HEALTH

Paleolithic & hunter-gatherer sleep

Are humans evolved to sleep through the night or is natural sleep bimodal or otherwise fragmented? What can we learn from the sleep of Paleolithic hominins and modern hunter-gatherer societies?

Paleo-anatomists studying fossilized skeletons of Australopithecus (3.9-2.9 MYA) and Homo habilis (2.3-1.4 MYA) found they were well adapted to climbing. Although much of their daytime was probably spent on the ground, these hominins likely slept in trees. (Recent findings suggest some early hominins may have created “ground nests” for sleeping.)

Homo erectus appeared 1.9 million years ago and was well adapted to migrating over land. Their vestibular anatomy suggests a primarily ground-based existence. Homo erectus was likely the first hominin to control fire, a technology that would have made sleeping on the ground safer. Richard Wrangham, Professor of Anthropology at Harvard, in his book Catching Fire: How Cooking Made Us Human, writes:

"Homo erectus presumably climbed no better than modern humans do, unlike the agile habilines. This shift suggests that Homo erectus slept on the ground, a novel behavior that would have depended on their controlling fire to provide light to see predators and scare them away." 

Once hominins began sleeping on the ground, they slept “as people do nowadays in the savanna”: 

"In the bush, people lie close to the fire and for most or all of the night someone is awake. When a sleeper awakens, he or she might poke at the fire and chat a while, allowing another to fall asleep. In a twelve-hour night with no light other than what the fire provides, there is no need to have a continuous eight-hour sleep. An informal system of guarding easily emerges that allows enough hours of sleep for all while ensuring the presence of an alert sentinel."

Chronobiology blogger Bora Zivkovic believes our natural sleep pattern is bimodal:

"Until not long ago, just about until electricity became ubiquitous, humans used to have a sleep pattern quite different from what we consider "normal" today. At dusk you go to sleep, at some point in the middle of the night you wake up for an hour or two, then fall asleep again until dawn. Thus there are two events of falling asleep and two events of waking up every night (plus, perhaps, a short nap in the afternoon). As indigenous people today, as well as people in non-electrified rural areas of the world, still follow this pattern, it is likely that our ancestors did too."

Is there evidence for this bimodal pattern? What happens to the typical 8-hour sleep pattern when the period of darkness is increased?

In 1992, Dr. Thomas Wehr placed normal volunteers in a setting of 14 hours of dark-period (nighttime) for one month and found the subject’s sleep “divided into two symmetrical bouts, several hours in duration, with a 1–3 h waking interval between.” Wehr concluded that sleep becomes biphasic (bimodal) when the photoperiod (daytime) is shortened.  

Beyond the tendency of sleep to fragment when dark-time is longer, culture also plays a role. Carol Worthman Ph.D., Director of the Laboratory for Comparative Human Biology at Emory University, studied the sleep pattern in various cultures and also found a fragmented pattern. When interviewed by Jane Bosveld for Discover magazine:

"Worthman flipped open a book and showed me photographs of big families piled into large, sprawling huts, little kids peeking up from the arms of Mom, older generations wrapped leisurely around the fireplace. “Forager groups are a good place to start, because for much of human history we’ve been occupied with their mode of existence,” she said. 'There are the !Kung of ­Botswana and the Efe of Zaire. For both of these groups, sleep is a very fluid state. They sleep when they feel like it—during the day, in the evening, in the dead of night.'”

"Sleep, it seemed, was putty—some cultures stretched it out, some chopped it up, and others, like our own, squeezed it into one big lump."

What about sleep in the modern world? Psychiatrist Richard A. Friedman, MD believes interrupted sleep may be normal for some of us:

“Many patients tell me they have a sleep problem because they wake up in the middle of the night for a time, typically 45 minutes to an hour, but fall uneventfully back to sleep. Curiously, there seems to be no consequence to this 'problem.' They are unaffected during the day and have plenty of energy and concentration to go about their lives."

The problem, it seems, is not so much with their sleep as it is with a common and mistaken notion about what constitutes a normal night's sleep.”

Our ancestors began sleeping on the ground over 2 million years ago. Some individuals likely slept for long stretches while others slept in a bimodal or multimodal pattern. With the development of artificial electric lighting in the late 1800s, the photoperiod became longer while dark-period became shorter. For many of us, our circadian rhythms resist this compression of nighttime. Soon enough, the alarm clock reminds us we live in a modern world where dark-time compression is the norm. We continue trying to adapt our mostly Paleolithic genes to the modern world.

