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Thursday, June 11, 2026

Pleistocene human diet

From Wikipedia, the free encyclopedia

The diet of known human ancestors varies dramatically over time. Strictly speaking, according to evolutionary anthropologists and archaeologists, there is not a single hominin Paleolithic diet. The Paleolithic covers roughly 2.8 million years, concurrent with the Pleistocene, and includes multiple human ancestors with their own evolutionary and technological adaptations living in a wide variety of environments. This fact with the difficulty of finding conclusive evidence often makes broad generalizations of the earlier human diets very difficult. Humans' pre-hominin primate ancestors were broadly herbivorous, relying on either foliage or fruits and nuts and the shift in dietary breadth during the Paleolithic is often considered a critical point in hominin evolution. A generalization between Paleolithic diets of the various human ancestors that many anthropologists do make is that they are all to one degree or another omnivorous and are inextricably linked with tool use and new technologies.

Background

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Due to the variety of environments inhabited, physiologies of the humans and human ancestors alive during the Paleolithic over 2.8 million years, we can’t ascribe a single set diet to any species, regional or cultural group. Larger brain sizes required a greater caloric intake. In colder climates meat might be necessary due to the decreased availability of plant based foods, and in hotter tropical climates a wider range of plants would be available.

Evolution of hominins

Recent estimates of the last common ancestors of humans and chimpanzees are around 12 million years ago. After this split the first bipedal hominins appeared around 4 million years ago in the genus Australopithecus. The first appearance of genus Homo takes place around 2.8 million years ago with Homo habilis, followed by Homo erectus at around 1.8 million years ago, Homo neanderthalensis by 400,000 years ago and finally the first appearance of Homo sapiens by 200,000 years ago. In each new species of hominin, particularly genus Homo there is a general trend of increasing brain size and decreasing dentition, these patterns are inextricably linked with an evolving diet.

Lines of evidence to uncover the diet of human ancestors

There are numerous difficulties in detecting and understanding the ancient diet of human ancestors. The Paleolithic begins around 2.6 million years ago and ends only around 12,000 years ago with the onset of the Holocene and Neolithic. The enormous time scale, variable environments inhabited by human ancestors and issues with preservation ensure that direct evidence is often very difficult to come by.

Evolutionary anthropologists who study the evolution of human origins and diet use a variety of methods to determine what human ancestors ate. As a starting point comparative analysis of the diets of humans closest living relatives, great apes such as chimpanzees, bonobos and other great apes, though these comparison are limited. Through environmental reconstruction of the areas ancient humans lived, inferences of available resources can be made. A common method of analysis is through the study of dentition and toothwear, as different foods will leave different markers that can be studied. There is also direct archaeological evidence, different types of tools would be used to process and consume different types of food and often be associated with faunal remains and evidence of fire. Human coprolites can also reflect direct evidence of diet.

More recent techniques have been introduced such as carbon isotopic analysis of recovered bones, which can be used as direct evidence of diet, and life history traits. An example would be the expensive tissue hypothesis, linking a decrease in gut size with an increase in brain size. Recently genetic studies of differences between Homo sapiens and other related hominins to determine adaptations related to diet.

Hominin diet before the Paleolithic

Generally speaking, inferring feeding adaptations in fossil hominins is not a simple task, and hence diet reconstructions have relied on diverse techniques (e.g. microwear, stable isotopes, functional morphology, etc.) that have provided different or even contradictory results. The direct predecessors to genus Homo, Australopithecus are thought to have broadly been frugivores or herbivores. The dental and jaw morphology of Australopithecus afarensis have often been assumed to indicate a diet of harder brittle foods, however tooth wear analysis from some specimen reflect a diet of tough grasses and leaves. This is corroborated by stable carbon isotopic evidence indicating the consumption of plants found along riversides and under tree cover. A recent study that analysed several hominin taxa has shown that they were probably not hard-food specialists, most likely relying on a softer diet.

Homo naledi, Homo habilis, Homo floresiensis and Homo erectus

Homo naledi

Almost half of H. naledi teeth have one or more chips on the enamel surface, caused by teeth coming into contact with hard foods or environmental grit during life. These antemortem enamel fractures are predominantly small and on the surfaces between molars, suggesting either a small hard dietary item was commonly consumed, or, more likely, environmental grit was incorporated into their diet when eating foods such as tubers. Two other studies support the suggestion that H. naledi consumed large quantities of small hard objects, most likely in the form of dust or grit. Crown shape supports this finding, with taller crowned and more wear resistant molars, potentially evolving to protect against abrasive particles. Microwear on the molars of H. naledi also suggests they regularly consumed hard and abrasive items. Overall, it is likely H. naledi differed substantial from other African fossil hominins in terms of diet, behaviour, or masticatory processing.

