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         Nutritional Anthropology The
        Bond Effect  | 
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         NATURAL
        EATING GEOFF BOND 
 CHAPTER
        ELEVEN  | 
  
      
        
         Geoff  | 
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         Looking at our genetic programming is a powerful technique for identifying the optimum way to feed ourselves. This same technique can be applied to other aspects of our lifestyles too. One of these is exercise. What is our genetic programming for exercise? The
        Genetic Foundations ·     
        Over
        the millions of years of evolution, what were the patterns of physical
        activity practised by our species?  ·     
        What
        will that tell us about the amount of exercise we should be getting
        today? Surprisingly
        we can work out a lot about the physical activity of our Pleistocene
        ancestors. First of all we know how they must have foraged for food, how
        far they travelled, how fast, and even their muscular development. Further,
        by studying contemporary forager tribes, we can see how they organised
        themselves on a daily basis. A
        typical Pleistocene group consisted of thirty-five to forty five people,
        roughly equally divided between men and women. This group would camp in
        one place for a few days and then move on make another camp 10 to 20
        miles away. They carried very little with them, but they still had to
        walk all the way! They moved, not for the fun of it, but because they
        had to. The terrain would be open savannah-type grassland in the tropics
        of East Africa. While
        camped, each day the group would split up to forage for food. The women,
        children and old men went off in one party, foraging for roots, fruits,
        tubers, berries and easily caught bugs and animals. This party, on
        average covered about 5 miles. They leisurely walked and rested from
        time to time. After about four to five hours they were done. The
        children walked too and, a lot of the time, scampered about and chased
        each other as well as the lizards and beetles. Babes in arms of course
        were carried. It
        is estimated that the average adult female energy expenditure was 600
        kcal per day on physical activity. This compares to 230 kcal for
        today’s sedentary female office worker. The
        able-bodied men went off, chiefly looking for small game, but would also
        be collecting other edible matter on an opportunistic basis. This party
        would cover more ground during the day - 9 to 12 miles on average. Part
        of the time they would be running or jogging, to chase and trail
        potential game. Most of the time, they too would be finished after about
        four to five hours. However on rarer occasions they may be away for as
        much as 48 hours tracking a wounded animal.  It
        is estimated that their daily expenditure of energy was over a 1,000
        kcal. Compare this to the 306 kcal of the average sedentary male office
        worker. There
        are therefore two patterns, one for each gender:  Females
        would pass their lives exercising to a moderate extent, and low
        intensity. Males
        started their lives with the female pattern, graduated to the masculine
        pattern for most of their lives (vigorous and more sustained physical
        activity) and then tapered off to feminine levels again in old age. How
        does this chime with what we know about human biology today? It fits
        very well. Evidence is that women do not need to exercise so long or so
        hard as men to maintain their health. Men need more vigorous physical
        activity to maintain health. From the world of track athletics we know
        that men are better built for endurance running. What
        happened to our ancestors in old age? What is striking is that old
        people stayed physically active until their very last days. They were
        athletes right to the end. The end would come when they could no longer
        keep up with the group when it moved camp some 10 miles away. The infirm
        person would be left behind, propped up under a bush, to await the
        arrival of the jackals and other predators. In this harsh existence,
        there was no room for people who put the survival of the group at risk.  Just imagine how average life expectancy would drop today, if anyone who couldn’t walk 10 miles were left for dead! So
        what are we to make of this? Everything we know about peoples or
        individuals who get this amount of physical activity demonstrates that,
        as a result, they have better health than they would otherwise have had.
        Note the qualification ‘than they would otherwise have had’.
        Exercise by itself is not enough. Other lifestyle activities can be even
        more important in determining good health, notably non-smoking and good
        eating habits.  The
        big question is, are there any vital body functions that depend
        on physical activity? Yes, indeed there are. Studies, going from those
        on bed-ridden people to astronauts, all point to a number of conditions
        brought about by a lack of physical activity. We are not like the bear
        for example that can stay immobile for 6 months (while hibernating)
        without suffering health consequences. What
        are the consequences for human health then, of physical inactivity?
        Let’s look at some of them. Exercise
        and Health Factors Bone
        demineralisation and fractures This
        condition is multi-faceted, but all the evidence suggests that regular
        physical activity improves bone structure, its volume and thereby
        resistance to fracture. Elderly women can benefit from as little as one
        hour per week of lower-intensity activity - 42% lower risk of hip
        fracture and 33% lower risk of vertebra fracture[1].
