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LACTICÍNIOS E SAÚDE HUMANA




Lisboa, 24 de Setembro de 2011   Pedro Carrera Bastos
HISTÓRIA DOS LACTICÍNIOS
                       !
values defined by health institutions ( 120 mm Hg

Table 1 Historical milestones in human generations14,63–65                                                     T
                                                                                                               Y
Historical milestones                                         Generations                         % total
Homo habilis                                                  76,667                              100.0        A
Homo erectus                                                  60,000                              78.2         0
Modern Homo sapiens                                           6666                                8.7          1
Neolithic Revolution                                          366                                 0.48         2
Industrial Revolution                                         7                                   0.009        3
Food industry (junk food) and                                 4                                   0.005        4
physical inactivity (Modern Age)                                                                               5




16            submit your manuscript | www.dovepress.com
 Carrera-Bastos P, Fontes-Villalba M, O'Keefe JH, Lindeberg S, Cordain L. Res Rep Clin Cardiol 2011;2:15-35.

                Dovepress
!!
                      !Tal como todas os seres vivos,
                        o Homo sapiens do
                        Séc. XXI está
                        geneticamente adaptado
                        para o ambiente em
                        que os seus
                        antepassados
                        sobreviveram e que em
                        consequência condicionou os
                        seus genes.!


Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54!
QUAL FOI O NOSSO NICHO
    ECOLÓGICO???  !
ORIGENS DO HOMEM!
                       Homo sapiens
                  0                                H. heidelbergensis
                                                                 H. erectus                                                   Paranthropus
                      H. neanderthalensis
                                                                                                                              boisei
                  1
                                            H. antecessor                             H. habilis          P. robustus


                  2
                                                            H. ergaster                       Au. garhi
                                                                        Au.
                  3                                                     rudolfensis                                     P. aethiopicus
Milhões de anos




                                                    Kenyanthropus                                           Au. africanus
                                                    platyops    Au.
                                                                bahrelghazali
                  4                                                                                                               Ardipithecus
                                                                                                                                  ramidus
                                                                                                      Au. afarensis
                                                                                 Au.
                                                                                 anamensis
                  5

                                                                                                                                   Orrorin
                                                                                                                                   tugenensis
                  6



                  7
                                                                                                                         Sahelanthropus
                                                                                                                         tchadensis

                  8



                                  Adaptado de Wood B. Nature 2002:418:133-35 e de Cordain L, 2009!
!Todos os humanos que vivem!
      na Europa, Ásia, Oceania e
           América têm uma !
!          !            ORIGEM AFRICANA!                                                                                         Etiópia!




        !!
       MENOR DIVERSIDADE GENÉTICA                                                                                 Liu H, et al., 2006!

             FORA DE ÁFRICA !

    Relethford JH. Heredity. 2008 Jun;100(6):555-63.!        Jakobsson M, et al. Nature 2008; 451(7181):998-1003!
    !                                                        !
    Manica A, et al. Nature; 2007; 448(7151):346-8!          Hellenthal G, Auton A, Falush D. PLoS Genet. 2008 May 23;4(5):e1000078!
    !                                                        !
    Liu H, et al. Am J Hum Genet. 2006 Aug;79(2):230-7!      Ramachandran S, et al. Proc Natl Acad Sci U S A. 2005 Nov 1;102(44):15942-7!
    !                                                        !
    Conrad D, et al. Nat Genet 2006; 38: 1251–1260!          Prugnolle F, Manica A, Balloux F. Current Biology 2005; 15:R159–R160!
    !                                                        !
    RAY N, et al. Genome Res 2005; 15:1161–1167!             Cavalli-Sforza LL, Feldman MW. Nat Genet 2003; 33:266–275!
    !                                                        !
    Macaulay V, et al. Science 2005; 308(5724):1034-6!       Tishkoff S, Williams S. Nat Rev Genet 2002; 3: 611–621!
    !                                                        !
    Currat M, Excoffier L. PLoS Biology 2004; 2: 2264–2274!   Harpending, H, Rogers, AR. Annu Rev Genomics Hum Genet 2000; 1:361–385!
População de Homo sapiens de ~1.000 indivíduos!
            emigrou para a Eurásia há ~!
             50 a 60,000 anos !
        e habitaram todo o planeta !
              Liu H, et al. Am J Hum Genet. 2006 Aug;79(2):230-7!
CARACTERÍSTICAS UNIVERSAIS DO ESTILO
DE VIDA DE CAÇADORES -RECOLECTORES!
ACTIVIDADE FÍSICA OBRIGATÓRIA