Homo habilis

By 3 million years ago the broad pattern of human dentition was in place with reduced canines and a jaw morphology implying heavier chewing. Stone tools and butchered animal remains dating to 2.6 million years ago have been found together in Ethiopia. This finding provides both the clearest evidence of meat eating by early human ancestors and the association of earliest stone tools with the butchering of animals for meat and marrow. This co-occurrence of stone tools is clearly linked with the butchering of animals and earliest identifiable appearances of Homo habilis. Tooth wear from Homo habilis indicates a relative lack of hard foods such as nuts, tubers or other hard brittle plant material being consumed. This is not to say that no tougher foods were eaten by H. habilis, only that it was likely not a regular part of the diet. By contrast, Homo erectus teeth generally reflect a much higher degree of wear, indicating tougher plant foods being eaten. While likely able to consume a variety of plant and animal resources, it seems that H. habilis was not able to exploit the wide array of resources and ecological niches its descendants would be able to.

Homo erectus

In contrast to Homo habilis, H. erectus left its ancestral environment of Africa and spread through much of the old world. Homo erectus appears to have avoided other large predators. Several interpretations of Homo erectus diet have been made, usually contrasting between primarily plant based foragers and scavengers or opportunistic hunters. However, as H. erectus dispersed across Eurasia some behaviors in some areas appear to have changed. The trajectory of diets between Homo habilis and Homo erectus can be described as a diversification of diet as Homo erectus spread within Africa and beyond into Asia. Meat played a critical role in the evolution of H. habilis, but as Homo erectus evolved the diet broadened to include tougher foods that H. habilis did not consume regularly. A broad diet alone however is not Homo erectus' sole contribution to evolution of the human lineage. Genetic evidence of reduced jaw muscles implies the adoption of cooking by humans prior to the branching of H. sapiens and H. neanderthalensis, placing the first use of fire for cooking firmly during the time of Homo erectus. Fire presents clear advantages to a species diet, in that cooking allows a greater range of foods to be eaten and improves the caloric content of both animal protein and plants. Another hypothesis is that H. erectus used tools to slice up their food even before they started to cook it, making it easier to chew.

Homo floresiensis

Homo floresiensis is thought to have diverged from humanity's ancestral branch prior to the evolution of Homo erectus. The direct ancestor of Homo floresiensis is currently thought to be Homo habilis, but this is subject to change with new information. Tooth wear from Homo floresiensis implies a tough, fibrous diet requiring powerful mastication. There is some evidence of meat eating associated with Homo floresiensis, but current evidence indicated that a plant based diet dominated. The specific plant species available to H. floresiensis is currently unknown. This complicates H. floresiensis relationship to H habilis, due to the latter’s association with intensive meat eating diet. That being the case, more than enough time passed for H. floresiensis diet to specialize to its given environment.

Homo heidelbergensis and Homo neanderthalensis

Homo heidelbergensis

Homo heidelbergensis, the likely predecessor of Homo neanderthalensis, has few direct clues to its diet. Two adult incisors, likely from H. heidelbergensis have been found in England in an environment that at death would have been a spring fed wetland. The teeth themselves are heavily worn, implying heavy wear in the individual’s diet. Wooden spears dating to between 380,000 and 400,000 years BP were found in Germany, indicating that H. heidelbergensis was a big game hunter with sophisticated technology.

Homo neanderthalensis

Neanderthals were almost certainly effective hunters. Multiple sites associated with H. neanderthalensis also have the remains of butchered animals. More direct stable isotope evidence from Neanderthal bodies also indicates a heavy, though by no means exclusive reliance on animal protein. The degree to which Neanderthals rely on meat in their diet is extensively debated with contradictory evidence found often at very similar sites. Worn teeth from Neanderthal remains at a variety of sites imply use of plant and other abrasive foods, while other researchers find that Neanderthal tooth wear in general indicates a varied diet of both plants and meat. There is clear evidence of the consumption and processing of ancestors of wheat and barley by Neanderthals from starch analysis of dental calculus, while in Belgium, a species related to Sorghum was consumed along with other unknown plants. At the site of Shanidar in Iraq, in addition to the ancestors of wheat and barley, Homo neanderthalensis is known to have consumed dates, legumes and a variety of other unknown plant species. In addition, evidence exists from the same teeth of Neanderthals to support the increased use of fire in their diet in addition to the wide variety of plant and animals in their diet. Evidence from Neanderthal coprolites from a Middle Paleolithic site in Spain support a diet of animal protein and plants at that site, though there is a lack of indicators for the consumption of starchy tubers. Neanderthals at El Sidron cave in Spain appear to have a more limited diet of meat when compared to other Neanderthal groups. In February 2019, scientists reported evidence, based on isotope studies, that at least some Neanderthals may have eaten meat. Nonetheless, instead of diet dominated by meat eating, the genetic and microbiological evidence from dental calculus implies reliance on mushrooms, pine nuts and a species of moss. The implications of this array of evidence is important due to the evidence that the “broad spectrum” of plant use is not unique to Homo sapiens. Homo neanderthalensis had, for all intents and purposes, a complex diet similar to many hunter-gather groups of Homo sapiens. The critical factor in this diet was that it varies significantly based on the local environment.

