing therapies, should be reported in the medical records of patients with psoriasis undergoing NB-UVB and patients with lower MEDs should be preferentially treated in the morning when the MED is higher. [ABSTRACT FROM AUTHOR]

The Paleo diet (PD) involves a restriction of carbohydrates and increased fat content (35% energy from carbohydrates, 35% energy from fats and 30% energy from protein). The aim of this study was to examine the effect of the PD on body composition, concentration of carbohydrates and lipids, as well as insulin, irisin, adiponectin and leptin in the blood. A total of 25 handball players were assigned to two groups: 14 in the experimental group (PD) and 11 in the control group (CD), using a PD and a rational diet, respectively. Analysis of body mass and body composition (body mass index, fat mass, lean body mass, fat-free mass, muscle mass, bone mineral content and bone mineral density), as well as blood concentration of metabolism markers (glucose, insulin, total cholesterol, HDL-cholesterol, non-HDL-cholesterol, LDL-cholesterol, triglycerides, free fatty acids, β-hydroxybutyrate, irisin, adiponectin and leptin), were determined at the beginning and after 4 and 8 weeks of nutritional intervention. Body mass was lower (p < 0.01), and adiponectin blood concentration was higher (p = 0.03) in the PD group at the end of the intervention. There were no changes (p ≥ 0.05) in body composition and blood levels of other biochemical markers in either group. [ABSTRACT FROM AUTHOR]

This article discusses the case of a 47-year-old woman with dermatitis herpetiformis (DH) who experienced intractable pruritus despite adherence to a gluten-free diet and treatment with various medications. The patient was successfully treated with baricitinib, a small molecule that inhibits the JAK-STAT signaling pathway. Baricitinib significantly improved the patient's pruritus and quality of life. The article suggests that JAK inhibitors like baricitinib may be a promising therapeutic option for patients with DH and other inflammatory conditions. [Extracted from the article]

Background: The plant-based paleolithic diet (PD) and the paleolithic-like lifestyle (PLL) may reduce the risk of chronic diseases, including colorectal adenomas. These dietary and lifestyle approaches are proposed to exert their effects through mechanisms such as reducing inflammation, oxidative stress, and insulin levels. However, whether PD and PLL is associated with the risk of colorectal cancer (CRC) has not been determined. Methods: A cohort of 74,721 individuals who participated in the PLCO study were included in this analysis. Adherence to the PD and PLL was assessed using PD and PLL scores, where higher scores indicated greater adherence. Multivariable Cox models were utilized to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the risk of CRC and its subsites (proximal colon cancer and distal CRC). Subgroup analyses were conducted to identify potential effect modifiers. Results: During a mean follow-up of 9.2 years, a total of 694 CRC cases were identified. Participants in the highest compared with the lowest quartiles of PD score had a lower risk of CRC (Q4 vs Q1: HR 0.76, 95% CI 0.61–0.95, Ptrend = 0.009) and proximal colon cancer (Q4 vs Q1: HR 0.73, 95% CI 0.55–0.97, Ptrend = 0.02). A stronger inverse association was observed for PLL score with the risk of CRC (Q4 vs Q1: HR 0.64, 95% CI 0.51–0.81, Ptrend < 0.001), proximal colon (Q4 vs Q1: HR 0.62, 95% CI 0.46–0.83, Ptrend = 0.001) and distal CRC (Q4 vs Q1: HR 0.69, 95% CI 0.48–0.98, Ptrend = 0.03). Subgroup analyses revealed the inverse association of PD score with the risk of CRC was more pronounced in participants with BMI < 30 (Q4 vs Q1: HR 0.68, 95% CI 0.53–0.87) than in those with BMI ≥ 30 (Q4 vs Q1: HR 1.07, 95% CI 0.68–1.67) (Pinteraction = 0.02). Conclusions: Our findings suggest that adhering to the PD and PLL could be a new option to reduce CRC risk. [ABSTRACT FROM AUTHOR]

