Guiding Principles for Healthy Eating

Healthy Eating principles will be looked at broadly, with this review, and narrowly, looking at individual nutrients on subsequent pages.  Since there is no owner’s manual on the ideal diet for the human body, scientists have increasingly drawn from historical trends to answer the question of what constitutes an ideal diet, given what diet-related health problems most Western populations are currently enduring, despite modern diets and foods.

This abstract was published in the Mayo Clinic Proceedings, 2004 (Mayo Clin Proc. 2004 Jan;79(1):101-8.):

Our genetic make-up, shaped through millions of years of evolution, determines our nutritional and activity needs. Although the human genome has remained primarily unchanged since the agricultural revolution 10,000 years ago, our diet and lifestyle have become progressively more divergent from those of our ancient ancestors. Accumulating evidence suggests that this mismatch between our modern diet and lifestyle and our Paleolithicgenome is playing a substantial role in the ongoing epidemics of obesity, hypertension, diabetes, and atherosclerotic cardiovascular disease. Until 500 generations ago, all humans consumed only wild and unprocessed food foraged and hunted from their environment. These circumstances provided a diet high in lean protein, polyunsaturated fats (especially omega-3 fatty acids), monounsaturated fats, fiber, vitamins, minerals, antioxidants, and other beneficial phytochemicals. Historical and anthropological studies show hunter-gatherers generally to be healthy, fit, and largely free of the degenerative cardiovascular diseases common in modern societies. This review outlines the essence of our hunter-gatherer genetic legacy and suggests practical steps to re-align our modern milieu with our ancient genome in an effort to improve cardiovascular health.


So, what can we say about what we know and don’t know about hunter-gatherers and their “paleolithic” diet? The following excerpt is from a thoughtful discussion on one of the many new paleo websites now promoting this perspective:  This on Chris Kresser’s “Beyond Paleo” website regarding the ambiguities of identifying what the “Paleo” diet really is.

Paleo ambiguity

In short:

  • It’s very difficult for us to know with any certainty what paleo people ate or how they lived.
  • The vast majority of studies of modern hunter-gatherers (HGs) have been ethnographic in nature, and as such are heavily influenced by the researchers own assumptions and objectives. This is a problem in all research, but it’s particularly notable in the anthropological literature.
  • Modern HGs are not analogous to paleolithic HGs. Even limited amounts of contact with modern people can have a profound impact on the diet and lifestyle of HG populations. This means we can’t simply study modern HG groups and assume that their habits reflect our distant ancestors.
  • Observer bias and influence are also issues with studies of modern HG populations. Researchers have noted that the people they study will often change their dietary habits while being studied, perhaps to impress the researchers.
  • Along the same lines, modern HGs aren’t living in their traditional habitats. They’ve been displaced from their more optimal habitats by agriculturists and pastoralists. This means the diet they’re currently eating is probably atypical –  probably more akin to a ‘fall-back’ or ‘subsistance’ diet than an optimal one.

This last point is particularly salient. We can’t determine the optimal diet of a particular group of people simply by observing what they currently eat. As Dr. Kurt Harris points out on his website:

“It should be instructive to ask apparently healthy HGs what they prefer to eat in addition to what they have to eat. In a population that is healthy and not conditioned to a lifetime of non-foods as in the diet of a westerner with metabolic syndrome, it may have meaning to know what they prefer to eat. Not accounting for costs, how would they apportion their caloric intake from their extant food sources? I see no reason that relative food preferences could not be genetically or epigenetically influenced in addition to culturally influenced. Absent the interference of modern medicine, could a preference for the foods that make one live a healthier, more robust life be selected for and rapidly move through a population in a few generations? Do the Kitavans actually prefer yams/sweet potatoes/cassava over coconut and fish in the same ratio as the proportions they eat them in? Would Inuit happily prefer half their calories as sweet potatoes if they grew in the arctic? Or does each dietary pattern just reflect the preference to avoid starvation?”

What we don’t know about paleo

The takeaway is simply this: it’s impossible to know for certain what our paleolithic ancestors ate by studying modern HG people. It’s difficult even to know what modern HG people eat when a bunch of researchers aren’t hanging around watching them.

There’s been a lot of discussion in the “paleo-sphere” about this lately. It comes up every time a fossil study is reported on, such as the most recent one that found starch on the teeth of Neaderthals, suggesting that they may have – gasp! – eaten grains on occasion. Of course these stories are pounced on by the anti-paleo set as evidence that grains have been a regular part of our diet for a long time and that proponents of the paleo diet don’t know what they’re talking about.

So on the one hand you’ve got paleo fundamentalists claiming to know exactly what paleolithic people ate, and stating with apparent certainty that grains and legumes were absolutely not included in their diets. Then you’ve got folks on the other end of the spectrum who claim that paleo is a just another “fad diet”, like the Zone or Atkins, with absolutely no basis in clinical or anthropological evidence.

They’re both wrong, of course.

It should be abundantly clear that we can’t know for certain what paleo people ate. They lived a long time ago, and we don’t have a time machine. Even if we did, and went back to study them, the diet they ate during a short window of observation may not be representative of what they eat over time.

But this doesn’t mean we simply disregard what we do know about our paleolithic ancestors and modern HGs, nor does it mean that we can’t extrapolate that knowledge into helpful guidelines for what a species-appropriate diet might be for us humans.

What we do know about paleo

We still know, for example, that modern diseases like diabetes, obesity, cancer, autoimmunity and heart disease were rare (or even nonexistent) in paleo people and are still rare in the few HG groups around the world that have been lucky enough to preserve their traditional diet and lifestyle.

We also know that when modern foods like wheat flour, industrial seed oils and sugar are introduced in these populations, the incidence of modern diseases goes up commensurately. And, even more telling, when these groups return to their traditional ways, the modern diseases disappear again. This suggests that it wasn’t some genetic vulnerability that caused them to develop modern diseases with the introduction of modern foods.

So yes, paleo may not actually be paleo. We will probably never know exactly what our paleo relatives ate.

But we know enough about ancestral diets in a general sense to suggest that they are superior to modern diets for human health. And we know enough – thanks to current clinical research – about modern foods like flour, seed oils and sugar to know that we shouldn’t be eating them.

And to date, the best way to describe a nutrient-dense, toxin-free, whole-foods based diet is probably a “paleo” diet. It includes a diet that emphasizes animal protein and fats, starchy & non-starchy vegetables, fermented foods, possibly some raw dairy (when tolerated) and, in moderation, fruit, nuts & seeds.   Yes, animal proteins and fats, which may not be as atherogenic as previously believed.