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A multidisciplinary reconstruction of Palaeolithic nutrition that holds promise for the prevention and treatment of diseases of civilisation

Published online by Cambridge University Press:  02 July 2012

Remko S. Kuipers
Affiliation:
Laboratory Medicine, University Medical Center Groningen (UMCG), Groningen, The Netherlands
Josephine C. A. Joordens
Affiliation:
Human Origins Group, Faculty of Archaeology, Leiden University, Leiden, The Netherlands
Frits A. J. Muskiet*
Affiliation:
Laboratory Medicine, University Medical Center Groningen (UMCG), Groningen, The Netherlands
*
*Corresponding author: Dr Frits A. J. Muskiet, fax +31 50 361 2290, email f.a.j.muskiet@umcg.nl
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Abstract

Evolutionary medicine acknowledges that many chronic degenerative diseases result from conflicts between our rapidly changing environment, our dietary habits included, and our genome, which has remained virtually unchanged since the Palaeolithic era. Reconstruction of the diet before the Agricultural and Industrial Revolutions is therefore indicated, but hampered by the ongoing debate on our ancestors' ecological niche. Arguments and their counterarguments regarding evolutionary medicine are updated and the evidence for the long-reigning hypothesis of human evolution on the arid savanna is weighed against the hypothesis that man evolved in the proximity of water. Evidence from various disciplines is discussed, including the study of palaeo-environments, comparative anatomy, biogeochemistry, archaeology, anthropology, (patho)physiology and epidemiology. Although our ancestors had much lower life expectancies, the current evidence does neither support the misconception that during the Palaeolithic there were no elderly nor that they had poor health. Rather than rejecting the possibility of ‘healthy ageing’, the default assumption should be that healthy ageing posed an evolutionary advantage for human survival. There is ample evidence that our ancestors lived in a land–water ecosystem and extracted a substantial part of their diets from both terrestrial and aquatic resources. Rather than rejecting this possibility by lack of evidence, the default assumption should be that hominins, living in coastal ecosystems with catchable aquatic resources, consumed these resources. Finally, the composition and merits of so-called ‘Palaeolithic diets’, based on different hominin niche-reconstructions, are evaluated. The benefits of these diets illustrate that it is time to incorporate this knowledge into dietary recommendations.

Information

Type
Review Article
Copyright
Copyright © The Authors 2012
Figure 0

Fig. 1 Scheme of the possible phylogenetic relationships within the family Hominidae. Note that at many time points of evolution, several different hominin species coexisted. Mya, million years ago; H., Homo; Au., Australopithecus; K., Kenyanthropus; P., Paranthropus; Ar., Ardipithecus; O., Orrorin; S., Sahelanthropus. © Ian Tattersall, with permission(76).

Figure 1

Fig. 2 Coasting out of Africa: following the water in the third out-of-Africa diaspora. Assumed dispersal routes of archaic and anatomically modern man out of Africa and the supportive fossil evidence for hominin presence: (♦), Australopithecus sp.; (●), Homo habilis, erectus, ergaster or antecessor; (■), H. heidelbergensis; (★), H. neanderthalensis; (⊙), H. sapiens. ya, Years ago. Source: National Geographic Society 1988, 1997; adapted from www.handprint.com/LS/ANC/disp.html and Oppenheimer(83).

Figure 2

Table 1 The development of brain weight relative to body dimensions*

Figure 3

Fig. 3 Metabolism of the parent essential fatty acids and endogenously synthesised fatty acids. Δ9, Δ9-Desaturase; CE, chain elongation; Δ6, Δ6-desaturase; Δ5, Δ5-desaturase; CS, chain shortening through peroxisomal β-oxidation. 18 : 3n-3, α-linolenic acid; 18 : 2n-6, linoleic acid; 18 : 1n-9, oleic acid; 20 : 5n-3, EPA; 20 : 4n-6, arachidonic acid; 20 : 3n-9, mead acid; 22 : 6n-3, DHA.

Figure 4

Fig. 4 Lower jaw of a chimpanzee (Pan troglodytes), Australopithecus africanus and Homo sapiens. Note the somewhat human-like shape of the teeth, but ape-like axis in the jaw of Australopithecus. © Australian Museum.

Figure 5

Fig. 5 Normalised collagen δ13C values (mean and range; in per thousand (‰)) in plankton, crustaceans, sea grasses, C3 and C4 plants; of marine crustaceans, fish and freshwater fish and their respective carnivores; of terrestrial C3 and C4 herbivores and their carnivores; and of human groups in historic and prehistoric times. * Corrected(229) for collagen ( − 5 ‰). † Corrected(238) for enamel ( − 13 ‰). ‡ Arbitrary range of ±  1 ‰ due to a lack of data. § As predicted from other predator–prey relationships and after correction(239) for tropic level (+1 ‰). Adapted from Ambrose & Deniro(228), Sponheimer et al.(231,247), Peters & Vogel(234), Lee-Thorp et al.(237,244), Kelly(239), Schoeninger & Deniro(240), Mbabazi et al.(241), Schoeninger et al.(242,246), Sponheimer & Lee-Thorp(243,248,249) and van der Merwe et al.(245).

Figure 6

Fig. 6 ‘Abnormal’ insulin response but normal glucose response after oral glucose tolerance test in African Bushmen and Pygmies, compared with Western controls. (a) Plasma glucose response after an oral glucose load of 50 g (Bushmen (♦) and white controls (○)) or 100 g (Pygmy (■), Pygmy with 2 weeks' daily supplementation of 150 g carbohydrates before testing (▲), Bantu (X) and American controls ()). Of note is that Bushmen and Pygmies have significantly lower body weights as compared with Bantu and white and American controls (average weight Bushmen/Pygmy males 46 kg, females 38 kg; controls 65 kg), while each group received the same unadjusted loading dose of 50 g or 100 g glucose. (b) The so-called ‘abnormal’ insulin response or ‘impaired’ insulin secretion as observed by the authors in both Bushmen and Pygmies(340,341).

Figure 7

Fig. 7 The seven dietary characteristics that have been changed since the Agricultural and Industrial Revolutions. Adapted from Muskiet(24).