The review article represents an analysis of sources dealing with the issues of dietary therapy of obesity. The internet resources were used such as PubMed, MedLine, The Cochrane Databases, Google Scholar, Science Direct, Web of Science, and Scopus. Obesity has reached pandemic proportions worldwide, with more than 1 billion adults overweight (at least 300 million of them are clinically obese) and is a major contributor to the global burden of chronic disease and disability. This is a complex multifactorial disease, in which the accumulated excess fat in the body leads to negative impact on health. The main cause of obesity is a long-term energy imbalance between consumed and expended calories. Lifestyle modification remains the cornerstone of obesity treatment. An individually selected diet is recommended, which allows you to achieve a state of negative energy balance and is focused on quality food for health promotion. Most often, recommended diets for the treatment of obesity use the following energy restrictions based on changes in the composition of macronutrients: a low-fat diet, a low-carbohydrate and high-fat diet, a low-carbohydrate and high-protein diet, a paleo diet (with a high protein content). Intermittent fasting is considered an alternative to calorie-restricted diets. After an initial period on a high-protein diet, a Mediterranean diet may be an attractive option for continued treatment of obesity, provided that it is given in an energy-restricted form. This diet has been shown to be associated with lower levels of inflammatory biomarkers and metabolic markers of cardiovascular disease risk. The results of many studies indicate successful weight loss with the help of the Mediterranean diet, not only in the short term, but also in the long term. For the majority of obese patients, a purposeful change in lifestyle with adherence to the principles of dietary nutrition and regular physical activity allows for effective weight loss, adequate control of metabolic disorders, reduced risk of concomitant diseases, and long-term maintenance of body weight achieved in the process of losing weight. [ABSTRACT FROM AUTHOR]

Background. Psychiatric disorders have been a challenge for public health and will bring economic problems to individuals and healthcare systems in the future. One of the important factors that could affect these disorders is diet. Objective. In the current study with a cross-sectional design, we investigated the association of Paleolithic and Mediterranean diets with psychological disorders in a sample of adult women. Methods. Participants were 435 adult women between 20 and 50 years old that refer to healthcare centers in the south of Tehran, Iran. The diet scores were created by the response to a valid and reliable semiquantitative food frequency questionnaire (FFQ), and the psychological profile was determined by response to the Depression, Anxiety, and Stress Scale (DASS-21). The multivariable-adjusted logistic regression was applied to compute the odds ratio (OR) and 95% confidence interval (CI). Results. After adjusted for potential confounders, it is evident that participants in the highest Paleolithic diet tertile had lower odds of depression (OR = 0.21; 95% CI: 0.12, 0.37: P < 0.001), anxiety (OR = 0.27; 95% CI: 0.16, 0.45: P < 0.001), and stress (OR = 0.19; 95% CI: 0.11, 0.32; P < 0.001) in comparison to the lowest tertile. Furthermore, those in the third tertile of the Mediterranean diet score were at lower risk of depression (OR = 0.20; 95% CI: 0.11, 0.36; P < 0.001), anxiety (OR = 0.22; 95% CI: 0.13, 0.38; P < 0.001), and stress (OR = 0.23; 95% CI: 0.13, 0.39; P < 0.001) compared with those in the first tertile. Conclusion. The result of the current study suggests that greater adherence to Paleolithic and Mediterranean dietary patterns may be related with a decreased risk of psychological disorders such as depression, anxiety, and stress. [ABSTRACT FROM AUTHOR]

The metabolic syndrome is a cluster of overlapping conditions resulting in an increased incidence of type 2 diabetes, cardiovascular disease, and cancer. In the last few decades, prevalence of the metabolic syndrome in the Western world has reached epidemic proportions and this is likely due to alterations in diet and the environment as well as decreased physical activity. This review discusses how the Western diet and lifestyle (Westernization) has played an important etiological role in the pathogenesis of the metabolic syndrome and its consequences by exerting negative effects on activity of the insulin–insulin-like growth factor-I (insulin–IGF-I) system. It is further proposed that interventions that normalize/reduce activity of the insulin–IGF-I system may play a key role in the prevention and treatment of the metabolic syndrome. For successful prevention, limitation, and treatment of the metabolic syndrome, the focus should be primarily on changing our diets and lifestyle in accordance with our genetic make-up, formed in adaptation to Paleolithic diets and lifestyles during a period of several million years of human evolution. Translating this insight into clinical practice, however, requires not only individual changes in our food and lifestyle, starting in pediatric populations at a very young age, but also requires fundamental changes in our current health systems and food industry. Change is needed: primary prevention of the metabolic syndrome should be made a political priority. New strategies and policies should be developed to stimulate and implement behaviors encouraging the sustainable use of healthy diets and lifestyles to prevent the metabolic syndrome before it develops. [ABSTRACT FROM AUTHOR]

