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Health Promotion: Movement – Diet – Neuroplasticity – Genes – Epigenetics: A brief history, and the future Paradigm Health 1 Contents Introduction Movement Genes Nutrition Neuroplasticity Epigenetics Summary References Paradigm Health 3 4-5 6-8 9-11 11-13 14-15 16 17 2 Introduction Since the first humans roamed the savannas approximately 10,000BC, the human psyche was focused on movement geared for survival. Threats to life were posed by unforgiving natural environments, tribal conflict and predators. Hence the human approach to movement was not concerned with aesthetic goals but with maintenance and sustenance of life. There are many claims from health magazines, and the fitness industry that offer new methods of achieving health and well being. The philosophy underpinning Paradigm Health prefers to explore the fundamentals of movement. This e-book explains the history of natural movement and evaluates how well-being is linked to nutrition, genetics, neuroplasticity and epigenetics. Health problems associated with mass urbanization are occurring at an increasing rate. Conditions such as type 2 diabetes, mental health disorders, cardiovascular diseases and metabolic problems are all on the increase. Sleep deprivation, stress, obesity and lifestyle factors are key elements of disease manifestation. The disconnect from nature and the environmental factors which have shaped our evolutionary make up are feeding this current prevalence of chronic diseases and major health concerns “Human beings can almost certainly survive and multiply in the polluted cage of technological civilization, but we may sacrifice much of our humanness in adapting to such conditions…The maintenance of biological and mental health requires that technological societies provide in some form the biological freedom enjoyed by our Palaeolithic ancestors”. Dr Rene Dubos (1970) Health Promotion 3 Evolution of Movement The rational for movement has been largely determined by changes in environmental factors. We evolved from the Paleolithic era, 2.6 million to 100,000 years ago when movement was linked to survival. Our ancestors performed movements such as lifting, jumping, climbing, throwing, running and walking often over long distances and on a a regular basis. Efficient movement equated to shelter, food and the means of existence. The change from nomadic hunter to ancient farmer during the agricultural period of the Neolithic Two eminent early physicians Hippocrates (460-370BC) and Galen (129-210AD), had key roles in the early emphasis on health promotion. Hippocrates stated that 'eating alone will not make a man well, he must also take exercise –for food and exercise together produce health’. era influenced the nature of physical activity. More repetitive exercises became part of the daily schedule associated with the demands of a largely agrarian society. From this period until the fall of the Roman Empire in 476AD, military conflicts saw a continued need for strength and physical prowess. Movement patterns were not dissimilar to those of the early hunters. Health Promotion 4 Movement Movement is just the start…… In order to offset the growing rate of chronic illness, it’s important to understand that one cannot out train a poor diet. Food is the fuel that keeps us moving physically and psychologically. Other factors such as chronic stress, sedentary work and a negative perspective on life may add to the propensity towards long standing poor health. Technological advances over the following centuries, including the introduction of agricultural machinery, whilst providing advantages in terms of profitability, mass production of supplies and time efficiency, also informed changes in the ways humans moved and lived. There was far less emphasis on the need for the body to utilise its own systems and hence a greater danger of some degree of atrophy or dysfunction. Indeed perhaps the same might be true of modern gym equipment such as Treadmills, X-Trainers, Rowing machines, Steppers etc. Are these really necessary for sustainable health gains? • Throwing • Pulling • Squatting • Running • Climbing • Grappling • Bending • Twisting Research from Sustainability, Science, Practice and Policy (2012) has evidenced that natural movement positively influences psychological health over traditional gym based exercise. So next time you’re in the gym think about adding some variety, spontaneity, and creativity to your routine in line with our ancestral movement history. This is a list of some of the basic movement patterns that the human body should be able to perform with grace and efficiency. However contemporary lifestyle choices have restricted many people’s movement vocabulary , limiting their ability to move for HEALTH Health Promotion 5 GenesThe Human Genome is basically the genetic make up of the chromosomes and mitochondria (our cells powerhouse). This genome is present in all homo sapiens and was present in our Neanderthal ancestors...It holds our DNA which provides us with our genetic uniqueness and, to some extent, drives our biochemical individuality, development and health. Interestingly though our ancestors did not appear to have experienced the debilitating musculoskeletal and neurological