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A recent, and now Closed question sought to ask why certain Paleo foods (such as bacon) are so cherished that they have the power to induce a reality distortion field when it comes to being critiqued for their health benefits.

This leads me to pose a broader and more pivotal question before the PH community:

Does it follow that a food should have a certain threshold of health benefits in order for it to be considered for inclusion in a paleo dietary template?

If so, what should such criteria include?

It may help to have a definition of what health and dietary health means:

  • Health, according to the WHO, is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity

  • Dietary health, according to wikipedia, is mediated by a balance of fats, proteins, and carbohydrates, calories to support energy need and micro nutrients to meet the needs for human nutrition without inducing toxicity or excessive weight gain from consuming excessive amounts.

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Another factor that needs to be included is the toxicity of the food (all foods have some level). The equation then becomes Benefit/Harm; Paleo can be interpreted as optimising that equation, i.e. maximise Benefit and minimise Harm. It's a 'multi-variant optimisation problem' which has no simple answer, only crude approximations (heuristics). I think the best test is how you personally feel from eating a particular food stuff (N=1), if your health is better from eating the food then you might then decide to call it "Paleo". – eddieosh Oct 6 at 9:16
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Another bacon in disguise question? What is with this anti-bacon hobbyhorse? We get that you're not a fan but this is starting to look like a crusade. – Varelse Oct 6 at 13:50
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In terms of defining health don't forget hormesis, even in food chooses. I think this is in large part where some synthetic additions of vitamins can be detrimental (or appear to be in some studies). There actually NEEDS to be a certain level of cell destruction if you will, before the body takes active steps such as autophagy to improve its health status. – JayJay Oct 6 at 15:45
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The only hate, Luckie, comes from those who would seek to suffocate knowledge. – meta Oct 6 at 16:18
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Yes, just like I seek to suffocate religious evangelists from spamming their wares. It's not that your point of view is not valid - it's the repetition and presentation. – Varelse Oct 6 at 16:57
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9 Answers

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I guess it would help if you did name the foods you are referring to and the nature of your perceived reality distortion.

Many foods that are embraced in Paleo don't sit comfortably in Conventional Wisdom (CW), anything to do with saturated fat and relatively high levels of red meat for example and of course grains and beans get a terrible rap in Paleo where unrefined carbs are a cornerstone of CW.

Well, you believe what you believe and lots of people who actually try Paleo say they feel better. Now of course the Paleosphere is a dangerous place because presumably people who don't feel better or don't lose weight or aren't successful in their goals tend to slope off after a while rather than getting into a fight about it and so you have survivor bias in the story-telling.

If you mean by cherished foods things like coconut oil, well that's an interesting one. I live in the UK where coconut oil is hardly what any sort of ancestor of mine would have consumed. I can easily live without it. Even a small quantity of it makes my body sort of fizz. So I'm not attracted to it.

But lots of people who are involved in healthy eating choices feel they want to put good stuff in their bodies and coconut oil is perceived as good stuff. In the end eating Paleo is quite simple, some people like to complicate things. No harm in that if that's your thing.

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The food that caused a great deal of commotion when its risk/benefit ratio was questioned was bacon. To see the degree of commotion click over to paleohacks.com/questions/152768/… and paleohacks.com/questions/151777/… – meta Oct 6 at 10:30
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I don't get the whole "coconut oil is hardly what any sort of ancestor of mine would have consumed". Do you think that all your ancestors came from Britain, since the beginning of time? – borofergie Oct 6 at 12:53
Clearly I have no idea where my ancestors came from going back more than a few generations. It's not really a paleo thing at all. I prefer where I can to eat local. That's all – David McC Oct 6 at 13:42
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Ah yes, bacon. Well of course there is some really rubbish bacon out there and it certainly belongs in the processed food world. And there's plenty of bacon that has sugar added, so that comes up short too. But if you pay up for the quality gear and you don't go nuts on it, it's a real pleasure. I'm with Clifton Harski on this More than 2-3 times a week & you're being an * about it cliftonharski.com/ba-diet – David McC Oct 6 at 13:50
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more on bacon from chris kresser chriskresser.com/… – David McC Oct 6 at 16:27
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bacon is as good as it gets, its fat its protein and if you make your own it is low in sodium, matter of fact im gonna go make some bacon right now

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Shhh, Harry has a thing about bacon. – borofergie Oct 6 at 12:54
So you would say that bacon provides a fairly good base of nutrition? – meta Oct 14 at 0:03
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I take issue with your premise that foods by default are forbidden and need to be proven healthy. That's an orthorexic view of food. I take issue with the idea that food need be optimal to be consumed. That's an orthorexic view of food.

Orthorexic paleo is the worst variety - worse than even dogmatic paleo or hypochondriac paleo.

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Ancestor diet was much more variable - seasonal - than modern diets. Getting a pork belly was a much more difficult proposition than it is now that there are pig farms. If there is paleo optimality it is in eating a diet with highly variable macronutrient mixes. – thhq Oct 8 at 16:22
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Diets vary in variability as well. – Matt Oct 8 at 17:21
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Certainly. The certainty is variability. There would have been 100% pig stints, and 100% whatever the paleo version of bananas was. But no fresh strawberries in January and no daily bacon. – thhq Oct 8 at 18:15
Those 100% variations were definitely unhealthy, from parasites to cramped guts. But they were probably eagerly anticipated reward meals. – thhq Oct 8 at 19:23
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I thought the threshold for paleo was the whole evolutionary thing. Would it have been available? The bellies of fatty pigs were available. Protein powder was not.