         VITAL PARA A
       SOBREVIVÊNCIA!

       Cordain L, et al. Int J Sport Med 1998;19:328-335.
CICLO SONO-VIGÍLIA




Todos os humanos, até a invenção da luz artificial, dormiam
    em sincronia com a variação diurna da luz!

           Wiley TS, Formby B, Lights Out – Sleep, Sugar and Survival. Pocket Books, New York, 2000
RADIAÇÃO UV CONSTANTE




Figure 1. The potential for synthesis of previtamin D3 in lightly pigmented human skin computed from annual average UVMED. The highest annual
values for UVMED are shown in light violet, withNG, Chaplinlower values in dark violet, then in light to dark shades of blue, orange, green and gray
                                     Jablonski incrementally G. J Hum Evol. 2000 Jul;39(1):57-106
(64 classes). White denotes areas for which no UVMED data exist. Mercator projection. In the tropics, the zone of adequate UV radiation throughout
DIETAS DOS C-R!
FONTES VEGETAIS !

!
ü  Plantas!

ü  Raízes e tubérculos!

ü  Frutos do Bosque!

ü  Fruta!

ü  Oleaginosas!
!
!
               Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54!
FONTES ANIMAIS !

                                              ü  Animais
                                                  terrestres
                                                  selvagens !
                                              (músculo, gordura e
                                              vísceras)!

                                              ü  Aves!
                                              ü  Insectos!
                                              ü  Peixe e outros
                                                  alimentos
                                                  marinhos!
Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54!
O QUE NÃO COMIAM
OS CAÇADORES-RECOLECTORES?
Lácteos



Açúcar isolado                                                                                             Cereais
    (excepto mel)
                                          Sal                      Leguminosas




         Álcool                        Carne de animais                                          Óleos Vegetais
                                     domesticados obesos
                             Cordain L. Implications of Plio-Pleistocene Hominin Diets for Modern Humans. !
 In: Early Hominin Diets: The Known, the Unknown, and the Unknowable. Ungar, P (Ed.), Oxford University Press, Oxford, 2006, pp 363-83 !
LEITE? PORQUE NÃO?!
Comparison of Infant Feeding Patterns Reported for Nonindustrial
                                        WEANING IN NONINDUSTRIAL SOCIETIES
                  Populations with Current Recommendations
                                                         WEANING IN NONINDUSTRIAL SOCIETIES                                                                                                                              270
                                                  1
                           Daniel W. Sellen                            TABLE 1
                                                                     TABLE 1Emory University, Atlanta, GA 30322
                           Departments of Anthropology and International Health,
                        Indicators of ages at complementary feeding and weaning reported for nonindustrial societies
                      Indicators of ages at complementary feeding and weaning reported for nonindustrial societies
                           ABSTRACT The observation that young child-feeding practices rarely conform to current global estimate
                                                             Reported                                  Best estimate        Best recommenda-
                           tions is of major public health ages of policy concern and raises questions about Best of average
                                          Reported            nutrition
                                                          Reported                                 Best of average whether near-universal Best estimate
                                                                                                          estimate            estimate
                           compliance with recommendations is feasible in any population. This analysis uses indicatorsof averageof
                                           age of
                                      Reported             introduction
                                                           ages of                                          age of
                                                                                                     of average           of age at introduction estimate
                                                                                                                                age          Best of average
                  Dates ofof complementary foods and termination of breastfeeding available from age of
                             data       introduction introduction
                                         age of                  of          Reported ages of           ethnographic and demographic reports averageof
                                                                                                         introduction        introduction
                                                                                                                            age of            of     age
  Ethnic                   publishedintroduction
                  collection (or
                Dates of data         between 1873 and 1998 to test the hypothesis thatof
                                       of nonbreast          nonbreast Reported ages ofrecent introduction
                                                              of                 cessation           and contemporary introduction societies age of
                                                                                                        of nonbreast nonindustrial
                                                                                                                            of nonbreast         cessation of
  designation
Ethnic          collection practice patterns of infant feeding concordant withbreastfeeding recommendations. Results nonbreast ethno- breastfeeding
                   publication)
                            (or          milk liquids
                                    of nonbreast            milk solids
                                                          nonbreast          cessation global
                                                                                 current of               milk liquids of suggest that
                                                                                                    of nonbreast              milk solids cessation of              So
designation                graphically reported average milk solids
                 publication)        milk liquids        ages at introduction of nonbreast milk liquids (4.5 6 6.0 mo) and solids (5.0 6 4.0 mo)
                                                                            breastfeeding            milk liquids        milk solids         breastfeeding     Source
                           and the duration of breastfeeding (29.0 6 10.0 mo) among a sample of 113 such populations concord with those
                                                                                                              mo                  mo
                           at which key weaning transitions are biologically optimal for most normal healthy children. However, wide variation
                                                                                                                                                      mo
                                                                                                          meses              meses              meses
                           in estimates across populations remains unexplained and serious limitations in the available data preclude proper mo
                                                                                                          mo                  mo




