Limitations of the Digestible Indispensable Amino Acid Score (DIAAS) and choice of statistical reporting. Comment on “A comparison of dietary protein digestibility, based on DIAAS scoring, in vegetarian and non-vegetarian athletes. Nutrients 2019, 11, 3106”

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Compliance, palatability and feasibility of paleolithic and Australian guide to healthy eastin diets in healtthy women: A 4-week dietary intervention

The Paleolithic diet has been receiving media coverage in Australia and claims to improve overall health. The diet removes grains and dairy, whilst encouraging consumption of fruits, vegetables, meat, eggs and nuts. Our aim was to compare the diet to the Australian Guide to Healthy Eating (AGHE) in terms of compliance, palatability and feasibility; (2) Subjects/Methods: 39 healthy women (age 47 ± 13 years, BMI 27 ± 4 kg/m2) were randomised to an ad-libitum Paleolithic (n = 22) or AGHE diet (n = 17) for 4-weeks. A food checklist was completed daily, with mean discretionary consumption (serves/day) calculated to assess compliance. A 12-item questionnaire was administered post intervention to assess palatability and feasibility; (3) Results: The AGHE group reported greater daily consumption of discretionary items (1.0 + 0.6 vs. 0.57 + 0.6 serves/day, p = 0.03). Compared to the AGHE group, the Paleolithic group reported a significantly greater number of events of diarrhoea (23%, 0%, p = 0.046), costs associated with grocery shopping (69%, 6% p \u3c 0.01) and belief that the diet was not healthy (43%, 0% p \u3c 0.01); (4) Conclusions: Compliance to both diets was high but the potential side effects and increased cost suggest that the Paleolithic diet may not be practical in clinical/public health settings. Further studies are required to assess longer term feasibilit

Resistant starch content of Australian foods

The existing literature on resistant starch analysis in Australian foods has predominantly relied on older testing methods. Thus, our study aimed to address this gap by assessing the resistant starch content of selected Australian foods using the validated Association of Analytical Chemists 2002.02 testing method. Forty commonly consumed and available foods were tested in duplicate. The resistant starch content of foods varied from 0 to 13.72 g/100 g. Foods with the highest resistant starch were Hi-maize flour pancakes, red kidney beans, Lebanese bread, and Cornflakes cereal, which ranged from 2.30 to 13.72 g/100 g, respectively. The lowest resistant starch foods included beetroot, rice crackers, All Bran cereal, and Nutri-grain cereal, which ranged from 0 to 0.04 g/100 g, respectively. This is the first known Australian study to evaluate the resistant starch content of foods using the AOAC 2002.02 method. This data can be used to assess resistant starch consumption in the Australian population, inform gut microbiome research, and guide clinical practice recommendations for fibre intake.</p

A Paleolithic diet lowers resistant starch intake but does not affect serum trimethylamine-N-oxide concentrations in healthy women

The Paleolithic diet excludes two major sources of fibre, grains and legumes. However, it is not known whether this results in changes to resistant starch (RS) consumption. Serum trimethylamine-N-oxide (TMAO) is produced mainly from colonic fermentation and hepatic conversion of animal protein and is implicated in CVD, but changes in RS intake may alter concentrations. We aimed to determine whether intake of RS and serum concentrations of TMAO varied in response to either the Paleolithic or the Australian Guide to Healthy Eating (AGHE) diets and whether this was related to changes in food group consumption. A total of thirty-nine women (mean age 47 (sd 13) years, BMI 27 (sd 4) kg/m2) were randomised to AGHE (n 17) or Paleolithic diets (n 22) for 4 weeks. Serum TMAO concentrations were measured using liquid chromatography-MS; food groups, fibre and RS intake were estimated from weighed food records. The change in TMAO concentrations between groups (Paleolithic 3·39 μm v. AGHE 1·19 μm, P = 0·654) did not reach significance despite greater red meat and egg consumption in the Paleolithic group (0·65 serves/d; 95 % CI 0·2, 1·1;

A Paleolithic diet lowers resistant starch intake but does not affect serum trimethylamine-N-oxide concentrations in healthy women

The Paleolithic diet excludes two major sources of fibre, grains and legumes. However, it is not known whether this results in changes to resistant starch (RS) consumption. Serum trimethylamine-N-oxide (TMAO) is produced mainly from colonic fermentation and hepatic conversion of animal protein and is implicated in CVD, but changes in RS intake may alter concentrations. We aimed to determine whether intake of RS and serum concentrations of TMAO varied in response to either the Paleolithic or the Australian Guide to Healthy Eating (AGHE) diets and whether this was related to changes in food group consumption. A total of thirty-nine women (mean age 47 (sd 13) years, BMI 27 (sd 4) kg/m2) were randomised to AGHE (n 17) or Paleolithic diets (n 22) for 4 weeks. Serum TMAO concentrations were measured using liquid chromatography–MS; food groups, fibre and RS intake were estimated from weighed food records. The change in TMAO concentrations between groups (Paleolithic 3·39 μmv. AGHE 1·19 μm, P = 0·654) did not reach significance despite greater red meat and egg consumption in the Paleolithic group (0·65 serves/d; 95 % CI 0·2, 1·1; P <0·01, and 0·22 serves/d; 95 % CI 0·1, 0·4, P <0·05, respectively). RS intake was significantly lower on the Paleolithic diet (P <0·01) and was not associated with TMAO concentrations. However, the limited data for RS and the small sample size may have influenced these findings. While there were no significant changes in TMAO concentrations, increased meat consumption and reduced RS intake warrant further research to examine the markers of gastrointestinal health of Paleolithic diet followers and to update Australian food databases to include additional fibre components

