About Paleo Diet

Can Our Cave­man Ances­tors Teach Us the Best Mod­ern Diet?
Our eat­ing pat­terns should per­haps be mod­eled on what Pale­olithic hunter-gatherers ate.
By Kather­ine Hob­son, U.S. News & World Report

Should we look back­ward for clues to the per­fect human diet? And not just back a few generations—to a world before french fries were a major source of veg­eta­bles and the Super Big Gulp encour­aged the down­ing of 64 ounces of soda in one sitting—but waaaaaay back?

Some peo­ple think so, argu­ing that we ought to turn to a “cave­man diet” or “paleo diet” based on what they think early humans and human ances­tors ate for mil­lions of years, from the Pale­olithic era until the agri­cul­tural rev­o­lu­tion began about 10,000 years ago. “Sev­enty per­cent of our calo­ries come from foods these folks never would have con­sumed,” says Loren Cor­dain, an exer­cise sci­en­tist at Col­orado State Uni­ver­sity in Fort Collins and author of The Paleo Diet.

There’s cer­tainly broad agree­ment that in the past few gen­er­a­tions we have strayed far from an eat­ing pat­tern that sup­ports max­i­mum health. What­ever our ances­tors ate, it sure wasn’t the cur­rent West­ern diet, which is heavy in sat­u­rated fat, salt, and processed foods based heav­ily on soy­beans and on corn. That style of eat­ing has been asso­ci­ated with a vari­ety of health prob­lems and is, by all accounts, a mess.

Cor­dain sug­gests we mimic the diet of our hunter-gatherer fore­bears and eat lean meats (espe­cially grass-fed beef, wild game, and free-range birds, rather than farm-raised ani­mals), fish, plants, fruit, and nuts. Milk is not on his list; he says there are no evo­lu­tion­ary roots for it in the hunter-gatherer soci­ety, where milk­ing wild ani­mals wasn’t pos­si­ble. And con­trary to most nutri­tional advice, he dis­dains grains, even whole ones, because he says our bod­ies aren’t well adapted to eat­ing them, espe­cially in mass quantities.

The study of how human diets evolved is a rich field, with researchers approach­ing the prob­lem from angles includ­ing exam­in­ing den­tal microwear—the tiny pits and dents in teeth that sug­gest how they were used—and hypoth­e­siz­ing about how cook­ing affected our progress. It’s also full of pit­falls, because try­ing to reverse-engineer what exactly early humans and pre­hu­mans ate is dif­fi­cult, and fos­sils may actu­ally lead us astray. For exam­ple, says Peter Ungar, an anthro­pol­o­gist at the Uni­ver­sity of Arkansas-Fayetteville, con­ven­tional wis­dom used to hold that because the skull of one ances­tral close cousin who lived 2 mil­lion years ago — “Nut­cracker Man” — fea­tured big, flat teeth, he must have used them to feed pri­mar­ily on nuts, seeds, and other hard sources of nutrition.

Not so, says Ungar. Now researchers believe that jaw and teeth struc­ture can indi­cate only the capa­bil­ity to eat cer­tain types of food, per­haps in times of short­age or scarcity, not that those foods were their most com­mon or opti­mal choices. Just look at goril­las, our pri­mate rel­a­tives: They have huge molars and chew­ing mus­cles for eat­ing leaves and tough foods, yet 11 months of the year they eat softer things, like fruit and bugs, that don’t require that kind of mas­ti­ca­tory firepower.

So Ungar says it’s not at all clear that we should eat foods X, Y, and Z sim­ply because we sus­pect our ances­tors did. “Most peo­ple who study the fos­sils of our human ances­tors are very ret­i­cent about using what lit­tle we know about their diets to show what we should be eat­ing today,” he says. Instead, he points to vari­ety as the real key to the evo­lu­tion of the human diet. “Our suc­cess is pegged to the fact that we have been able to sur­vive in so many places,” he says. William Leonard, chair of the anthro­pol­ogy depart­ment at North­west­ern Uni­ver­sity in Evanston, Ill., agrees. “The hall­mark of human nutri­tion for me is the flex­i­bil­ity and diver­sity,” he says. “It’s the abil­ity to make a meal in any environment.”

What We Eat & What We Do

Ungar and Leonard don’t blame our mod­ern diet-related health prob­lems on any spe­cific food group. Rather, they’re con­vinced that our major prob­lems these days are the lack of that diver­sity in our diet—and a pos­i­tive energy bal­ance. In other words, unlike our Pale­olithic fore­bears, we are tak­ing in more calo­ries than we burn off. “The dif­fer­ence is not sim­ply in what we’re eat­ing but in what we’re doing,” says Leonard.

The greater avail­abil­ity of cheap, high-calorie, high-fat foods is con­tribut­ing to high rates of obe­sity, he says, but so is the fact that we aren’t mov­ing any­more. “If you add even an extra 30 min­utes to an hour of mod­er­ate exer­cise a day, it’s going to get you to a point where it will make a dif­fer­ence in your long-term energy bal­ance,” he says. “Slow and steady is the mantra. You didn’t see peo­ple in farm­ing and herd­ing soci­eties sprint­ing around. They moved at a low to mod­er­ate level of inten­sity over the course of an entire day.”

On its mer­its. His­tory aside, the paleo diet has health merit. Except for the dairy and grain issues, it’s pretty close to the tenets of the tra­di­tional eat­ing pat­terns like the Mediter­ranean and Asian diets and other dietary pat­terns that focus on plants, fish, lean pro­tein, “good” fats, and whole grains. (Cor­dain says Stone Age eat­ing is clos­est to a Japanese-style diet.) It also fits into the small but grow­ing move­ment turn­ing away from factory-farmed meat and toward eat­ing ani­mals fed what they’ve evolved to eat, like grass, rather than grain.

Wal­ter Wil­lett, chair of the depart­ment of nutri­tion at the Har­vard School of Pub­lic Health, agrees with Cor­dain that dairy is by no means nec­es­sary; most of the world’s pop­u­la­tion sur­vives with­out it. But he doesn’t believe in an all-out grain pro­hi­bi­tion. Dis­tin­guish­ing between whole grains and refined grains is more impor­tant, he says. “Whole grains do con­vey a lot of nutri­tion” and “can be part of a high-quality diet,” he says. Refined grains, which have had their nutri­ents stripped away and have been con­verted into fine, rapidly absorbable par­ti­cles, are not. And of course, food choices should be made in the con­text of an appro­pri­ate caloric bud­get; you can get fat by eat­ing too much of anything.

But the gen­eral gist of eat­ing like a cave­man — namely, focus­ing on foods in their whole, nat­ural state, is not going to get much argu­ment. “It comes down to the advice your mother gave you,” says Leonard. “Eat a bal­anced diet and a diver­sity of foods.”

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