        The rhythmic jolting associated with walking/jogging, excites the bone
        building cells (osteoblasts) into raising their tempo. In young people
        the bone builders work faster than the bone strippers and bone mass
        increases. Even in older people the bone builders will work harder and
        fall less far behind the bone strippers.  Rheumatism,
        arthritis and joint stiffness Regular
        activity of the kind practised by our Pleistocene ancestors encouraged
        cartilage maintenance, lubrication and renewal of the wearing surfaces.
        Dysfunctional joints are due in large part to not giving them enough to
        do. If you don’t use it, you lose it! Syndrome
        X This
        is the collective name given to a quarto of ‘diseases of civilisation’:
        high blood pressure, coronary artery disease, obesity and diabetes. They
        all have a common link - high insulin levels. Yes, our old nemesis of
        insulin rears its ugly head. Low exercise levels mean that more insulin
        has to be secreted to handle a given glucose load. Result: more insulin
        floating around creating mischief. (See Chapter Five.) Exercise is
        essential to maintain optimum resistance to diabetes, obesity,
        hypertension and heart disease. Lower
        leg circulation There
        is an artery that passes through the ball of the foot. As you walk or
        run this artery gets alternately compressed and released. The general
        effect is that of a pump. Walking/running helps pump blood through the
        lower leg. Without it the lower leg gets poor circulation and is prone
        to deep vein thrombosis. Are
        you one of those people who, after a little while sitting at a desk or
        table, find their knees jogging up and down? This too, is a natural
        reflex helping to maintain lower leg circulation.  Lymphatic
        circulation As
        handmaiden to our blood circulation, we have a secondary system of
        circulation, known as the lymphatic system. This is responsible, in
        part, for transporting the products of digestion to other parts of the
        body; bringing immune system killer cells to parts of the body under
        attack and flushing away debris and toxic matter. Unlike the blood,
        which is pumped around the body by the heart, the lymphatic system does
        not have a pump of its own. It relies on the general flexing of muscles
        to do the job. Lack of physical activity means sluggish lymphatic
        circulation and a host of maladies linked to that. Cosmetic
        reasons We
        are all, every single one of us, descended in an unbroken chain of
        ancestors who have all successfully found a mate and reared their
        children. Couples who got together to have children and didn’t, failed
        for a number of reasons. Accidents, sickness, infertility all take their
        toll. But the bottom line is that they didn’t have any offspring.  It
        follows that we are descended from people who have been successful in
        having children. They were successful because they were lucky and
        because they were healthy. Not much can be done about luck, accidents
        and so on, but over the long term our ancestors will have been slightly
        better at picking healthy mates. We are programmed to recognise a healthy prospective mate. That, to a large
        extent, is the substance of the ‘chemistry’ that sparks between two
        people who are attracted to each other. ‘Looking good’ is an
        important part of successful human reproduction.  Even
        if you are not looking for a mate, ‘looking good’ gives pleasure to
        others. Film stars make their fortunes out of people’s hunger to cast
        their eyes on good looking people. The exact nature of the good looks
        changes with the mood of the times, but the fundamentals do not. No one
        is going to make it as a heart throb if they are giving off an air of
        general ill health. Glowing complexion, vibrant muscle tone and an
        energetic demeanour are attractive in their own right. We are
        genetically programmed to find them so. Self
        preservation In
        the world of our ancestors, they did a lot of walking and running
        because they had to. It was a matter of survival. It was the means by
        which they got their dinner. If they were unsuccessful in getting
        dinners they became dinner for
        another creature! In
        today’s world such automatic sanctions for lack of physical fitness
        are rare. It is quite possible to live a lifetime as a couch potato and
        never be embarrassed by a situation where your physical abilities are
        found wanting. But just think about this: in an air crash, do you want
        to be the last one to get out of the emergency door?  Longevity Recent,
        carefully controlled Finnish studies[2]
        over many years on identical twins have demonstrated what many people
        have long suspected, that physically fit people live longer than those
        who are not. In
        this study, it was found that in any given period, ‘Sedentary’
        people were 1.3 times as likely to die as the ‘occasional’
        exercisers and nearly twice as likely to die as the ‘conditioning’
        exercisers. The figures were the same for both men and women. The
        exercise criteria were extremely modest  ·     
        ‘Conditioning’
        exercisers exercised for a minimum of 30 minutes, 6 times a month. ·     
        ‘Occasionals’
        exercised even less than the ‘conditioners’ but did some regular
        exercise. ·     
        ‘Sedentary’
        people claimed not to exercise at all. We
        do not know the effect on longevity if regular physical activity is
        raised to the level of our prehistoric ancestors, but the suspicion has
        to be that it is yet further improved. Stress,
        depression and mood Anecdotal
        evidence is now confirmed by an understanding of human biochemistry.
