Abstract

The purported healthy aspects of subsistence foods have led to the popularity of the Paleo diet. There has been very little focus, surprisingly, on health benefits derived from the nomadic nature of humans during the Paleolithic era. The purpose of our study was to examine total energy expenditure (TEE), total energy intake (TEI), body composition, blood lipids, and intrahepatic lipid in humans during a 12‐day Alaskan backcountry expeditionary hunting (ABEH) immersion. Four healthy men (age: 42 ± 3 year, BMI: 27 ± 1 kg/m2) were recruited for the study. TEE was measured using the doubly labeled water method and a food diary was utilized to assess TEI. Body composition was measured using dual energy X‐ray absorptiometry (DXA); cross‐sectional area of the thigh (XT) and intrahepatic lipid (IHL) were measured using molecular imaging. Blood samples were collected for the measurement of blood lipids. DXA, XT, IHL, and blood data were collected pre‐ and immediately post‐ABEH. Results were analyzed using paired t‐tests and considered significant at P < 0.05. TEE and TEI averaged 18.1 ± 1.2 and 9.1 ± 2.5 MJ/day, respectively, indicating substantial negative energy balance (‐9.0 ± 1.3 MJ/day). There was a reduction in percent body fat (∆−3.3 ± 0.2%), total fat mass (∆−3.3 ± 0.4 kg), and visceral fat volume (Δ−261 ± 188 cm3). Lean tissue mass and XT was unchanged. There was a decrease in IHL (Δ−0.5 ± 0.1% water peak), and a trend (P = 0.055) toward reduction in LDL‐cholesterol. We conclude that constancy of physical activity during negative energy balance may provide metabolic benefits above and beyond variations in diet that exist with the hunter‐gatherer lifestyle.

Highlights

  • Homo erectus and Homo sapiens remained entirely dependent on a hunter-gatherer lifestyle for almost 2 million years (Hazarika 2007)

  • We hypothesized that the similarity of this practice in modern times would promote substantial rates of total energy expenditure (TEE) linked to rapid and beneficial changes in body composition and intrahepatic lipid (IHL), aerobic capacity, and blood lipids in middle-aged, relatively active male participants

  • Exerciseinduced weight loss in middle-aged individuals may even optimize reductions in visceral fat and improvements in hepatic insulin sensitivity exceeding that demonstrated by equivalent amounts of weight lost via caloric restriction (Coker et al 2009)

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Summary

Introduction

Homo erectus and Homo sapiens remained entirely dependent on a hunter-gatherer lifestyle for almost 2 million years (Hazarika 2007). Numerous epidemiological studies promote the important role of subsistence foods in the maintenance of metabolic health (Wahlqvist 2005). Unique archeological findings recovered at the Upward a 2018 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

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