Pedro Carrera‐Bastos · Research Reports in Clinical Cardiology 2011 · narrative review · n=?

The western diet and lifestyle and diseases of civilization

Cited 345 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and theoretical paper presenting an evolutionary hypothesis without original empirical data or systematic review methodology.

OpenAlex W1991980682 · doi:10.2147/rrcc.s16919 · record verified 2026-08-31

What was done

This paper presents a narrative, evolutionary perspective on human nutrition and health. It argues that modern dietary and lifestyle changes following the Neolithic and Industrial revolutions conflict with the human genome, which evolved under preagricultural conditions.

What was found

The abstract provides no quantitative data, effect estimates, or statistical comparisons. It asserts that chronic conditions such as coronary heart disease, obesity, hypertension, type 2 diabetes, epithelial cancers, autoimmune diseases, and osteoporosis are rare or virtually absent in hunter-gatherer populations, and proposes adopting preagricultural dietary and lifestyle habits to mitigate these diseases.

Why it matters

It outlines the evolutionary discordance paradigm frequently cited in support of ancestral or Paleolithic-style dietary interventions for chronic disease prevention.

Limits

The abstract describes a conceptual overview rather than an empirical trial or systematic review. It lacks primary clinical data, sample size details, and quantitative risk metrics. Observational comparisons between modern and historical or hunter-gatherer populations are susceptible to severe confounding from differences in life expectancy, infectious disease burden, physical activity, and diagnostic capabilities.

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