conditions that are increasing in the 21st century population. Acknowledging the historical shifts in environmental pollution as an example,, is there a case therefore to adopt more aspects of the ancestral lifestyle into our current society? Research published in the journal, SCIENCE in May 2010 revealed some fascinating information about the genetic link between the genome of the Neanderthals and the genome of the 21st century man. Professor G Hannon stated ,‘’The astonishing implication of the work we’ve just published is that we are incredibly similar to Neanderthals at the level of the proteome which is the full set of proteins that our genes encode” The genome of both humans and Neanderthals has approximately 3 billion nucleotide base pairs which reside in 23 pairs of chromosomes which hold our genes. So modern man and the caveman ancestors share a similar genetic composition which differs from our chimpanzee predecessors from around 6.5 million years ago. So this research invites questions about how we have become burdened with so many chronic illnesses despite modern health care systems, when our genetic our blueprint is one which enabled us to survive harsh environments and challenges which demanded physical ingenuity , feats of strength and efficiency of movement skills. Health Promotion 6 Genes So what are the environmental, psychological and lifestyle choices that make a difference to this equation given the apparent between physiological similarities ancient and contemporary human beings? The disconnect between how our ancient genome was influenced by the environment in the stone age and the impact of industrialized, largely urban systems on current genetic composition could explain some of the causes for the continual rise in non-communicable disease states and poor health. It seems we are living longer, but not necessarily healthier lives in comparison to tribal We are all carriers of genetic variability. In other words we communities. are all different at a cellular level. Research is currently exploring the hypothesis that our genetic blueprint, with which we are born does not necessarily equate to a set of guaranteed health markers which carry a degree of inevitability. It does determine the colour of our eyes, our gender and hair colour …. however we have more power than we think! Through our lifestyle choices, thought patterns, and perspectives, research indicates that we can alter what is termed as gene expression. Research from Shankar et al 2013 in Pharmacology & Therapeutics has evidenced that if we can positively influence our gene expression, it’s possible to have a significant impact on our bodies ability to defend against the pitfalls of developing chronic disease and pain. So, our genetic profile is influenced by some of the factors shown in the diagram above and the causal links are evident. Health Promotion 7 Genes and Biological Health Markers Establishing data relating to biological health markers of our Paleolithic ancestors is clearly a challenging task. Researchers in the 20th century, however, have managed to assess and evaluate gross anatomical and biological evidence of skeletal remains using radio isotopic analysis to illustrate the closest possible biomedical markers of our early stone age ancestors. Results pertaining to three aspects of biological composition will be explored, each evidencing a mismatch between ancestral and modern human biological composition. Blood Pressure: Studies taken from varied geographical locations have evidenced that average blood pressure readings for hunter gather tribal communities reveal systolic readings between 100/110 and diastolic readings between 70/75 mmoL. These readings are lower than the ‘normal’ accepted range for the modern population which is 135/80 The same studies demonstrated that forager communities maintained the lower blood pressure as they age, in contrast to the western population in which blood pressure typically rises with age. The forager diet, which typically had higher levels of potassium than sodium, hence pushing blood PH to increased alkalinity, is a possible contributory factor to the lower readings. However this is a multi faceted issue and high blood pressure readings are not only a consequence of excessive sodium intake Carbohydrate Metabolism: Insulin resistance is causing concern in western populations, contributing to the increasing number of cases of type 2 diabetes. Communities with desirable insulin responsiveness show a common nutritional element. These include a low intake of simple sugars (carbohydrates) and refined flour. Interestingly forager groups attained carbohydrate intake from uncultivated fruit and vegetables and whole grains. Fibre was consumed in higher quantities than in the typical 21st century diet. and increased dietary fibre is linked to reduced insulin resistance . Lipid (blood) Metabolism: Studies comparing lipid metabolism between 6 hunter gatherer tribes over 4 continents with statistics from the average American citizen have been published in the past century. The hunter gather average blood cholesterol was 123 mg/dL. In comparison to the average modern day marker around 200 mg/dL. No values relating to the ratio of low density lipoprotein (LDL) and high density