Homo sapiens

The evidence of early Homo sapiens diet stems from multiple lines of evidence, and there is a relative abundance of information due to both a larger relative population footprint and more recent evidence. A key contribution to early human diet likely was the introduction of fire to hominins toolkit. Some studies indicate a correlation with the introduction of fire and the reduction of tooth and gut size, going so far as to indicate their reduction as clear evolutionary indicators of the widespread introduction of fire.

A key difference between the diets of Homo sapiens and our closest extinct relatives H. neanderthalensis is the ability to effectively digest cooked starches, with some evidence found linking cooked starch and a further increase in H. sapiens brain size. Roots and tubers were introduced into the broader human diet, and can likely be assumed to be associated with fire as cooking would likely be necessary for many tubers to be digested. The use of root and tuber species in some Hunter Gatherer cultures makes up a critical component of diet. This is not only for the nutritional value of the species, but the relative annual stability of the species. This buffer effect would be important for many groups that relied on tubers. In addition to the exploitation of tubers, another dietary innovation (this far) of Homo sapiens is the introduction of coastal and other marine resources. Some researchers have argued that the introduction of shellfish and other marine species play a significant role in the evolution of modern Homo sapiens.

By the Upper Paleolithic, more complex tools and a higher proportion of meat in the human diet are assumed to correlate with an expansion of population in Europe. Though the diet of modern humans is not consistent through the Upper Paleolithic, from the Middle to Late Pleistocene there is a general shift in many areas towards a less abrasive diet. This is accompanied by changing technologies that would aid in the processing of abrasive plant species. Ethnographic comparisons with contemporary groups of Hunter Gatherers broadly imply a high reliance on animal protein supplemented with a wide range of available plant foods. While a reliance on animal protein is often seen as typical, it is by no means universal.

By the time of the Upper Paleolithic and modern Homo sapiens, not only was a wide variety of plants consumed, but a wide variety of animals, snails and fish. In order to exploit the many different species consumed, there was a wider variety of tools made than ever before available to humans. The shift to a higher quality diet and the technology to process a wide array of foods is reflected in modern humans by both the relatively larger brain size and reduction in gut size. The trend of larger brain size, the eating of animal protein, fire use and diversification of exploited foods is key to understanding the changing diets of human ancestors.

Cannibalism

Nutritional value of the human body

Archaeologist James Cole investigated the nutritional value of the human body and found it to be similar to that of animals of similar size. He notes that, according to ethnographic and archaeological records, nearly all edible parts of humans were sometimes eaten – not only skeletal muscle tissue ("flesh" or "meat" in a narrow sense), but also "lungs, liver, brain, heart, nervous tissue, bone marrow, genitalia and skin", as well as kidneys. For a typical adult man, the combined nutritional value of all these edible parts is about 126,000 kilocalories (kcal). The nutritional value of women and younger individuals is lower because of their lower body weight – for example, around 86% of a male adult for an adult woman and 30% for a boy aged around 5 or 6.

As the daily energy need of an adult man is about 2,400 kilocalories, a dead male body could thus have fed a group of 25 men for a bit more than two days, provided they ate nothing but the human flesh alone – longer if it was part of a mixed diet. The nutritional value of the human body is thus not insubstantial, though Cole notes that for prehistoric hunters, large megafauna such as mammoths, rhinoceros, and bison would have been an even better deal as long as they were available and could be caught, because of their much higher body weight.

Archeological and historical evidence

Debates over the frequency of cannibalism in ancient humanity have been sporadic, usually erupting on the discovery of humans with cut and break marks reflective of being processed as food. Many theories of cannibalism amongst humans rely on a lack of available prey, crowding and fears of potential starvation. There are clear biological drawbacks of cannibalism including disease, and in addition instances of ritual cannibalism that have nothing to do with nutrition drawn from the ethnographic record.

The oldest firm evidence of Homo eating other hominins comes from cut marks on bones uncovered in Turkana, Kenya from 1.45 million years ago, and is a plausible early case of cannibalism. However, at this time and place multiple species of hominins coexisted, so it is not certain that this specific incident was undertaken by the same species. Cannibalism by Homo antecessor has also been uncovered, and it has been suggested to possibly have been a strategy employed against rival groups, though H. antecessor is a relative rather than an ancestor of Neanderthals and modern humans.

Evidence of cannibalism in the Pleistocene has also been firmly tied to both Homo sapiens and Homo neanderthalensis. Extensive evidence from Human bones that have been "de-fleshed" by other humans dates back over 600,000 years, including the first H. sapiens bones from Ethiopia. For instance in humans, the Magdalenian culture practiced the consumption of deceased relatives as a ritual funerary practice, and also appear to have used skull cups. Similarly, conclusive evidence amongst Neanderthals from remains in Belgium features cracked bones, cut marks and other indicators of processing for food. Some bones were then modified into bone tools. Notably, reindeer remains from the same site have the same types of butcher marks. The degree to which these remains reflect a ritual behavior, regular diet or isolated instances of dietary distress is not known.

Cannibalism continued after the end of the Paleolithic, as shown by hunter-gatherers of the Mediterranean Mesolithic from 10,200–9,000 years ago, who would have still had a relatively similar lifestyle. Bones uncovered in Castell de Castells, Spain show marks of human teeth gnawing on them. Nineteen of these bones also show burns from cooking, apparently after the meat was removed, but prior to the bones being broken down. Furthermore, human feces uncovered inside the cave contained fragments of human bones.

