The paleolithic diet (also called the paleo diet, caveman diet or stone-age diet) is a fad diet:9 based mainly on foods presumed to be available to paleolithic humans. It includes vegetables, fruits, nuts, roots, meat, and organ meats while excluding foods such as dairy products, grains, sugar, legumes, processed oils, salt, and alcohol or coffee. The diet is based on avoiding not just modern processed foods, but rather the foods that humans began eating after the Neolithic Revolution. The ideas behind the diet can be traced to Walter Voegtlin,:41 and have been popularized more recently in the best-selling books of Loren Cordain.
The paleo diet is promoted as a way of improving health. There is limited data on the metabolic effects on humans eating the diet, though a review suggested that a paleolithic diet could be a useful alternative to an unhealthy Western diet. The Paleo diet may lower the risk of aging-associated diseases. Following the Paleo diet can lead to nutritional deficiencies.
The digestive abilities of modern humans are somewhat different from those of paleolithic humans, undermining the diet's core premise. Although little is known about the diet of Paleolithic humans, it is very likely that they consumed wild grains and legumes. During the 2.6 million year long Paleolithic era, the highly variable climate and worldwide spread of human population meant that humans were, by necessity, nutritionally adaptable; in contrast supporters of the diet assume that human digestion has remained essentially unchanged over time. A Paleo lifestyle and ideology have developed around the diet.
History and terminology
The idea of a paleolithic diet can be traced to a 1975 book by gastroenterologist Walter Voegtlin:41 which in 1985 was further developed by Stanley Boyd Eaton and Melvin Konner, and popularized by Loren Cordain in his 2002 book The Paleo Diet. The terms caveman diet and stone-age diet are also used, as is Paleo Diet, trademarked by Cordain.
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 the diet was Google's most searched-for weight-loss method.
The diet is one of many fad diets that have been promoted in recent times, and draws on an appeal to nature and a narrative of conspiracy theories about how nutritional research, which does not support the supposed benefits of the paleo diet, is controlled by a malign food industry. A Paleo lifestyle and ideology have developed around the diet.
In the original description of the paleo diet in Cordain's 2002 book, he advocated eating as much like paleolithic people as possible, which meant:
- 55% of daily calories from seafood and lean meat, evenly divided
- 15% of daily calories from each of fruits, vegetables, and nuts and seeds
- no dairy, almost no grains (which Cordain described as "starvation food" for Paleolithic people), no added salt, no added sugar
The scientific literature generally uses the term "Paleo nutrition pattern" and descriptions of the Paleo nutrition pattern include: "vegetables, fruits, nuts, roots, meat, and organ meats", and "vegetables (including root vegetables), fruit (including fruit oils, e.g.,olive oil, coconut oil, and palmoil), 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 aspects of Paleo that advise eating fewer processed foods and less sugar and salt are consistent with mainstream advice about diet.
There is limited data on the metabolic effects on humans eating a Paleo diet. A 2015 review of "the handful of clinical trials to date" of diets with a paleo nutrition pattern and a 2014 review each noted that the paleo nutrition pattern has some similarities to traditional ethnic diets like the Mediterranean diet that are healthier than the Western diet, and the 2015 review noted that the clinical trials that have been conducted found that participants in the arm of the trial eating a paleo nutrition pattern had better measures of cardiovascular and metabolic health. A 2015 systematic review of the effects of paleolithic nutrition on metabolic syndrome concluded that there was moderate evidence for better short-term improvements than the various guideline-based diets that were used as controls in the trials. A different 2014 review found that there was no conclusive evidence the paleo diet is effective in treating inflammatory bowel disease.
Following the Paleo diet can lead to nutritional deficiencies such as vitamin D and calcium which in turn could lead to compromised bone health, and there is a risk of toxins from high fish consumption.
Rationale and counter-arguments
The rationale for the Paleolithic diet derives from proponents' claims relating to evolutionary medicine. Advocates of the diet state that humans were genetically adapted to eating specifically those foods that were readily available to them in their local environments. These foods therefore shaped the nutritional needs of Paleolithic humans. They argue that the physiology and metabolism of modern humans have changed little since the Paleolithic era. Natural selection is a long process, and the cultural and lifestyle changes introduced by western culture have occurred quickly. The argument is that modern humans have therefore not been able to adapt to the new circumstances. The agricultural revolution brought the addition of grains and dairy to the diet.
