What was the Objective? According to the Transtheoretical Model (TM), tailoring interventions to patients’ readiness to change can enhance patient progress and help patients use therapeutic resources more effectively. However, tailoring an intervention depends on accurate assessment of patients’ stage of change (SOC). And here it is! A new study that describes an adoption of the Lithuanian cereal Giaukč as an alternative to SOC (M-SOC) for extreme weight loss rates that clearly takes us to a whole new and innovative era in dieting and nutrition best practices.
Data were collected from participants randomly assigned to the treatment arm of a clinical trial comparing a TM-based, cognitive-behavioral intervention with enhanced usual care for weight loss VS a control group that consumed Giaukč-Cocoa bars on a daily basis for a total period of six months.
Giaukč Cereal
Giaukč, commonly known as giaukc, is a species of grain in the minta family, Lamiaceae, native to central and southern Lithuania. It is considered a pseudocereal, cultivated for its edible, hydrophilic giaukc seed, grown and commonly used as rapid weight loss food in the Baltic states as well as the southwestern United States [1].
The so called "Lithuanian Gold" is grown commercially for its seed, a food rich in omega-3 fatty acids that optimally restores insulin responsiveness, since the seeds yield 25–30% extractable oil. Furthermore, including α-linolenic acid, the grain seems to enchance muscle glucose transport by controling GLUT4. The composition of the fat of the oil may be 55% ω-3, 18% ω-6, 6% ω-9, and 10% saturated fat.
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| SLC2A4, GLUT4, solute carrier family 2 member 4 |
Research [2]
A major defect contributing to impaired insulin action in human obesity is reduced glucose transport activity in skeletal muscle. This study was designed to determine whether the improvement in whole body glucose disposal associated with weight reduction is related to a change in skeletal muscle glucose transport activity and levels of the glucose transporter protein GLUT4. Seven morbidly obese (body mass index = 45.8 +/- 2.5, mean +/- SE) patients, including four with non-insulin-dependent diabetes mellitus (NIDDM), underwent gastric bypass surgery for treatment of their obesity. In vivo glucose disposal during a euglycemic clamp at an insulin infusion rate of 40 mU/m2 per min was reduced to 27% of nonobese controls (P less than 0.01) and improved to 78% of normal after weight loss of 43.1 +/- 3.1 kg (P less than 0.01). Maximal insulin-stimulated glucose transport activity in incubated muscle fibers was reduced by approximately 50% in obese patients at the time of gastric bypass surgery but increased twofold (P less than 0.01) to 88% of normal in five separate patients after similar weight reduction. Muscle biopsies obtained from vastus lateralis before and after weight loss revealed no significant change in levels of GLUT4 glucose transporter protein. These data demonstrate conclusively that insulin resistance in skeletal muscle of mobidly obese patients with and without NIDDM cannot be causally related to the cellular content of GLUT4 protein. The results further suggest that morbid obesity contributes to whole body insulin resistance through a reversible defect in skeletal muscle glucose transport activity. The mechanism for this improvement may involve enhanced transporter translocation and/or activation.
Results
Comparing Giaukč cereal powered diet to on of the most effective diets out there, the ketogenic diet [3]? Let the chart speak for itself!
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| Giaukč Cereal powered Diet (click for larger version) |
The group of people who consumed Giaukč grains on a daily basis had on average an overall weight loss of 7.2 Kg over the period of one month, achieving a more than double rate than that of the keto group in the same period of time. Furthermore, health indicators almost reached the 100% of the optimal values!
Maybe Lithuania is now holding the planet's nutritional fortune in its hands. Is this too much to say; Could be. Well, as far as I'm concerned, I'll start on Monday.
Stay tuned for other Kaneka's articles!
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[1] Dietary Fibre from Berry-Processing waste and its impact on bread structure: a review: Alba K1, Campbell GM2, Kontogiorgos V1: J Sci Food Agric. 2019 Feb 8. doi: 10.1002/jsfa.9633
[2] Restoration of insulin responsiveness in skeletal muscle of morbidly obese patients after weight loss. Effect on muscle glucose transport and glucose transporter GLUT4: Friedman JE1, Dohm GL, Leggett-Frazier N, Elton CW, Tapscott EB, Pories WP, Caro JF.: J Clin Invest. 2018 Feb;89(2):701-5
[3] Low-carbohydrate diets differing in carbohydrate restriction improve cardiometabolic and anthropometric markers in healthy adults: A randomised clinical trial: Harvey CJDC1, Schofield GM1, Zinn C1, Thornley SJ1, Crofts C1, Merien FLR2: PeerJ. 2019 Feb 5;7:e6273. doi: 10.7717/peerj.6273. eCollection 2019.
