Louisville Medicine Volume 60, Issue 8 | Page 20

Evolutionof Our Diets Y Martin Huecker, MD ou are feeling pretty good about yourself. You have a diverse diet: 35-40% as carbohydrates (mostly fiber), 20-35% as fat, 15-30% as protein. You have no vitamin deficiencies and no constipation with your 100 grams of fiber daily. You are not at risk of famine and hardly think about infectious diseases. You have never heard of cancer or heart disease, have no family history of type 2 diabetes. You gather fruits and vegetables and hunt meat with as much fat as you can find. The biggest treat is smoking out bees from a hive to bring a honeycomb back to camp. You walk about seven miles per day, sometimes chasing animals and climbing mountains. This hunter-gatherer lifestyle is the culmination of millions of years of evolution on the human body. Then comes farming, possibly the “worst mistake in the history of the human race.” Add the industrial revolution and now in the last 300 generations we have roughly one million new mutations, 86% of which are believed to have negative effects. Now humans are getting shorter, fatter, lazier; getting cancer and diabetes; and we are now full of plaque (in our mouths and arteries). We have transitioned to the wrong kind of cabbage. This is not propaganda for the Paleo diet, but we cannot ignore our genetics. We may be creating a dysevolution of our species by challenging our biology with foods we did not evolve to eat. Daniel Lieberman, Professor of Human Evolutionary Biology at Harvard, proposes these and many other concepts in “The Story of the Human Body.” He makes a strong case for the perversion of the human diet (and lifestyle) by the industrialization of populations and nutrition. A dangerous epidemic of “mismatch diseases” faces the human race. Lieberman uses the example of a Zebra transplanted from the African savanna to New England. The zebra would no longer have to run from lions, but he would be mismatched for life in his new habitat, likely starving for lack of grass to eat and freezing in the cold winter. The human body we all possess evolved for a different habitat and diet than the one we find so convenient now. Many changes in what we consume are likely harming us. We spray pesticides, eat meat from corn-fed livestock, pollute our waters, inhale smoke and smog, and breed our produce to be higher in sugar and starch. The biggest challenge to our physiologic balance could be in macronutrient ratios. Our carbohydrate / fat / protein proportions are far different from 18 LOUISVILLE LOUISVILLEMEDICINE MEDICINE