John Oró, MD

Initially posted December 02, 2010, Revised August 10, 2014.

Related Entries: The End of Night

The End of Night

Columbian Exposition in Chicago, 1893 - the dawn of the age of light. Image: PBS.org

Columbian Exposition in Chicago, 1893 - the dawn of the age of light. Image: PBS.org

Over 60 million Americans have problems sleeping. While insomnia has many causes, one is the use of electric lighting.  Our circadian rhythms developed from the 24-hour rotation of the Earth. Toward the end of the day, the slowly fading sunlight allowed the brains of our hominid ancestors to prepare for sleep. Around 1 million years ago, hominids began to use fire and congregate around campfires for warmth and safety. Socialization increased. Eventually cooking developed and led to further brain evolution.

The first lamps - made from moss or other plant material and animal fat placed in a natural stone recesses - are tens of thousands of years old. Portable lamps fueled by animal fat, and later oil, were carried by Cro-Magnon into the deep recesses of the Lascaux and Altamira caves where they painted remarkable images of ice age fauna 13,000-18,000 years ago.

First used around 400 AD, candles were an important form of lighting for 1,500 years until the development of gas lighting at the end of the eighteenth century. Candles could be linked together to create a spectacle:

"In 1761, at the coronation of George III, groups of 3000 candles were connected together with threads of gun cotton, and lit in half a minute. Those clustered below were showered with hot wax and burning thread."

Campfires, oil lamps, candles and gas lamps cast a dim light and nighttime activity remained limited. However, at some point, night was effectively overcome. An important landmark was Edison’s invention of the long-lasting incandescent lamp in 1879. The first lasting 13.5 hours.

My pick for the year heralding the end of night is 1893, the year Nikoli Tesla lit up the night at Columbian Exposition in Chicago. Following a prolonged rivalry with Edison on the most effective current for delivering electricity – direct current vs. alternating current, Tesla used long-lasting bulbs (by Westinghouse) and alternating current to create "the most spectacular display the world had ever seen.”

The dawn of electric lighting was the Internet of its age: it changed everything. By using electricity, “daytime” could last all day long. We could work day, night, or both.

Let’s return to the sleep problem. Imagine you are heading to bed and the light in the bedroom is bright. When ready for sleep, you turn off the current to the incandescent bulb(s) and fall into immediate darkness. With no time to prepare, your brain whispers: “What, you expect me to release this stuff immediately? Can you at least warn me?”

Normally, as light fades, melatonin is released (dis-inhibited) and, working in concert with a build-up of adenosine, brings on sleep. While some fall into a deep sleep quickly even with the lights on, many of us need a slow transition from light to dark to be adequately prepared for restful sleep. In the modern world, electrons heat the bulb's filament causing it to glow and shower photons on our retinas (even through closed lids) keeping us awake. Today, we control the onset of “night” and need to be a little wiser to get the sleep we need.

John Oró, MD

Learn more: A History of Light and Lighting

Initially published November 22, 2010. Revised July 8, 2014.

Also, visit 4 Types of Light Bulbs for Your Home.

100-calorie pack of Oreos vs. 100 calories of avocado

100 Calori Pack of Oreo (Image: Nabisco) vs. ½ of an avocado (Image: PaleoTerran)

100 Calori Pack of Oreo (Image: Nabisco) vs. ½ of an avocado (Image: PaleoTerran)

For years we have been taught the calorie myth - a calorie is a calorie no matter where it comes from. While in terms of energy a calorie is a calorie, the type of food the calories come from can make a huge difference on physiological impact.  Thus the concept of the calorie myth: a calorie may not be a calorie nutritionally. In a recent JAMA commentary, Dr. David Ludwig, head of the Obesity Prevention Center at Boston Children’s Hospital, compares the impact of two very different foods: 

The longstanding low-fat diet dogma and the concomitant calorie myth has caused many frustrated people to blame overeating and sloth for their inability to lose weight, and this is wrong, said Ludwig.

Eating refined carbs, such as a 100-calorie pack of Oreos, produces a huge surge of insulin that signals your fat cells to store calories. In contrast, eating 100 calories of avocado won’t produce the same insulin charge. You’ll also feel fuller, longer, after eating the avocado, while the Oreos will make your blood sugar spike and rapidly crash, causing you to feel ravenous in short order.

