Paleolithic Studies and Eating Styles

 

Topics:

Grains or No Grains?

        Protein and Animal Meats.

        Development of Human Brain, Nutritional aspects

        Paleo Exercise

        Westernized Australian Aborigines with Diabetes put back on a H-G Diet.

        Can one eat like a caveman?

 

Introduction and Guidelines:

 

 

 

This statement summarizes the essential point of our physiology. That is, we as a species have developed and grown over thousands of years based on a common diet. It is only with the advent of agriculture and particularly, the engineering of foods that serious difficulties have emerged. A short presentation is given here:

 

Our Genetic Heritage Dates Back 7 Million Years.

 

 

          The seminal work on the recent interest in the paleontological studies was a paper presented by Eaton et. al. at Emory State University in the New England Journal of Medicine 312, 283 (1985). This work was groundbreaking and resulted in the consolidation of the information for the general public in a book titled “The Paleolithic Prescription” (See Recommended Reading) A summary is presented here by the authors: Eaton et. al

 

The information in this text has been revised slightly as more information came to bear, however, is largely well supported by the current literature. A Meta-Analysis published recently searched over 200 journals for dietary studies with the intent of finding common agreement. The findings were published in the Journal of Nutritional and Environmental Medicine. An article published in the Mayo Clinic Proceedings summarizes this and other commensurate information in a very readable article. Responses to the philosophies are interesting and include criticisms with regard to conclusions based on the causes of chronic disease, lifespan and such. For example, the argument frequently made is that we live longer now and therefore suffer the fate of diseases that the ancient hunter never lived long enough to face.

 

          A response to the common criticisms was recently published in Preventative Medicine. It is short and worth reading. In essence, conditions have changed with regard to causes of premature death from being eaten, accidents, sanitation and more. Yet, evidence shows that even at comparable ages, there is significant evidence that the progression of chronic disease processes, which begin at an early age, are not seen. This and other rebuttal is provided. See:

 

 Preventative Medicine 34 119 (2002)

 

          Ultimately, there are several issues that need to be addressed when drawing recommendations with regard to an eating and living style. This page deals with many and I’ve attempted to provide a modicum of research support. One problem that arises is the fact that we no longer live among wild, lean animals, unadulterated fruits and vegetables. We live in concentrated energy food environments meant to appeal to our tastes, not our nutritional needs. A comparison of contemporary foods and ancient foods is made here and a dietary nutritional analysis of currently available foods has been done and recommendations provided that allows a nutrient content comparable (and compatible) to our genetic history. See:

 

The Nutritional Characteristics of a Contemporary Diet Based Upon Paleolithic Food Groups: JANA 5 (3) 15 (2002).

 

 (See also, Modern Foods for more.) However, in the original book, recommendations are made as to what can be done in the here and now. As a follow-up, a VERY large number of cutting edge researcher in the field have collaborated on a paper making specific recommendations. See:

 

Evolutionary Health Promotion, Preventative Medicine 34 109 (2002)

 

 

Grains or No Grains?

 

          It has been established that the inclusion of cereal grains in the diet provides too much by way of nutrients than can be ignored. Some have argued, notably Barry Sears and Loren Cordain, that grains and agriculture are so recent in the evolutionary design, that they should NOT be a natural part of our diet.

 

What did our ancestors eat?

The grasses and grains that likely were present at during the extended time of our evolutionary history were likely very different than what exists by selectivity and cross breeding. Most likely they were much tougher, having far less starch content and were largely inedible without some element of processing. The first records of milling of grains was only about 15,000 years ago. The advent of agriculture is thought to be about 10,000 years ago.

 

What’s wrong with grains? The first thing to do is to completely disregard corn. This is a product completely dependent on man for its existence. However, wheat, rye, barley, etc., merit discussion. Loren Cordain, paleo researcher in the Department of Exercise and Sport Science at Colorado State University recently published a special article with regard to the adverse effects of grain products.

 

Simopoulos AP (ed): Evolutionary Aspects of Nutrition and Health.

Diet, Exercise, Genetics and Chronic Disease.

