Swedish researchers reported in 2010 that a Paleolithic diet was more satiating than a Mediterranean-style diet, when compared on a calorie-for-calorie basis in heart patients. Both groups of study subjects reported equal degrees of satiety, but the paleo dieters ended up eating 24% fewer calories over the 12-week study.
The main differences in the diets were that the paleo dieters had much lower consumption of cereals (grains) and dairy products, and more fruit and nuts. The paleos derived 40% of total calories from carbohydrate compared to 52% among the Mediterraneans.
Even though it wasn’t a weight-loss study, both groups lost weight. The paleo dieters lost a bit more than the Mediterraneans: 5 kg vs 3.8 kg (11 lb vs 8.4 lb). That’s fantastic weight loss for people not even trying. Average starting weight of these 29 ischemic heart patients was 93 kg (205 lb). Each intervention group had only 13 or 14 patients (I’ll let you figure out what happened to to the other two patients).
I blogged about this study population before. Participants supposedly had diabetes or prediabetes, although certainly very mild cases (average hemoglobin A1c of 4.7% and none were taking diabetic drugs)
As I slogged through the research report, I had to keep reminding myself that this is a very small, pilot study. So I’ll not bore you with all the details.
This study suggests that the paleo diet may be particularly helpful for weight loss in heart patients. No one knows how results would compare a year or two after starting the diet. The typical weight-loss pattern is to start gaining the weight back at six months, with return to baseline at one or two years out.
Greek investigators found a link between the Mediterranean diet and better clinical outcomes in known ischemic heart disease patients. On the other hand, researchers at the Heart Institute of Spokane found the Mediterranean diet equivalent to a low-fat diet in heart patients, again in terms of clinical outcomes. U.S. investigators in 2007 found a positive link between the Mediterranean diet and lower rates of death from cardiovascular disease and cancer.
We don’t yet have these kinds of studies looking at the potential benefits of the paleo diet. I’m talking about hard clinical endpoints such as heart attacks, heart failure, cardiac deaths, and overall deaths. The paleo diet definitely shows some promise.
I also note the Swedish investigators didn’t point out that weight loss in overweight heart patients may be detrimental. This is the “obesity paradox,” called “reverse epidemiology” at Wikipedia. That’s a whole ‘nother can o’ worms.
Keep your eye on the paleo diet.
Reference: Jonsson, Tommy, et al. A paleolithic diet is more satiating per calorie than a mediterranean-like diet in individuals with ischemic heart disease. Nutrition and Metabolism, 2010, 7:85.
“The typical weight-loss pattern is to start gaining the weight back at six months, with return to baseline at one or two years out.”
Dr. Parker: As far as I know, this only applies to calorie-restricted diets. Are there references available for long-term results for, say, carbohydrate-restricted diets or other diets that are unrestricted in total calories?
See Iris Shai’s DIRECT trial in New England Jouranl of Medicine in 2008, comparing Atkins-style (low-carb), Mediterraenan, and low-fat diets.
See Figure 2 in particular. It shows a weight-loss nadir at around 6 months for the Atkins and low-fat groups, then a trend towards return to baseline weight. But you’re right: in this study, all three groups remained below baseline at 2 years.
BTW, most scientific weight loss studies don’t last more than six months. A real strenght of DIRECT is the two-year length.
I analyzed the DIRECT study at length: http://advancedmediterraneandiet.com/blog/2008/07/18/new-study-compares-mediterranean-low-carb-and-low-fat-weight-loss-diets/
2007’s A to Z weight loss study was a year-long trial of Atkins (low-carb) versus three other diets. Figure 2 shows that same tendency for weight to bottom out around 6 months, then regain starts. Nevertheless, these study participants also maintained some degree of weight loss over one year.
my wife and i went from vegetarians to paleo after i read robb wolfs book and found livin la vida low carb podcasts of jimmy moore.
254: Dr. Steve Parker Explains How To Low-Carb The Mediterranean Way!
75: Sam Giganti And Kris Gunnars On Hope Warshaw Defending Carbs For Diabetics
Global National : Pros and cons of Mediterranean diet
check out the diet pdf
my wife and i are moving to a mediterreanian paleo diet
John, I’m sorry about the delay in approving your comment. Lately I’m focusing on producing content; something has to suffer my neglect.