Hunter-gatherer energetics and human obesity
Open accessAbstract
Western lifestyles differ markedly from those of our hunter-gatherer ancestors, and these differences in diet and activity level are often implicated in the global obesity pandemic. However, few physiological data for hunter-gatherer populations are available to test these models of obesity. In this study, we used the doubly-labeled water method to measure total daily energy expenditure (kCal/day) in Hadza hunter-gatherers to test whether foragers expend more energy each day than their Western counterparts. As expected, physical activity level, PAL, was greater among Hadza foragers than among Westerners. Nonetheless, average daily energy expenditure of traditional Hadza foragers was no different than that of Westerners after controlling for body size. The metabolic cost of walking (kcal kg(-1) m(-1)) and resting (kcal kg(-1) s(-1)) were also similar among Hadza and Western groups. The similarity in metabolic rates across a broad range of cultures challenges current models of obesity suggesting that Western lifestyles lead to decreased energy expenditure. We hypothesize that human daily energy expenditure may be an evolved physiological trait largely independent of cultural differences.
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Written from the paper’s full text.
TL;DR
Doubly labeled water measurements in Hadza hunter-gatherers show that, despite higher physical activity levels and lower body fat than Westerners, their total daily energy expenditure is similar after controlling for body size. The paper argues that obesity differences between populations are more likely driven by energy intake than by reduced energy expenditure from Western lifestyles.
Key findings
- Hadza adults had lower body fat than Western adults: Hadza women 20.9±4.6% and men 13.5±4.2%, versus Western women 37.9±7.0% and men 22.5±5.0%.
- TEE did not differ between Hadza and Western groups after controlling for fat-free mass and age: Hadza women 1877±364 kCal/day vs Western women 2347±360 kCal/day; Hadza men 2649±395 kCal/day vs Western men 3053±464 kCal/day; lifestyle had no effect on TEE (women: F(139)=0.18, p=0.67; men: F(49)=0.17, p=0.68).
- Physical activity level was higher among Hadza men (2.26±0.48) than Western men (1.81±0.21; F(43)=13.07, p=0.001), and slightly higher among Hadza women (1.78±0.30) than Western women (1.68±0.22; F(162)=3.80, p=0.05).
- Farming populations had higher TEE than predicted for body size, while Hadza did not differ from market-economy populations (t(155)=−0.35, p=0.73); farming groups had consistently greater TEE in population comparisons (t=2.76, p=0.006).
Methods
- TEE was measured using doubly labeled water over an 11-day period in 30 Hadza adults (13 men ages 18–65, 17 women ages 18–75); PAL was calculated as TEE/estimated BMR.
- Daily walking distance was measured with GPS in Hadza subjects; resting metabolic rate and walking cost were measured with portable respirometry in subsets (RMR n=19; walking cost n=14).
- Comparative analyses used previous DLW studies and new U.S. adult measurements (n=68), plus a population-level meta-analysis of 198 single-sex cohorts representing 4,972 subjects; generalized linear models controlled for fat-free mass, age, sex, and body size where applicable.
Limitations
- The paper states it was not an intervention study: it examined habitual TEE, PAL, and body composition but did not test the effects of imposing increased physical activity on Westerners.
- The paper states that TEE and PAL measurements of other traditional populations, preferably hunter-gatherers, are needed to assess whether the Hadza pattern is typical of human foragers.
- The paper notes that BMR was estimated rather than measured for Hadza subjects, and that fat-free mass was unavailable for most populations in population-level analyses, so total body mass was used as a body-size index; evident from the text, Hadza subsamples for RMR and walking cost were small (n=19 and n=14), and the comparative dataset combines heterogeneous prior studies.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 36 cited sources checked · 0 supported · 0 flagged
- Findingown data
TEE among Hadza adults was strongly related to fat free mass (FFM) (r2 = 0.66, n = 30, p<0.001).
“TEE among Hadza adults was strongly related to body size, specifically fat free mass (FFM) (r2 = 0.66, n = 30, p<0.001; Table S1).”
Quote in the paperNot a substantial claim - Findingown data
Average daily energy expenditure of traditional Hadza foragers was no different than that of Westerners after controlling for body size.
“Nonetheless, average daily energy expenditure of traditional Hadza foragers was no different than that of Westerners after controlling for body size.”
- Also stated in: § Results · plain
“In multivariate comparisons of TEE controlling for FFM and age, Hadza women’s energy expenditure was similar to that of Western women (n = 186) and Hadza men’s TEE was similar to Western men (n = 53); lifestyle had no effect on TEE (women: F(139) = 0.18, p = 0.67; men: F(49) = 0.17, p = 0.68) (Fig. 1, Table S1).”