World Rev Nutr Diet. Basel, Karger, 1999, vol 84, pp 19–73

Simopoulos is a hearty supporter and researcher of the Mediterranean dietary philosophy, which typically emphasizes whole grains.

In summary, Dr. Cordain presents extensive research support for adverse properties of grains, including:

*  Cereal grains are high on the list of common allergenic foods.

*  Grains have been associated with autoimmune disorders.

*  Grain products possess substances referred to as anti-nutrients: Toxins, substances that overstimulate the immune system due to similarity in certain amino acid sequences and enzyme (protease) inhibitors.

*  Cereal grains are in and of themselves incomplete by way of protein and other micronutrients and displacement of other food sources by grains can lead to deficiency disorders.

 

As a paleo historian, Dr. Cordain documents the anthropometric changes associated with the advent of agriculture, namely, a  reduction in stature, an increase in infant mortality, a reduction in lifespan, an increased incidence of infectious diseases, an increase in iron deficiency anemia, an increased incidence of osteomalacia, porotic hyperostosis and other bone mineral disorders and an increase in the number of dental caries and enamel defects.”

 

BUT!!!

 

The article readily recognizes that these occurrences and the adverse affects cites become significant when the diet becomes predominantly grain based, a limit which is set at about 70% of energy intake. With exception to those individuals that are particularly susceptible to certain grain elements, such as gluten sensitivity, as a minor part of an omnivorous diet, grains can be very beneficial. Others recognize that, although grains were probably not a staple of our ancestors, their nutritional value can not be ignored.

 

But, as to breads and grains being the base of the food pyramid ?????????????

 

      A thought: At the 1976 New York City conference on the marathon, D.S. Kronfeld, animal studies performance scientist from the University of Pennsylvania, made the following statement about human athletes eating exclusively high-carbohydrate diets:

 

When the chimp came out of the trees 3 to 5 million years ago and started to chase, he was running on a diet of raw meat, and that was for 5 million years; and about 10 thousand years ago we learned how to cook and started to eat those cereal grains that started to sweep across the Middle East after the Ice Age. It is hard for me to see how an animal, and man is still an animal, that adapted to a very low carbohydrate, high meat, and high-fat burner for 5 million years suddenly in 10,000 years becomes a great glucose burner. I still am in the direction of thinking that we should be using nutritional strategies that favor fatty acid oxidation during long exhaustive work, and my thinking in that direc­tion comes from studies of comparative nutrition.

 

Protein and Animal Meats:

 

          The role of proteins in the paleo diet is certainly debated. Until recently, there was a general agreement among paleontologists that plant foods provided the bulk of the ancient diet. Recent studies, based on a re-examination of the expansive Ethnographic Analysis, Murdock, GP Ethnographic atlas: a summary Ethnology 6 109 (1967) revisited this idea. More adjustments based on the inclusion of fishing and the conversion of data from weight percentages to energy content has since revised this estimation. The study can be read here:

 

Plant-animal substistence ratios and macronutrient energy estimations in worldwide hunter-gatherer diets

Am. J. Clin. Nutr. 71 682 (2000)

 

 

          There is plenty to argue concerning the amount and type of protein intake, however, most arguments as you will see are relatively unbalanced. In the light of Western eating patterns, much is missing with regard to protein and animal meat intake. Interestingly enough, the Atkins, Eades, etc., low carb groups  frustrate the conventional medical community because the long accepted notion that high fat/high protein diets cause heart disease is just not established. The controversy has brewed significantly. Arguments can be seen in the Controversy page.

 

 

          The articles discussed, indicate that the types of fats, rather than total fat and protein and the consumption of alkaline foods, namely fruits and vegetables. This is extremely important and is reflected in a very interesting article on the apparent paradox between all these studies. Again, from the Paleo standpoint, it is observed that there is virtually ZERO cardiovascular disease in hunter-gatherer populations. This, even though the nutrient intake among them varies widely, from the Nanamiut Alaskans and Greenland Eskimos at 98% to 99% animal food to the !Kung and Gwi of Africa at around 30% Animal food. Cordain and Eaton sought to discover why? Their observations can be seen here:

 

The paradoxical nature of hunter-gatherer diets: meat-based yet non-atherogenic, Cordain et. al.  Eur. J. Clin. Nutr. 56 S42-S52 (2002)

 

These seminal authors have estimated that although there is a wide variety of macronutrient distributions among the hunter-gatherer populations, there are some common underlying components, principally:

 

*  Protein, itself is hypolipidemic.