lipoprotein (HDL) exist. Interestingly the total cholesterol of hunter gatherer tribes increases when they adopt a more western lifestyle by means of migration or integration of modern lifestyle trends into their traditional environment. Hence modifiable lifestyle factors can influence blood lipid values regardless of genetic composition. A Health Promotion 8 Primal Nutrition Immediate ancestors of the modern human are believed to have evolved from Africa approximately 200,000 years ago. Their diet was plant based up to 70%. in contrast to Neanderthal humans entering Europe 40,000 years ago whose diet was more meat based. The Palaeolithic diet, often referred to as the caveman diet or stone-age diet, is based on the types of foods presumed to have been eaten by early humans, consisting chiefly of meat, fish, vegetables, and fruit and excluding dairy or cereal products and Henry et al published research in the Proceedings of The National Academy Of Sciences of the United States Of America in 2010 providing evidence of Neanderthal consumption of starch grains, legumes, grass seeds and date palms via dental calculus of skeletons . processed foods. The dietary habits of contemporary hunter gatherer tribes is more varied and determined to some extent by geographical location: for example fish based in the arctic and plant/game in the tropics. There is controversy about the nutritional sufficiency of the Paleo diet in the 21st century. Supporters argue that the human digestive system has remained the same whilst opponents state that the digestive abilities of modern humans differ from those of Paleolithic humans. A Ted talk given by Christina Warriner in 2012 suggests that many of the foods that we now consume have been altered by artificial selection and that it’s impossible to make a direct correlation between the two eras in terms of exact matching. “Humans have evolved not to subsist on a single, Palaeolithic diet but to be flexible eaters, an insight that has important implications for the current debate over what people today should eat in order to be healthy," anthropologist William Leonard of Northwestern University wrote in Scientific American in 2002. Health Promotion 9 The Western Diet There is an obvious dissonance between our ancient genome and the quality of the nutritional content of the foods consumed in contemporary society. Food staples, such as dairy, refined sugars, cereals, refined vegetable oils, fatty meats and salt and food-processing procedures introduced during the Neolithic and Industrial Periods have fundamentally altered 7 crucial nutritional characteristics of ancestral diets: These are displayed opposite and published in the American Journal of Clinical Nutrition (2005) – 1) 2) 3) 4) 5) 6) 7) Glycaemic load Fatty acid composition Macronutrient composition Micronutrient density Acid-base balance Sodium/potassium ratio Fibre content download full article on the next page. These food types displaced the more minimalist approach to nutrition of early stone age hunter gatherers. Diet related morbidity and mortality from chronic disease is an epidemic affecting 65% of westernized populations. Health Promotion 10 The Western Diet –The Future So if these the current trends are not managed there will be far reaching consequences for future generations .Recent research at Kings College London and at the Institute of Biomedical and Environmental Sciences at the University of Aberdeen (https://www.action.org.uk//) reports that around one in five children aged between two and five years is overweight or obese and 17 per cent of boys and 15 per cent of girls aged two to 15 years are obese in the UK, putting them at risk of serious, long-term health problems, such as heart disease, arthritis ,cancer and diabetes The World Health Organization (WHO) estimates that rates of obesity in children have tripled during the last 20 years.. Obese children tend to grow into overweight adults, where ongoing weight problems can consequently shorten life expectancy The researchers above have determined that there’s a control energy circuit in the brain which can detect excess body fat and this circuit becomes faulty in people who are obese. This impaired brain circuit regulation and neuroendocrine hormone dysfunction are common place amongst obese individuals. The researchers have discovered that the cells of the energy balance circuit are continually regenerated. However eating a high-fat diet blocks this process, causing obese people to be stuck with a circuit that is faulty. The researchers now want to study different types of diet, to see whether any particular nutrients can help repair a faulty energy balance circuit. The diets contain different proportions of key nutrients, such as protein, fat and carbohydrate. Evidence suggests long-term dieting can regenerate the circuit and repair the faults so this offers some hope for future management of the links between nutrition and health. The article blow offers a comprehensive account of the evolutionary aspects of the western diet and the implications for disease. http://ajcn.nutrition.org/content/81/2/341.full Health Promotion 11 The Brain – Neuroplasticity Neuroplasticity is a term, coined in the 1960’s used to describe changes to the brain due to non-pathological (non-disease) states. The Spanish pathologist Santiago Ramon y Cajal – known as the father of neuroscience, who was Neuroplasticity is essentially liberating, as it allows us to have an influence on our human development at many different levels, cognitive, physical and psychological . awarded the Nobel Prize In Physiology & Medicine in 1906, was a pioneer in understanding how the neurons in the brain changed other than in the diseased state. He used the term Neuronal Plasticity which has since been researched extensively, especially over the past 40 years. Also known as brain plasticity, it is an umbrella term that describes Current research suggests that this ability of the brain to renew its neural activity is available to people of all ages . However in order to reconnect, the neurons have to be stimulated through activity. lasting change to the brain throughout an animal's life course. The term gained prominence in the latter half of the 20th century, when new research showed many . aspects of the brain remain changeable (or "plastic") even into adulthood. Neuroplasticity allows the neurons (nerve cells) in the brain to compensate for injury and disease and to adjust to new situations . Hence the brain forms new neural pathways between intact neurons. For example, if one hemisphere of the brain is damaged, the intact hemisphere may take over some of its functional tasks. The brain compensates for damage in effect by reorganizing and forming new connections between intact neurons. Practice Makes Permanent … Not Perfect Health Promotion 12 Neuro-plasticity & Movement The structure and functional organization of the brain is modulated constantly by our movement, language, thought processes and emotions. Interestingly the current trend in gyms and health clubs is incorporating ‘functional movement’ and ‘primal movement conditioning’ into their exercise rotas, hence utilizing knowledge of the evolution of human movement. This means that whatever the end goal of training, there is value in including a degree of variability of movement . 'For Olympic athletes to succeed they must ensure a degree of repetition in the actions they perform to effectively drill the movement efficiency essential for world class performance. This repetition ensures neuroplastic changes that create a level of competency and fluidity through execution. In contrast play and spontaneous movement allows greater freedom, it is innate, and part of childhood development. Research has shown that Brain Derived Neurotrophic Factor (BDNF) a protein found in the brain, is activated when we play and express movement in a non conformist approach. enhancing neural growth and cognitive development. Applied then to training programmes, including multi-planar movements, especially if working towards a goal that requires sagittal (forwards/bakwards) plane movements, more neurons in the brain will be fired up allowing the body greater adaptability and responsiveness to any challenges faced whether in an endurance event or walking a certain distance without getting out of breath. The familiar squats, dead lifts and overhead press movements, all considered effective compound multi joint movements, can become monotonous and increase injury risk if never progressed or incorporated into a comprehensive multi plane movement conditioning program. Indeed the term, practice makes perfect’ is inaccurate here as the neuro-plastic changes in the brains cyto-architecture occur whether the movement patterns are correct, safe or efficient. So new challenges and variety can enhance the neuroplasticity which in turn improves the quality and efficiency of the movement. For example, a cross country skier will have an easier time following a set of tracks already made from a previous training session. If there are no previous tracks the skier has to find and apply a new route through the snow. This will challenge the skier physically and mentally and consequently they will have to draw on new neural pathways, activating BDNF thereby enhancing neural growth in the brain. Health Promotion 13 EpigeneticsEpigenetics stems from the Greek, ’epigeneisis’, the term originally used to describe the influence of genetic processes on development. During the 1990s there was renewed interest in genetic assimilation which explored how environmental stress led to changes in genetic composition. Since then, research efforts have been focused on exploring the epigenetic mechanisms related to these types of changes. The renewed interest in epigenetics has led to new findings linking epigenetic changes and mechanisms to a wide variety of disorders illnesses, and behaviours, including cancers of almost all types, cognitive dysfunction, and respiratory, cardiovascular, reproductive, autoimmune, and neurobehavioral illnesses and paediatric disorders. Essentially researchers at Washington University demonstrated that the genetic mutation that occurs can effect the course of disease by influencing which genes are turned on and off regardless of their genetic make up and DNA (Skinner et al 2015). Many types of epigenetic processes have been identified—they include methylation, acetylation, phosphorylation, ubiquitination, and sumolyation. Epigenetic processes are natural and essential