                                                                                                                                                         Downloaded from jn.nutrition.org by on September 8, 2008
 Amele1           1983–1994                                 7–8 mo                 3
                           assessment of the underlying distribution of the 36.3 of weaning transitions within populations. 7.5Nutr. 131: 36.5
                                                                              timing                           —                    J.                             (84
Amele1
 Amhara         1983–1994
                  1958–19612707–2715, 2001.              7–8 mo           36.33 y
                                                                             2–3                           — —                 7.5 —           36.530         (84) (85
Amhara
 Aranda         1958–1961
                  1881–1935,                                             2–3 y y
                                                                            2–5                           — —                  — —              30 39                                                               (85) (86
Aranda          1881–1935,
                     (1929)KEY WORDS: c breastfeeding c child survival y public health policy c —
                                                                         2–5 c                                                 —
                                                                                                           infant feeding c cross-cultural      39                                                                  (86,87)
 Arapaho           (1929)
                  1935–1942                                                 4 y usual, as old                 —                    —                48                                                                   (88
Arapaho         1935–1942                                                4 y usual, y breastfeeding is — 18 mo (23). Globally, it has been esti-
                                                                               as 8 as old
                      Observational studies show that exclusive breastfeeding in                          only                 —                48                                                                  (88)
 Araucani1                                                                 as 8 y
                  the early months, continued partial breastfeeding and timelyy
                  1946–1952                                                 1–2                               —                    —
                                                                                        mated that 85% of mothers do not conform to current recom-  18                                                                   (89
Araucani12
 Aymara         1946–1952 to high quality nonbreast milk foods deliver physi-y; 2–2.5 y
                  1940–1942;
                  transition                                1.5 y        1–2 y
                                                                            1–2         mendations (24). Attempts to improve maternal 18 18; 27
                                                                                                          — —                  — 18             and child                                                           (89,88)
                                                                                                                                                                                                                         (90
Aymara2         1940–1942; economic benefits to mothers and maximize y; 2–2.5 y
                     1961–1962
                  ological and                           1.5 y           1–2 nu-        health are often—  frustrated because18                18; 27
                                                                                                                               normative practices differ                                                           (90,91)
 Azande            1961–1962
                  1911–1932 growth, development and survival for normaly
                  trient intakes,                           Early           3–4                               0 recommended ones for a number of rea-
                                                                                                                                   0                42                                                                   (92
                                                                                        quite markedly from
Azande
 Badaga         1911–1932                                Early trials    3–4 y
                  healthy children (1–5). Recent randomized mo lend strong
                  1962–1977                                 3–5             1y                           0 —                   0 4              42 12                                                               (92) (93
                                                                                        sons. For example, perceived milk insufficiency, work activities
Badaga Chan
 Bang           1962–1977 the hypothesis that delaying mo introduction of mo (12–22
                  support to
                  1952–1954                              3–5 the         1 y5–36                          — —                  4 —              12 13                                                               (93) (94
                                                                                        and lack of social support often undermine maternal inten-
Bang Chan       1952–1954                                                5–36 mo (12–22
                                                                               mo
                  complementary foods until 6 mo often benefits infants and usual); to initiate — maintain breastfeeding (25–29). In some
                                                                                                                               —                13                                                                  (94)
                                                                                        tions             and
                                                                           momedian 13 mo3
                  mothers through reduced disease exposure, increased breast    usual);
                                                                                        settings, ethnographic studies show that scientific claims about
 Banoi            milk intake and lengthened birth intervals (4,6 –9). Such1.5–6 or older3benefits of exclusive and continued breastfeeding53
                  (1965)                                                   median 13 mo
                                                                             data       the                   —                    —                  lack                                                               (95
Banoi           (1965) attention on As soon as
                                        the scheduling and As soon as sucklingy older
                                                            frequency of 1.5–6 or
 Bellacoola       focus
                  1922–1924                                                 2–3         local credibility — 0                  — 0              53 30
                                                                                                           because they conflict with local understand-                                                              (95) (96
Bellacoola      1922–1924 nutritional quality and timing of as
                                     As soon as          As soon introduction of
                                                               possible 2–3 y
                  and on the              possible                                      ings of the best 0strategies to enhance child survival30 –32).
                                                                                                                               0
                                                                                                                                                 (30                                                                (96)
                                        possible           possible
                  nonbreast milk substances (10 –13). The data suggest that ay
 Bemba            1930–1934                                                 2–3         These include delayed initiation of —