*  The QUALITY and TYPES of fats make the difference, particularly the inclusion of monosaturated and high omega-3 to omega-6 ratios.

*  Lifestyle differences from Western culture with the inclusion of considerably more exercise, no smoking, less stress.

*  The inclusion of additional elements, particularly high fiber, antioxidants, phytonutrients, low salt and the alkalizing quality of whole plant foods.

 

          Here is a group of high level researchers that set out to establish the relationship between dietary protein and heart disease. Their study involved 80 thousand women in the health study. Their hypothesis was NOT confirmed. They found the opposite!

 

Am J Clin Nutr 1999 Aug;70(2):221-7

Click here to read 
Dietary protein and risk of ischemic heart disease in women.

Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Speizer FE, Hennekens CH, Willett WC.

Departments of Nutrition and Epidemiology, Harvard School of Public Health, Boston, MA, USA. frank.hu@channing.harvard.edu

BACKGROUND: Ingestion of animal protein raises serum cholesterol in some experimental models but not in others, and ecologic studies have suggested a positive association between animal protein intake and risk of ischemic heart disease. Prospective data on the relation of protein intake to risk of ischemic heart disease are sparse. OBJECTIVE: The objective was to examine the relation between protein intake and risk of ischemic heart disease. DESIGN: The study was a prospective cohort study. RESULTS: We examined the association between dietary protein intake and incidence of ischemic heart disease in a cohort of 80082 women aged 34-59 y and without a previous diagnosis of ischemic heart disease, stroke, cancer, hypercholesterolemia, or diabetes in 1980. Intakes of protein and other nutrients were assessed with validated dietary questionnaires. We documented 939 major instances of ischemic heart disease during 14 y of follow-up. After age, smoking, total energy intake, percentages of energy from specific types of fat, and other ischemic heart disease risk factors were controlled for, high protein intakes were associated with a low risk of ischemic heart disease; when extreme quintiles of total protein intake were compared, the relative risk was 0.74 (95% CI: 0.59, 0.94). Both animal and vegetable proteins contributed to the lower risk. This inverse association was similar in women with low- or high-fat diets. CONCLUSIONS: Our data do not support the hypothesis that a high protein intake increases the risk of ischemic heart disease. In contrast, our findings suggest that replacing carbohydrates with protein may be associated with a lower risk of ischemic heart disease. Because a high dietary protein intake is often accompanied by increases in saturated fat and cholesterol intakes, application of these findings to public dietary advice should be cautious.

 

 

I point out that, although cultures such as the INUIT (whale blubber eaters waaay up in the North) are relatively free of CVD, osteoporosis is more common. Two reasons can be cited and the particular cause has yet to be determined.

 

1.) The high fat/high protein diet is acidic and contributes to hypercalcinuria in the absence of alkalizing vegetables.

2.) The lack of light and thus, Vitamin D

 

Conclusion: Hominids have a high tolerance for varied multi-source diets provided the essentials are there. Protein is tolerated well at high doses as long as essential fats and a good omega 3/omega 6 ratio is present. (See Essential Fats) Plenty of alkalizing foods that provide phytochemical and antioxidants. Vitamins and minerals and exercise.

 

 

Human Brain Development:

 

          The human brain underwent a very rapid growth period. Some have claimed that it was correlated with the migration to areas of high levels of fish, shellfish and algae, providing a source of the main growth fats needed, DHA and AA. Some argue that the consumption of terrestrial animal parts high in these fats are responsible, most notably the brain of the animals. A discussion of the implications is made here:

 

Fatty Acid Composition and Energy Density of Foods Available to African Hominids

Evolutionary Implications for Human Brain Development

 

 

Paleo Exercise

 

 

As is seen by the presentation above, traditional communities eating in the ways they were brought up results in vital energy and strength. It’s not only diet, but exercise. Here is a review of an article published in the Journal of Physiology. The entire article can be seen here. Booth et. al. J. Phys. 543 (2) 399 (2002).