In this chapter, she discusses the "special purpose meal", "foods of the Gods", "fast" food and mortuary meals, as different expressions of meanings attributed to food in different contexts. At the outset, Cutright discusses how anthropologists have distinguished between diet and cuisine, and how cuisine is cultural; and how culture and cuisine define what is food and what is not. [Extracted from the article]

Evidence suggests the role of changing traditional lifestyle patterns such as Paleolithic to modern lifestyle in the incidence and epidemic of chronic diseases. Thus, this study aimed to investigate the association between Paleolithic diet (PD) and risk of Breast Cancer (BC) in adult Iranian women. This matched case–control study included 253 women with BC and 267 healthy women aged >18 years. PD score was evaluated using a validated 168-item quantitative food frequency questionnaire. Conditional logistic regression model was used to estimate odds ratios (ORs) and 95% confidence intervals (95%CIs), and dose-response was investigated. Mean of PD score was 39.00 ± 6.39. Among the food groups of the PD components, BC patients significantly had lower consumption of healthy food groups as vegetables, fruits, fish, and nuts, higher intakes of sugar-sweetened beverages as well as grains and starches. After adjustment for potential confounders, comparing the highest quartile of PD scores with the lowest quartile, a decrease in the risk of BC was observed for all women (OR: 0.26; 95% CI: 0.13–0.53), as well as those premenopausal (OR: 0.29; 95% CI: 0.11), and postmenopausal (OR: 0.17; 95% CI: 0.05 − 0.56). Our findings show that adherence to the PD pattern significantly reduces the risk of BC in the population studied. However, prospective studies are needed to further investigate this association. [ABSTRACT FROM AUTHOR]

Objectives: In a recent paper, Hardy et al. (2022, Journal of Human Evolution 162: 103105) claim that the physiological Neanderthal requirement for plant carbohydrates may have reached 50%–60% of caloric intake, inferred from modern dietary guidelines and a putative need for high carbohydrate intake in pregnant/breastfeeding women and athletes. The aim of this article is to critically re‐examine these arguments under the premise that hominins could adapt to hypercarnivorous diets and low carbohydrate consumption. Materials and Methods: Literature on ketogenic and carnivore diets was retrieved. A case report of a male rugby player voluntarily undertaking a carnivore diet under medical supervision is presented. Results: Human metabolism is highly flexible towards adapting to long‐term low carbohydrate intakes by producing and utilizing ketone bodies. The evidence base of dietary guidelines is weak, and carbohydrate intake recommendations for athletes and during pregnancy/lactation are uncertain, making a translation to Neanderthal diets questionable. The studied rugby player maintained his sports performance and health over a 4‐months period despite minimal carbohydrate intake. Discussion: Human physiology appears to have an extraordinary ability to utilize ketone bodies as a fuel for the brain and skeletal muscle, in particular also during exercise. The translation of dietary guidelines to Neanderthals and interpretation of studies in subjects not adapted to ketosis may be biased by a "glucocentric" perspective supposing that high carbohydrate intake is necessary for maintaining health. Allowing for the possibility of keto‐adaption leads to a more coherent integration of archeological and physiological data. [ABSTRACT FROM AUTHOR]