T-REX OU4 HIRES: the high resolution spectrograph for the E-ELT

The goal of this unit was to consolidate the project for the construction of the high resolution spectrometer of the E-ELT (HIRES). The task included the development of scientific cases and tools to predict the instrumental performances. From the technical point of view it included several R&D activities in collaboration with highly specialized Italian companies; it culminated with the detailed design of a highly modular instrument based on well established technologies. From the management point of view it lead to the consolidation of a large international consortium that spans over 12 countries and includes most of the European and ESO-related institutes interested in high resolution spectroscopy. This consortium is led by INAF; its formal creation is awaiting the official call by ESO for the phase-A study for the HIRES instrument of the E-ELT

Cardiovascular, Metabolic Effects and Dietary Composition of Ad-Libitum Paleolithic vs. Australian Guide to Healthy Eating Diets: A 4-Week Randomised Trial

(1) Background: The Paleolithic diet is popular in Australia, however, limited literature surrounds the dietary pattern. Our primary aim was to compare the Paleolithic diet with the Australian Guide to Healthy Eating (AGHE) in terms of anthropometric, metabolic and cardiovascular risk factors, with a secondary aim to examine the macro and micronutrient composition of both dietary patterns; (2) Methods: 39 healthy women (mean ± SD age 47 ± 13 years, BMI 27 ± 4 kg/m2) were randomised to either the Paleolithic (n = 22) or AGHE diet (n = 17) for four weeks. Three-day weighed food records, body composition and biochemistry data were collected pre and post intervention; (3) Results: Significantly greater weight loss occurred in the Paleolithic group (−1.99 kg, 95% CI −2.9, −1.0), p &lt; 0.001). There were no differences in cardiovascular and metabolic markers between groups. The Paleolithic group had lower intakes of carbohydrate (−14.63% of energy (E), 95% CI −19.5, −9.7), sodium (−1055 mg/day, 95% CI −1593, −518), calcium (−292 mg/day 95% CI −486.0, −99.0) and iodine (−47.9 μg/day, 95% CI −79.2, −16.5) and higher intakes of fat (9.39% of E, 95% CI 3.7, 15.1) and β-carotene (6777 μg/day 95% CI 2144, 11410) (all p &lt; 0.01); (4) Conclusions: The Paleolithic diet induced greater changes in body composition over the short-term intervention, however, larger studies are recommended to assess the impact of the Paleolithic vs. AGHE diets on metabolic and cardiovascular risk factors in healthy populations

Health impacts and dietary composition of Paleolithic and Australian Guide to Healthy Eating Diets in Australia

The Paleolithic diet is promoted in Australia for improved gut health. However, it excludes grains and dairy, food groups that form part of the evidence-based Australian Guide to Healthy Eating (AGHE). While total dietary fibre intake can be maintained from consumption of vegetables, fruit and nuts, it is not known if the elimination of grain-based foods results in changes to resistant starch (RS) intake. The Paleolithic diet can be classified as a low carbohydrate diet, however, interventions examining the impact of low carbohydrate diets on gastrointestinal health have been short-term and very low in dietary fibre, limiting comparison with a Paleolithic dietary pattern. Serum trimethylamine-N-oxide (TMAO) arises mainly from colonic fermentation and hepatic conversion of animal protein and is positively associated with cardiovascular disease, but changes to RS intake may alter concentrations. With available literature on the Paleolithic diet examining only cardiometabolic and anthropometric outcomes, there exists a need to examine both fibre fraction intake and markers of gastrointestinal health, including the composition of the microbiota. The PhD research comprised three separate studies. Studies One and Two re-examined data from a four-week randomised dietary intervention in healthy women (n=39) using the Paleolithic (n=22) and AGHE diets (n=17), to understand fibre fraction intake and to determine whether the short-term dietary change induced changes in serum TMAO concentrations. Study Three comprised a new, cross-sectional study and examined markers for dietary intake, cardiovascular and gastrointestinal health; comparing the results to a control group following a standard Australian diet. Forty-four long-term followers (\u3e1 y) of the Paleolithic diet and 47 healthy controls were recruited; three-day weighed food records, diet history, anthropometric measures, fasting blood, 24-hour urine and 48-hour stool samples were collected. Food group, fibre and RS intake were estimated from weighed food records; serum TMAO concentrations were measured using LC-MS; faecal biochemistry with LC and GC-MS; faecal microbiota composition was analysed using 16s rRNA sequencing of the v4 region. The short-term intervention comprising Studies One and Two showed RS intake postintervention, on a Paleolithic diet was significantly lower (RS Minimum 1.39 ± 0.95 g/day, RS Maximum 6.52 ± 4.59 g/day), than intake in the AGHE group (RS Minimum 2.46 ±2.26 g/day, RS Maximum 9.91 ± 9.06 g/day) and resulted in significant differences between groups (P Study Three showed variation in the level of adherence to the Paleolithic diet and resulted in the stratification of the cohort into Strict Paleolithic (SP) (n=22) and Pseudo-Paleolithic (PP) (n=22) groups. Total dietary fibre intake was similar in the SP and control groups (30 g/day versus 27 g/day) and significantly higher than that of the PP group (21 g/day) (PBifidobacteriaand Roseburia genera, and increased abundance of TMA producing genera Hungatella. Lower RS and carbohydrate intake, combined with high fat intake were associated with changes in microbiota and reduced abundances of beneficial genera in the Paleolithic group. The lack of differences between groups observed in SCFA excretion and the association with vegetable intake is supportive of dietary recommendations to increase consumption and may indicate a mechanism via which vegetables exert beneficial health impacts. The significantly higher concentrations of TMAO in the SP group and the association with both whole grain intake and the microbiota indicates that a variety of carbohydrate sources and fibre components may be required to maintain colonic health. Future research should now focus on including markers of intestinal permeability and inflammation to confirm these findings