- Also stated in: § Discussion · plain
“TEE among Hadza and Westerners was indistinguishable when controlling for lean mass and fat mass (common proxies for non-activity metabolic costs) despite differences in lifestyle and estimated PAL.”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
Farming groups had consistently greater TEE in population comparisons.
“In comparisons among individual subjects, female Bolivian farmers [13] had higher TEE than Western and Hadza women (p<0.001 both comparisons, Table 1), and farming groups (n = 3) had consistently greater TEE in population comparisons (t = 2.76, p = 0.006, Table S1) (Fig. 1, 2).”
Quote in the paperSubstantial claim - Findingcitation
Female Bolivian farmers had higher TEE than Western and Hadza women.
“In comparisons among individual subjects, female Bolivian farmers [13] had higher TEE than Western and Hadza women (p<0.001 both comparisons, Table 1), and farming groups (n = 3) had consistently greater TEE in population comparisons (t = 2.76, p = 0.006, Table S1) (Fig. 1, 2).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] H Kashiwazaki, 1995, Energy expenditure determined by the doubly labeled water method in Bolivian Aymara living in a high altitude agropastoral community., Am J Clin Nutr source
Not checked in the free run.
- Findingown data
Individual variation in daily walking distance did not explain variation in TEE.
“However, individual variation in daily walking distance did not explain variation in TEE.”
- Also stated in: § Results · plain
“but TEE was not correlated with mean daily travel distance (F(28) = 0.75, p = 0.39) (Table S1).”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
Resting metabolic rate (kcal kg−1 s−1) was similar among Hadza and Western groups.
“The metabolic cost of walking (kcal kg−1 m−1) and resting (kcal kg−1 s−1) were also similar among Hadza and Western groups.”
- Also stated in: § Results · plain
“RMR for Hadza adults measured while sitting averaged 11% above predicted BMR [27], within the range of values (7–35%) reported for other populations [35].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [27] CJ Henry, 2005, Basal metabolic rate studies in humans: measurement and development of new equations., Public Health Nutr source
Not checked in the free run.
- cites [35] AN Kanade, 2001, Energy costs of standard activities among Indian adults., Eur J Clin Nutr source
Not checked in the free run.
- Also stated in: § Results · plain
- Findingown data
Comparisons of activities common across cultures do not indicate that Hadza muscle and locomotor physiology is inherently more efficient.
“While the Hadza likely perform traditional foraging tasks (e.g., digging tubers or chopping tree limbs for honey) more efficiently than unacculturated Westerners can [34], comparisons of activities common across cultures do not indicate that Hadza muscle and locomotor physiology inherently more efficient.”
Quote in the paperSubstantial claim - Findingown data
Hadza adults had lower body fat percentages than individuals from Western (U.S. and Europe) populations.
“In multivariate comparisons controlling for mass, height, sex, and age, body fat percentages for Hadza adults were lower than individuals from Western (U.S. and Europe) populations (F(228) = 22.72, p<0.001).”
- Also stated in: § Discussion · plain
“Further, while Hadza differed from Western populations in body fat percentage (F(202) = 44.05, p<0.001), variation in adiposity both within and between populations was not correlated with PAL (F(207) = 0.36, p = 0.55) (Fig. 3) nor with TEE (F(209) = 3.02, p = 0.08, β = 12.06; note that the effect of TEE on adiposity, while not statistically significant, is positive in this sample).”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingown data
TEE of Hadza women who were pregnant or lactating was no different from other Hadza women after controlling for FFM.
“Similarly, TEE of Hadza women who were pregnant or lactating (n = 8; 1 pregnant, 7 lactating) was no different from other Hadza women (n = 9; F(16) = 0.96, p = 0.35) after controlling for FFM (Table S1).”
Quote in the paperSubstantial claim - Findingown data
Variation in adiposity both within and between populations was not correlated with PAL.
“Further, while Hadza differed from Western populations in body fat percentage (F(202) = 44.05, p<0.001), variation in adiposity both within and between populations was not correlated with PAL (F(207) = 0.36, p = 0.55) (Fig. 3) nor with TEE (F(209) = 3.02, p = 0.08, β = 12.06; note that the effect of TEE on adiposity, while not statistically significant, is positive in this sample).”
Quote in the paperSubstantial claim - Findingown data
In population-level comparisons controlling for sex, age, and body mass, TEE among Hadza hunter-gatherers did not differ from populations in market economies.
“In a multivariate analysis controlling for sex, age, and body mass, TEE among Hadza hunter-gatherers did not differ (t(155) = −0.35, p = 0.73) from populations in market economies (Fig. 2, Table S1).”