According to Dr. Bill Lagakos, author of The poor, misunderstood calorie:

The calories in food are not the same as those expended by the body. Carb-rich foods are easily over-eaten, producing a positive energy balance. The accompanying elevations in insulin cause net fat storage. Maybe all calories are calories, but not all calories are equally obesogenic.

Fasting: Switch on your "state of self-renewal"

According to a new study in Cell, when you fast your body saves energy by recycling your immune cells, especially those that are damaged. Arjun Walia writing for Collective Evolution:

"A number of ancient health practices are proving to be effective in multiple ways. We recently posted an article about meditation, and how neuroscience can now explain what happens to the brain when we meditate. Now, scientists have discovered the first evidence of a natural intervention triggering stem cell-based regeneration of an organ or system. The study was published in the June 5 issue of Cell by researchers from the University of Southern California. The research shows that cycles of prolonged fasting protect against immune system damage and induce immune system regeneration. They concluded that fasting shifts stem cells from a dormant state to a state of self-renewal."

Learn more: Scientists Discover That Fasting Triggers Stem Cell Regeneration & Fights Cancer

Does chronic stress lead to stroke or heart attack?

New research suggests chronic stress can cause arterial blockage and lead to stroke or heart attack. According to Science:

"Epidemiological studies have shown that people who face many stressors—from those who survive natural disasters to those who work long hours—are more likely to develop atherosclerosis, the accumulation of fatty plaques inside blood vessels. In addition to fats and cholesterols, the plaques contain monocytes and neutrophils, immune cells that cause inflammation in the walls of blood vessels. And when the plaques break loose from the walls where they’re lodged, they can cause more extreme blockages elsewhere—leading to a stroke or heart attack."
"Studying the effect of stressful intensive care unit (ICU) shifts on medical residents, biologist Matthias Nahrendorf of Harvard Medical School in Boston recently found that blood samples taken when the doctors were most stressed out had the highest levels of neutrophils and monocytes. To probe whether these white blood cells, or leukocytes, are the missing link between stress and atherosclerosis, he and his colleagues turned to experiments on mice."

Learn more: How stress can clog your arteries

Success Stories: Jack Osbourne on the Paleo diet

Michael Buckner/Getty Images

Michael Buckner/Getty Images

"Jack, 28, has also credited the Paleo diet for his stunning 70-pound weight loss. The 5-foot-10 Jack, who has struggled with weight his entire life, slimmed down from 260 pounds to 190 pounds following the gluten-free eating plan. He said the Paleo diet helps him stay thin without experiencing chronic hunger and pro-inflammatory blood sugar spikes."

Source
Jack Osbourne does Paleo to manage MS: Ketogenic diet aided Sharon's weight loss

Related posts

80 Paleo recipes with ground beef from Rubies & Radishes

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"Ground beef is a great way to include grass-fed beef in your diet. It’s nutritious and affordable. Grass-fed beef is higher in Omega-3s than it’s grain-fed counterparts. It is also one of the best dietary sources of Conjugated linoleic acid (CLA). CLA is thought to protect against heart disease, diabetes and cancer. Plus, it tastes amazing! You can read more about the benefits of grass-fed beef here. – "

See more at Rubies & Radishes

Mouse model suggest possible benefit of probiotic therapy in autism

In a research study published in Cell in December 2013, investigators evaluated the effect of correcting abnormal gut permeability on autism spectrum disorder (ASD) in mice.

Using a maternal immune activation mouse model, mice treated with Bacteroides fragilis showed correction of their gut permeability defect and improvement in autism-like behaviors including “communicative, stereotypic, anxiety-like and sensorimotor behaviors.”

The findings support the concept that gut bacteria can impact behavior and suggest that probiotics may be beneficial in ASD. The author’s conclusion:

“Taken together, these findings support a gut-microbiome-brain connection in a mouse model of ASD and identify a potential probiotic therapy for GI and particular behavioral symptoms in human neurodevelopmental disorders.”