                                                                                                              —                    breastfeeding, use of
                                                                                                                                                    30                                                                   (97
Bemba           1930–1934
                  specific subset of the potentially infinite variety of 2–3 y
 Bhil             1943–1954             From birth          10–11 mo     possible       prelacteals, discarding of colostrum,— 10.5
                                                                                                          —
                                                                                                              0
                                                                                                                                                30
                                                                                                                                early introduction of wa-
                                                                                                                                                        —
                                                                                                                                                                                                                    (97)
                                                                                                                                                                                                                         (98
Bhil
 Buka             breastfeeding andFrom birth
                1943–1954
                  1929–1930           complementary feeding practices is optimaly
                                                         10–11 mo
                                                            From birth      4–5         ter, herbal teas 0 —
                                                                                                          and nutritive liquids and the delayed — of
                                                                                                                              10.5
                                                                                                                                   0                use
                                                                                                                                                    54
                                                                                                                                                                                                                    (98)
                                                                                                                                                                                                                         (99
Buka              across a range of settings (14,15). From birth
                1929–1930                                                4–5 y                            —
                                                                                        semisolids and solid —                 0                54
                                                                                                               foods (24,33–38). Thus, in many contem-                                                              (99)
 Burmese          1949–1950                                                 2–3 y                                                  —                30                                                                   (10
Burmese               It is logical to assume that recommendations based yon
                1949–1950                                                2–3                              —                    —                30                                                                  (100)
 Cayapa           1959–1960 of clinical outcomes reflect an adaptive pattern 3 y porary societies, a 2
                  comparison            2 mo                4 mo            Up to                             complex mix of material and ideological
                                                                                                                                   4                36                                                                   (10
Cayapa          1959–1960            2 mo                4 mo            Up to 3 y
 Chipewyan                                                                              factors seem to 2 —
                                                                                                         constrain patterns of child feeding. 36 42
                                                                                                                               4                                                                                    (101)
Chipewyan         naturally selected to optimize the sometimes-conflicting3–4 y
                  1960–1962
                1960–1962                                                    bio-
                                                                         3–4 y                                                     —                                                                                     (10
 Chuckchee        logical interests of infants, mothers, 1 y and affines (16 –21).y
                  1919–1921                              kin y
                                                            1               3–4            The scientific knowledge upon — 12 our current child-
                                                                                                          —
                                                                                                                               which            42                                                                  (102)
Chuckchee       1919–1921                                                3–4 y 3                          — —                 12                42 42                                                               (103)(10
 Datoga           1991–1992             3.6 mo3                   mo3
                                                            10.6 to which21.93
                                                                            21.9        feeding recommendations are based is 10.5 recently acquired
                                                                                                              3.5                 only
Datoga          1991–1992 arise, however, about the 10.6 mo3
                  Questions          3.6 mo3             extent           current                        3.5                                    30 30                                                               (38) (38
 Delaware1        recommendations based on clinical observation fit with actualy
                  1951–1952                                                 2–4         and remains limited—    (39). It would10.5 — to know to36
                                                                                                                               be useful             what                                                                (10
Delaware1       1951–1952                                                2–4 y                            —                    —                36                                                                  (104,10
                     (1950)
                  care-giving behaviors across the breadth of human societies           extent populations primarily dependent on nonindustrial tra-
                   (1950)
 Dogon                                                                                  ditional modes of subsistence achieved optimal infant-feeding
Dogon           (1960) about the acceptability and feasibility of compliance yin
                  (1960)
                  and                                                    2 y2                                 —                — —              24 24                                                                   (10
 Dorobo           1938–1939                                                 1y          patterns and to —
                  specific cultural contexts. It isSellen DW. J Nutr. 2001 Oct;131(10):2707-15! — — any common factors that undermine