- Also stated in: § Discussion · plain
“Despite high PAL and dependence on wild foods, Hadza TEE was similar to Westerners and others in market economies (Fig. 1, 2).”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingown data
The relationship between TEE and estimated BMR did not differ between Hadza and Western subjects after controlling for age and sex.
“In a multivariate analysis controlling for age and sex, the relationship between TEE and estimated BMR did not differ between Hadza and Western subjects (F(239) = 0.73, p = 0.39) (Fig. S3).”
Quote in the paperSubstantial claim - Findingown data
Physical activity level (PAL) was greater among Hadza foragers than among Westerners.
“As expected, physical activity level, PAL, was greater among Hadza foragers than among Westerners.”
- Also stated in: § Results · plain
“Hadza men had an estimated PAL of 2.26±0.48, significantly greater than observed PAL in Western men (n = 31, PAL = 1.81±0.21) (F(43) = 13.07, p = 0.001), while estimated PAL for Hadza women (1.78±0.30) was slightly higher than that of Western women (n = 145, PAL = 1.68±0.22) (F(162) = 3.80, p = 0.05) when controlling for age (Table S1).”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
Hadza adults spend a smaller portion of TEE on BMR than Westerners.
“Estimated physical activities levels (PAL, calculated as TEE/estimated BMR), suggest that Hadza adults spend a smaller portion of TEE on BMR than Westerners.”
Quote in the paperSubstantial claim - Findingown data
Variation in adiposity was not correlated with TEE (p=0.08, positive trend).
“Further, while Hadza differed from Western populations in body fat percentage (F(202) = 44.05, p<0.001), variation in adiposity both within and between populations was not correlated with PAL (F(207) = 0.36, p = 0.55) (Fig. 3) nor with TEE (F(209) = 3.02, p = 0.08, β = 12.06; note that the effect of TEE on adiposity, while not statistically significant, is positive in this sample).”
Quote in the paperSubstantial claim - Findingown data
Only farming populations had greater TEE than predicted for their body size.
“Only farming populations had greater TEE than predicted for their body size.”
- Also stated in: § Results · plain
“In comparisons among individual subjects, female Bolivian farmers [13] had higher TEE than Western and Hadza women (p<0.001 both comparisons, Table 1), and farming groups (n = 3) had consistently greater TEE in population comparisons (t = 2.76, p = 0.006, Table S1) (Fig. 1, 2).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] H Kashiwazaki, 1995, Energy expenditure determined by the doubly labeled water method in Bolivian Aymara living in a high altitude agropastoral community., Am J Clin Nutr source
Not checked in the free run.
- Also stated in: § Results · plain
- Findingown data
The metabolic cost of walking (kcal kg−1 m−1) was similar among Hadza and Western groups.
“The metabolic cost of walking (kcal kg−1 m−1) and resting (kcal kg−1 s−1) were also similar among Hadza and Western groups.”
- Also stated in: § Results · boosted
“The energy cost of walking (kCal kg−1 m−1) for Hadza adults was well within the range of values reported for Western subjects: of 20 U.S and European populations included in a recent meta-analysis of treadmill walking cost [28], 14 had mean COTmin values below the Hadza mean (Supporting Information, Fig. S1).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [28] J Rubenson, 2007, Reappraisal of the comparative cost of human locomotion using gait-specific allometric analyses., J Exp Biol source
Not checked in the free run.
- Also stated in: § Results · boosted
- Findingown data
TEE is remarkably similar across a broad, global sample of populations that span a range of economies, climates, and lifestyles.
“Nonetheless, TEE is remarkably similar across a broad, global sample of populations that span a range of economies, climates, and lifestyles (Fig. 1, 2).”
Quote in the paperSubstantial claim - Interpretationown data
The similarity in TEE among Hadza hunter-gatherers and Westerners suggests that even dramatic differences in lifestyle may have a negligible effect on TEE.
“The similarity in TEE among Hadza hunter-gatherers and Westerners suggests that even dramatic differences in lifestyle may have a negligible effect on TEE, and is consistent with the view [4]–[7], [16] that differences in obesity prevalence between populations result primarily from differences in energy intake rather than expenditure.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [4]–[7]
Not checked in the free run.
- cites [16] LR Dugas, 2011, Energy expenditure in adults living in developing compared with industrialized countries: a meta-analysis of doubly labeled water studies., Am J Clin Nutr source
Not checked in the free run.
- Interpretationcitation
The lack of correspondence between TEE, PAL, and adiposity in our Hadza and comparative samples is consistent with previous DLW studies in Western populations.