Neolithic adaptations

The evolution of the human diet has not stopped since the end of the Paleolithic. Major functional adaptations have arisen in the last few thousand years as human technology has altered the environment. The most prevalent dietary adaptation since the Neolithic is lactase persistence, an adaptation that allows humans to digest milk. This adaptation appears roughly 4000 years ago in Europe. For populations more dependent on agriculture and domesticated animals, the importance of being able to add another edible resource should be noted.[47]

Many specifics of the evolution of the human diet change regularly as new research and lines of evidence become available. Through the Paleolithic across the last 2.8 million years there has been a pattern of human and human ancestors' biology adapting to an additionally available food source with resulting greater brain size, with the subsequent broadening and diversification of human diet. Homo habilis incorporated larger amounts of animal protein and fat into its diet, then as Homo erectus evolved it increased the breadth of its diet through fire and more advanced tool use. Homo sapiens in turn evolved the ability to consume cooked starch and marine life, which led to a further increase in brain size then greater technological diversification that ultimately allowed modern humans to adapt to a wide variety of ecological niches. The initial technological and biological adaptations each have knock on effects that allow a greater range of species to be used as food. This culminates in the Neolithic when suites of plants and animals are ultimately domesticated.

Paleolithic diet

From Wikipedia, the free encyclopedia
Filets of fish on a bed of shredded vegetables cooking in a frying pan, partially covered by sliced tomatoes.
A meal compatible with the Paleolithic diet

The Paleolithic diet, Paleo diet, caveman diet, or Stone Age diet is a modern fad diet consisting of foods thought by its proponents to mirror those eaten by humans during the Paleolithic era.

The diet avoids food processing and typically includes vegetables, fruits, nuts, roots, and meat and excludes dairy products, grains, sugar, legumes, processed oils, salt, alcohol, and coffee. Historians can trace the ideas behind the diet to "primitive" diets advocated in the 19th century. In the 1970s, Walter L. Voegtlin popularized a meat-centric "Stone Age" diet; in the 21st century, the best-selling books of Loren Cordain popularized the "Paleo diet". As of 2019 the Paleolithic diet industry was worth approximately US$500 million.

In the 21st century, the sequencing of the human genome and DNA analysis of the remains of anatomically modern humans have found evidence that humans evolved rapidly in response to changing diet. This evidence undermines a core premise of the Paleolithic diet—that human digestion has remained essentially unchanged over time. Paleoanthropological evidence has indicated that prehistoric humans ate plant-heavy diets that regularly included grains and other starchy vegetables, in contrast to the claims made by proponents of the Paleolithic diet.

Advocates promote the Paleolithic diet as a way of improving health. There is some evidence that following it may lead to improvements in body composition and metabolism compared with the typical Western diet or compared with diets recommended by some European nutritional guidelines. On the other hand, following the diet can lead to nutritional deficiencies, such as an inadequate calcium intake, and side effects can include weakness, diarrhea, and headaches.

History and terminology

Adrienne Rose Johnson writes that the idea that the primitive diet was superior to current dietary habits dates back to the 1890s with such writers as Emmet Densmore and John Harvey Kellogg, the founder of the eponymous breakfast cereal company. Densmore proclaimed that "bread is the staff of death", while Kellogg supported a diet of starchy and grain-based foods in accord with "the ways and likings of our primitive ancestors". Arnold DeVries advocated an early version of the Paleolithic diet in his 1952 book, Primitive Man and His Food. In 1958, Richard Mackarness authored Eat Fat and Grow Slim, which proposed a low-carbohydrate "Stone Age" diet.

In his 1975 book The Stone Age Diet, gastroenterologist Walter L. Voegtlin advocated a meat-based diet, with low proportions of vegetables and starchy foods, based on his declaration that humans were "exclusively flesh-eaters" until 10,000 years ago.

In 1985 Stanley Boyd Eaton and Melvin Konner published a controversial article in the New England Journal of Medicine proposing that modern humans were biologically very similar to their primitive ancestors and so "genetically programmed" to consume pre-agricultural foods. Eaton and Konner proposed a "discordance hypothesis" by which the mismatch between modern diet and human biology gave rise to lifestyle diseases, such as obesity and diabetes.

The diet started to become popular in the 21st century, where it attracted a largely internet-based following using web sites, forums and social media.

This diet's ideas were further popularized by Loren Cordain, a health scientist with a Ph.D. in physical education, who trademarked the words "The Paleo Diet" and who wrote a 2002 book of that title.

In 2012 the Paleolithic diet was described as being one of the "latest trends" in diets, based on the popularity of diet books about it; in 2013 and 2014 the Paleolithic diet was Google's most searched weight-loss method.

The Paleolithic or Paleo diet is also sometimes referred to as the caveman or Stone Age diet.

Foodstuffs

Joint of roast beef on a wooden board, cooked medium rare and carved.
Roast beef. Some recent paleo diet variants emphasize the consumption of unprocessed animal products.