                                                                                                          identify                 —
                                                                                                                                                                                                                    (106)
Dorobo          1938–1939                           estimated that in developing
                                                                         1y                                                    —                12 12                                                                   (10
                                                                                                                                                                                                                    (107)
 Fang             countries, where the relative benefits of optimalyfeeding are to 2 y
                  1946–1954                                 Before 1        18 mo       optimal feeding in nonindustrial modern and postmodern set-
                                                                                                              —                    6                21                                                                  (10
Indicators of ages at complementary feeding and weaning reported for nonindustrial societies
Buka          1929–1930                              From birth    4–5 y                           —                0            54             (99)
Burmese       1949–1950                             Reported       2–3 y                           —
                                                                                        Best estimate               —
                                                                                                         Best estimate           30             (100)
Cayapa        1959–1960         2 Reported
                                  mo                 4 mo of
                                                     ages          Up to 3 y                      2
                                                                                          of average                4
                                                                                                           of average            36
                                                                                                                         Best estimate          (101)
Chipewyan     1960–1962            age of         introduction     3–4 y                    age of —         age of—             42
                                                                                                                           of average           (102)
Chuckchee     1919–1921
              Dates of data     introduction         1 yof         3–4 y
                                                                  Reported ages of                 —
                                                                                         introduction             12
                                                                                                          introduction       age42of            (103)
Datoga
Ethnic        1991–1992
               collection (or   3.6 mo3
                                of nonbreast         10.6 mo3
                                                    nonbreast      21.93
                                                                    cessation of                  3.5
                                                                                        of nonbreast              10.5
                                                                                                         of nonbreast            30
                                                                                                                          cessation of          (38)
Delaware1
designation   1951–1952
                publication)     milk liquids      milk solids     2–4 y
                                                                   breastfeeding                   —
                                                                                          milk liquids              —
                                                                                                           milk solids           36
                                                                                                                         breastfeeding          (104,105)
                                                                                                                                            Sources
                  (1950)                                                                     meses           meses            meses
Dogon         (1960)                                                2y                       mo —            mo —              mo24             (106)
Dorobo        1938–1939                                             1y                          —                 —              12             (107)
Fang 1
 Amele        1946–1954
              1983–1994                           7–8 mo 1 y
                                                   Before         36.33 mo to 2 y
                                                                    18                       — —              7.5 6         36.5 21        (84) (108)
Fulbe
 Amhara       (1992)
              1958–1961                                           2–3 y                      — —              — —           30 24.53       (85) (109)
Gainj
 Aranda       1982
              1881–1935,                            9–12 mo       2–5 y                      — —              — 10.5        39 38.53            (110)
                                                                                                                                           (86,87)
Garo             (1929)
              1954–1956         “Early”             9–12 mo         Almost 2 y                 0                 10.5            24             (111)
 Arapaho
Goajiro       1935–1942
              (1950)                                6–8 mo        4 y usual, as old
                                                                    1–3 y or later           — —              — 7           48 24          (88) (112)
Gond/Maria    1927–1934,                                            Up 8 y 3 y
                                                                    as to                       —                 —              36             (113)
 Araucani1    1946–1952
                  1940–1941                                       1–2 y(walking)             —                —             18             (89,88)
Gros 2
 Aymara       1940–1942;
              1940–1948                           1.5 y           1–2 y or more
                                                                    2 y; 2–2.5 y             — —             18 —          18; 2724        (90,91)
                                                                                                                                                (114)
   Ventre        1961–1962                                             (sometimes as
 Azande       1911–1932                           Early           3–4 y as 6)
                                                                       old                   0                0            42              (92)
 Badaga
Hadza         1962–1977
              1980–1992                           3–5 mo          1 y or 3 y
                                                                    2                        — —              4 —          12 30           (93) (115)
Hare Chan
 Bang         1952–1954
              (1962)                                6 mo          5–36 mo (12–22
                                                                    2–3 y                    — —              — 6          13 30           (94) (116)
Hausa         1949–1950                                             2 y usual);
                                                                    mo
                                                                                    3
                                                                                               —                —             24                (117)
Humbebe       (1992)                                                29.63 13 mo
                                                                    median
                                                                                               —                —             29.5              (109)




