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OK, I got into a debate with a co-worker and it seems that we have very different opinions on the Inuit diet and its effect on their health. Her husband is an ER doc who has spent some time in Alaska. He noticed a lot of Inuit with cardriovascular disease(CVD). According to them, the Inuit diet is linked to an increased incidence of CVD, stroke, and a shorter lifespan.

I didn't directly argue as I don't have the facts memorized and I hate looking ignorant. I merely stated that I thought there was a study or two refuting that and that perhaps his experience is the result of seeing their diet shift towards a Western diet.

I came home to do some research and find out that there are studies supporting both conclusions.

Here, Dewailley claims the increased O3 consumption is beneficial for the heart.

Here, Bjerregard claims that those claims are baseless and that a Western diet seems to be curbing a CVD epidemic.

It seems to me that the Inuit may be genetically destined to have a shorter lifespan. Perhaps some of that can be contributed to a highly stressful living environment. It also seems likely that a traditional diet w/o a Western influence would lead to lower CVD rates, but not necessarily a long lifespan (over 75ish years). The combination of the high fat traditional diet and an increasing number of Western meals seems to directly affect CVD rates.

Has anyone else done extensive research on this? Has anyone else had this discussion? I am really curious to hear other's opinions. As my co-worker and I work in the medical field, citation of sources would be very helpful.

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7 Answers

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Cancer and Life Expectancy

Whole health source has a post on mortality rates in an Inuit population from 1822-1836. "Excluding infant mortality, about 25% of their population lived past 60."

Life expectancy in the Inuit-inhabited areas of Canada, 1989 to 2003 "In 1991, life expectancy at birth in the Inuit-inhabited areas was about 68 years, which was 10 years lower than for Canada overall. From 1991 to 2001, life expectancy in the Inuit-inhabited areas did not increase, although it rose by about two years for Canada as a whole."

Cancer patterns in Inuit populations. "Although malignant diseases were believed to be almost non-existent in Inuit populations during the beginning of the 20th century, the increasing life expectancy within these populations showed a distinct pattern, characterised by a high risk of Epstein-Barr virus-associated carcinomas of the nasopharynx and salivary glands, and a low risk of tumours common in white populations, including cancer of the prostate, testis, and haemopoietic system."

The Inuit cancer pattern - The influence of migration "Significant higher risk of cancer of the bladder, breast, prostate gland, skin, brain and stomach was observed among Inuit following migration to Denmark. The SIR was not generally influenced by duration of stay. The high risk of carcinoma of the nasopharynx and salivary glands observed in Inuit populations is maintained after migration to a low incidence area."

Cancer in Circumpolar Inuit 1969-1988

Cancer in Greenlandic Inuit 1973-1997: A cohort study

CVD

This William Lands paper has some data suggesting modern Quebec Inuit have low rates of CVD (Figure 2, page 8), about 50% lower than the general rate of CVD in Quebec.

Land's book "Fish and Human Health" and it's update "Fish, Omega-3 and Human" both discuss a number of studies on the Inuit.

Epidemiological studies in the Upernavik district, Greenland. Incidence of some chronic diseases 1950-1974. "The disease pattern of the Greenlanders differs from that of West-European populations, having a higher frequency of apoplexy and epilepsy but a lower frequency or absence of acute myocardial infarction, diabetes mellitus, thyrotoxicosis, bronchial asthma, multiple sclerosis and psoriasis."

Fat metabolism in Alaskan Eskimos "In the Alaskan Eskimos, however, there is a consistently high serum cholesterol, on one hand; repeated clinical surveys, on the other, indicate an almost total absence of cardiovascular-renal diseases in the population."

The bleeding tendency in Greenland Eskimos "Related to this decreased morbidity is the greater bleeding tendency among Greenland Eskimos, summarized by Bang and Dyerberg (1980)."