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 recently adopted lifestyles." Advocates of the modern Paleo diet form their dietary recommendations on its basis. They argue that modern humans should follow a diet that is nutritionally closer to that of their Paleolithic ancestors.
The validity of the evolutionary discordance hypothesis has been brought into doubt by recent research. Studies of a variety of populations around the world show that humans can live healthily with a wide variety of diets; humans have evolved to be flexible eaters. Lactose tolerance is an example of how 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 were not nutritionally adaptable, these technological developments would have been dropped.
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.:114 On this basis Zuk dismisses Cordain's claim that the paleo diet is "the one and only diet that fits our genetic makeup".
Diseases of affluence
Advocates of the diet argue that the increase in diseases of affluence after the dawn of agriculture was caused by the change in diet, but 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. Based on the data from recent hunter-gatherer populations, it is estimated that at age 15, life expectancy was an additional 39 years, for a total age of 54. At age 45, it is estimated that average life expectancy was an additional 19 years, for a total age of 64 years. That is to say, in such societies, most deaths occur in childhood or young adulthood; thus, the population of elderly - and the prevalence of diseases of affluence - was much reduced. Excessive food energy intake relative to energy expended, rather than the consumption of specific foods, may underlie the diseases of affluence. "The health concerns of the industrial world, where calorie-packed foods are readily available, stem not from deviations from a specific diet but from an imbalance between the energy humans consume and the energy humans spend."
Adoption of 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 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 only 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 Eskimos. 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 Paeleolithic ancestors; likewise, their nutritional profiles were very different from their modern 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 like broccoli "did not ... exist in the Paleolithic period". Broccoli and many other genetically similar vegetables (like cabbage, cauliflower, kale, etc.) are in fact modern cultivars of the ancient species Brassica oleracea, a wild plant also known as wild mustard.
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. Recommendations to restrict starchy vegetables may not be an accurate representation of the diet of relevant Paleolithic ancestors.
Not all processed foods were introduced after the agricultural revolution; there is evidence early humans processed plant food and possibly prepared flour 30,000 years ago. 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 for amylase.
- "Top 5 Worst Celebrity Diets to Avoid in 2015". British Dietetic Association. 8 December 2014. Retrieved February 2015.
- "Caveman fad diet". NHS Choices. 9 May 2008. Retrieved 25 December 2015.
- Fitzgerald M (2014). Diet Cults: The Surprising Fallacy at the Core of Nutrition Fads and a Guide to Healthy Eating for the Rest of US. Pegasus Books. p. 38. ISBN 978-1-60598-595-4.
- "Hype or reality: should patients with metabolic syndrome-related NAFLD be on the Hunter-Gatherer (Paleo) diet to decrease morbidity?". Journal of Gastrointestinal and Liver Diseases 24 (3). 2015. doi:10.15403/jgld.2014.1121.243.gta. ISSN 1841-8724. PMID 26405708.
- "The modern take on the Paleo diet: is it grounded in science?". Environmental Nutrition (7). 2010.
- Zuk M (2013). Paleofantasy: What Evolution Really Tells Us about Sex, Diet, and How We Live. W.W. Norton & Co. ISBN 978-0-393-08137-4.
- Henry, Amanda; Brooks, Alison; Piperno, Dolores (2014). "Plant foods and the dietary ecology of Neanderthals and early modern humans". Journal of Human Evolution 69: 44–54. doi:10.1016/j.jhevol.2013.12.014. PMID 24612646.
- Joseph Goldstein (January 8, 2010). "The New Age Cavemen and the City". The New York Times.
- Jason Wilson (March 16, 2015). "Paleo isn't a fad diet, it's an ideology that selectively denies the modern world". The Guardian. Retrieved February 5, 2016.
- Shariatmadari, David (22 October 2014). "What language tells us about the roots of the stone age diet". The Guardian. Retrieved 17 March 2015.
- Lowe K (20 July 2014). "A dissenting view on the Paleo Diet". The Seattle Times. Retrieved 17 March 2015.