“The lack of correspondence between TEE, PAL, and adiposity in our Hadza and comparative samples is consistent with previous DLW studies in Western populations [36]–[38].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [36]–[38]
Not checked in the free run.
- Interpretationown data
The lack of correspondence between TEE and daily walking distance, or between TEE and maternal status, along with other investigations of forager physiology, suggest that interactions between metabolic physiology, physical activity, and the environment are more complex than often thought.
“Moreover, the lack of correspondence between TEE and daily walking distance (a large component of Hadza daily activity), or between TEE and maternal status (pregnant/nursing or not), along with other investigations of forager physiology, suggest that interactions between metabolic physiology, physical activity, and the environment are more complex than often thought.”
Quote in the paperSubstantial claim - Interpretationown data
Environment can clearly influence TEE, as is evident in the elevated energy expenditures of traditional farmers.
“Like other complex, continuous traits (e.g., stature), environment can clearly influence TEE, as is evident in the elevated energy expenditures of traditional farmers (Table 1).”
Quote in the paperNot a substantial claim - Premisecitation
Many hunter-gatherers seasonally consume a large portion of their daily calories as honey.
“For example, while Western diets are certainly more sugar-rich and energy-dense than more “traditional” diets and wild foods [4], [8], [9], many hunter-gatherers seasonally consume a large portion of their daily calories as honey [10], [11] (Fig. S2), which has high concentrations of glucose and fructose [12].”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
Work with Ache foragers in Paraguay has shown that levels of leptin and testosterone are substantially lower than levels seen in U.S. adults.
“For example, work with Ache foragers in Paraguay has shown that levels of leptin, critical in fat sequestration, and testosterone, an anabolic hormone, are substantially lower than levels seen in U.S. adults [42], [43].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [42] RG Bribiescas, 2001, Serum leptin levels and anthropometric correlates in Ache Amerindians of eastern Paraguay., Am J Phys Anth source
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- cites [43] PT Ellison, 2002, Population variation in age-related decline in male salivary testosterone., Hum Reprod source
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- Premisecitation
Studies of pregnant and lactating women in traditional cultures have shown that changes in behavior and physiology enable them to maintain TEE at levels similar to those of their Western counterparts.
“And studies of pregnant and lactating women in traditional cultures have shown that changes in both behavior (e.g., work load) and physiology (e.g., BMR) enable them to maintain TEE at levels similar to those of their Western counterparts [44], [45].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [44] NF Butte, 2005, Energy requirements during pregnancy and lactation., Public Health Nutr source
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- cites [45] DL Dufour, 2002, Comparative and evolutionary dimensions of the energetics of human pregnancy and lactation., Am J Hum Biol source
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- Interpretationnone given
The Hadza lifestyle is similar in critical ways to those of our Pleistocene ancestors.
“While no living population is a perfect model of our species’ past, the Hadza lifestyle is similar in critical ways to those of our Pleistocene ancestors.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Active, "traditional" lifestyles may not protect against obesity if diets change to promote increased caloric consumption.
“Our results indicate that active, “traditional” lifestyles may not protect against obesity if diets change to promote increased caloric consumption.”
Quote in the paperSubstantial claim - Premisecitation
Recent work examining the body's complex physiological responses to dieting and weight loss supports the view that physical activity is only one piece of a dynamic metabolic strategy.
“Recent work examining the body’s complex physiological responses to dieting and weight loss [46] supports this view.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] P Sumithran, 2011, Long-term persistence of hormonal adaptations to weight loss., New Eng J Med source
Not checked in the free run.
- Premisecitation
Processed, energy-dense foods have been linked to insulin resistance and cardiovascular disease among Australian foragers transitioning to village life.
“Indeed, processed, energy-dense foods have been linked to insulin resistance and cardiovascular disease among Australian foragers transitioning to village life [41].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [41] K O’Dea, 1991, Westernization and non-insulin-dependent diabetes in Australian Aborigines., Ethn Dis
Not checked in the free run.
- Interpretationreasoning
Early agriculture may reflect an effort to improve food security and predictability, even at the cost of slightly higher energy demands.
“And rather than decreasing the work needed to find food, early agriculture may reflect an effort to improve food security and predictability, even at the cost of slightly higher energy demands.”
Quote in the paperSubstantial claim - Interpretationown data
The adoption of agriculture brought with it an increased workload for Neolithic foragers.
“The greater energy demands of traditional farming lifestyles evident in this study (Fig. 1, 2) suggest that the adoption of agriculture brought with it an increased workload for Neolithic foragers.”
Quote in the paperSubstantial claim - Interpretationcitation
Differences in obesity prevalence between populations result primarily from differences in energy intake rather than expenditure.