Fatty acid composition of the plasma lipids in Greenland Eskimos "They [Greenland Eskimo] demonstrated a much higher proportion of palmitic, palmitoleic, and timnodonic acids, while they had a markedly lower concentration of linoleic acid. The total concentration of polyunsaturated fatty acids was lower in Greenland Eskimos than in the other groups ... As plasma lipid and lipoprotein levels in Greenland Eskimos in a previous study were found markedly lower than those found in Western populations, and as coronary atherosclerosis seems to occur far less commonly among Eskimos in Greenland than among peoples in industrialized countries, it was found difficult to combine these observations with the results from the present study."

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Nice study roundup. – pfw Jun 15 2010 at 10:55
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There is some evidence it's suboptimal:

  • Decreased blood clotting. High levels of omega-3 caused this (I've suffered from this problem when I was paleo pescatarian. I injured myself biking and just bled and bled and bled.
  • Some evidence of hardened arteries (though can be caused by their cooking/heating system, which led to a lot of smoke inhalation)
  • Some evidence of osteroporosis

The latter two are discussed by Primal Wisdom and Cordain

There is very no evidence I know of that they are healthier than the Kitavans or other carby populations. In fact, the Kitavans smoke like chimneys and don't have the hardened arteries.

That said, the modern Inuit do not eat a traditional diet. Yes, they still eat some traditional seafoods, but proving you can't cancel out crap foods by downing fish oil, they have serious health problems.

And omega-3 IS PUFA. Kurt Harris is right to suggest you keep total PUFA low- with of course, a proper ratio in that low percentage.

Remember: Zero carb is not paleo. Far northern civilizations are fairly recent. Humans are not well adapted to such conditions.

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Good info - I hadn't thought of the smoke inhalation factor. I agree with the fact that they don't really eat their traditional diet anymore. It just seems that they are an extreme case in terms of diet and are unjustly used to support/refute the idea of a higher fat & protein diet. The support and refutation is simply in the analyzing/skewing of the info. Thanks for your input! – Paleotron Jun 15 2010 at 2:41
I assume you mean Paleo does not imply Zero Carb. Zero carb (in the eating only meat sense) qualifies as Paleo. – Ambimorph Jun 19 2010 at 15:11
Yeah, zero carb can be (and almost always is) paleo, but not all paleo dieters are zero carbers – Bread-Eating Beelzebub Jun 19 2010 at 17:01
The northern civilizations were not the only ones eating zero carb. American and Canadian plain indians relied solely on buffalo and I'm sure there are others than I don't know of. Barry Groves talked about this for when Europe was in a glaciation period. All humans living in Europe around that time would have relied entirely on meat. – Paleo Seb Aug 20 2010 at 17:39
Having lived in the high arctic, I can tell you that plants do grow and I enjoyed berries(though sour) in the dead of winter, as well as pine needle teas. I would suggest reading Make Prayers to the Raven. – Bread-Eating Beelzebub Aug 20 2010 at 17:51
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There are no longer Inuits that eat the Inuit diet. Modern Inuit eat cheetos.

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That's just sad. I don't know if I want to take blame for it, since I don't come from British or French heritage. But it's still something that needs to be addressed. While I don't suggest that modern Inuit give up modern conveniences of housing, computers etc. I really wish they could return to their traditional way of eating. (Although that must be tough with all the flack from environmentalists about 'saving' the whale/seal/polar bear...anything!) I would honestly feel comfortable eating a traditional Inuit diet if I had to! (I try to maintain a degree of ketosis anyway) YAY! – Melodie Jul 9 2011 at 20:32
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These statistics do not reflect the fact that the Inuit's diet has been westernized for many decades. Back in the 1960's my father saw them use Crisco on their bread instead of butter. This was in remote area and that virtually was closed off from the rest of the population for months. Bread and Crisco not true Inuit diet.