Background: Elective culinary medicine education has become popular to help fill important gaps in physician nutrition training. The implementation and outcomes among the inaugural cohort of medical students who received culinary medicine training as a required component of medical school curriculum at the University of Maryland School of Medicine are described. Methods: Following a series of elective pilot sessions, culinary medicine training was provided to all first-year medical students in the 2019-2020 academic year. The 3-hour training included evidence-based nutrition lecture, cooking simple recipes, and group discussion of the application to personal and patient care. Pre-/postsession questionnaires assessed nutrition knowledge, skills, and attitudes as well as nutritional counseling confidence. Paired t -tests estimated mean differences in outcomes pre- and posttraining. Qualitative data were subjected to thematic analysis. Results: Overall, 119 of 125 (95.2%) students provided pre- and posttraining outcomes data. All nutritional and patient counseling outcomes improved (P <.05). Themes of being better prepared to address healthy eating barriers in patient care and personal ability to make healthy dietary changes were noted in qualitative analysis. Conclusion: One session of culinary medicine training in core medical student curriculum was feasible and improved medical student nutrition knowledge, skills, and attitudes and confidence in patient nutrition counseling. [ABSTRACT FROM AUTHOR]

The Paleo diet (PD) involves a restriction of carbohydrates and increased fat content (35% energy from carbohydrates, 35% energy from fats and 30% energy from protein). The aim of this study was to examine the effect of the PD on body composition, concentration of carbohydrates and lipids, as well as insulin, irisin, adiponectin and leptin in the blood. A total of 25 handball players were assigned to two groups: 14 in the experimental group (PD) and 11 in the control group (CD), using a PD and a rational diet, respectively. Analysis of body mass and body composition (body mass index, fat mass, lean body mass, fat-free mass, muscle mass, bone mineral content and bone mineral density), as well as blood concentration of metabolism markers (glucose, insulin, total cholesterol, HDL-cholesterol, non-HDL-cholesterol, LDL-cholesterol, triglycerides, free fatty acids, β-hydroxybutyrate, irisin, adiponectin and leptin), were determined at the beginning and after 4 and 8 weeks of nutritional intervention. Body mass was lower (p < 0.01), and adiponectin blood concentration was higher (p = 0.03) in the PD group at the end of the intervention. There were no changes (p ≥ 0.05) in body composition and blood levels of other biochemical markers in either group.

There is increased recognition that the health of the individual depends on the health of the ecosystem of the microbial community living on and in the body of the individual. The state of the individual’s ecosystem is reflected in the diversity of species living in the gut microbiome. This paper will summarize recent findings on the gut brain axis, the connection between the gut microbiome and health status, and practical steps, using diet and lifestyle interventions, an individual can take to monitor and improve the diversity of species in their gut microbiome.

There is limited information regarding the nutrition profile and diet quality of meal plans from currently popular weight loss (WL) diets in Australia. This includes the energy content (kilojoules), the macronutrient distribution and the micronutrient composition. Further, these diets have not been compared with current government guidelines and healthy eating principles (HEP) for nutritional adequacy. Popular diets were identified through grey literature, trending searches and relative popularity in Australia. Meal plans for each diet were analysed using Foodworks Dietary Software to determine food group intake, micronutrient and macronutrient distribution. The results indicated that all popular diets assessed deviated from government recommended HEP such as the Australian Guide to Healthy Eating and the Mediterranean diet. In most cases, both popular diets and the HEP had low intakes of multiple food groups, low intakes of essential micronutrients and a distorted macronutrient distribution. Popular diets may not provide adequate nutrition to meet needs, particularly in the long term and potentially resulting in micronutrient deficiency. When energy restricting for WL, meal plans should be highly individualised in conjunction with a qualified nutrition professional to ensure adequate dietary intake. [ABSTRACT FROM AUTHOR]