“The similarity in TEE among Hadza hunter-gatherers and Westerners suggests that even dramatic differences in lifestyle may have a negligible effect on TEE, and is consistent with the view [4]–[7], [16] that differences in obesity prevalence between populations result primarily from differences in energy intake rather than expenditure.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [4]–[7]
Not checked in the free run.
- cites [16] LR Dugas, 2011, Energy expenditure in adults living in developing compared with industrialized countries: a meta-analysis of doubly labeled water studies., Am J Clin Nutr source
Not checked in the free run.
- Premisecitation
Species' metabolic rates reflect their evolutionary history, as TEE responds over evolutionary time to ecological pressures such as food availability and predation risk.
“A growing body of work on mammalian metabolism is revealing that species’ metabolic rates reflect their evolutionary history, as TEE responds over evolutionary time to ecological pressures such as food availability and predation risk [49], [50].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [49] H Pontzer, 2009, Great ranging associated with greater reproductive investment in mammals., Proc Natl Acad Sci USA source
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- cites [50] H Pontzer, 2010, Metabolic adaptation for low energy throughput in orangutans., Proc Natl Acad Sci USA source
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- Study design and conductcitation
BMR for Hadza subjects was estimated using age-specific prediction equations developed in a large sample (n = 10,552) from a geographically broad set of populations that includes populations in sub-Saharan Africa.
“To estimate BMR for Hadza subjects, we entered each subject’s body mass and height into age-specific prediction equations developed in a large sample (n = 10,552) from a geographically broad set of populations that includes populations in sub-Saharan Africa [27].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [27] CJ Henry, 2005, Basal metabolic rate studies in humans: measurement and development of new equations., Public Health Nutr source
Not checked in the free run.
- Premisecitation
Over 95% of Hadza calories during this study came from wild foods.
“As is typical among traditional-living Hadza, over 95% of their calories during this study came from wild foods, including tubers, berries, small- and large-game, baobab fruit, and honey [17] (Fig. S2).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [17] FW Marlowe, 2010, The Hadza: Hunter-Gatherers of Tanzania. Univ. California Berkeley.
Not checked in the free run.
- Premisecitation
A recent meta-analysis of 98 diverse populations worldwide found no effect of socioeconomic development on daily energy expenditure or activity level.
“Similarly, while high activity levels have been reported in some subsistence farming populations [13]–[15], a recent meta-analysis of 98 diverse populations worldwide found no effect of socioeconomic development – a rough index of mechanization and diet – on daily energy expenditure or activity level [16].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] LR Dugas, 2011, Energy expenditure in adults living in developing compared with industrialized countries: a meta-analysis of doubly labeled water studies., Am J Clin Nutr source
Not checked in the free run.
- Interpretationreasoning
Physical activity may be only one piece of a dynamic metabolic strategy that is continuously responding to changes in energy availability and demand.
“Studies such as these, as well as results here, suggest that physical activity may be only one piece of a dynamic metabolic strategy that is continuously responding to changes in energy availability and demand.”
Quote in the paperNot a substantial claim - Interpretationown data
Late Pleistocene hunter-gatherers' daily energy requirements were likely no different than current Western populations.
“While the lifestyle of late Pleistocene hunter-gatherers was no doubt highly active as seen in foragers today, our results suggest that their daily energy requirements were likely no different than current Western populations.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 13
- May combine two claims. 17
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataDaily walking distances for Hadza women and men were significantly different.
“Daily walking distances for Hadza women (mean 5.8, std. dev. ±1.7 km/day) and men (11.4±2.1 km/day) were significantly different (p<0.001, t-test), consistent with previous measurements in hunting and gathering societies [10].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [10] FW Marlowe, 2005, Hunter-gatherers and human evolution., Evol Anth source
Not checked in the free run.
May combine two claims.
Findingown dataEstimated daily energy expenditure on walking accounted for an average of 6.7% of TEE among Hadza women and 11.0% among Hadza men.
“Estimated daily energy expenditure on walking (kCal/day) accounted for an average of 6.7% (±1.9%) of TEE among Hadza women and 11.0% (±3.4%) among Hadza men (Text S1), but TEE was not correlated with mean daily travel distance (F(28) = 0.75, p = 0.39) (Table S1).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe range of TEE within Western, foraging, and farming populations largely overlap, both at the individual and population levels.
“Not only is TEE statistically indistinguishable between Westerners and Hadza foragers, but the range of TEE within Western, foraging, and farming populations largely overlap, both at the individual and population levels (Table 1, Fig. 1, 2).”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataGroup differences in PAL were related to differences in body size, as the Hadza are significantly smaller than their Western counterparts.
