SlideShare a Scribd company logo
1 of 85
The Science and
Wisdom of
Traditional Diets
Implications

for health policy & community
health
Daphne Miller, MD
Associate Clinical Professor
Department of Family and Community Medicine, UCSF
NUTRITION TRANSITION
World Health Statistics, 2007
New Cases of Diabetes Among US Adults
MISMATCH

BIOLOGY
Sweet preference
Thirst and satiety
uncoupled
Fatty preference

Energy efficiency

TECHNOLOGY
What have we lost?
What can we regain?
1. Lost medicine
“Those who walk well”
Schulz, Diabetes Care, 2006
Billberry hunting, Iceland
Horta hunting, Crete
Nature’s ibuprofen Morocco
photos by Jim Richardson
2. Lost recipes
“Three sisters”
27
3. Lost preparation
techniques
high tech processing
savings account
Simopoulos, 2001
Fermentation
Elubo
Iru
Eko
Eba
Uji
Amasi
Mahewu
Gari
Ogi
Fufu
Ben-saalga
Microbiome
Florence

Burkina Faso

www.pnas.org/cgi/doi/10.1073/pnas.1005963107 De Filippo et al.
inter-biome communication

http://www.waojournal.org/content/6/1/3
biodiversity and allergic diseases

http://www.waojournal.org/content/6/1/3
4. Lost eating traditions
5. Lost eating traditions
Breakfast and weight loss

n=420

Garulet, International Journal of Obesity 2013
dinner for ?
Hara Hachi Bu
modified fasts: 180 days
5. Lost farming
methods
photo by Milagro Salazar via IPSNews
HOLISTIC FARMING
Rockin’ H Ranch, Norwood, MO
Reganold, PLoS ONE, 2010
FRUIT QUALITY ORGANIC >> CONVENTIONAL

P value

8.5%

0.019

phenolics

10.5%

0.0003

ascorbic acid

9.7%

0.009

antioxidant
activity

Reganold, PLoS ONE, 2010
farm method

people
LOST
medicine
recipes
food preparation techniques
eating traditions
farming traditions
How to regain?
medicine
recipes
food preparation techniques
eating traditions
farming traditions
88%

of US
health care expensitures*

*New England Health Care Institute
Farm-to-Hospital
Local recipes and
traditions
Ecological Literacy
Local Food Economy
Slow Food Chapter, Springfield MO
Local seed reservoir
(Local Medicine)
Local Food Advocacy
Comments due by November 15
sustainableagriculture.net
@drdaphnemiller

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Farmacology: Using Food as Medicine

Editor's Notes

  1. {"41":"Meal timing predicted more than genotype\n","15":"Insulin sensitivity\n"}