Cardiovascular, Metabolic Effects and Dietary Composition of Ad-Libitum Paleolithic vs. Australian Guide to Healthy Eating Diets: A 4-Week Randomised Trial

(1) Background: The Paleolithic diet is popular in Australia, however, limited literature surrounds the dietary pattern. Our primary aim was to compare the Paleolithic diet with the Australian Guide to Healthy Eating (AGHE) in terms of anthropometric, metabolic and cardiovascular risk factors, with a secondary aim to examine the macro and micronutrient composition of both dietary patterns; (2) Methods: 39 healthy women (mean ± SD age 47 ± 13 years, BMI 27 ± 4 kg/m2) were randomised to either the Paleolithic (n = 22) or AGHE diet (n = 17) for four weeks. Three-day weighed food records, body composition and biochemistry data were collected pre and post intervention; (3) Results: Significantly greater weight loss occurred in the Paleolithic group (−1.99 kg, 95% CI −2.9, −1.0), p &lt; 0.001). There were no differences in cardiovascular and metabolic markers between groups. The Paleolithic group had lower intakes of carbohydrate (−14.63% of energy (E), 95% CI −19.5, −9.7), sodium (−1055 mg/day, 95% CI −1593, −518), calcium (−292 mg/day 95% CI −486.0, −99.0) and iodine (−47.9 μg/day, 95% CI −79.2, −16.5) and higher intakes of fat (9.39% of E, 95% CI 3.7, 15.1) and β-carotene (6777 μg/day 95% CI 2144, 11410) (all p &lt; 0.01); (4) Conclusions: The Paleolithic diet induced greater changes in body composition over the short-term intervention, however, larger studies are recommended to assess the impact of the Paleolithic vs. AGHE diets on metabolic and cardiovascular risk factors in healthy populations

Compliance, Palatability and Feasibility of PALEOLITHIC and Australian Guide to Healthy Eating Diets in Healthy Women: A 4-Week Dietary Intervention

(1) Background/Objectives: The Paleolithic diet has been receiving media coverage in Australia and claims to improve overall health. The diet removes grains and dairy, whilst encouraging consumption of fruits, vegetables, meat, eggs and nuts. Our aim was to compare the diet to the Australian Guide to Healthy Eating (AGHE) in terms of compliance, palatability and feasibility; (2) Subjects/Methods: 39 healthy women (age 47 ± 13 years, BMI 27 ± 4 kg/m2) were randomised to an ad-libitum Paleolithic (n = 22) or AGHE diet (n = 17) for 4-weeks. A food checklist was completed daily, with mean discretionary consumption (serves/day) calculated to assess compliance. A 12-item questionnaire was administered post intervention to assess palatability and feasibility; (3) Results: The AGHE group reported greater daily consumption of discretionary items (1.0 + 0.6 vs. 0.57 + 0.6 serves/day, p = 0.03). Compared to the AGHE group, the Paleolithic group reported a significantly greater number of events of diarrhoea (23%, 0%, p = 0.046), costs associated with grocery shopping (69%, 6% p &lt; 0.01) and belief that the diet was not healthy (43%, 0% p &lt; 0.01); (4) Conclusions: Compliance to both diets was high but the potential side effects and increased cost suggest that the Paleolithic diet may not be practical in clinical/public health settings. Further studies are required to assess longer term feasibility