                                                                                                                                                    Downloaded from jn.nutrition.org by on September 8, 2008
 Banoi        (1965)                                              1.5–6 or older             —                —            53              (95)
Igbo1,2       1929–1932,                                            2.5–3 y; 2–3.5 y           —                —             33; 33            (118,119)
 Bellacoola   1922–1924         As soon as        As soon as      2–3 y                      0                0            30              (96)
                  1951–1960
                                  possible          possible
Igorot
 Bemba        (1985)
              1930–1934                            4 mo           2–3 y y
                                                                    1–1.5                    — —              — 4          30 15           (97) (120)
Ila
 Bhil         1902–1914
              1943–1954         From birth         “Very
                                                  10–11 mo          2–3 y                    0 —             10.5 0           — 42         (98) (121)
 Buka         1929–1930                               early”
                                                  From birth    4–5 y                        —                0            54              (99)
Iroquois
 Burmese      1951–1956
              1949–1950                                         2–3 y y
                                                                   3–4                       — —              — —          30              (100) (122)
Javanese
 Cayapa       1952–1904
              1959–1960         2 mo                 From birth
                                                   4 mo         Up tomoy to several
                                                                   14 3                      2 0              4 0          36 14           (101) (123)
 Chipewyan    1960–1962                                         3–4 y y                      —                —            42              (102)
Jivaro2
 Chuckchee    1917–1928,
              1919–1921                            1 Teething
                                                     y          3–4 y y; 4–7 y
                                                                   2–3                       — —             12 —          42 30; 66       (103) (124,125)
 Datoga          1956–1907,
              1991–1992         3.6 mo3            10.6 mo3     21.93                        3.5             10.5          30              (38)
 Delaware1       1964, 1969
              1951–1952                                         2–4 y                        —                —            36              (104,105)
Kapauku       1954–1955
                (1950)                                             3y                            —                —             36               (126)
Kikuyu
 Dogon        1925–1952
              (1960)                                            2 y least 2 y
                                                                   At                        — —              — —          24 24           (106) (127,128)
Klamath
 Dorobo       (1950)
              1938–1939                                         1y 2–3 y                     — —              — —          12 30           (107) (129)
 Fang
Kogi          1946–1954
              1946–1950                            Before 1 y   181moor less
                                                                     y to 2 y                — —              6 —          21 12           (108) (130)
 Fulbe
Koryak        (1992)
              1900–1902                              Early         2–3 y                     — —              — 0          24.5330         (109) (131)
 Gainj
Kpelle1,2     1982
              1914–1915,                           9–12 mo
                                                     Early         1.5 y or older;           —0              10.5 0        38.53 33; 30
                                                                                                                               18;         (110) (132–135)
 Garo         1954–1956
                 1957–1958,     “Early”            9–12 mo      Almost 2 y (2.5
                                                                      1–4 y                  0               10.5          24              (111)
 Goajiro      (1950)
                 1968–1969,                        6–8 mo       1–3 y or later 2–4 y
                                                                      average);              —                7            24              (112)
 Gond/Maria   1927–1934,
                 1970–1971                                      Up to 3 y                    —                —            36              (113)
Kwoma           1940–1941
              1936–1937                                            (walking)
                                                                   2–4 y                         —                —            36                (136)
 Gros
Lolo2         1940–1948
              (1924, 1947)                           From birth 2 y or morey
                                                                   1 y; 4–5                  — —              — 0          24 54; 12       (114) (137)
   Ventre
Lozi2         (1922, 1944)                                         18 mo; 2–3 as
                                                                   (sometimes y                  —                —             18               (138)3
                                                                   old as 6)
Hadza         1980–1992                                         2 or 3 y                 —                    —            30               (115)
                                                                                                                                         (table continued
Hare          (1962)                               6 mo         2–3 y                    —