“Regressing TEE on estimated BMR suggests that group differences in PAL were related to differences in body size, as the Hadza are significantly smaller than their Western counterparts (Table 1).”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe similarity in metabolic rates across a broad range of cultures challenges current models of obesity suggesting that Western lifestyles lead to decreased energy expenditure.
“The similarity in metabolic rates across a broad range of cultures challenges current models of obesity suggesting that Western lifestyles lead to decreased energy expenditure.”
- Also stated in: § Discussion · plain
“Measurements of TEE among Hadza hunter-gatherers challenge the view that Western lifestyles result in abnormally low energy expenditure, and that decreased energy expenditure is a primary cause of obesity in developed countries.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · plain
May combine two claims.
InterpretationreasoningBecause TEE is correlated with estimated BMR with a slope <1.0, PAL tends to be greater among smaller individuals.
“However, because TEE is correlated with estimated BMR with a slope <1.0, PAL (the ratio of TEE/BMR) tends to be greater among smaller individuals; this is particularly evident among men in our sample (Fig. S3).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S1 (asserted).
Interpretationown dataHuman daily energy expenditure may be an evolved physiological trait largely independent of cultural differences.
“We hypothesize that human daily energy expenditure may be an evolved physiological trait largely independent of cultural differences.”
- Also stated in: § Discussion · hedged
“We hypothesize that TEE may be a relatively stable, constrained physiological trait for the human species, more a product of our common genetic inheritance than our diverse lifestyles.”
Quote in the paperNot a substantial claim- Also stated in: § Discussion · hedged
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPhysical activity has important, positive effects on health.
“Physical activity has important, positive effects on health [39], and increased physical activity has been shown to play an important role in weight loss and weight-maintenance programs [40].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [39] 2010, Global recommendations on physical activity for health. World Health Organization, Geneva.
Not checked in the free run.
May combine two claims.
Study design and conductown dataPower analyses indicated that sample sizes were sufficient to detect a 4.2% difference in mean TEE in comparisons among women (power 97%) and 7.6% difference among men (power 93%).
“Power analyses indicated that sample sizes were sufficient to detect a 4.2% difference in mean TEE (Hadza vs. Western, α = 0.05) in comparisons among women (power 97%) and 7.6% difference among men (power 93%).”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataResults were unchanged when Hadza were compared to all market-economy individuals, or when body mass was substituted for FFM, or when sexes were combined for analyses.
“Results were unchanged when Hadza were compared to all market-economy individuals, or when body mass was substituted for FFM (Table S1), or when sexes were combined for analyses (lifestyle: F(189) = 0.25, p = 0.62).”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataAmong the large Western sample, men and women differed in the relationship between FFM and TEE, so men and women were compared separately in multivariate analyses of TEE.
“Among the large Western sample (n = 239), a test for homogeneity of slopes revealed that men and women differed in the relationship between FFM and TEE (F(238) = 2.68, p<0.001). Slope heterogeneity violates the assumptions of ANCOVA and other GLM comparisons, and thus men and women were compared separately in multivariate analyses of TEE.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIncreased physical activity has been shown to play an important role in weight loss and weight-maintenance programs.
“Physical activity has important, positive effects on health [39], and increased physical activity has been shown to play an important role in weight loss and weight-maintenance programs [40].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] JP Chaput, 2011, Physical activity plays an important role in body weight regulation. J Obes. 2011.
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
PremisecitationThe Hadza are a population of hunter-gatherers living in a savannah-woodland environment in Northern Tanzania; their traditional foraging lifestyle has been documented extensively in previous work.
“The Hadza are a population of hunter-gatherers living in a savannah-woodland environment in Northern Tanzania; their traditional foraging lifestyle has been documented extensively in previous work [17].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [17] FW Marlowe, 2010, The Hadza: Hunter-Gatherers of Tanzania. Univ. California Berkeley.
Not checked in the free run.
May combine two claims.
Study design and conductown dataAnalyzing males and females separately does not affect the pattern of population comparisons; results from combined-sex analyses were similar.
“Analyzing males and females separately does not affect the pattern of population comparisons; results from combined-sex analyses were similar (see below).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSahlins' proposition that Pleistocene hunter-gatherers enjoyed an "original affluence," spending only a moderate amount of time on subsistence work each day.
“This view is consistent with Sahlins’ [47] proposition that Pleistocene hunter-gatherers enjoyed an “original affluence,” spending only a moderate amount of time on subsistence work each day, as well as a recent study indicating that Neolithic foragers were no less productive than early farmers in obtaining food [48].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [47] M Sahlins, 1972, Stone Age Economics. Aldine, Chicago.