 

The article indicates that genetic expression is influenced by the quantity and intensity of exercise. Specifically, the absence leads to the loss of gene expression that is responsible for protective processes in the human body. Moreover, the growth of skeletal muscle, bone strength, cardiovascular fitness that we identify in high level athletes is the genetic normal! What the public has become by way of the soft sedentary osteoporotic, sickly couch potatoes is the abnormal gene expression.

Many good things happen to the body when exercise is employed. This article goes to evidence of the genetic roots.

 

 

Westernized Australian Aborigines with Diabetes put back on a H-G Diet.

 

          As in many areas of the world, some ancient cultures have become westernized and have ended up with the western diseases. Examples include some of the INUIT, New Mexico Indians, Hawaiian and the Australian aborigines. It has been hypothesized that the aborigines have a high level of insulin resistance which is a favorable genetic trait in survival. In this study, a collection of diabetic, overweight members of the aboriginal community underwent dietary intervention involving detailed food analysis living for 7 weeks under a traditional style. Check the results:

 

Diabetes 1984 Jun;33(6):596-603
Marked improvement in carbohydrate and lipid metabolism in diabetic Australian aborigines after temporary reversion to traditional lifestyle.

O'Dea K.

The rationale for the present study was that temporarily reversing the urbanization process in diabetic Aborigines should improve all aspects of their carbohydrate and lipid metabolism that are linked to insulin resistance. Ten full-blood, diabetic Aborigines from the Mowanjum Community (Derby, Western Australia) agreed to be tested before and after living for 7 wk as hunter-gatherers in their traditional country in north-western Australia. They were middle aged (53.9 +/- 1.8 yr) and overweight (81.9 +/- 3.4 kg), and all lost weight steadily over the 7-wk period (average, 8 kg). A detailed analysis of food intake over 2 wk revealed a low-energy intake (1200 kcal/person/day). Despite the high contribution of animal food to the total energy intake (64%), the diet was low in total fat (13%) due to the very low fat content of wild animals. Oral glucose tolerance tests (75 g glucose) were conducted in the urban setting and repeated at the end of 7 wk of traditional lifestyle. The marked improvement in glucose was due to both a fall in fasting glucose (11.6 +/- 1.2 mM before, 6.6 +/- 0.8 mM after) and an improvement in postprandial glucose clearance (incremental area under the glucose curve: 15.0 +/- 1.2 mmol/L/h before, 11.7 +/- 1.2 mmol/L/h after). Fasting plasma insulin concentration fell (23 +/- 2 mU/L before, 12 +/- 1 mU/L after) and the insulin response to glucose improved (incremental area under the insulin curve: 61 +/- 18 mU/L/h before, 104 +/- 21 mU/L/h after). The marked fall in fasting plasma triglycerides (4.0 +/- 0.5 mM before, 1.2 +/- 0.1 mM after) was due largely to the fall in VLDL triglyceride concentration (2.31 +/- 0.31 mM before, 0.20 +/- 0.03 mM after.(ABSTRACT TRUNCATED AT 250 WORDS)

 

 

Can one eat like a caveman?

 

          This is exactly the question asked at the Colorado State University School of Health and Exercise Science. The researchers there put together a proposed diet from current food supplies and found they could produce a diet high in fiber, quality protein, a complete spectrum of vitamins, minerals, and phytochemicals, low in sodium, high in essential fats, etc. The entire article can be read here:

 

J. Amer. Nutr. Assoc. 5(3) 15 (2002)

 

The proposed diet was analyzed for nutrient content, fiber, protein, fat types etc. The proposed 1-day menu and macro-nutritional content are listed as follows:

 

Text Box:

 

Note that 38% of energy is from protein and 23% from carbohydrate. This definitely qualifies as a high protein diet by USDA standards. Read the article for a complete discussion.