                                                Sellen DW. J Nutr. 2001 Oct;131(10):2707-15!                  6            30              (116)
Indicators of ages at complementary feeding and weaning reported for nonindustrial societies
                                                         Reported                                 Best estimate        Best estimate
                                      Reported            ages of                                   of average              Best estimateBest estimate
                                                                                                        Best estimate of average
                                       age of          introduction                                        of average
                                                                                                      age of                  of average ofBest estimate
                                                                                                                           age of              average
               Dates of data        introduction of Reported ages of
                                    Reported age             of         Reported ages of           introduction of
                                                                                                             age        introductionof
                                                                                                                                age           age average
                                                                                                                                                of of
Ethnic           Dates of data
               collection (or                               introduction of cessation of ages of nonbreast
                                    of nonbreast of nonbreast
                                     introduction                               Reported          of      introduction of nonbreast               age of
                                                                                                                             introduction cessation of
 Ethnic
designation     publication) (or
                 collection                                 nonbreast milk
                                     milk liquids milk milk solids
                                     nonbreast                                      cessation of milk liquids
                                                                          breastfeeding                                      of nonbreast breastfeeding of
                                                                                                         of nonbreast milk solids              cessation      Source
 designation      publication)            liquids                solids           breastfeeding            milk liquids       milk solids     breastfeeding    Sour
                                                                                                           meses               meses         meses
                                                                                                        mo                   mo                 mo
Maasai           1895–1908          From birth                                  ;2 y                           0                  —              24             (139)
Marshalls
Amele1           1908–1910
               1983–1994                                7–8 mo          36.33 2–3 y                     —       —             7.5 —         36.5 30             (140)
                                                                                                                                                              (84)
   Islanders
Amhara         1958–1961                                                2–3 y                           —                    —              30                (85)
Mbundu
Aranda           1945–1951
               1881–1935,                                               2–5 y 2–4 y                     —       —            — —            39 36               (141)
                                                                                                                                                              (86,87)
Micmac           1911–1912,
                  (1929)                                                        2–3 y                           —                 —              30             (142)
Arapaho             1953
               1935–1942                                                4 y usual,(traditionally)
                                                                                    as old              —                    —              48                (88)
Mongo            (1938)                                                   as 8 2–2.5 y
                                                                                y                               —                 —              27             (143)
Nahane
Araucani1        1943–1945
               1946–1952                                                1–2 y 2–3 y                     —       —            — —            18 30               (144)
                                                                                                                                                              (89,88)
Navaho
Aymara21,2       1940–1943;
               1940–1942;           6 mo                   6 mo
                                                        1.5 y           1–2 y; 2–2.5 y to 2 y; as
                                                                                18 mo                   — 6                 18    6              22.5
                                                                                                                                            18; 27              (145,1
                                                                                                                                                              (90,91)
                    1960–1966
                  1961–1962                                                        long as 3 y
