Extrait

Background and study aims Obesity and diabetes are on the rise, and have become a major health concern worldwide. There is a strong link between obesity and type two diabetes (a long term health condition where a person has difficulty controlling their blood sugar levels as they do not produce enough insulin to function properly (insulin deficiency), or that the body’s cells don’t react to insulin as they should do (insulin resistance)). There is some uncertainty and controversy with regard to the best diet for health and for the prevention of obesity and diabetes. The Paleolithic diet, sometimes called the “stone age diet”, is the diet that man ate for the first 95% of his existence. It involves eating the foods available during human evolution (root vegetables, leafy vegetables, fruits, nuts, eggs, lean meat, fish and shellfish), and equally importantly it involves cutting out grains, refined vegetable seed oils, refined sugar, dairy products, soya products and pulses and legumes (i.e. lentils, beans and peanuts). Studies have shown that this type of diet could have an effect on blood sugar levels and the levels of a hormone called leptin. Many "healthy" people have some degree of insulin resistance; the aim of this study was to see whether the insulin sensitivity of healthy volunteers might improve with a Palaeolithic diet, even if they were previously classified as having normal insulin sensitivity. Who can participate? Healthy adults. What does the study involve? Participants are encouraged to consume a Paleolithic diet for four weeks. This involves cutting out grains, refined vegetable seed oils, refined sugar, dairy products, soya products and pulses and legumes (i.e. lentils, beans and peanuts), and replacing them with fruit, vegetables, root vegetables, fish, lean meat, eggs and nuts. Participants can eat as much as they like of “allowed” foods, however must not have more than 30g of nuts or one potato per day. For non-Caucasian participants, if they feel they are unable to stick to the diet for four weeks, they are able to do so for two weeks instead. At the start of the study and then after the diet ends (two or four weeks), participants are weighed and provide blood samples so that their blood sugar, fat levels and leptin (hormone) levels can be measured. Before the blood tests, participants must not eat or drink anything except water for 12 hours. What are the possible benefits and risks of participating? Participants may benefit from weight loss in those who are overweight and improvements in insulin sensitivity in those with insulin resistance. There are no notable risks for participants, however some may feel discomfort or experience bruising from blood tests. Where is the study run from? The study takes place in participants homes and blood testing takes place at Blue Horizon Blood tests London (UK) and in home visits from the company Metropolis Healthcare Ltd (India) When is the study starting and how long is it expected to run for? April 2015 to July 2016 Who is funding the study? Investigator initiated and funded (UK) Who is the main contact? Dr Madhvi Chanrai

Critère d'inclusion

• Insulin Resistance

Liens

• isrctn