The basis of the diet is a re-imagining of what Paleolithic people ate, and different proponents recommend different diet compositions. Eaton and Konner, for example, wrote a 1988 book The Paleolithic Prescription with Marjorie Shostak, and it described a diet that is 65% plant based. This is not typical of more recently devised paleo diets; Loren Cordain's – probably the most popular – instead emphasizes animal products and avoidance of processed food. Diet advocates concede the modern Paleolithic diet cannot be a faithful recreation of what Paleolithic people ate, and instead aim to "translate" that into a modern context, avoiding such likely historical practices as cannibalism.

Foodstuffs that have been described as permissible include:

  • "vegetables, fruits, nuts, roots, meat, and organ meats";
  • "vegetables (including root vegetables), fruit (including fruit oils, e.g., olive oil, coconut oil, and palm oil), nuts, fish, meat, and eggs, and it excluded dairy, grain-based foods, legumes, extra sugar, and nutritional products of industry (including refined fats and refined carbohydrates)"; and
  • "avoids processed foods, and emphasizes eating vegetables, fruits, nuts and seeds, eggs, and lean meats".

The diet forbids the consumption of all dairy products. This is because milking did not exist until animals were domesticated after the Paleolithic era.

Ancestral diet

Adopting the Paleolithic diet assumes that modern humans can reproduce the hunter-gatherer diet. Molecular biologist Marion Nestle argues that "knowledge of the relative proportions of animal and plant foods in the diets of early humans is circumstantial, incomplete, and debatable and that there are insufficient data to identify the composition of a genetically determined optimal diet. The evidence related to Paleolithic diets is best interpreted as supporting the idea that diets based largely on plant foods promote health and longevity, at least under conditions of food abundance and physical activity." Ideas about Paleolithic diet and nutrition are at best hypothetical.

The data for Cordain's book came from six contemporary hunter-gatherer groups, mainly living in marginal habitats. One of the studies was on the !Kung, whose diet was recorded for a single month, and one was on the diet of the Inuit. Due to these limitations, the book has been criticized as painting an incomplete picture of the diets of Paleolithic humans. It has been noted that the rationale for the diet does not adequately account for the fact that, due to the pressures of artificial selection, most modern domesticated plants and animals differ drastically from their Paleolithic ancestors; likewise, their nutritional profiles are very different from their ancient counterparts. For example, wild almonds produce potentially fatal levels of cyanide, but this trait has been bred out of domesticated varieties using artificial selection. Many vegetables, such as broccoli, did not exist in the Paleolithic period; broccoli, cabbage, cauliflower, and kale are modern cultivars of the ancient species Brassica oleracea.

Trying to devise an ideal diet by studying contemporary hunter-gatherers is difficult because of the great disparities that exist; for example, the animal-derived calorie percentage ranges from 25% for the Gwi people of southern Africa to 99% for the Alaskan Nunamiut. Descendants of populations with different diets have different genetic adaptations to those diets, such as the ability to digest sugars from starchy foods. Modern hunter-gatherers tend to exercise considerably more than modern office workers, protecting them from heart disease and diabetes, though highly processed modern foods also contribute to diabetes when those populations move into cities.

A 2018 review of the diet of hunter-gatherer populations found that the dietary provisions of the Paleolithic diet had been based on questionable research, and were "difficult to reconcile with more detailed ethnographic and nutritional studies of hunter-gatherer diet".

Researchers have proposed that cooked starches met the energy demands of an increasing brain size, based on variations in the copy number of genes encoding amylase.

Health effects

The methodological quality of research into the Paleolithic diet has been described as "poor to moderate". Some of the paleo diet's proponents have made exaggerated health claims, such as the claim that the diet can reverse diabetes and cure autoimmune diseases, miring the diet in controversy.

Following the Paleolithic diet results in the consumption of fewer processed foods, less sugar, and less salt. Reduced consumption of such is consistent with mainstream advice about diet. Diets reflecting a Paleolithic pattern of nutrition also share some similarities with traditional ethnic diets, such as the Mediterranean diet, which has been found to result in more health benefits than the Western diet. Following the paleolithic diet can lead to nutritional deficiencies, such as those of vitamin D and calcium, which can in turn lead to compromised bone health. The increased fish consumption suggested by the diet can also lead to an elevated risk of exposure to toxins.

There is some evidence that the diet can help in achieving weight loss, due to the increased satiety from the foods typically eaten. One trial of obese postmenopausal women found improvements in weight and fat loss after six months, but the benefits had ceased by 24 months. Side effects among these participants included "weakness, diarrhea, and headaches". As with any other diet regime, the Paleolithic diet leads to weight loss because of overall decreased caloric intake, rather than any specific feature of the diet itself.

There is no good evidence that following a Paleolithic diet reduces the risk of cardiovascular disease or metabolic syndrome, nor is there any evidence that the Paleolithic diet is effective in treating inflammatory bowel disease.

The Paleolithic diet is similar to the Atkins diet, in that it encourages the consumption of large amounts of red meat, especially meats high in saturated fat. Increased consumption of red meat can lead to a higher incidence of cardiovascular disease.