to many organism functions, but if they happen inefficiently there can be major adverse health and behavioural effects. Some of the suspected triggers behind epigenetic processes include heavy metals, pesticides, diesel exhaust, tobacco smoke, polycyclic aromatic hydrocarbons, hormones, radioactivity, viruses, bacteria, and basic nutrients. Recent research studies on epigenetics and epigenomics, the genome wide distribution of epigenetic changes point to the relevance of this subject to other areas of genetics such as stem cells, cloning, aging, synthetic biology, species conservation, evolution, and agriculture. Health Promotion 14 Epigenetics – Lifestyle Stress is on the increase and although it can be positive as it causes the release of key neurotransmitters in the brain which keeps us cognitively alert and able to function, too much Dr Bruce Lipton - a cell biologist, suggests that we are an extension of our can impact on our well being. Epigenetic research environment, which is finding that the ancient art of meditation, includes everything from particularly mindfulness meditation, has many our thoughts and belief health and stress-reducing benefits. Kaliman et al systems, to toxic exposures state that a growing body of research shows that and exposure to sunlight, mindfulness exercise, and nutrition. He meditation can alter neural, behavioural and biochemical processes, but proposes that we can suggest change our genetic makeup further studies are necessary. Epigenetics appears to be revolutionising our & determine our health understanding of the links between mind and goals by reprogramming matter and ultimately the way that humans can our subconscious minds. influence their gene expression. Health Promotion 15 In Summary The modern human genome (DNA/genetic composition) is virtually identical to that of Neolithic ancestors 40,000 years ago . Many chronic diseases and degenerative conditions evident in modern Western populations have arisen because of dissonance between this ancient genetic composition of the human body and more recently adopted diets and lifestyles, Researchers have discovered that there is a control energy circuit in the brain that can detect excess fat. Obesity (excess fat) renders the circuit faulty but this can be rebalanced through diet and exercise. Research is ongoing to demonstrate how childhood obesity can be reduced to prevent future generations developing chronic conditions. The validity of the evolutionary discordance hypothesis has been brought into doubt by recent research. Studies of a variety of populations around the world show that humans can live healthily with a wide variety of diets; humans have evolved to be flexible eaters. Too much emphasis is placed upon single mostly linear and repetitive movement patterns in exercise regimes. For health and enhanced neuroplasticity we must utilize the body's innate, movement capabilities and develop’ functional movement’ . Epigenetic scientists are researching how environmental factors including toxicity, pollution and lifestyle choices can leave "epigenetic marks" on our DNA that could get passed onto subsequent generations. Manipulation of these factors can restore balance between man and his environment. Health Promotion 16 References: Eaton, SB, Cordain, L. Sebastian, A. (2007) The Ancestral Biomedical Environment. Endothelial Biomedicine. Cambridge University Press. USA. Cordain et al. (2005) Origins and evolution of the Western Diet: Health implications for the 21st century. American Journal of Clinical Nutrition. 81. 341-54. Henry, Amanda; Brooks, Alison; Piperno, Dolores (2014).’Plant foods and the dietary ecology of Neanderthals and early modern humans’’. Journal of Human Evolution 69: 44– 54. Logan, A.C et al (2015) Natural environments, ancestral diets and microbial ecology: is there a modern paleo deficit disorder?. Journal of Physiological Anthropology. 34. 1-18. Fuchs, E. Flugge, G (2014) Adult Neuroplasticity: More than 40 years of research. Hindawi. P 1-10. Latham, K.J. (2013) Human Health and the Neolithic Revolution: AN Overview of Impacts of the Agricultural Transition on Oral Health, Epidemiology and the Human Body. Anthropology Department of Nebraska. Craig, J.M et al (2016) Natural environments, nature relatedness and the ecological theatre: connecting satellites and sequencing to shinrin – yoku. Journal of Physiological Anthropology. 31:1. Ben-Dor, M. (2015) Use of Animal Fat as a Symbol of Health in Traditional Societies Suggests Humans May Be Well Adapted to Its Consumption. Journal of Evolution and Health. 1:10. Henry AG, Brooks AS, and Piperno DR. (2011) Microfossils in Calculus Demonstrate Consumption of Plants and Cooked Foods in Neanderthal Diets (Shanidar III, Iraq; Spy I and II, Belgium). Proceedings of the National Academy of Sciences 108(2): Lipton, B. (2015) The Biology of Belief. Hay House .co.uk Skinner MK, Guerrero-Bosagna C and Haque MM. 2015. Environmentally Induced Epigenetic Transgenerational Inheritance of Sperm Epimutations Promote Genetic Mutations. Epigenetics 10:8, 762-771. Cold Spring Harbor Laboratory. "Neandertals 'hardly differed at all' from modern humans." ScienceDaily.ScienceDaily,6May2010. <www.sciencedaily.com/releases/2010/05/100506141559.htm> Health Promotion 17