Topic: The relatively new discipline of evolutionary medicine.
Purpose: To raise awareness among healthcare professionals that our modern view of illness and health care might be flawed.
Sources of information: Published literature in CINAHL, MEDLINE, Cochrane databases, and EMBASE.
Conclusions: Our modern lifestyles and healthcare paradigms (using stroke as example), may be at odds with our palaeolithic genome. The dietary regimes of remaining hunter-gatherer communities merit attention and study in this regard. Time is running out as the rainforests dwindle and hunter-gatherer communities are acculturated. The selective forces that resulted in the evolution of the human species were mainly environmental. Our metabolism, physiology, and genome, therefore, are geared towards survival under certain environmental parameters. With the advent of agriculture, almost 11,000 years ago, those parameters changed. Our ancestors' lifestyles transformed from wandering hunter-gatherers to sedentary consumers of more than they needed to survive. Many studies link today's prevalence of metabolic syndrome (diabetes, obesity, and cardio- and cerebrovascular diseases) in developed countries with this historic change in human behavior. If this is a valid correlation to make, then the few remaining hunter-gatherer communities in today's rainforests must surely hold the key to human health. Certainly, physiological parameters in these people are impressive, but trends are worrying. There is clear derangement of these parameters when exposed to any degree of acculturated lifestyle. In addition, the natural homelands of these communities, the rainforests, are dwindling at an alarming rate in order to maintain our acculturated norms. The race is on, therefore, to learn what we can about diet, exercise, and natural medicine from the last few humans who live lifestyles that might be closest to our natural state.