Proposed rationale and reception

Melvin Konner, co-author of a 1985 paper setting out a hypothetical basis for the Paleolithic diet

The stated rationale for the Paleolithic diet is that human genes today are not different from human genes of 10,000 years ago, and that the diet of that time is therefore the best fit with humans today. Loren Cordain has described the paleo diet as "the one and only diet that ideally fits our genetic makeup".

The argument is that modern humans have not been able to biologically adapt to contemporary circumstances. According to Cordain, before the agricultural revolution, hunter-gatherer diets rarely included grains, and obtaining milk from wild animals would have been "nearly impossible". Advocates of the diet argue that the increase in diseases of affluence after the dawn of agriculture was caused by these changes in diet. Others, however, have countered that it may be that pre-agricultural hunter-gatherers did not suffer from the diseases of affluence because they did not live long enough to develop them.

According to the model from the evolutionary discordance hypothesis, "many chronic diseases and degenerative conditions evident in modern Western populations have arisen because of a mismatch between Stone Age genes and modern lifestyles." Advocates of the modern paleo diet have formed their dietary recommendations based on this hypothesis. They argue that modern humans should follow a diet that is nutritionally closer to that of their Paleolithic ancestors.

The evolutionary discordance is incomplete, since it is based mainly on the genetic understanding of the human diet and a unique model of human ancestral diets, without taking into account the flexibility and variability of the human dietary behaviors over time. Studies of a variety of populations around the world show that humans can live healthily with a wide variety of diets and that humans have evolved to be flexible eaters. Lactase persistence, which confers lactose tolerance into adulthood, is an example of how some humans have adapted to the introduction of dairy into their diet. While the introduction of grains, dairy, and legumes during the Neolithic Revolution may have had some adverse effects on modern humans, if humans had not been nutritionally adaptable, these technological developments would have been dropped.

Since the publication of Eaton and Konner's paper in 1985, analysis of the DNA of primitive human remains has provided evidence that evolving humans were continually adapting to new diets, thus challenging the hypothesis underlying the Paleolithic diet. Evolutionary biologist Marlene Zuk writes that the idea that our genetic makeup today matches that of our ancestors is misconceived, and that in debate Cordain was "taken aback" when told that 10,000 years was "plenty of time" for an evolutionary change in human digestive abilities to have taken place. On this basis Zuk dismisses Cordain's claim that the paleo diet is "the one and only diet that fits our genetic makeup".

Paleoanthropologist Peter Ungar has written that the paleo diet is a "myth", on account both of its invocation of a single suitable diet when in reality humans have always been a "work in progress", and because diet has always been varied because humans were spread widely over the planet.

Anthropological geneticist Anne C. Stone has said that humans have adapted in the last 10,000 years in response to radical changes in diet. In 2016, she was quoted as saying "It drives me crazy when Paleo-diet people say that we've stopped evolving—we haven't."

Melvin Konner has said the challenge to the hypothesis is not greatly significant since the real challenges to human non-adaptation have occurred with the rise of ever-more refined foodstuffs in the last 300 years.

Environmental impact

A 2019 analysis of diets in the United States ranked consumption of a Paleolithic diet as more environmentally harmful than consumption of an omnivorous diet, though not so harmful as a ketogenic diet.

Elizabeth Kolbert has written the Paleolithic diet's emphasis on meat consumption is a "disaster" on account of meat's comparatively high energy production costs.

Popularity

A lifestyle and ideology have developed around the diet. "Paleolithic" products include clothing, smartphone apps, and cookware. Many Paleolithic cookery books have been bestsellers.

As of 2019 the market for products with the word "Paleo" in their name was worth approximately $US500 million, with strong growth prospects despite pushback from the scientific community. Some products were taking advantage of the trend by touting themselves as "paleo-approved" despite having no apparent link to the movement's tenets.

Like many other diets, some proponents promote the Paleolithic diet by an appeal to nature and a narrative of conspiracy theories about how nutritional research, which does not support the supposed benefits of the paleolithic diet, is controlled by a malign food industry. Paleolithic diet advocate John Durant has blamed suppression of the truth about diet in the United States on "the vegetarian lobby".

Evolutionary medicine

From Wikipedia, the free encyclopedia
The bacterium Mycobacterium tuberculosis can evolve to subvert the protection offered by immune defenses

Evolutionary medicine or Darwinian medicine is the application of modern evolutionary theory to understanding health and disease. Modern biomedical research and practice have focused on the molecular and physiological mechanisms underlying health and disease, while evolutionary medicine focuses on the question of why evolution has shaped these mechanisms in ways that may leave us susceptible to disease. The evolutionary approach has driven important advances in the understanding of cancerautoimmune disease, and anatomy. Medical schools have been slower to integrate evolutionary approaches because of limitations on what can be added to existing medical curricula. The International Society for Evolution, Medicine and Public Health coordinates efforts to develop the field. It owns the Oxford University Press journal Evolution, Medicine and Public Health and The Evolution and Medicine Review.