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That's a very good point: why is it that the principle of nutrients in isolation from their food source generally being either less beneficial or sometimes harmful does not apply to something like whey protein isolate? – meta Oct 6 at 15:13
It absolutely does apply. Protein powder isn't Paleo, imo. It's highly processed food in a form as detached from its natural source as possible, and it has a higher glycemic load than pure sugar! mendosa.com/gilists.htm – Elunah Oct 8 at 13:07
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Okay, well in response to the title of your question, Paleo doesn't always equal healthy, clearly- but it does mean that, at worst, its not more than very slightly bad for you. Legumes and nuts are the most unhealthy that it gets, really, within the field of genuinely Paleo foods.

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I dunno..... questions that invoke a "reality distortion field"....sound more like Star Trek than any sincere effort to discover some form of truth. As to your questions....

"The question of does it follow that a food should have a certain threshold of health benefits in order for it to be considered for inclusion in a paleo dietary template? If so, what should such criteria include?"

Well who determines if a food has the aforementioned health benefits to include it in "a" dietary templete? If you are looking to an authority figure then you would just pick your particular group of recognized professionals and follow their guidelines. If you think the paleohack community is hashing it out well enough, follow the views here. If, like me, you don't really like either of those two options then you will just have to sort it out for yourself. Read the science and come to your own conclusions. Why do you feel compelled to define a paleo template anyhow? Is it so you can say with authority "this is not paleo!" or "that is paleo!".

The theory of eating in a paleo manner is that we are adapted better to certain foods than others. I don't think every food has to have a definitive health benefit based ONLY on its nutritional breakdown. The evolutionary theory of eating tends to help to fill in the gaps between our currently incomplete/incompetent nutritional analysis model and what we hope to know in the future.

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The term "reality distortion field" was initially attributed to Steve Jobs who had the capacity to powerfully persuade and alter the perception of his audience during business meetings in ways that transcended the evidence at hand. – meta Oct 6 at 15:28
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....and to boldly go where no man has gone before!....so Steve Jobs what a Treky? Cool. – JayJay Oct 6 at 15:32
And the iPhone is well on its way to becoming a tricorder.. – meta Oct 6 at 15:34
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lol...I had to google tricorder, but its all seeming to come together now! Life is starting to make sense :). We should ditch this paleo thing and review the star trek archives for enlightenment. – JayJay Oct 6 at 15:37
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^ I think I've spent too much time reading the Hitchhikers Guide to the Galaxy lately. – JayJay Oct 6 at 15:42
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No. I think the goal is to emulate ancestral patterns of diet and activity. While this does not exclude coconut oil, grains, chickens, cow meat and bacon; it puts a low limit on their consumption. Seafood, leafy greens, squash, root vegetables and eggs are essentially unlimited.

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From the responses so far it appears a consensus definition of paleo continues to elude - this of course is nothing new, in this vibrant and opinionated community.

However, there were novel findings from the PH community based on some of the answers and comments for this question:

  1. paleo does not necessarily mean healthy (but a consensus on what healthy means could not be reached either).

  2. for some people paleo is a means of self-expression and individualism (explaining the emotive responses when paleo food icons are challenged).

  3. there is a culture of anti-establishmentarianism and mistrust in accepted medical and scientific findings.

Given such strongly held views it's unsurprising that an evidence based methodology is not commonly adopted when evaluating health benefits.

No consensus could be reached at this time on what constitutes "healthy" in food, and on how paleo foods can be measured against a health scale.

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No, it more implies that people still have differing opinions on what is or is not healthy. – Varelse Oct 6 at 16:58
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I think your issue is that you keep attempting to define what even you call a "template". And a template that is meant to be fluid and changing at that. Seems like a less than fruitful endeavor. All you should really attempt is to define things for yourself. – JayJay Oct 6 at 17:22
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If all we can do is define things for our selves, why then should we seek advice and and provide it to others? – meta Oct 7 at 1:31
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I said it before Harry, if your quest for optimal causes you to rule out reasonable vices like a couple pieces of bacon, an occasional cup of coffee or the odd bit of dark chocolate you are going to be doing more damage to yourself from obsession than any of those foods would ever do to you. OCD isn't Paleo in my book. – Satchmo Oct 7 at 2:34
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LLM, I've also said before that I have no issue with vices whether they be bacon or cigars. My objective is to foster critical thinking about what makes a food paleo. It's perfectly OK to challenge conclusions and the evidence they are founded on - its one of the central aims of peer review. – meta Oct 7 at 8:02
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Nutritional thresholds (however defined) may be outside the realm of Paleo, even though many Paleos use them. Your dietary choices are arguably a mash-up of multiple philosophies. Some of these philosophies are Paleo--avoiding grains, eating more meats, etc. Others may come from separate diet families or from common sense. I would try to maximize my micronutrient intake no matter what diet I'm using. I think we, as a community, have a tendency to ascribe any healthy behavior to Paleo, when Paleo is really just a component of the gestalt.

Grok wouldn't have worried about the ANDI of his lamb shank.

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I also want to mention that I don't think anybody can definitively say what's healthy. Everyone, even experts, work on imperfect information. That being said, Paleo concepts are consistent with some scientific evidence, and it's better to choose a dietary philosophy and stick to it than throw up one's hands and capitulate to dietary indifference. – Elunah Oct 8 at 13:27

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