- Cunningham E (2012). "Are diets from paleolithic times relevant today?". J Acad Nutr Diet 112 (8): 1296. doi:10.1016/j.jand.2012.06.019. PMID 22818735.
- "Top diets review for 2014". NHS. Retrieved 24 November 2014.
The paleo diet, also known as the caveman diet, was Google's most searched-for weight loss method in 2013.
- Hall H (2014). "Food myths: what science knows (and does not know) about diet and nutrition". Skeptic 19 (4). p. 10.
Fad diets and "miracle" diet supplements promise to help us lose weight effortlessly. Different diet gurus offer a bewildering array of diets that promise to keep us healthy and make us live longer: vegan, Paleo, Mediterranean, low fat, low carb, raw food, gluten-free ... the list goes on.(subscription required)
- Katz DL, Meller S (2014). "Can we say what diet is best for health?". Annu Rev Public Health 35: 83–103. doi:10.1146/annurev-publhealth-032013-182351. PMID 24641555.
- Kim Goss for Bigger Faster Stronger. September/October 2004. Good Nutrition
- Manhiemer, Eric W; van Zuuren, Esther J; Fedorowicz, Zbys; Pijl, Hanno (12 August 2015). "Paleolithic nutrition for metabolic syndrome: systematic review and meta-analysis". Am J Clin Nutr 102 (4): 922–32. doi:10.3945/ajcn.115.113613. PMID 26269362.
- Hou JK, Lee D, Lewis J; Lee; Lewis (October 2014). "Diet and inflammatory bowel disease: review of patient-targeted recommendations". Clin. Gastroenterol. Hepatol. (Review) 12 (10): 1592–600. doi:10.1016/j.cgh.2013.09.063. PMC 4021001. PMID 24107394.
Even less evidence exists for the efficacy of the SCD, FODMAP, or Paleo diets. Furthermore, the practicality of maintaining these interventions over long periods of time is doubtful.
- Konner M.; Eaton, S. Boyd (2010). "Paleolithic Nutrition: Twenty-Five Years Later". Nutrition in Clinical Practice 25 (6): 594–602. P. 594. PubMed
- Konner M.; Eaton, S. Boyd (2010). "Paleolithic Nutrition: Twenty-Five Years Later". Nutrition in Clinical Practice 25 (6): 594–602. Pp. 594–95.
- Carrera-Bastos, P., Fontes-Villalba, M., O’Keefe, J., Lindeberg, S., Cordain, L. 2011. The western diet and lifestyle and diseases of civilization. Research Reports in Clinical Cardiology. doi:10.2147/RRCC.S16919
- Ramsden, C.; Faurot, K.; Carrera-Bastos, P.; Cordain, L.; De Lorgeril, M.; Sperling, L. (2009). "Dietary Fat Quality and Coronary Heart Disease Prevention: A Unified Theory Based on Evolutionary, Historical, Global, and Modern Perspectives". Current Treatment Options in Cardiovascular Medicine 11 (4): 289–301. doi:10.1007/s11936-009-0030-8. PMID 19627662.
- Elton, S (2008). "Environments, Adaptation, and Evolutionary Medicine: Should We be Eating a Stone Age Diet?". In S. Elton, P. O'Higgins (ed.), Medicine and Evolution: Current Applications, Future Prospects. Boca Raton, FL: CRC Press. P. 9. ISBN 978-1-4200-5134-6.
- Turner BL, Thompson AL (2013). "Beyond the Paleolithic prescription: incorporating diversity and flexibility in the study of human diet evolution". Nutr. Rev. (Review) 71 (8): 501–10. doi:10.1111/nure.12039. PMC 4091895. PMID 23865796.
- Leonard, William R. (1 December 2002). "Food for Thought: Dietary change was a driving force in human evolution". Scientific American. Retrieved 20 January 2016. (subscription required (. ))
- Jabr, Ferris (3 June 2013). "How to Really Eat Like a Hunter-Gatherer: Why the Paleo Diet Is Half-Baked". Scientific American. Retrieved 20 January 2016.
- Ungar PS, Grine FE, Teaford MF (2006). "Diet in Early Homo: A Review of the Evidence and a New Model of Adaptive Versatility". Annual Review of Anthropology 35 (1): 209–228. doi:10.1146/annurev.anthro.35.081705.123153. ISSN 0084-6570.