Core principles

Utilizing the Delphi method, 56 experts from a variety of disciplines, including anthropology, medicine, nursing, and biology agreed upon 14 core principles intrinsic to the education and practice of evolutionary medicine. These 14 principles can be further grouped into five general categories: question framing, evolution I and II (with II involving a higher level of complexity), evolutionary trade-offs, reasons for vulnerability, and culture. Additional information regarding these principles may be found in the table below.

Core Principles of Evolutionary Medicine
Topic Core Principle
Types of explanation (question framing) Both proximate (mechanistic) and ultimate (evolutionary) explanations are needed to provide a full biological understanding of traits, including those that increase vulnerability to disease.
Evolutionary processes (evolution I) All evolutionary processes, including natural selection, genetic drift, mutation, migration and non-random mating, are important for understanding traits and disease.
Reproductive success (evolution I) Natural selection maximizes reproductive success, sometimes at the expense of health and longevity.
Sexual selection (evolution I) Sexual selection shapes traits that result in different health risks between sexes.
Constraints (evolution I) Several constraints inhibit the capacity of natural selection to shape traits that are hypothetically optimal for health.
Trade-offs (evolutionary trade-offs) Evolutionary changes in one trait that improve fitness can be linked to changes in other traits that decrease fitness.
Life History Theory (evolutionary trade-offs) Life history traits, such as age at first reproduction, reproductive lifespan and rate of senescence, are shaped by evolution, and have implications for health and disease.
Levels of selection (evolution II) Vulnerabilities to disease can result when selection has opposing effects at different levels (e.g. genetic elements, cells, organisms, kin and other levels).
Phylogeny (evolution II) Tracing phylogenetic relationships for species, populations, traits or pathogens can provide insights into health and disease.
Coevolution (evolution II) Coevolution among species can influence health and disease (e.g. evolutionary arms races and mutualistic relationships such as those seen in the microbiome).
Plasticity (evolution II) Environmental factors can shift developmental trajectories in ways that influence health and the plasticity of these trajectories can be the product of evolved adaptive mechanisms.
Defenses (reasons for vulnerability) Many signs and symptoms of disease (e.g. fever) are useful defenses, which can be pathological if dysregulated.
Mismatch (reasons for vulnerability) Disease risks can be altered for organisms living in environments that differ from those in which their ancestors evolved.
Cultural practices (culture) Cultural practices can influence the evolution of humans and other species (including pathogens), in ways that can affect health and disease (e.g. anti-biotic use, birth practices, diet, etc.).

Human adaptations

Adaptation works within constraints, makes compromises and trade-offs, and occurs in the context of different forms of competition.

Constraints

Adaptations can only occur if they are evolvable. Some adaptations which would prevent ill health are therefore not possible.

  • DNA cannot be totally prevented from undergoing somatic replication corruption; this has meant that cancer, which is caused by somatic mutations, has not (so far) been eliminated by natural selection.
  • Humans cannot biosynthesize vitamin C, and so risk scurvy, vitamin C deficiency disease, if dietary intake of the vitamin is insufficient.
  • Retinal neurons and their axon output have evolved to be inside the layer of retinal pigment cells. This creates a constraint on the evolution of the visual system such that the optic nerve is forced to exit the retina through a point called the optic disc. This, in turn, creates a blind spot. More importantly, it makes vision vulnerable to increased pressure within the eye (glaucoma) since this cups and damages the optic nerve at this point, resulting in impaired vision.

Other constraints occur as the byproduct of adaptive innovations.

Trade-offs and conflicts

One constraint upon selection is that different adaptations can conflict, which requires a compromise between them to ensure an optimal cost-benefit tradeoff.

Competition effects

Different forms of competition exist and these can shape the processes of genetic change.

Lifestyle

Humans evolved to live as simple hunter-gatherers in small tribal bands, while contemporary humans have a more complex life. This change may make present-day humans susceptible to lifestyle diseases.

Diet

In contrast to the diet of early hunter-gatherers, the modern Western diet often contains high quantities of fat, salt, and simple carbohydrates, such as refined sugars and flours.

Among different countries, the incidence of colon cancer varies widely, and the extent of exposure to a Western pattern diet may be a factor in cancer incidence.

Life expectancy

Examples of aging-associated diseases are atherosclerosis and cardiovascular disease, cancer, arthritis, cataracts, osteoporosis, type 2 diabetes, hypertension and Alzheimer's disease. The incidence of all of these diseases increases rapidly with aging (increases exponentially with age, in the case of cancer).

Age-Specific SEER Incidence Rates, 2003-2007

Of the roughly 150,000 people who die each day across the globe, about two thirds—100,000 per day—die of age-related causes. In industrialized nations, the proportion is much higher, reaching 90%.

Exercise

Many contemporary humans engage in little physical exercise compared to the physically active lifestyles of ancestral hunter-gatherers. Prolonged periods of inactivity may have only occurred in early humans following illness or injury, so a modern sedentary lifestyle may continuously cue the body to trigger life preserving metabolic and stress-related responses such as inflammation, and some theorize that this causes chronic diseases.