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Same thing's going on with other New World indigenous. All the diabetes and obesity is following on the heels of adopting white man's industrial diet, NOT from eating their own traditional foods. – Dana Feb 14 2011 at 23:20
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Where I come from many families rely completely on traditional foods, of course we have a higher rate of obesity because of the influence of western foods. Foods such as refined flours, and other items such as lard and wesson oil, what was once non-existent is now a very bad problem. This is proof that humans aren't made to consume such things as milk, many people have a hard time digesting it; a cow has 4 levels in its stomach, we have only one. Grains make people fat, its true; people are genetically still in the stone age, physically, and so we're much more suited to eating mostly meat, fruits and veggies as well as nuts, seeds and other food. Grains are empty calories and that means that they do us no good; sure people may say that they are good for you. You see people who consume a traditional eskimo diet while being active live longer; many of our people live to 90 or older, and it seems like they are in their 70s its because of native food.

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Lard is actually quite healthy. It's pig fat and it's mostly saturated and monounsaturated fat. – Paleo Seb Aug 20 2010 at 17:43
Lard is more monounsaturated than saturated. Read the label. It's still better for you than Crisco, but it's not as good for you as tallow. – Dana Feb 14 2011 at 23:22
and James, the Maasai get by fine on milk. I think most of us would, except the milk-protein-allergic (either protein). The problem is what's done to the milk these days before it's consumed, not so much the milk itself. – Dana Feb 14 2011 at 23:23
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Their diet is based on survival in the Arctic. The environment is not optimal for humans. It's very cold, but our species evolved in very warm climates. Because of the Arctic environment, Vitamin D is going to be low. There isn't much edible plant foods to be found so they have to rely on a high-fat diet with lots of raw organ meats, raw skin and blubber. Their traditional diet does not have much muscle meat because that would cause protein poisoning because when calories come mostly from protein this puts stress on the liver. Carbs and fat help balance this out, but they don't have enough carbs, so they have to eat mostly fat and raw organs (which lose their Vitamin C when cooked). They don't do it for optimal health, they do it for survival.

This is VERY different from the paleo diet. I don't think anyone should advocate a traditional Inuit diet. Not because I think "everyone is different", no we're not THAT different. I wouldn't even advocate the Inuit diet to a modern Inuit, who has heating and a fridge. In my opinion the Inuit diet is a diet of necessity and the vast majority of humans would certainly prefer something else when we live in situations where we have access to a good variety of food sources.

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Their vitamin D levels is actually quite high and this is why they have a brownish skin. It's high because a good source of vitamin D is fatty fish, and they eat a lot of it. I'm sure they were not worried about protein poisoning. When you eat 60%-70% of your calories as fat, there is still some place for plenty of muscle meat and you are far far away from protein poisoning. Do you have any data on vitamin C levels of cooked liver? Not that I doubt you, I'm just curious to know if we have evidence about this. – Paleo Seb Aug 20 2010 at 17:39
Everybody ate for survival in the old days. Big deal. When you are getting what you need from your diet, eating becomes a survival thing because you don't have to make up for your malnutrition by entertaining yourself with food toys. A lot of what passes for "enjoyment" in modern cuisine is really us justifying our poisons to ourselves. I'd rather eat an Inuit diet than ever touch cake again. – Dana Feb 14 2011 at 23:22
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I brought this one back rather than write a new question. It concerns studies done on the Greenland mummies:

http://www.mummytombs.com/mummylocator/group/greenland.htm

While this is a pretty salacious link, I feel a need to get the book by the discoverers of the mummies, as well as research on the causes of death. There are some anti-paleo sentiments floating around the web associated with these mummies.

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It's silly if anyone thinks there is any diet that 100% prevents cancer. I've seen skulls deformed by cancer from every part of the world. That said, the Inuit lifestyle was unusually harsh. Homo sapiens are not very well adapted to polar climates and the smoke used to heat and cook in igloos is like smoking a pack a day. – Bread-Eating Beelzebub May 9 2012 at 20:34
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Also Greenlanders have the highest rates of Epstein-Barr virus associated carcinomas. – Bread-Eating Beelzebub May 9 2012 at 20:38
LOL melissa, I just read your blog comments from a month ago on the current mummy craze. I think you said it best in this quote: Conclusion on Mummies: Relevance to your health: low Chance of being haunted by vengeful undead: high – thhq May 9 2012 at 22:02

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