- Hillard Kaplan, Kim Hill, Jane Lancaster, and A. Magdalena Hurtado (2000). "A Theory of Human Life History Evolution: Diet, Intelligence and Longevity" (PDF). Evolutionary Anthropology 9 (4): 156–185. doi:10.1002/1520-6505(2000)9:4<156::AID-EVAN5>3.0.CO;2-7. Retrieved 12 September 2010.
- Gurven, Michael; Kaplan, Hillard (2007). "Longevity Among Hunter- Gatherers: A Cross-Cultural Examination". Population and Development Review 33 (2): 321–365. doi:10.1111/j.1728-4457.2007.00171.x. ISSN 0098-7921.
- Osborne, Daniel L.; Hames, Raymond (2014). "A life history perspective on skin cancer and the evolution of skin pigmentation". American Journal of Physical Anthropology 153 (1): 1–8. doi:10.1002/ajpa.22408. ISSN 0002-9483. PMID 24459698.
- Leonard, William R. (December 2002). "Food for thought: Dietary change was a driving force in human evolution" (PDF). Scientific American 287 (6): 106–15. PMID 12469653.
- Nestle, Marion (March 2000). "Paleolithic diets: a sceptical view". Nutrition Bulletin 25 (1): 43–7. doi:10.1046/j.1467-3010.2000.00019.x.
- Milton, Katharine (2002). "Hunter-gatherer diets: wild foods signal relief from diseases of affluence (PDF)" (PDF). In Ungar, Peter S. & Teaford, Mark F. Human Diet: Its Origins and Evolution. Westport, CT: Bergin and Garvey. pp. 111–22. ISBN 0-89789-736-6.
- Peter S. Ungar; Mark Franklyn Teaford (1 January 2002). Human Diet: Its Origin and Evolution. Greenwood Publishing Group. pp. 67–. ISBN 978-0-89789-736-5.
- Lee, Richard (1969). "Kung Bushmen Subsistence: An Input-Output Analysis". Contributions to Anthropology: Ecological Essays. Ottawa: National Museums of Canada (230): 73–94.
- Eaton, M.D., S. Boyd; Shostak, Marjorie; Konner, M.D., Ph.D., Melvin (1988). The Paleolithic Prescription: A Program of Diet and Exercise and a Design for Living. Harper and Row. p. 79. ISBN 978-0060916350.
- C. Warinner (2013), "Debunking the Paleo Diet", TEDxOU, 25 January 2013, https://www.youtube.com/watch?v=BMOjVYgYaG8. Retrieved 21 August 2014.
- Kolbert, Elizabeth. "Flesh of Your Flesh", The New Yorker, 9 November 2009. Retrieved 27 January 2011.
- Gibbons, Ann (September 2014). "The Evolution of Diet". National Geographic. Retrieved 4 September 2014.
- Revedin, A.; Aranguren, B.; Becattini, R.; Longo, L.; Marconi, E.; Lippi, M. M.; Skakun, N.; Sinitsyn, A.; Spiridonova, E.; Svoboda, J. (2 November 2010). "Thirty thousand-year-old evidence of plant food processing". Proceedings of the National Academy of Sciences of the United States of America 107 (44): 18815. Bibcode:2010PNAS..10718815R. doi:10.1073/pnas.1006993107. PMID 20956317. Retrieved 23 January 2016.
- "For Evolving Brains, a ‘Paleo’ Diet Full of Carbs". The New York Times. 13 August 2015. Retrieved 14 August 2015.
- Hardy, Karen; Brand-Miller, Jennie; Brown, Katherine D.; Thomas, Mark G.; Copeland, Les (September 2015). "The Importance of Dietary Carbohydrate in Human Evolution". The Quarterly Review of Biology 90 (3): 251–268. doi:10.1086/682587. JSTOR 682587. PMID 26591850.
- Bijlefeld M, Zoumbaris SK (2014). Paleo Diet. Encyclopedia of Diet Fads: Understanding Science and Society (2nd ed.) (ABC-CLIO). pp. 164–166. ISBN 978-1-61069-760-6.
- Gorski D (18 March 2013). "It's a part of my paleo fantasy, it's a part of my paleo dream". Science-Based Medicine. Retrieved February 2015.