Cleanliness

Contemporary humans in developed countries are mostly free of parasites, particularly intestinal ones. This is largely due to frequent washing of clothing and the body, and improved sanitation. Although such hygiene can be very important when it comes to maintaining good health, it can be problematic for the proper development of the immune system. The hygiene hypothesis is that humans evolved to be dependent on certain microorganisms that help establish the immune system, and modern hygiene practices can prevent necessary exposure to these microorganisms. "Microorganisms and macroorganisms such as helminths from mud, animals, and feces play a critical role in driving immunoregulation" (Rook, 2012). Essential microorganisms play a crucial role in building and training immune functions that fight off and repel some diseases, and protect against excessive inflammation, which has been implicated in several diseases. For instance, recent studies have found evidence supporting inflammation as a contributing factor in Alzheimer's Disease.

Specific explanations

This is a partial list: all links here go to a section describing or debating its evolutionary origin.

Other

Evolutionary psychology

As noted in the table below, adaptationist hypotheses regarding the etiology of psychological disorders are often based on analogies with evolutionary perspectives on medicine and physiological dysfunctions (see in particular, Randy Nesse and George C. Williams' book Why We Get Sick). Evolutionary psychiatrists and psychologists suggest that some mental disorders likely have multiple causes.

Possible Causes of Psychological 'Abnormalities' from an Adaptationist Perspective

Summary based on information in Buss (2011), Gaulin & McBurney (2004), Workman & Reader (2004)

Possible cause Physiological Dysfunction Psychological Dysfunction
Functioning adaptation
(adaptive defense)
Fever / Vomiting
(functional responses to infection or ingestion of toxins)
Mild depression or anxiety
(functional responses to mild loss or stress)
By-product of an adaptation(s) Intestinal gas
(byproduct of digestion of fiber)
Sexual fetishes (?)
(possible byproduct of normal sexual arousal adaptations that have 'imprinted' on unusual objects or situations)
Adaptations with multiple effects Gene for malaria resistance, in homozygous form, causes sickle cell anemia Adaptation(s) for high levels of creativity may also predispose schizophrenia or bi-polar disorder
(adaptations with both positive and negative effects, perhaps dependent on alternate developmental trajectories)
Malfunctioning adaptation Allergies
(over-reactive immunological responses)
Autism
(possible malfunctioning of theory of mind module)
Frequency-dependent morphs The two sexes / Different blood and immune system types Personality traits and personality disorders
(may represent alternative behavioral strategies dependent on the frequency of the strategy in the population)
Mismatch between ancestral & current environments Modern diet-related Type 2 Diabetes More frequent modern interaction with strangers (compared to family and close friends) may predispose greater incidence of depression & anxiety
Tails of normal (bell shaped) curve Very short or tall height Tails of the distribution of personality traits (e.g., extremely introverted or extroverted)

See several topic areas, and the associated references, below.

History

Charles Darwin

Charles Darwin did not discuss the implications of his work for medicine, though biologists quickly appreciated the germ theory of disease and its implications for understanding the evolution of pathogens, as well as an organism's need to defend against them.

Medicine, in turn, ignored evolution, and instead focused (as done in the hard sciences) upon proximate mechanical causes.

medicine has modelled itself after a mechanical physics, deriving from Galileo, Newton, and Descartes.... As a result of assuming this model, medicine is mechanistic, materialistic, reductionistic, linear-causal, and deterministic (capable of precise predictions) in its concepts. It seeks explanations for diseases, or their symptoms, signs, and cause in single, materialistic— i.e., anatomical or structural (e.g., in genes and their products)— changes within the body, wrought directly (linearly), for example, by infectious, toxic, or traumatic agents.

George C. Williams was the first to apply evolutionary theory to health in the context of senescence. Also in the 1950s, John Bowlby approached the problem of disturbed child development from an evolutionary perspective upon attachment.

An important theoretical development was Nikolaas Tinbergen's distinction made originally in ethology between evolutionary and proximate mechanisms.

Randolph M. Nesse summarizes its relevance to medicine:

all biological traits need two kinds of explanation, both proximate and evolutionary. The proximate explanation for a disease describes what is wrong in the bodily mechanism of individuals affected by it. An evolutionary explanation is completely different. Instead of explaining why people are different, it explains why we are all the same in ways that leave us vulnerable to disease. Why do we all have wisdom teeth, an appendix, and cells that can divide out of control?

The paper of Paul Ewald in 1980, "Evolutionary Biology and the Treatment of Signs and Symptoms of Infectious Disease", and that of Williams and Nesse in 1991, "The Dawn of Darwinian Medicine" were key developments. The latter paper "draw a favorable reception", and led to a book, Why We Get Sick (published as Evolution and healing in the UK). In 2008, an online journal started: Evolution and Medicine Review.

In 2000, Paul Sherman hypothesised that morning sickness could be an adaptation that protects the developing fetus from foodborne illnesses, some of which can cause miscarriage or birth defects, such as listeriosis and toxoplasmosis.

Pleistocene human diet

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Pleistocene_human_diet   The d...