Origins and evolution of the Western diet: health implications for the 21st century1,2
Open accessAbstract
There is growing awareness that the profound changes in the environment (eg, in diet and other lifestyle conditions) that began with the introduction of agriculture and animal husbandry approximately 10000 y ago occurred too recently on an evolutionary time scale for the human genome to adjust. In conjunction with this discordance between our ancient, genetically determined biology and the nutritional, cultural, and activity patterns of contemporary Western populations, many of the so-called diseases of civilization have emerged. In particular, food staples and food-processing procedures introduced during the Neolithic and Industrial Periods have fundamentally altered 7 crucial nutritional characteristics of ancestral hominin diets: 1) glycemic load, 2) fatty acid composition, 3) macronutrient composition, 4) micronutrient density, 5) acid-base balance, 6) sodium-potassium ratio, and 7) fiber content. The evolutionary collision of our ancient genome with the nutritional qualities of recently introduced foods may underlie many of the chronic diseases of Western civilization.
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Metabolic syndrome increases the risk for Type 2 diabetes, cardiovascular disease, and Alzheimer's disease.
“Metabolic syndrome increases the risk for Type 2 diabetes and cardiovascular disease, and AD (Kivipelto et al., 2001; Luchsinger et al., 2004; Cordain et al., 2005; Whitmer et al., 2008).”
From Plcg2M28L Interacts With High Fat/High Sugar Diet to Accelerate Alzheimer’s Disease-Relevant Phenotypes in Mice (2022) · cites this paper as Cordain et al., 2005
The Glycemic load and Glycemic index sections link metabolic syndrome and insulin resistance with coronary heart disease and type 2 diabetes. The paper does not address Alzheimer’s disease in the passages found, so it does not support that part of the claim. Page numbers were not available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe rationale for the hypothesis that diet influences oral microbiota relies on historical observation of the Neolithic and Industrial revolutions, which altered macronutrient proportions, glycemic load, fatty acid composition, sodium and potassium levels, micronutrient levels, dietary pH, and fiber content.
“The rationale for this hypothesis relies on historical observation of two key periods in human history: the Neolithic and Industrial revolutions. These periods represented two critical junctures in our history with repercussions beyond economic, cultural, and social matters. Indeed, the foods and processing techniques that arose in these two historical periods significantly altered the central”
From A Cross-Talk between Diet and the Oral Microbiome: Balance of Nutrition on Inflammation and Immune System’s Response during Periodontitis (2022) · cites this paper as [41]
The change to dominance of caries-associated bacteria is most likely associated with the onset of the Industrial Revolution.
“This change is most likely associated with the onset of the Industrial Revolution which began some 200 years ago and represents the largest change in food production and processing technology since the shift to farming9.”
From Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the Neolithic and Industrial revolutions (2013) · cites this paper as [9]
The Industrial Revolution saw the production of refined grain and concentrated sugar, generating mono- and disaccharides that are the main substrates for microbial fermentation that lowers plaque pH and causes enamel demineralization.
“The Industrial Revolution saw the production of refined grain and concentrated sugar from processed sugar beet and cane9, generating mono- and disaccharides, which are the main substrates for microbial fermentation that lowers plaque pH and cause enamel demineralization26.”
From Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the Neolithic and Industrial revolutions (2013) · cites this paper as [9]
Food-processing technologies were broadly similar during the Neolithic through Medieval times.
“in parallel with the broad similarity of food-processing technologies during these times9.”
From Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the Neolithic and Industrial revolutions (2013) · cites this paper as [9]
Industrially processed flour and sugar were introduced around 1850.
“Two of the greatest dietary shifts in human evolution involved the adoption of carbohydrate-rich Neolithic (farming) diets6,7 (beginning ~10,000 years BP6,8), and the more recent advent of industrially processed flour and sugar (~1850)9.”
From Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the Neolithic and Industrial revolutions (2013) · cites this paper as [9]
The Industrial Revolution began some 200 years ago and represents the largest change in food production and processing technology since the shift to farming.
“This change is most likely associated with the onset of the Industrial Revolution which began some 200 years ago and represents the largest change in food production and processing technology since the shift to farming9.”
From Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the Neolithic and Industrial revolutions (2013) · cites this paper as [9]
In the United States, carbohydrates constitute more than 50% of total energy intake, with refined cereal grains representing more than 85% of total cereal grains consumed.
“In the United States, carbohydrates constitute > 50% of total energy intake, with refined cereal grains representing > 85% of total cereal grains consumed.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [253]
Dietary staples and processing techniques from the Neolithic and Industrial Revolutions significantly changed central components of the human diet, including macronutrient content, glycemic load, fatty acid composition, sodium and potassium levels, micronutrient levels, dietary pH, and fiber content.
“Dietary staples and processing techniques that emerged during the Neolithic and Industrial Revolution periods significantly changed several central components of the human diet, including total macronutrient content, glycemic load, fatty acid composition, sodium and potassium levels, micronutrient levels, dietary pH, and fiber content.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [253]
Refined sugars constitute approximately 20% of caloric intake in the United States.
“Moreover, refined sugars constitute approximately 20% of caloric intake.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [253]
The transition from hunter-gatherer lifestyles to farming societies is associated with a decline in oral health and several additional disease states, including cardiovascular disease, inflammatory bowel diseases, rheumatic diseases, many cancers, and obesity.
“The transition from hunter‐gatherer lifestyles to farming societies is associated with a decline in oral health as well as several additional disease states, including (but not limited to) cardiovascular disease, inflammatory bowel diseases, rheumatic diseases, many cancers, and obesity.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [253]
The pre-agricultural diet was largely limited to nonprocessed, wild fruits and vegetables, legumes, nuts, and wild animals.
“The pre‐agricultural diet was largely limited to nonprocessed, wild fruits and vegetables, legumes, nuts, and wild animals.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [253]
Total macronutrient shifts as a result of increased grain consumption at the Paleolithic-Neolithic transition are well recognized.
“Total macronutrient shifts as a result of increased grain consumption at the Paleolithic‐Neolithic transition are well recognized.”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [253]
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- Authors
- Cordain, L., Eaton, S. B., Sebastian, A., Mann, N., Lindeberg, S., Watkins, B. A., O’Keefe, J. H., & Brand-Miller, J.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Cordain, Loren
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2005-02
- Volume
- 81
- Issue
- 2
- Pages
- 341-354
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2168162793
- Cited by
- 2,397
- References
- 168
- Citations by year
- 2026: 69 · 2025: 105 · 2024: 101 · 2023: 128 · 2022: 153 · 2021: 177 · 2020: 168 · 2019: 163 · 2018: 141 · 2017: 142 · 2016: 129 · 2015: 131 · 2014: 133 · 2013: 128 · 2012: 119
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- RMIT Research Repository (RMIT University Library) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Life Sciences › Agricultural and Biological Sciences › Food Science › Nutrition, Health, and Society Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Keywords
- Western diet, diet evolution, Neolithic transition, agricultural transformation, civilization diseases, glycemic load, fatty acid composition, macronutrient composition, micronutrient density, acid-base balance, Na+/K+ ratio, dietary fiber, food processing, chronic disease
- MeSH terms
- Acid-Base Equilibrium, Agriculture, Chronic Disease, Diet, Dietary Fiber, Biological Evolution, Fatty Acids, Food Analysis, Food Handling, Humans, Sodium, Dietary, United States, Potassium, Dietary, Glycemic Index
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