I have a lot of mixed feelings about this book. I was prepared to give it five stars at the beginning, but at the end I found myself having to put the book down every three or four pages in order of pace out my frustration. I've settled on three because the science is sound and I think incredibly important. We honestly think we know how our bodies work, but the reality is we don't know a whole lot at all. Pontzer does a fantastic job of expanding that knowledge, but once he steps outside of the strictly biological and into the social, things get messy. Cross-discipline collaboration is important.
I'll start of with what I liked before I get started in on my ranting criticism.
Pontzer discusses his experiments in how apes use the energy we get from our food. The study includes many other apes, like gorilla's and orangutans, and also humans that choose to live in what we might consider 'pre-modern' society, such as hunter-gatherer groups. The information that we all burn the same amount of calories, regardless of lifestyle, was fascinating. There is nothing special in terms of metabolism between ourselves and hunter-gatherers like the Hadza. Pontzer discusses how incredibly adaptive our bodies are when it comes to burning energy, and keeping such 'energy expenditures' as he calls them, within a specific range. I loved that he took down the Paleo diet, which I've always considered a bunch of bunk. The idea that humans don't need carbs is just stupid. In the context of history we always discuss the rise of complex civilizations in terms of a staple grain (or tuber in some cases). Famines are caused by a failure in the staple grain crop. If carbs were so unimportant to our diets, then all past famines should not have been as severe. Humans, as Pontzer explains, have an opportunistic diet. We eat what is available in our environment. Peoples living in the far north, like the Inuit and Saami people, eat meat heavy diets because plants do not grow well. Groups that live in areas that lack large game animals eat more plants and insects. I do agree with some of the advice offered, humans were made to move, and most of us in modern societies don't move enough, and we need to find a diet that is sustainable and healthy, not these bizarre, super restrictive diets.
But here is where I diverge from a lot of the advice or conclusions the author draws. First of all, I found a contradictory message in the book. I think some of that might have been Pontzer attempting to reconcile what he had learned with our society's incredible weight bias. Serious, we have a problem, we fat shame pregnant people! Pontzer discusses how good our bodies are at managing the energy we consume, if we eat too much, our bodies attempt to burn it off, storing it is a last resort. So if you eat more than your body needs for essential functions in a day, it will shunt it offer to other functions. When you begin to expend a lot of energy on physical activity your body dials back on the energy allotted to other functions, like reproduction. He even cited a study by Kevin Hall, which followed the metabolism of dieters from the Biggest Loser. These people, even though they were a 'healthy weight' (what is that anyway?), had the metabolism of someone undergoing severe starvation. When we SEVERELY cut back our calories, our bodies go into survival mode and slow energy burn as much as possible. But Pontzer still claims that america's obesity problem stems from eating too much food and not moving enough. Look at the Hadza (who he almost always uses for comparison), they don't eat the sugary processed junk we have, and look at how much they 'work out' each day. In fact, Pontzer suggests caloric reduction to lose weight, despite pointing out that 2000 calories a day are what a child burns, and adults need much more energy, and that when we restrict our energy intake our bodies try to save energy by turning off 'non essential' functions. We do need to move more, but Pontzer's suggestion that we are all lazy and coddled by the modern world compared to the Hadza is a case of comparing apples to oranges. Pontzer speculates that if it won't make us look good in a swimsuit (eg lose weight) Americans won't exercise. For starters, you can live a more active lifestyle without 'exercise'. Engaging in physical activities that you find rewarding, like sports, are much more appealing than running in place for an hour. The idea that we won't make time to exercise because we're lazy doesn't acknowledge that americans work longer hours than any other developed country, and we have fewer rest days as well. Pontzer also acts as though all of these lifestyles are actual choices, ignoring the gaping differences in culture between Americans and the Hadza that can easily account for weight differences. Stress for starters. Pontzer describes a young man who had stayed in camp for a few days in a row because he had been feeling unwell. Never once was it mentioned he was worried that he would go hungry because he couldn't hunt for himself, because for the Hadza sharing food is a given, as opposed to the idea in america where if you don't work you don't eat. Pontzer mentions briefly that poverty and food deserts are a problem, but that's it. Google Obesity Poverty Paradox. Our poorest people are also our fattest, which flies in the face of the idea that obesity is a sign of over-consumption. How do you over consume when you don't have consistent access to food? And Pontzer's suggested solutions to food deserts are overly simplistic. Just tax sugary food to make it more expensive and make fresh fruit and vegetables cheaper. Really? Poverty is the problem. You can only lower the cost of something so much before the farmer who grows it doesn't make enough money to keep the farm running and himself fed.
The finally, he blatantly ignored all of the other differences between american and Hadza environment. How much pesticide was on those berries the Hadza women gathered? How much chemical fertilizer was in the soil they dug their tubers from? How many hormones had the zebra eaten that the Hadza men hunted? How much of their food and drink come from plastic containers that leech chemicals like BPA, BPS, and BPF? We also have access to a lot of medications that, while they do help us immensely, tend to have weight gain as a side-effect. About one quarter of all people on an anti-anxiety or antidepressant will experience weight gain, which is also a side effect of hormonal birth control pills for women. The point is we have an incredibly different social structure, and cultural values, from the Hadza that can account for weight factors, as well as exposure to chemicals of our own making that we are just now starting to realize might have negative effects on our health. For the record, Europe and Canada more strictly control the use of BPA and other chemicals in food packaging than America (science has shown that BPA affects us at levels way lower than what the american government has considered 'safe'), and Europe has also banned the use of hormones in food animals and the importation of meat that has been exposed to those hormones. I feel like Pontzer should have stuck to the science, instead of trying to make broad social claims by comparing two radically different cultures, without sufficient understanding of sociology, traditional anthropology, and considering other differences in our environments, other than availability of food and cars.