Reference

Microbiota Modulate Behavioral and Physiological Abnormalities Associated with Neurodevelopmental Disorders

Caveman Cafeteria: Home-delivered Paleo meals

Want Paleo meals delivered right to your home? Want to arrange a Paleo catered wedding or event? Try the new Caveman Cafeteria:

"Colorado clients can subscribe for the 6-meal weekly plan or the full 10-meal per week monthly plan, which is delivered twice weekly. Monthly clients may choose from our Denver Metro Area free pickup locations from Boulder to Littleton to save the shipping costs. See map below for a list of locations and pickup times."
"Out of state clients can enjoy our 6-meal weekly service, which is delivered fresh (NEVER frozen) each Wednesday to cure your Crockpot Fatigue! We also have three portion size options to choose from. Medium works for most women, large for most men & XL plans are available for those with a big appetite. You can always change the portion size later if needed."

Abstract: Western diet caused cancer in mice, low carb diet did not

A low carbohydrate, high protein diet slows tumor growth and prevents cancer initiation.
Cancer Res. 2011 Jul 1;71(13):4484-93. doi: 10.1158/0008-5472.CAN-10-3973. Epub 2011 Jun 14.

Since cancer cells depend on glucose more than normal cells, we compared the effects of low carbohydrate (CHO) diets to a Western diet on the growth rate of tumors in mice. To avoid caloric restriction-induced effects, we designed the low CHO diets isocaloric with the Western diet by increasing protein rather than fat levels because of the reported tumor-promoting effects of high fat and the immune-stimulating effects of high protein. We found that both murine and human carcinomas grew slower in mice on diets containing low amylose CHO and high protein compared with a Western diet characterized by relatively high CHO and low protein. There was no weight difference between the tumor-bearing mice on the low CHO or Western diets. Additionally, the low CHO-fed mice exhibited lower blood glucose, insulin, and lactate levels. Additive antitumor effects with the low CHO diets were observed with the mTOR inhibitor CCI-779 and especially with the COX-2 inhibitor Celebrex, a potent anti-inflammatory drug. Strikingly, in a genetically engineered mouse model of HER-2/neu-induced mammary cancer, tumor penetrance in mice on a Western diet was nearly 50% by the age of 1 year whereas no tumors were detected in mice on the low CHO diet. This difference was associated with weight gains in mice on the Western diet not observed in mice on the low CHO diet. Moreover, whereas only 1 mouse on the Western diet achieved a normal life span, due to cancer-associated deaths, more than 50% of the mice on the low CHO diet reached or exceeded the normal life span. Taken together, our findings offer a compelling preclinical illustration of the ability of a low CHO diet in not only restricting weight gain but also cancer development and progression. (emphasis added)

©2011 AACR.

More evidence farming led to weaker bones

It's been known for some time that farming led weaker bones and shorter stature. Now comes further evidence from research by Alison Macintosh:

"Because the structure of human bones can inform us about the lifestyles of the individuals they belong to, they can provide valuable clues for biological anthropologists looking at past cultures. Research by Alison Macintosh, a PhD candidate in Cambridge University’s Department of Archaeology and Anthropology, shows that after the emergence of agriculture in Central Europe from around 5300 BC, the bones of those living in the fertile soils of the Danube river valley became progressively less strong, pointing to a decline in mobility and loading." (emphasis added)

Source: From athletes to couch potatoes: Humans through 6,000 years of farming

Abstract: What's your diet?

"Population-based studies have consistently shown that our diet has an influence on health. Therefore, the aim of our study was to analyze differences between different dietary habit groups in terms of health-related variables. The sample used for this cross-sectional study was taken from the Austrian Health Interview Survey AT-HIS 2006/07. In a first step, subjects were matched according to their age, sex, and socioeconomic status (SES). After matching, the total number of subjects included in the analysis was 1320 (N=330 for each form of diet – vegetarian, carnivorous diet rich in fruits and vegetables, carnivorous diet less rich in meat, and carnivorous diet rich in meat). Analyses of variance were conducted controlling for lifestyle factors in the following domains: health (self-assessed health, impairment, number of chronic conditions, vascular risk), health care (medical treatment, vaccinations, preventive check-ups), and quality of life. In addition, differences concerning the presence of 18 chronic conditions were analyzed by means of Chi-square tests. Overall, 76.4% of all subjects were female. 40.0% of the individuals were younger than 30 years, 35.4% between 30 and 49 years, and 24.0% older than 50 years. 30.3% of the subjects had a low SES, 48.8% a middle one, and 20.9% had a high SES. Our results revealed that a vegetarian diet is related to a lower BMI and less frequent alcohol consumption. Moreover, our results showed that a vegetarian diet is associated with poorer health (higher incidences of cancer, allergies, and mental health disorders), a higher need for health care, and poorer quality of life. Therefore, public health programs are needed in order to reduce the health risk due to nutritional factors." (bold added)

