Tag Archives: diabetes

How Active Were Stone Age Humans?

The Paleolithic standard for daily physical activity was about 490 calories (2.1 MJ), according to estimates by S. Boyd Eaton and Stanley B. Eaton in a 2003 article.

The Eatons estimated late Stone Age activity levels based on recent hunter-gatherer societies and skeletal remains from 50,000 to 20,000 years ago.  In case you didn’t know, our bones reflect how much work we ask them to do.  Heavy physical work loads over time lead to thicker, stronger bones, even changing the cross-sectional shape of long bones from round to oval. 

From a diabetes viewpoint, the scientists expect that our prehistoric ancestors had excellent insulin sensitivity in view of their relatively larger muscle mass and high activity levels.  They would have been less prone to develop type 2 diabetes.

Habitual high levels of physical activity of our ancestors put them in the same class as today’s elite cross-training athletes.

The Eatons suggest that replication of the Paleolithic activity level would require we exercise about an hour a day, not the 30 minutes recommended by some public health authorities. 

Steve Parker, M.D.

Reference: Eaton, S. Boyd, and Eaton, Stanley B.  An evolutionary perspective on human physical activity: implications for healthComparative Biochemistry and Physiology: Part A Molecular and Integrative Physiology, 136 (2003): 153-159.

A Diabetes Specialist Contemplates the Paleo Diet

In 2009, David Klonoff, M.D., reviewed the existing scientific literature on treatment of diabetes with a Paleolithic diet.  The majority of his comments refer to Jönsson’s 2009 research in Cardiovascular Diabetology, which involved only 13 patients.  Dr. Klonoff, by the way, is an endocrinologist and diabetes specialist in California.

Here are a few quotes from the Dr. Klonoff:

The main ingredient lacking in a Paleolithic diet is calcium, which must be supplemented to prevent bone mineral loss.  [No references cited.]

The Jönsson study was the first to assess the potential benefit of the Paleolithic diet compared to a diabetes diet for patients with T2DM [type 2 diabetes mellitus].

The implications of identifying a safer and more effective diet than what is currently being recommended for patients with obesity or T2DM are enormous.  The paleolithic diet is certainly not a new discorvery.  What is needed now is more clinical data with greater numbers of subjects and longer study durations so that more robust conclusions can be drawn.

Potential disadvantages of a Paleolithic diet might include deficient intake of vitamin D and calcium as well as exposure to environmental toxins from high intake of fish.

The Paleolithic diet might be the best antidote to the unhealthy Western diet.

Dr. Klonoff didn’t mention whether any of his patients had tried a paleo diet.  How about now, two years later?

Steve Parker, M.D. 

Reference: Klonoff, David.  The beneficial effects of a Paleolithic diet on type 2 diabetes and other risk factors for cardiovascular diseaseJournal of Diabetes Science and Technology, 3 (2009): 1,229-1,232.