1. Long-term Paleolithic diet is associated with lower resistant starch intake, different gut microbiota composition and increased serum TMAO concentrations
- Author
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Anthony R. Bird, Johnny Lo, Megan L. Coghlan, Mary C. Boyce, Philippa Lyons-Wall, Angela Genoni, Claus T. Christophersen, and Amanda Devine
- Subjects
0301 basic medicine ,food.ingredient ,Metabolite ,Medicine (miscellaneous) ,Physiology ,030209 endocrinology & metabolism ,TMAO ,Gut flora ,medicine.disease_cause ,Body fat percentage ,Diet Records ,03 medical and health sciences ,chemistry.chemical_compound ,Methylamines ,0302 clinical medicine ,food ,Paleolithic diet ,Tandem Mass Spectrometry ,RNA, Ribosomal, 16S ,Medicine ,Humans ,Resistant starch ,030109 nutrition & dietetics ,Nutrition and Dietetics ,biology ,business.industry ,Australia ,Original Contribution ,Anthropometry ,biology.organism_classification ,Whole grains ,Gastrointestinal Microbiome ,Cross-Sectional Studies ,chemistry ,Diet, Paleolithic ,Composition (visual arts) ,Gut health ,business ,Chromatography, Liquid ,New Zealand - Abstract
Background The Paleolithic diet is promoted worldwide for improved gut health. However, there is little evidence available to support these claims, with existing literature examining anthropometric and cardiometabolic outcomes. Objective To determine the association between dietary intake, markers of colonic health, microbiota, and serum trimethylamine-N-oxide (TMAO), a gut-derived metabolite associated with cardiovascular disease. Design In a cross-sectional design, long-term (n = 44, > 1 year) self-reported followers of a Paleolithic diet (PD) and controls (n = 47) consuming a diet typical of national recommendations were recruited. Diets were assessed via 3-day weighed diet records; 48-h stool for short chain fatty acids using GC/MS, microbial composition via 16S rRNA sequencing of the V4 region using Illumina MiSeq. TMAO was quantified using LC–MS/MS. Results Participants were grouped according to PD adherence; namely excluding grains and dairy products. Strict Paleolithic (SP) (n = 22) and Pseudo-Paleolithic (PP) (n = 22) groups were formed. General linear modelling with age, gender, energy intake and body fat percentage as covariates assessed differences between groups. Intake of resistant starch was lower in both Paleolithic groups, compared to controls [2.62, 1.26 vs 4.48 g/day (P P Hungatella in both Paleolithic groups (P P r = − 0.34, P Conclusions Although the PD is promoted for improved gut health, results indicate long-term adherence is associated with different gut microbiota and increased TMAO. A variety of fiber components, including whole grain sources may be required to maintain gut and cardiovascular health. Clinical trial registrations Australian and New Zealand Clinical Trial Registry (ANZCTRN12616001703493).
- Published
- 2019