Reference: Nutrition and Health – The Association between Eating Behavior and Various Health Parameters: A Matched Sample Study

See also: Here We Go Again: Vegetarian Diets and Mental Health by Emily Deans, MD

Abstract: Non Celiac Gluten sensitivity (NCGS)

"Non Celiac Gluten sensitivity (NCGS) was originally described in the 1980s and recently a “re-discovered” disorder characterized by intestinal and extra-intestinal symptoms related to the ingestion of gluten-containing food, in subjects that are not affected with either celiac disease (CD) or wheat allergy (WA). Although NCGS frequency is still unclear, epidemiological data have been generated that can help establishing the magnitude of the problem. Clinical studies further defined the identity of NCGS and its implications in human disease. An overlap between the irritable bowel syndrome (IBS) and NCGS has been detected, requiring even more stringent diagnostic criteria. Several studies suggested a relationship between NCGS and neuropsychiatric disorders, particularly autism and schizophrenia. The first case reports of NCGS in children have been described. Lack of biomarkers is still a major limitation of clinical studies, making it difficult to differentiate NCGS from other gluten related disorders. Recent studies raised the possibility that, beside gluten, wheat amylase-trypsin inhibitors and low-fermentable, poorly-absorbed, short-chain carbohydrates can contribute to symptoms (at least those related to IBS) experienced by NCGS patients. In this paper we report the major advances and current trends on NCGS."(bold added)

Reference: Non-Celiac Gluten Sensitivity: The New Frontier of Gluten Related Disorders

Primal Palate launches myKitchen phone app

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"We are extremely pleased to announce the launch of our iPhone & Android app, called myKitchen! We have been working closely with our development team for nearly 4 months to bring you this highly interactive paleo meal planning app that you can take anywhere with you. myKitchen can work alone, or as a companion app to your account on The Food Lovers Kitchen. The recipes you save as favorites on the website will automatically sync to the app on your phone (and vice versa!) That means that you can browse our website on your computer and then when you go to the store, you’ll have everything at your fingertips on your phone with the myKitchen app: our entire catalogue of recipes, your saved recipes, a customizable meal planner, and it will even generate shopping lists for you.myKitchen is the easiest way to take your favorite Paleo, Primal, and Gluten-free recipes with you wherever you go. You can save your favorite recipes, create daily meal plans and unique menus, and even generate shopping lists."

Source: http://www.primalpalate.com/paleo-products/mykitchen-app/

Western diet looses. Causes cancer in mice.

Western diet is heavy on grains. High carb diet caused cancer in mice. Image: Afonin

Western diet is heavy on grains. High carb diet caused cancer in mice. Image: Afonin

In a study published in Cancer Research, researchers compared the development of tumors in mice on the Western diet or on a low carb diet. The Western diet promoted tumor growth.

Plan:

"Since cancer cells depend on glucose more than normal cells, we compared the effects of low carbohydrate (CHO) diets to a Western diet on the growth rate of tumors in mice."

Outcome:

"Strikingly, in a genetically engineered mouse model of HER-2/neu-induced mammary cancer, tumor penetrance in mice on a Western diet was nearly 50% by the age of 1 year whereas no tumors were detected in mice on the low CHO diet."

Learn more: A low carbohydrate, high protein diet slows tumor growth and prevents cancer initiation.

Book: The Primal Connection

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"AN ADVANCE NOTICE: THIS IS not a book about living a more gracious life. Nor is it written to stir sentimentality or foster sophistication. On the contrary, it’s an endeavor best undertaken with the sleeves rolled up. Prepare to get your hands dirty. We’ll be digging down to the rudiments. It’s about unearthing something in ourselves that has been lost, buried, or obscured. It’s about reconnecting with the less acknowledged, let alone less appreciated, layers of ourselves. It’s about getting to the very essence of what makes us human and tapping into our genetic recipe for health, happiness, and fulfillment."

Mark Sisson
The Primal Connection: Follow Your Genetic Blueprint to Health and Happiness