Thursday, May 7, 2015

What is the Paleo Diet?

The modern day Paleo diet can vary greatly, however it generally follows a high protein, high fat and low carbohydrate structure. Based on the theory that many increases in common illnesses in the Western world are due to the vast change in diet over the years, the Paleo diet aims to replicate the diet principles our ancestors would have followed in Paleolithic times (Eaton and Konner, 1985).

While lifestyle and therefore diet has changed dramatically throughout time, the modern Paleo diet aims to reduce the intake of grains, legumes and dairy products while increasing the intake of lean meat (Dietitians Association of Australia). There are a number of interpretations of the Paleo diet, from the true hunter-gatherer interpretation to the adaptation of modern western food to follow general Paleo principles.

These principles include:

  • Eating meals high in protein
  • Avoiding grains and legumes
  • Avoiding dairy products
  • Eating natural, raw and unprocessed foods

The hunter-gatherer interpretation of the Paleo diet requires individuals to eat similar foods in similar ways as to those that were available in Paleolithic times. Therefore, it encourages consumption of raw and unprocessed foods.


The more commonly followed interpretation of the paleo diet is the adaptation of common meals to follow Paleo principles. This interpretation involves substitution of ingredients or components of meals, for example, substituting white rice with cauliflower rice.

Nutritional Breakdown

Macronutrients

Macronutrient ratios for the Paleo diet can vary depending on the interpretation follow. The data that has been collated from Paleolithic times, however, suggests that the ratio is roughly 20% carbohydrate, 65% fat, and 15% protein, by energy content (Paleo Leap).

This is in comparison to the Acceptable Macronutrient Distribution Range (AMDR) values which states a 15-25% protein, 20-35% fat and 45-65% carbohydrate macronutrient ratio is ideal.


Paleo
AMDR
Protein
15%
15-25%
Fat
65%
20-35%
Carbohydrate
20%
45-65%

Therefore the Paleo diet sufficiently meets the recommendations for micronutrients, while only meeting one of the targets of the AMDR values. 



A comparison of the macronutrient ratios for Paleo diet and the AMDR values shows that the protein content of the Paleo diet is within the acceptable range. However the fat content of the Paleo diet is considered too high, and the carbohydrate ratio considered too low in comparison to the AMDR values.

Micronutrients
The micronutrient content of iron, sodium and calcium is also important to consider. While there is limited data on the micronutrient make up of a Paleo diet that adapts modern meals, there is data on the true Paleolithic diet. 

Sodium
In Paleolithic times, the sodium intake was thought to be approximately 768mg per day (Paleo Leap). These are within the adequate intake range of 460-920mg, therefore the Paleo diet meets the intake requirements. 

Calcium
Calcium intake was estimated to be 1800mg per day (Paleo Leap). This is above the recommended daily intake level of 1000mg, but well below the upper level of 2500mg. Thus, the Paleo Diet can be considered to meet the dietary guidelines.

Iron
Either interpretation of the Paleo diet is considered to be very iron rich, and therefore intake levels of iron may be above the recommended intake or adequate intake levels (Chris Kekker, 2012).


Recommendations

The Paleo diet has a number of positive and negative aspects. As the diet meets the guidelines for protein, calcium, sodium, and iron, following a paleo diet could be considered good for an individual’s health, particularly in ensuring those key micronutrients are consumed in ideal amounts. It also encourages the consumption of raw and unprocessed foods, which in turn increases nutrient and vitamin intake.


While the Paleo diet meets some of the dietary guidelines, it also fails to meet others. Compared to the AMDR values, the Paleo diet causes an individual to consume too much fat and not enough carbohydrate. In addition to this, following a Paleo diet can be quite time-consuming and expensive, due to the higher costs of raw, unprocessed foods and protein (Dietitians Association of Australia). 

References

Chris Kekker, (2012). What Science Really Says About the Paleo Diet. Retrieved from: http://chriskresser.com/rhr-what-science-really-says-about-the-paleo-diet-with-mat-lalonde/

Dietitians Association of Australia. Part 1: The Paleo Diet – What is it?. Retrieved from: http://daa.asn.au/for-the-public/smart-eating-for-you/nutrition-a-z/paleo-diet/part-1-the-paleo-diet-what-is-it/

Dietitians Association of Australia. Part 3: Is the Paleo Diet right for Australians?. Retrieved http://daa.asn.au/for-the-public/smart-eating-for-you/nutrition-a-z/paleo-diet/part-3-is-the-paleo-diet-right-for-australians/

Eaton, S. B., & Konner, M. (1985). Paleolithic Nutrition. New England Journal of Medicine, 312(5), 283-289. doi: doi:10.1056/NEJM198501313120505

Paleo Leap. All About Calcium. Retrieved from: http://paleoleap.com/calcium/

Paleo Leap. Question of Macronutrient Ratios. Retrieved from: http://paleoleap.com/question-of-macronutrient-ratios/

Paleo Leap. Salt and a Paleo Diet. Retrieved http://paleoleap.com/salt-and-a-paleo-diet/