Introduction: Culinary medicine training combining evidence-based nutrition instruction with experiential cooking application has improved nutrition knowledge, skills, and attitudes in the professional and personal lives of medical students. However, interprofessional culinary training remains largely unstudied among professional students who will be involved in collaborative patient care. The goal of this study was to evaluate the feasibility and effectiveness of an elective interprofessional culinary medicine course for students in the medical, pharmacy, social work, nursing, law, and dentistry schools at the University of Maryland, Baltimore. Methods: The interprofessional culinary medicine course was offered in-person at the teaching kitchen of the Nova Institute for Health in 2020 and virtually in 2021 during the COVID pandemic. The training featured five workshops combining instruction in a variety of popular diets, cooking a meal inspired by the diet in focus, and group discussion. Paired t tests were utilized to evaluate changes in pre-/post-training nutrition and interprofessional experience outcomes. Linear regression models were constructed to compare outcomes between in-person and virtual delivery. Results: A total of 62 students participated in the culinary medicine training. Confidence in all nutrition knowledge, skills, and attitudes, as well as interprofessional experience outcomes, improved after the training (p < 0.05). Similar improvements were noted in most outcomes with in-person and virtual delivery in linear regression modeling. Discussion: Interprofessional culinary medicine training is feasible, and virtual delivery may help enhance replicability in other settings. [ABSTRACT FROM AUTHOR]

This is a follow-up of a recent case study of the Paleolithic diet that investigates dietary changes, including energy intake, food sources, and macronutrient and micronutrient distribution, associated with a transition from a Paleolithic diet toward a more omnivorous pattern. We observed a more than 40% increase in carbohydrate intake and a 10% decrease in fat intake, including 20% less energy from saturated fat, less intake of nearly all micronutrients, and a substantially greater energy contribution from nonpaleo sources, including ultraprocessed foods. This analysis of 2 full years of nutrition data provides a unique description of changing dietary patterns in a free-living individual. [ABSTRACT FROM AUTHOR]

In recent days, people have easily adapted to unhealthy diets due to their busy lifestyles. Inappropriate and unhealthy food intake leads to various health problems. As a result of poor health and lack of information about a healthy diet, people depend on medicines rather than concentrating on improving their food intake. Due to the wide range of dietary advice, it is difficult to choose the appropriate diet plan that satisfies their personalized nutritional needs. The proposed system ranks the diet plan by considering personal information like age, gender, height, weight, pressure and heart rate. Various diet plans like intermittent fasting, plant-based diets, low-carb diets, paleo diet, low-fat diets, Mediterranean diet, DASH diet, vegan diet, gluten-free diet, GM diet and egg diet are considered. Multi-criteria decision-making methods such as fuzzy AHP and fuzzy TOPSIS are also applied for the decision-making process to rank the best diet plan. Fuzzy AHP is used for weight generation, which is given to the cuckoo algorithm for optimization, and then, the fuzzy TOPSIS method helps in ranking the diet plan. Personal information is considered as criteria, and the diet plans are considered as alternatives for the decision-making process. [ABSTRACT FROM AUTHOR]

Dietary regimes are frequently likened to religious movements on account of the fervor of advocates' adherence, and their enthusiastic proselytizing. Yet, beyond this somewhat pejorative use of the metaphor, analysis of the quasi-religious nature of diets can provide a valuable window into the subjective experiences of individuals undertaking stringent dietary regimes. Among Australian Paleo dieters, the increase in chronic illness and obesity prevalence is perceived as indicative of societal disorder, with the breakdown of the body reflecting broader economic, political and social malaise. The Paleo diet's embedded moralism provides an explanatory apparatus that makes sense of the world through notions of good and evil, in this way satisfying dieters' desires for cosmological meaning within their experiences of suffering. This moral symbolism filters into constructions of food as either pure or polluting, with "clean" eating and Paleo lifestyle transformations serving as quotidian expressions of agency, and a means of resistance to societal ills. The Paleo diet consequently exemplifies how the functions of traditional religion can be fulfilled by dietary practices within secular communities. [ABSTRACT FROM AUTHOR]

