What is the Paleo Diet? Mid-1970s Walter Voegtlin A modern dietary regimen that seeks to mimic the diet of pre-agricultural hunter- gatherers Claim: If we eat like our ancestors 10,000 years ago, we'll be healthier, lose weight, and curb disease. The Breakdown Not Allowed: Dairy Grains Legumes Alcohol Starches Processed Foods Sugars Sugar substitutes Salt Allowed: Animal proteins Fruits Vegetables (except starchy varieties) Nuts and seeds Healthy fats Herbs and spices Honey and palm sugar (limit) What Supporters Say A very healthy diet: plants + wild animals "Our genome has not adapted to these foods..." Loren Cordain,PhD Colorado State, author of The Paleo Diet whole grains, dairy, legumes Genetically programmed to eat like cavemen before agricultural revolution Hunter-gatherers were active In Support... Western diet leads to: Obesity CVD Diabetes Improved glycemic control and several CV risk factors compared to a diabetes diet in a cohort of patients with T2DM (Jonsson et al.,2009) Reduces: blood pressure inflammation weight acne Sample Diet Nutritional Value Calcium intake 69% of RDA Fat 39% total energy (PUFAs and MUFAs) Cholesterol 50% higher 461mg vs. 300mg Protein 4x RDA 217g vs. 50g (Cordain, 2002) Limitations True paleo diet impossible to mimic High energy Wild game What did our ancestors eat? Difficult to accurately determine (Richards, 2002) Life span 40 years Nothing suggests body can't handle "non- paleo" food Limitations Limited research Hard to sustain lack of variety cost restrictive What about nutrient-rich whole grains, legumes, and dairy? Whole grains Reduce risk factors for type II diabetes, CVD (Flint, 2009; Kelly, 2007; Mellen, 2008; Nettleton, 2008) B vitamins, fiber Legumes Reduce risk of heart disease (Abeysekara, 2012; Jenkins, 2012) Fiber, protein Dairy Calcium, vitamin D, potassium Health problems today stem from energy excess (Leonard, 2002) Calcium Debate Recommends an appropriate balance of acidic and basic (alkaline) foods (Cordain, 2002) Milk and dairy products do not produce acid upon metabolism nor cause metabolic acidosis (Fenton, 2011) Osteoporosis due to sedentary lifestyle (Fenton, 2011) Whole Grain Debate Phytic acid does bind to minerals such as: Ca, Mg, Fe, Zn could be problematic in developing countries (Hurrell, 2003) Phytic acid may provide an antioxidant effect found in almonds, sesame seeds, brazil nuts, whole grains, legumes, soy Conclusion Beneficial to incorporate whole foods and avoid processed foods high in sugar/sodium May lead to weight loss due to restrictive nature May be hard to follow long-term If Paleo diet appeals to you be sure and supplement: calcium/vitamin D References Abeysekara, S et al. A pulse based diet is effective for reducing total and LDL cholesterol in older adults. British Journal of Nutrition 2012, 108, pp S103-110 Cordain, L. (2002). The nutritional characteristics of a contemporary diet based upon paleolithic food groups. JANA, 5(3), Retrieved from http://thepaleodiet.com/wp-content/uploads/2012/04/The-Nutritional-Characteristics-of-a- Contemporary-Diet-Based-Upon-Paleolithic-Food-Groupsabstract4.pdf Fenton, T. R. (2011). Milk and acid-base balance: proposed hypothesis versus scientific evidence. Journal of the American College of Nutrition, 30(5), 471S-475S. Flint AJ, Hu FB, Glynn RJ, Jensen MK, Franz M, Sampson L, Rimm EB. Whole grains and incident hypertension in men. Am J Clin Nutr. 2009 Sep; 90 (3):493-498 Hurrell RF (September 2003). "Influence of vegetable protein sources on trace element and mineral bioavailability". The Journal of Nutrition 133 (9): 2973S7S. PMID 12949395 Jenkins, D et al. Effect of legumes as part of a low glycemic index diet on glycemic control and cardiovascular risk factors in Type 2 Diabetes Mellitus: a randomized controlled trial. Archives of Internal Medicine 2012. Jnsson T, Granfeldt Y, Ahrn B, Branell UC, Plsson G, Hansson A, Sderstrm M, Lindeberg S. Beneficial effects of a Paleolithic diet on cardiovascular risk factors in type 2 diabetes: a randomized cross-over pilot study. Cardiovasc Diabetol. 2009;8:35. References Continued Kelly, SAM. Summerbell, CD. Brynes, A, Whittaker, V. Frost G. Wholegrain cereals for coronary heart disease. Cochrane Database Systematic Reviews. 2, 2007 Mellen PB, Walsh TF, Herrington DM. Whole grain intake and cardiovascular disease. Nutr Metab Cardiovasc Dis. 2008 May; 18(4):283-90. Nettleton JA, Steffen LM, Loehr L, Rosamond W, Folsom AR. Incident heart failure is associated with lower whole- grain intake and greater high-fat dairy and egg intake in the Athersclerosis Risk in Communities Study. J Am Diet Assoc. 2008; 108:1881-1887. Richards, Michael (December 2002). "A brief review of the archaelogical evidence of Paleolithic and Neolithic subsistence". European Journal of Clinical Nutrition 56 (12):1270-78.