Not checked in the free run.
May combine two claims.
Study design and conductown dataSlopes were similar among Western and Hadza women and among Western and Hadza men.
“Tests for homogeneity of slopes revealed that slopes were similar among Western and Hadza women (F(201) = 0.36, p = 0.55) and among Western and Hadza men (F(64) = 0.77, p = 0.38).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S1 (asserted).
Interpretationown dataTEE may be a relatively stable, constrained physiological trait for the human species, more a product of our common genetic inheritance than our diverse lifestyles.
“We hypothesize that TEE may be a relatively stable, constrained physiological trait for the human species, more a product of our common genetic inheritance than our diverse lifestyles.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationHumans have greater TEE than orangutans, a closely related ape, but have low TEE compared to other eutherian mammals.
“Humans are known to have greater TEE than orangutans [50], a closely related ape, but have low TEE compared to other eutherian mammals [50], [51].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [50] H Pontzer, 2010, Metabolic adaptation for low energy throughput in orangutans., Proc Natl Acad Sci USA source
Not checked in the free run.
- cites [51] M Hayes, 2005, Low physical activity levels of modern <italic>Homo sapiens</italic> among free-ranging mammals., Int J Obes source
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown dataThis was not an intervention study; the study examined habitual TEE, PAL, and body composition in hunter-gatherers and Westerners, but did not examine the effects of imposing increased physical activity on Westerners.
“It is important to note that this was not an intervention study; we examined habitual TEE, PAL, and body composition in hunter-gatherers and Westerners, but did not examine the effects of imposing increased physical activity on Westerners.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataInstitutional approvals and informed consent were obtained prior to data collection.
“Institutional approval and informed consent were obtained prior to data collection.”
- Also stated in: § Ethics Statement · plain
“Institutional approvals, including university (Washington University Institutional Review Board) and all cognizant local governmental agencies (including Tanzanian National Institute for Medical Research and Commission for Science and Technology), were obtained prior to conducting this study. All subjects gave their informed, verbal consent prior to participation.”
Quote in the paperNot a substantial claim- Also stated in: § Ethics Statement · plain
May combine two claims.
PremisecitationWestern diets are more sugar-rich and energy-dense than more "traditional" diets and wild foods.
“For example, while Western diets are certainly more sugar-rich and energy-dense than more “traditional” diets and wild foods [4], [8], [9], many hunter-gatherers seasonally consume a large portion of their daily calories as honey [10], [11] (Fig. S2), which has high concentrations of glucose and fructose [12].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [4] AM Prentice, 2003, Fast foods, energy density and obesity: a possible mechanistic link Obesity Reviews
Not checked in the free run.
- cites [8] MJ Schoeninger, 2001, Composition of tubers used by Hadza foragers of Tanzania., J Food Comp Analysis source
Not checked in the free run.
- cites [9] S Murray, 2001, Nutritional composition of some wild plant foods and honey used by Hadza foragers of Tanzania., J Food Comp Analysis source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningBecause it was not feasible to measure BMR, PAL was calculated as TEE/estimated BMR.
“Because it was not feasible to measure basal metabolic rate (BMR, kCal/day), we calculated physical activity level (PAL) as TEE/estimated BMR (Methods).”
- Also stated in: § Measuring TEE using Doubly Labeled Water · plain
“Physical activity level (PAL) was calculated as TEE/estimated BMR for each subject following previous studies [13]–[16].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13]–[16]
Not checked in the free run.
- Also stated in: § Measuring TEE using Doubly Labeled Water · plain
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataIncluding fat mass as an independent variable modestly improved the fit of multivariate models for TEE but did not affect the pattern of results.
“Including fat mass as an independent variable modestly improved the fit of multivariate models for TEE but did not affect the pattern of results (Table S1).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningEnergy throughput in these populations is unlikely to burn the extra calories provided, so efforts to supplement diets may unintentionally increase the incidence of excess adiposity and associated metabolic complications such as insulin resistance.
“Since energy throughput in these populations is unlikely to burn the extra calories provided, such efforts may unintentionally increase the incidence of excess adiposity and associated metabolic complications such as insulin resistance.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductreasoningGPS measurements were only considered to represent a full day of travel if the GPS device captured 10 or more hours that day; incomplete recordings were excluded from subsequent analysis.
“To ensure that incomplete measures of daily travel did not skew travel estimates downward, measurements were only considered to represent a full day of travel if the GPS device captured 10 or more hours that day; incomplete recordings were excluded from subsequent analysis.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA recent study indicated that Neolithic foragers were no less productive than early farmers in obtaining food.