        Physical exercise has a beneficial effect on a whole range of hormones
        that regulate mood.  Exercise
        modulates hormones that act on serotonin receptors helping to lift
        depression. It brakes the production of stress hormones such as cortisol
        and adrenaline. Reducing these two hormones not only reduces feelings of
        panic and stress, it also reduces the knock-on effect, production of
        insulin and all the damage that follows.  Finally,
        carried to an extreme, endurance runners reach a ‘high’ where their
        bodies are producing morphine-like substances, giving them a tremendous
        feeling of well-being.  Exercise is
          good to improve feelings of well-being. Optimum
        Exercise Pattern So
        just like for eating, it is possible to identify the most favourable
        pattern of exercise for human beings.  Having
        read the foregoing you will not be surprised to hear what the ideal
        level of physical activity is:  ·     
        women,
        children and old men - walk five miles per day, every day. ·     
        able
        bodied men - walk and run 9 to 12 miles per day every day. All
        the studies confirm that these exercise patterns are the optimum for
        good health. Indeed anyone doing that today is considered to have a high
        level of fitness. For our ancestors, it was just the norm for everyone. But
        what are we to do in the modern world? For most of us it is just not
        practicable to spend four hours a day exercising. Is it really necessary
        to exercise so much? Are other forms of exercise more helpful? The
        hard answer is that you get out what you put in. The good news is that
        the response is not linear. At the start you get a lot of benefit from a
        relatively small increase in exercise. As you increase the level, the
        benefits improve too, but not in proportion. It is the law of
        diminishing returns.  It
        is even possible to exercise too much. World class endurance athletes
        are more prone to infectious diseases. In addition, they distort their
        dietary habits for maximum performance - to the detriment of their
        health. So
        what is a reasonable compromise between what is desirable and what is
        possible?  Exercise
        Essentials We
        can put together the foregoing paleo-anthropological argument with the
        studies and recommendations made by various authorities. The
        recommended physical activity is : ·     
        3
        to 5 days per week of aerobic exercise at moderate to moderately high
        intensities. ·     
        20
        to 60 minutes each session. That
        is the laconic specification. Let us look at what that means in
        practise. 
 ‘Moderate
        intensity aerobic exercise’ is one that raises your heart rate to 40%
        of its maximum. Women, children and older men should aim to do this. ·     
        Examples
        of moderate physical activity include walking,
        cycling, playing basketball or volleyball, swimming, water aerobics,
        dancing fast, pushing a stroller, raking leaves, shovelling snow,
        washing or waxing a car, washing windows or floors, gardening, golf and
        tennis. ‘Moderate
        to high intensity aerobic exercise’ is one that raises your heart rate
        to 85% of its maximum. Able-bodied males should aim to do this. ·     
        Examples
        of moderate to high intensity physical activity include jogging/running,
        squash, hard swimming, vigorous cycling, manual labouring and weight
        training. Don’t
        forget that the above are minimums! Nothing to stop a women playing
        squash if she wants, or indeed a centenarian jogging 10 miles if he is
        fit enough. In
        today’s modern America, the problem is the opposite. Many children and
        young adults get out of breath just changing the channels on the remote
        control. A
        word of warning. Anyone who has a history of smoking, is or has been
        severely overweight, is middle-aged or more, is under constant stress,
        has a family history of heart disease – should get a check up for
        potential problems. Advanced heart disease can have no symptoms. Even
        regular exercisers who fit into the above categories can be struck down
        without warning. Jim
        Fixx, who wrote The Complete Book
        Of Running and thereby set off the jogging craze, was such a case.
        He had been a heavy smoker and had been very overweight He had a poor
        family history, his father dying of a heart attack at the age of 43.
        Fixx quit smoking, lost 50 pounds of surplus weight and started running
        60 to 70 miles a week. Everything was all right for 15 years. Then at
        the age of 52 he suffered a massive heart attack while running and died.
        His coronary arteries were hopelessly blocked. They were almost
        certainly far gone when he started his fitness regimen, but he didn’t
        know - he had never had a check-up. And just being physically fit,
        contrary to what he thought, was not enough to stop his arteries getting
        worse. Rather, physical fitness is just one of the elements necessary to
        health and well being.  What
        about other forms of exercise? Callisthenics, muscle building,
        stretching and so on? Yes, they are all helpful. Indeed the
        recommendation is that everyone should be using stretching exercises at
        least three times a week. Elderly people are particularly recommended to
        do muscle building exercises and joint suppleness training every day.
