Comparing measured dietary variation within and between tropical hunter-gatherer groups to the Paleo Diet.

Paleo Diet Paleolithic evolution forager hunter-gatherer mismatch

Journal

The American journal of clinical nutrition
ISSN: 1938-3207
Titre abrégé: Am J Clin Nutr
Pays: United States
ID NLM: 0376027

Informations de publication

Date de publication:
09 2023
Historique:
received: 17 02 2023
revised: 11 05 2023
accepted: 12 06 2023
medline: 5 9 2023
pubmed: 22 6 2023
entrez: 21 6 2023
Statut: ppublish

Résumé

Although human diets varied considerably before the spread of agriculture, public perceptions of preagricultural diets have been strongly influenced by the Paleo Diet, which prescribes percentage calorie ranges of 19-35% protein, 22-40% carbohydrate, and 28-47% fat, and prohibits foods with added sugar, dairy, grains, most starchy tubers, and legumes. However, the empirical basis for Paleolithic nutrition remains unclear, with some of its assumptions challenged by the archaeological record and theoretical first principles. We assessed the variation in diets among tropical hunter-gatherers, including the effect of collection methods on implied macronutrient percentages. We analyzed data on animal food, plant food, and honey consumption by weight and kcal from 15 high-quality published ethnographic studies representing 11 recent tropical hunter-gatherer groups. We used Bayesian analyses to perform inference and included data collection methods and environmental variables as predictors in our models. Our analyses reveal high levels of variation in animal versus plant foods consumed and in corresponding percentages of protein, fat, and carbohydrates. In addition, studies that weighed food items consumed in and out of camp and across seasons and years reported higher consumption of animal foods, which varied with annual mean temperature. The ethnographic evidence from tropical foragers refutes the concept of circumscribed macronutrient ranges modeling preagricultural diets.

Sections du résumé

BACKGROUND
Although human diets varied considerably before the spread of agriculture, public perceptions of preagricultural diets have been strongly influenced by the Paleo Diet, which prescribes percentage calorie ranges of 19-35% protein, 22-40% carbohydrate, and 28-47% fat, and prohibits foods with added sugar, dairy, grains, most starchy tubers, and legumes. However, the empirical basis for Paleolithic nutrition remains unclear, with some of its assumptions challenged by the archaeological record and theoretical first principles.
OBJECTIVES
We assessed the variation in diets among tropical hunter-gatherers, including the effect of collection methods on implied macronutrient percentages.
METHODS
We analyzed data on animal food, plant food, and honey consumption by weight and kcal from 15 high-quality published ethnographic studies representing 11 recent tropical hunter-gatherer groups. We used Bayesian analyses to perform inference and included data collection methods and environmental variables as predictors in our models.
RESULTS
Our analyses reveal high levels of variation in animal versus plant foods consumed and in corresponding percentages of protein, fat, and carbohydrates. In addition, studies that weighed food items consumed in and out of camp and across seasons and years reported higher consumption of animal foods, which varied with annual mean temperature.
CONCLUSIONS
The ethnographic evidence from tropical foragers refutes the concept of circumscribed macronutrient ranges modeling preagricultural diets.

Identifiants

pubmed: 37343704
pii: S0002-9165(23)65975-1
doi: 10.1016/j.ajcnut.2023.06.013
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

549-560

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2023 American Society for Nutrition. Published by Elsevier Inc. All rights reserved.

Auteurs

Daniel E Lieberman (DE)

Department of Human Evolutionary Biology, Harvard University, Cambridge, MA, United States. Electronic address: danlieb@fas.harvard.edu.

Steven Worthington (S)

Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States.

Laura D Schell (LD)

Department of Human Evolutionary Biology, Harvard University, Cambridge, MA, United States.

Christine M Parkent (CM)

Department of Human Evolutionary Biology, Harvard University, Cambridge, MA, United States; Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, CT, United States.

Orrin Devinsky (O)

Department of Neurology, Comprehensive Epilepsy Center, New York University School of Medicine, New York, NY, United States.

Rachel N Carmody (RN)

Department of Human Evolutionary Biology, Harvard University, Cambridge, MA, United States. Electronic address: carmody@fas.harvard.edu.

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