“This view is consistent with Sahlins’ [47] proposition that Pleistocene hunter-gatherers enjoyed an “original affluence,” spending only a moderate amount of time on subsistence work each day, as well as a recent study indicating that Neolithic foragers were no less productive than early farmers in obtaining food [48].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [48] S Bowles, 2011, Cultivation of cereals by the first farmers was not more productive than foraging., Proc Natl Acad Sci USA source
Not checked in the free run.
May combine two claims.
PremisecitationMetabolic measurements are lacking for hunter-gatherer societies, whose diet and lifestyle provide the best models for studies of human evolution.
“Notably, metabolic measurements are lacking for hunter-gatherer societies, whose diet and lifestyle provide the best models for studies of human evolution [10].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [10] FW Marlowe, 2005, Hunter-gatherers and human evolution., Evol Anth source
Not checked in the free run.
The paper relies on this without support.
The proximate cause of weight gain is energy imbalance, with food energy intake exceeding total energy expenditure.
“The proximate cause of weight gain is energy imbalance, with food energy intake (kCal/day) exceeding total energy expenditure (kCal/day), but the societal causes of the global obesity pandemic remain a focus of debate [1]–[7].”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Studies over the past decade or more have questioned the role of sedentary lifestyle as an explanation for increased obesity rates in extant societies.
“However, studies over the past decade or more have questioned the role of sedentary lifestyle as an explanation for increased obesity rates in extant societies.84”
From Definition and diagnostic criteria of clinical obesity (2025) · cites this paper as [84]
Although the case for physical inactivity as a cause of obesity is weak, there is clear evidence that it contributes to adverse metabolic effects associated with obesity.
“Although the case for physical inactivity as a cause of obesity is weak,84 there is clear evidence that it contributes to adverse metabolic effects associated with obesity.”
From Definition and diagnostic criteria of clinical obesity (2025) · cites this paper as [84]
In other subsistence groups, activity level and energy expenditure estimates often have small sample sizes and restricted age ranges.
“In other subsistence groups where activity levels and energy expenditure have been estimated, sample sizes are often small and of restricted age ranges, e.g. [11], [12].”
From Physical Activity and Modernization among Bolivian Amerindians (2013) · cites this paper as [11]
Body fat percentage has been shown to be unrelated to PAL and energy expenditure in Western populations as well.
“Body fat percentage has been shown to be unrelated to PAL and energy expenditure in Western populations as well [11], [54].”
From Physical Activity and Modernization among Bolivian Amerindians (2013) · cites this paper as [11]
Hadza hunter-gatherers of Tanzania show similar total daily energy expenditure as Westerners despite displaying higher PALs, and their body fat percentage was unrelated to PAL or energetic expenditure.
“Second, Hadza hunter-gatherers of Tanzania show similar total daily energy expenditure as Westerners despite displaying higher PALs, and their body fat percentage was unrelated to PAL or energetic expenditure [11].”
From Physical Activity and Modernization among Bolivian Amerindians (2013) · cites this paper as [11]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(155) = -0.35reported p = .73 · recomputed p = .727
“t(155) = −0.35, p = .73”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
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- Authors
- Pontzer, H., Raichlen, D. A., Wood, B. M., Mabulla, A. Z. P., Racette, S. B., & Marlowe, F. W.
- Affiliations
- Hunter College (US)
- University of Arizona (US)
- Yale University (US)
- University of Dar es Salaam (TZ)
- Washington University in St. Louis (US)
- University of Cambridge (GB)
- Corresponding author
- Pontzer, Herman
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2012-07-25
- Volume
- 7
- Issue
- 7
- Pages
- e40503
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3405064
- OpenAlex
- W1975274499
- Semantic Scholar
- fe895f75853c89772336a20761f0c3e6fa3e22ca
- Cited by
- 349
- References
- 50
- Citations by year
- 2026: 15 · 2025: 23 · 2024: 19 · 2023: 31 · 2022: 22 · 2021: 36 · 2020: 41 · 2019: 15 · 2018: 21 · 2017: 24 · 2016: 32 · 2015: 18 · 2014: 21 · 2013: 24 · 2012: 6
- FWCI
- 21.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- CUNY Academic Works (City University of New York) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- National Science Foundation
- University of Arizona
- Tanzania Commission for Science and Technology
- National Institute for Medical Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- hunter-gatherers, Hadza, human obesity, daily energy expenditure, physical activity level, energy cost of walking, resting metabolic rate, Western lifestyle, evolutionary physiology
- MeSH terms
- Adult, Aged, Aged, 80 and over, Energy Metabolism, Female, Humans, Life Style, Male, Middle Aged, Motor Activity, Obesity, Walking
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