Evidence map›Paper›PMID 41039470›Full record

ArticleBMC nutrition2025

Paleolithic diet fraction and score in post hoc data analysis of a randomized controlled trial with lifestyle interventions for abdominal obesity.

Björn Rydhög, Pedro Carrera-Bastos, Yvonne Granfeldt, Kristina Sundquist, Tommy Jönsson

Registry-linked trialAbstract read
In one paragraph

Article in BMC nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01208558 (Whole Grain Versus no Grain With or Without Physiotherapy-promoted Exercise for Waist Loss), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01208558 phase2 / phase3completednot on this map

Whole Grain Versus no Grain With or Without Physiotherapy-promoted Exercise for Waist Loss

TypeinterventionalSponsorLund UniversityRan2010 to 2014Enrolled105ConditionsAbdominal Obesity, Cardiovascular Diseases, Diabetes Type 2, HypertensionArmsDiet A, Diet B, Physiotherapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Björn RydhögCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden. bjorn.rydhog@med.lu.se.
Pedro Carrera-BastosCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Yvonne GranfeldtDepartment of Process and Life Science Engineering, Lund University, Lund, Sweden.
Kristina SundquistCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Tommy JönssonCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPaleolithic Diet Fraction (PDF) and Paleolithic Diet Score (PDS) are both measures of how closely a food intake conforms to a Paleolithic dietary pattern. PDF is calculated directly from an individual's absolute food intake and PDS is an aggregated score based on an individual's food intake relative to a population. Both are inversely associated with all-cause and cause-specific mortality, coronary events and cancer. Here, for the first time, both measures are calculated in the same population and compared in a post hoc data analysis of a two-year-long randomized controlled trial (RCT) examining effects of lifestyle changes on waist circumference.

methodsSeventy-three participants with increased waist circumference and at least one additional risk factor for cardiovascular disease were randomized to a diet based on current dietary guidelines with or without grains and with or without physical exercise or controls. Of these, this post hoc analysis included the 57 participants (36 women and 21 men, aged 31-79 years) who completed the study per protocol with dietary data. Mean daily PDF and PDS were calculated using four-day weighed food records at baseline, 12 months, and 24 months. Correlations between PDF and PDS, and their respective associations with cardiometabolic outcomes were examined.

resultsThe mean daily PDF for energy at baseline, 12, and 24 months was 36%, 44%, and 42%, respectively. The absolute values of PDF and PDS, and their relative changes, demonstrated moderate to strong correlations during the study (r

conclusionsThere were moderate to strong correlations between PDF and PDS and no associations between PDF or PDS and cardiometabolic outcome measures, with the latter result possibly due to only modest changes in diet and an absence of outcome effects. REGISTRY: ClinicalTrials.gov, TRN: NCT01208558, Registration date: 24 September 2010. Retrospectively registered.

Indexed as

Lifestyle changePaleolithic dietPaleolithic diet fractionPaleolithic diet scoreType 2 diabetesWaist circumference

Identifiers

PMID41039470
PMCPMC12490088

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.