        This will ensure that they arrest the loss of muscle mass and keep their
        joints flexible. Savvy
        Exercising for Weight Loss Many
        people exercise to lose weight. We can use a knowledge of our
        biochemistry to make sure this happens in the most efficient way.  When
        we exercise moderately (40% of max heart rate), then the source of
        energy that the body mostly uses comes from the triglyceride fats that
        are floating around in the blood stream. These are the fats that we want
        to burn! The body has to replace them from stores in the fat tissues. If,
        however, we step up the exercise rate, then the body starts to prefer
        energy from carbohydrates stored in the liver, muscles and blood. The
        body will replace these later from what we eat. The
        good news then, is that moderately intense exercise is better than high
        intensity exercise for fat reduction. This effect is particularly marked
        if no carbohydrates have been consumed before, during or after the
        exercise. So, go for your brisk, early morning walk on an empty stomach.
        Avoid all sugary drinks, and certainly don’t eat any bad
        carbohydrates. If you must eat during this period, restrict it to the
        ‘good’ foods, some low glycemic fruit for example. You won’t feel
        hungry. Less conventionally, don’t be inhibited by your cultural
        conditioning: it is quite possible to have a shrimp and vegetable
        stir-fry or a mixed salad for breakfast. Nutrition
        for Competitive Sports Eating
        in order to obtain maximum performance is the domain of specialised
        sports nutrition. The only reason for broaching this topic here is to
        make an important point: sports nutrition has, as its main objective,
        the achievement of maximum performance.  Eating for
          maximum performance is rarely in harmony with nutrition for optimum
          health. Take
        one example: ‘carbohydrate loading’. This technique, to stoke up
        energy reserves before a race, makes extensive use of high glycemic
        index ‘bad carbohydrates’ that are consumed in a particular pattern
        over an extended number of days. To obtain maximum performance the
        technique is very good. But, this is exactly contrary to the principles
        of eating for good health. This
        is a trade-off that is rarely explained to athletes: performance vs.
        long-term health. Note
        too, that the ‘savvy eating for weight loss’ procedure explained
        earlier is the exact opposite to that prescribed for eating for endurance
        performance. For performance, athletes are recommended to consume high
        glycemic index foods (that is, bad
        carbohydrates) before, during and after the competition! It
        is readily acknowledged by sports nutritionists that this causes
        hyperinsulinemia - and they know it wreaks havoc on arteries and
        scrambles hormonal responses. They know, too, that hyperinsulinemia
        locks up fat and makes it unavailable for burning by the muscles. This
        is a drawback. Nevertheless, the calculation they make is that this is
        the lesser of two evils - the greater energy surge from the bad
        carbohydrates outweighs the loss of energy generated from fat sources. We
        have here an example of how food is used as a drug. A
        performance-enhancing drug for athletes. In various ways what and how
        you eat is having a drug-like effect on thousands of important bodily
        activities. Lifestyle
        Practices Not
        surprisingly, conventional wisdom is coming to the view that physical
        exercise should be more than just an episode on various days of the
        week. Physical exercise needs to be integrated into the everyday pattern
        of living. First
        of all, try to develop hobbies, sports and interests that of themselves
        give you the base-load of exercise that you need. If you play golf one
        day a week, go dancing one day a week, do some gardening one day a week,
        and go swimming one day a week, then you are well on the way to being
        well exercised. By all means go to aerobics, play tennis, jog round the
        block too. Next,
        take every opportunity to work out those muscles as you go about your
        day. Why stress yourself to find a parking space right next to the
        shopping mall entrance? That only helps to raise stress hormones with
        all the damage that that does. Park at a comfortable distance away and
        walk those extra 100 yards!
        Walk up the stairs instead of taking the elevator. Carry the shopping
        instead of pushing the trolley. Today,
        we are so spoilt for labor-saving devices that we have, perversely, to
        seek out labor intensive activities or make them up for ourselves. Push
        yourself constantly to stretch your body’s physical capacity. Never
        take the easy way out when the opportunity is there to challenge your
        physical limits. 
 [1] Gregg et al; Ann Intern Med 1998;129:81-88,133-134. [2]
            Kujala;
            [Exercise linked to longevity]; JAMA 1998;279:440-444. 
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