Differences in diet and lifestyle relative to those of our Paleolithic-era ancestors may explain current high incidences of chronic diseases, including colorectal cancer (CRC), in Westernized countries. Previously reported evolutionary-concordance diet and lifestyle pattern scores, reflecting closeness of diet and lifestyle patterns to those of Paleolithic-era humans, were associated with lower CRC incidence. Separate and joint associations of the scores with colorectal adenoma among men and women are unknown. To address this, we pooled data from three case-control studies of incident, sporadic colorectal adenomas (n = 771 cases, 1,990 controls), used participants' responses to food frequency and lifestyle questionnaires to calculate evolutionary-concordance diet and lifestyle pattern scores, and estimated the scores' associations with adenomas using multivariable unconditional logistic regression. The multivariable-adjusted odds ratios comparing those in the highest relative to the lowest diet and lifestyle score quintiles were 0.84 (95% confidence interval [CI] 0.62, 1.12; Ptrend:0.03) and 0.41 (95% CI 0.29, 0.59; Ptrend:<0.0001), respectively. The inverse associations were stronger for high-risk adenomas, and among those with both high relative to those with both low diet and lifestyle scores. These results suggest that more evolutionary-concordant diet and lifestyle patterns, separately and jointly, may be associated with lower risk for incident, sporadic colorectal adenoma. Supplemental data for this article is available online at https://doi.org/10.1080/01635581.2021.2002919. [ABSTRACT FROM AUTHOR]

The widespread uptake of the Anthropocene concept over the past two decades has seen a concomitant rise in cultural forms that trade on nostalgia for Paleolithic life. Mud running, CrossFit, and the Paleo diet exemplify this trend, with the Paleolithic hunter-gatherer at the center of their popular prescriptions for healthy living. In this article, we identify these practices as embodying the anxieties of the Anthropocene as well as its historical and racial elisions. By focusing on the oblique and subtle racializations of Anthropocene health and fitness cultures, we contribute to understandings of the cultural significance of the human body in the Anthropocene and the relationship between the biopolitics of health and geological life, arguing that the body is a key site through which the tensions and inequalities of the Anthropocene are played out. And by unraveling how the Paleolithic imagination is rooted in a distinctly capitalist, Euro-American attitude to the body in nature, we show the Anthropocene to be defined by uneven distributions of health as self-optimization, and health as environmental risk. The Paleolithic imagination demonstrates the tangled politics of race, science, and nature in the twenty-first century, in which global ecological instability, the biopolitics of health, the shadows of colonialism, and consumer capitalism converge. [ABSTRACT FROM AUTHOR]

The article discusses the lived experience of Irritable bowel syndrome (IBS) from the patient perspective with emphasis on dietary involvement an diet management of the condition. It further discusses disorder of the gut–brain axis characterized by recurrent abdominal pain and altered defecation; gastroenteritis and alterations in gut microbiota and visceral hypersensitivity; and dietitian involvement in implementation of dietary therapies.

Objective. The prevalence of calculus is known to be variable by difference in diets or subsistence strategy between human populations. However, this situation has not been confirmed so far for hunter-gatherers and farming people in terms of history. In this study, we tried to reveal the association of diets or subsistence with calculus in different historical populations: Siberian natives, Joseon period Korean people, and Russian settlers in Siberia. Design. We examined the teeth of Siberian natives (hunter-gatherers), Russian (wheat farming) settlers, and Joseon (rice farming) people in sixteenth to nineteenth century. Age and sex were estimated using the methods of Buikstra and Ubelaker (1994). We examined specimens to detect signs of calculus formation in teeth. Calculus rates in each group were statistically compared, and the proportions of calculus by age or sex were also compared across each group. We used package R for statistical analysis. Results and Discussion. The prevalence of calculus deposition decreased in the order of Joseon people, Russian settlers, and Siberian natives. Our study proposes that the rate of calculi among farming people was evidently higher than that of hunter-gatherers in sixteenth to nineteenth century Eurasia. In all three groups, calculus prevalence became higher as age increases and was noteworthy in males. Conclusion. Current study demonstrated a significant difference of calculus formation between those groups with different diets or subsistence strategies. Higher prevalence of dental calculus was observed in agriculturalist Joseon Koreans and Russian settlers, but Siberian natives exhibited relatively lower frequency of dental calculus. The results of this study enable us to reconsider the meaning of association between subsistence strategy and calculus in different historical populations. [ABSTRACT FROM AUTHOR]