Abstract

Famed microbiologist René J. Dubos (1901–1982) was an early pioneer in the developmental origins of health and disease (DOHaD) construct. In the 1960s, he conducted groundbreaking experimental research concerning the ways in which early-life experience with nutrition, microbiota, stress, and other environmental variables could influence later-life health outcomes. He also wrote extensively on potential health consequences of a progressive loss of contact with natural environments (now referred to as green or blue space), arguing that Paleolithic experiences have created needs, particularly in the mental realm, that might not be met in the context of rapid global urbanization. He posited that humans would certainly adapt to modern urban landscapes and high technology, but there might be a toll to be paid in the form of higher psychological distress (symptoms of anxiety and depression) and diminished quality of life. In particular, there might be an erosion of humanness, exemplified by declines in altruism/empathy. Here in the first of a two-part review, we examine contemporary research related to natural environments and question to what extent Dubos might have been correct in some of his 50-year-old assertions.

Highlights

  • Global urbanization is expected to continue with rapid pace over the several decades, with an additional 1.35 billion people expected to take up residence in cities within the 15 years [2,3]

  • The health problems associated with rapid urbanization are profound, most notably the chronic noncommunicable diseases (NCDs)—e.g., mental health disorders, and obesity and its correlates of type II diabetes, metabolic syndrome, and cardiovascular disease [6,7,8,9,10,11,12,13]

  • Urbanization, in deprived areas, may drive changes in behavior that contribute to NCD risk— low physical activity, compromised sleep, and unhealthy dietary choices [14,15,16,17]

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Summary

Introduction

Global urbanization is expected to continue with rapid pace over the several decades, with an additional 1.35 billion people expected to take up residence in cities within the 15 years [2,3]. Dubos argued that because humans are very adaptable, the relationship between an evolutionary mismatch and erosion of health would be stealth-like; there would be only minimal awareness of the association, especially early on in the era of high technology and urbanization.

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