Monday, April 20, 2009

Cordain on Saturated Fat

I recently signed up for Dr. Loren Cordain's Paleo Diet newsletter, and I just received my first update. For those of you who aren't familiar with him, Dr. Cordain is a researcher at Colorado State University who studies the effects of hunter-gatherer and modern diets on health. He's made a number of important contributions to our understanding of nutrition and health. He's in my "Nutrition Hall of Fame" on the right sidebar.

His update was about saturated fat. In the past, I've disagreed with Dr. Cordain on this issue, because I thought he felt that saturated fat contributes to the risk of heart attack (although he never described it as a dominant factor). He has recommended trimming the fat off meats and using canola oil rather than just eating the fat. I don't know if I had misunderstood his stance, or if he's had a change of heart, but his current position seems quite reasonable to me. Here are a few brief quotes:
By examining the amounts of saturated fats in pre-agricultural hominin diets, an evolutionary baseline can be established for the normal range and limits of saturated fats that would have conditioned the human genome. While these diets varied due to geography, climate, etc., there is evidence that all hominin species were omnivorous. Thus, dietary saturated fats would have always been present in hominin diets.

There is also evidence that the hominin species that eventually led to Homo began to include more animal food in their diet approximately 2.6 million years ago. Clear evidence shows tool usage to butcher and disarticulate carcasses...

This data suggests that the normal dietary intake of saturated fatty acids that conditioned our species genome likely fell between 10 to 15% of total energy, and that values lower than 10% or higher than 15% would have been the exception.
And the conclusion:
Consequently, population-wide recommendations to lower dietary saturated fats below 10% to reduce the risk of CAD have little or no evolutionary foundation in pre-agricultural Homo sapiens... So we do not need to restrict ourselves to only tuna and turkey breast, avoiding every last gram of saturated fat.
AMEN, brother. I'd like to point out that the average American eats about 11% of his calories as saturated fat (down from 13% in the 1970s), on the low side of what Cordain considers normal for Homo sapiens. This is from the NHANES nutrition surveys.

The effect of a food on an animal's health has everything to do with what that animal is adapted to eating. Feeding a rabbit cholesterol gives it high blood cholesterol and atherosclerosis, but you can't give a dog high cholesterol or atherosclerosis by feeding it cholesterol, unless you kill its thyroid first. Feeding studies in Masai men showed that replacing their fatty, cholesterol-rich milk and blood diet with a cholesterol-free refined diet low in saturated fat caused their total cholesterol and body weight to increase rapidly. Adding purified cholesterol to the cholesterol-free diet did not affect their blood cholesterol concentration. Feeding cholesterol-rich eggs also has a negligible effect on blood cholesterol in most people.

I do still have a slight difference of opinion with Cordain on the saturated fat issue. While I think his numbers for pre-agricultural saturated fat intake are reasonable, his range is probably too narrow. Non-agricultural diets are so variable, I would expect the range to be more like 5 to 30% saturated fat. 5% would represent diets low in fat such as certain Australian Aboriginal diets, and 30% would represent the intake of Northern hunter-gatherers relying heavily on ruminants in fall and winter. During this time, ruminants store most of their fat subcutaneously, and their subcutaneous fat is roughly half saturated. Given that such a wide range of saturated fat intakes are part of our species' ecological niche, it follows that saturated fat is unlikely to be an important determinant of health in the context of an otherwise healthy lifestyle.

Thursday, April 16, 2009

A Testament to the Flexibility of the Human Mind

I'm sure you've heard that humans have five senses: sight, hearing, touch, taste and smell. But we actually have far more senses than that. The canonical list doesn't include equilibrioception-- our sense of balance-- the result of fluid sloshing around in the inner ear. It also doesn't include proprioception, the ability to detect the position of our limbs using nerve endings in our tendons and muscles.

Furthermore, the sense of touch is actually several different senses, each detected and transmitted by its own special type of neuron. The sense of touch includes vibration sense, pressure sense, heat sense, cold sense and pain sense. The sense of smell can be divided into roughly 400 senses in humans, each one tuned in to a different class of airborne molecules. Vision can be divided into cells maximally responsive to four different wavelengths of light.
I could go on but the rest are less exciting.

This brings me to what I really want to write about, the development (or perhaps refinement) of a new human sense: echolocation. Echolocation is the ability to gather sensory information about your surroundings by bouncing sounds off of objects and listening to the echo that returns. It's what bats use to hunt in the dark, and dolphins use to navigate muddy water and find food under the sand.
There are a number of blind people who have developed the ability to use clicking sounds to "see" their surroundings, and it's remarkably effective. This represents a new use of the human mind, or at least a refinement of a rudimentary sense. Here are a few links if you'd like to watch/read more about it:

Human echolocation- Wikipedia
Daniel Kish- You Tube
The boy who sees without eyes- You Tube

Wednesday, April 15, 2009

Images of Tooth Decay Healing due to an Improved Diet

This one's for the skeptics out there. As I mentioned in my previous post, Drs. Edward and May Mellanby and Dr. Weston Price reported that under the right circumstances, tooth decay can be reversed by proper nutrition. Here are images taken from the book Nutrition and Disease, by Dr. Mellanby, showing the re-calcification of decayed human teeth due to the growth of tertiary dentin (formerly known as secondary dentin). These are sections (slices) of teeth that have been treated with a chemical that darkens decayed areas. They represent four different teeth at different stages of decay reversal. Click on the image for a larger view:


Here's the text that accompanies the figure:
The hardening of carious areas that takes place in the teeth of children fed on diets of high calcifying value indicates the arrest of the active process and may result in “healing” of the infected area. As might be surmised, this phenomenon is accompanied by a laying down of a thick barrier of well-formed secondary denture. Illustrations of this healing process can be seen in Figs. 21 (b), (c) and (d). Summing up these results it will be clear that the clinical deductions made on the basis of the animal experiments have been justified, and that it is now known how to diminish the spread of caries and even to stop the active carious process in many affected teeth.
The following reference contains a summary of Dr. May Mellanby's experiments on healing tooth decay in children using diet: Mellanby, M. et al. British Medical Journal. Issue 1, page 507. 1932. The diet they used was typically a combination of some source of vitamin D (cod liver oil or irradiated ergosterol), plus liberal full-fat dairy, meats, eggs, vegetables, potatoes and grains low in phytic acid such as white bread. The most effective version of his diet, however, did not include grains.

In the book Nutrition and Physical Degeneration, Dr. Price provides X-rays showing the re-calcification of a mouth full of cavities using a similar diet.