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38 Cards in this Set

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Our anatomy was shaped by our African experience. What were some of the effects of having a landscape that was seasonal?
-seasonal avail of plants
--variety in the diet
-diet changed with the seasons
not always great access to food
-was adapted an ability to store fat
Humans are good at storing fat.

What shaped our ability to store fat?
a diet that changed with the seasons and not always having great access to
Approx how long ago did humans migrate out of Africa?

Approx how many people were there around 50 thous yrs ago?

How many people are there now?

Up until how long ago where humans everywhere hunter gatherers?
- 60,000 yrs

-10 million

-6-7 billion

-10 thousand years ago.
Why does disease today affect mostly people who live in crowded areas?
Lots of opportunities for microorganisms to pass amongst us
Technology was different. How did people 50 thousand years ago prepare their food to eat?
They had sophisticated stone tools. They processed plant and animal food to make it easier to digest. They cooked their food.
What did the tribes of the past do?

How much did they have to work during a week to accumulate the amount of food they need to live?
They worked hard
They were physically active

They worked 2.5 days per week (8 hr days) to get necessary food for survival (not very long compared to today)
How were the tribes views of the elderly?
The elderly were revered, honored for their knowledge and important for the survival of the group. (they might recall draught 30 yrs ago and how they survived for ex)

The groups were multigenerational unlike now when we isolate our old.
What was the infant mortality rate?
40% of kids died by age 1.

if you survived infancy and juvenile age, people did live into their 80's.
What are some of the characteristics of the Kung's diet?
Low fat! grubs and bone marrow
Animals they ate were low fat unlike the ones we eat.
Low levels of salt and sugar
70% of diet came from plant food. (over 200 species) root veggies nuts fruits and NO grain. Our diet now is carbs of grain and corn.
30% of diet, insects, small vertebrates
The Kungs diet was greatly different from ours.

What was the result of the Kung's diet?
No rise in blood pressure
No evidence of atherosclerosis
No death from diabetes
No obesity
Low chronic diseases
What were the leading causes of death with the Kung's?
Leading cause Infectious disease and accidents
3rd leading cause Homicide.
What was the evidence of the transition to agriculture?

What was the affect of the transition to agriculture?
Settling down in smaller villages where people relied on plants and animals. Records of sheep and cattle herding. More storage of grain. Hierarchial communities

This did NOT improve their health! MYTH! diet became less varied as they depended on fewer species of animals. With simple agriculture comes a hungry season.
With simple agriculture came a 'hungry season'. What was the health implication of this?
After the harvest in a village there were at least two months where people lost 15% of body mass. This weight loss was stressful to the body.
What was the Kung's reproductive pattern?
Five years between births because the first 1-3 years the kids depended upon breast milk. Less ovulation when the mom is lactating.
Why did reproduction increase after 10,000 yrs?
Kids weened earlier, mom ovulates and increases fertility, decreased time between births. Children valued as workers with agriculture.
Increase in popluation.

30% infant mortality rate.

Along with agriculture
Name some effects of agriculture on health
More infectious disease from cattle and farm animals.

An increased susceptibility from vitamin and mineral deficiency with limited diversity in diet.
About 1600 we had modern industrialized society. Growth of cities and increase infectious disease. Things really started to change 100 yrs ago. What was the reason?
Transportation. After WW2 reliance on cars and smog. Prior to that we walked, rode wagons and horses and horses take alot of work. This required effort and calories.
Why do we crave fat, sugar, and salt?
because we didn't have access to fats in the past. It's adaptive.

Now our diets have so much more fat! our animals are breed to have more fat to have better taste.

We have a DISCONNECT between our cravings, our adaptation, and our availity to now eat sugar fat and salt. We eat as much as we want now.
How many pounds of processed sugar does the average person eat a year?
152 pounds.
What are some upsides to modern society?
94% of kids grow up o be teenagers.
We have medical technology that increases our chance of surviving.
What are the main things we need to survive through to live?
Infancy
The juvenile years (lots of accidents, usually involving fire)
Women, must survive childbirth.

