Monday, June 25, 2012

We Evolved To Eat Meat, But How Much Is Too Much?

Paleo diet promoter John Durant digs into some ribs. Enlarge Allison Aubrey/NPR

Paleo diet promoter John Durant digs into some ribs.

Allison Aubrey/NPR

Paleo diet promoter John Durant digs into some ribs.

You won't catch John Durant in a tie. Shoes are optional, too. He's traded cubicle life for something a little wild: Promoting the diet and lifestyle of our ancestors from the paleolithic era. He's blogging and writing a book about his approach.

"For millions of years, we didn't have an obesity problem because we ate foods that our metabolism was adapted to," Durant says. Foods such as root vegetables, tubers, fish and of course, red meat.

"We were active and lived a healthy lifestyle," he says. Durant is one of many folks following the popular meat-laden paleo diet, He packs his freezer with deer meat and has found lots of places near his home in Manhattan to buy marrow bones and organ meats, as well as paleo-friendly barbecue joints for a meal out.

But modern medicine tells us that too much meat is bad for us, so what's a consumer to do?

?

During a work-out at a Crossfit Gym, a gathering spot for lots of paleo-enthusiasts, Durant told me its no longer a challenge for him to avoid the onslaught of bagels and pizza at every street corner. The paleo approach is to eliminate grains and processed food, which are relatively new to the human diet. And, as a result, Durant says he no longer gets the spikes and dips in his moods, and feels better.

Now, everyone from the American Cancer Society to the American Heart Association, and popular food writers such as Mark Bittman tell us to eat less red meat.

But Durant says it's a meat-based diet that was fundamental to early human development.

My colleague Chris Joyce has reported on how a meat-based diet helped make us smarter.

And paleoanthropologist John Hawks at the University of Wisonsin, Madison agrees. "We definitely evolved to eat meat."

"When we look at the fossils of early homo (sapien) we see this immediate increase in the size of the body and also increase in the size of the brain," Hawks explains.

But that was then. Very few cavemen lived long enough to get heart disease or cancer. These are the reasons.....we're told to limit red meat consumption now.

"It really began in a big way in the Framingham study in the 1950's" says Michael Thun, an epidemiologist with the American Cancer Society.

"It (this study) found a relationship between total cholesterol and heart disease." Over the years, there has been debate about whether high cholesterol is a a cause ? or simply a marker ? of higher heart disease risks. But studies like this one helped raise the red flag about high-cholesterol foods, such as red meat.

Then, the evidence started mounting that people who at daily servings of red meat increased their risks of developing certain cancers. For colon cancer, studies show that people who eat the most have about double the risk, compared to people who eat the least red meat.

"That's been found in lots of studies," says Thun, "so it's pretty well accepted."

Paleo enthusiast John Durant says he's thought about these studies and listened to the health experts... but he's not worried. He says lots of of the people in these big epidemiological studies are sedentary, and overweight.

He may be eating more red meat than the experts recommend, but he believes his paleo lifestyle, which includes running barefoot in Central Park, helps keep him thin, active and healthy. And he's not alone ? the movement is attracting some medical professionals.

Since there aren't studies of people who've been following the paleo diet, Thun says, it's hard to evaluate. "There's just not been enough people eating one kind of paleolithic diet to tell."

As for the rest of us who want to know how much red meat is too much, the best evidence suggests that cutting back to two to three servings a week is a good guide.

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