100 yrs ago many deaths of women in 20s-30's from labor.
What is a contributing factor to our diseases that afflict our old people today?
Social isolation. We shut them up in rest homes and this contributes to their disease including depression. We need the elderly to be more socially intergrated.
Why was infant mortality rate in the past so high?
Probably because of poor sanitation.
Diarrhea was a leading cause of infant death.
In the late 1800's was contributed to better health?

What were health advantages after WW2?
cities developed sewer systems and cleaned water so people didn't die from diarrhea.
Access to better nutrition leading to a more competent immune system to fight disease.

After WW2, Antibiotics, no more death from pneumonia, strep throat, ect.
Why is infant mortality rate still high in America?
Access to health care.
Reproduction is influenced by where we live and how we live.

Compare the Kung to Western women.
Average age of menarche?
Amount of kids?
How long nursing?
How many years pregnant?
How many years of sexual cycling?
Kung Western W
Menarche 16.5 12.5
5 kids 2.2. kids
16yrs nursing 1yr nurs?
4yrs preg 18mths preg
4 yrs cycles 35 yrs cycle
The Kung model how women reproduced in the past. They mirror a typical Primate pattern.

What is this pattern?
Female primates either pregnant or lactating.
Few menstral cycles
How has reproduction changed?
Now, women dont have to breast feed like they did in hunter/gatherer.

Kung worked with their babies amd the babies had constant nipple. We nurse average 6mths and that's hard cause we are seperated from our babies when we work.
What is the reduction in age of menarchy called?
The seculary trend in menarchy.

These changes are recent. We have not had time to genetically adapt.

In London in the 1800's, it was age 16. Same as the Kung.

in 1900 in the U.S. it was 14.
What is a health ramification for industrialized women that now have a lengthened reproductive span?
Menopause is reached about age 51. More ovulatory and menstral cycles correlates with the levels of estrogen in a women's lifetime. This correlates to an increase in incidents of BREAST CANCER
What will the population be come 2030?

What is the human reproductive populations of...
10 million yrs ago through 1999?
8 billion

10 million yrs ago 5-10 million
2000 yrs ago 170 million
1800 AD 1 billion
1930: 2 biliion
1960: 3 billion
1975: 4 billion
1987: 5 billion
1999: 6 billion
An increase in pollutants is an environmental changes caused by an increase in population.

What is causing an increase in estrogen?
Estrogen mimicking chemicals found in plastics and pesticides.
Estrogen in drinking water. (women on birth control lose molecules in urine that cant be filtered)
What is it called when the urethra enters out the side of the penis instead of the tip?

What is the cause?
Hypospadia

We are not sure of the cause but estrogen does lead to weird changes.
What is obesity and what is the percentage of American's overweight and obese?
Body mass index of over 30

50% of Americans are overweight
1/3 rd are considered Obese

Health officials are calling this DIOBESITY

In 1950 only 13% of the population was obese.

Obesity is an Epidemic not just confined to U.S. We're all fast food nations.
In Sardinia a significant amount of people live to be over 100.

What is a thread in people who live to be that old?
Social Connectedness
A purpose for living (whether religion or doing something for other people)
Feeling there is something beyond yourself to care about.
Moderation! (moderate alcohol if any)
Moderate intake of food, limited calories
Physically Active throughout life
What is the HEALTHY TRIANGLE?
Three things we need to life healthy long life...

Mental- the need to be mentally stimulated and engaged thoughout life.

Social, connectedness imprtant for health, increases immune response, decreases depression

Physical
Our Stone Age genetics are disconnected from our space age lifestle. We have genetics going back tens of thousands of years that haven't caught up with how we live now.

IS THERE HOPE?
What might be our hope?
YES! There is no limit to human goodness.
We have flexibility due to our intelligence. Let's use the opportunity of the mess we are in to make some fundamental CHANGES!

We have a large brain so we can confront issues. We have an emotional brain that motivates us to care. We can make choices and engage these parts of our brain.
Explain how the Healthy triangle might reflect our mammalian, primate, and hominid heritage.
We are social creature and it's important for us to live with positive social interactions