Ojibwa
Azande           (1935)
               1911–1932                                Early           3–4 y 2–3 y                     0       —             0 —            42 30              (147)
                                                                                                                                                              (92)
Okayama
Badaga           1950–1951
               1962–1977                                   5–6 mo
                                                        3–5 mo          1y      2y                      —       —             4   5.5        12 24              (148)
                                                                                                                                                              (93)
Okinawan
Bang Chan        1954–1955
               1952–1954                                   Before 1 y 5–36 mo (12–22                    —                    — 6            13 24               (149)
                                                                                                                                                              (94)
Ona              No date                                                  mo usual);                            —                 —              24             (150)
Papago2          1931–1939;                                               median 13 mo3 (eldest
                                                                                18–30 mo                        —                 —              24; 30         (151,1
Banoi          (1965)
                    1942–1943                                           1.5–6 or older 4–5 y
                                                                                   child,               —                    —              53                (95)
Bellacoola     1922–1924           As soon as           As soon as      2–3 y      (youngest            0                     0             30                (96)
                                      possible            possible                 child); 2–3 y
Bemba Yuma
 Plateau       1930–1934
                 1951–1958                                              2–3 y 3–4 y                     —       —            — —            30 42             (97)
                                                                                                                                                                (153)
Bhil
 “Pygmies”     1943–1954
                 (1986)            From birth           10–11 mo
                                                           “Soon”               3y                      0       —           10.5 0               —
                                                                                                                                                 36           (98)
                                                                                                                                                                (154)
Buka
 Quechua1,2    1929–1930
                 1940–1941,         6 mo                From birth mo 4–5 y 1.5–4 y; from 18
                                                           6 mo; 8                                      — 6                   0 6; 8        54 32; 21         (99)
                                                                                                                                                                (155–
Burmese        1949–1950
                    1949;                                               2–3 y      mo, 213              —                    —              30                (100)
Cayapa         1959–1960
                    1970–1971      2 mo                 4 mo            Up to 3 y                       2                     4             36                (101)
Chipewyan
 Rimaibe       1960–1962
                 (1992)                                                 3–4 y 22.43                     —       —            — —            42 22             (102)
                                                                                                                                                                (109)
Chuckchee
 Rucuyen       1919–1921
                 1948–1959                              1y              3–4 y 14–18 mo                  —       —           12 —            42 16             (103)
                                                                                                                                                                (159)
Datoga
 Rundi1        1991–1992
                 1949–1951,        3.6 mo3              10.6 mo3        21.93 18–24                     3.5 —               10.5 —          30 22.5           (38)
                                                                                                                                                                (160,1
Delaware1      1951–1952
                    1956–1957                                           2–4 y                           —                    —               36               (104,10
 Saami1           (1950)
                 1913–1947,         3–4 mo                 3–4 mo               6 mo to 2 y                    3.5                3.5            16.5           (162,1
Dogon          (1960)
                    1951–1952                                           2y                              —                    —              24                (106)
Dorobo
 Sarakatsani   1938–1939
                 1954–1955                                              1y      2–3 y                   —       —            — —            12 30             (107)
                                                                                                                                                                (164)
Fang
 Senoi         1946–1954
                 1961–1962                              Before 1 crawling mo to 2to age 4 or 5
                                                           When   y     18      Up   y                  —       —             6 —            21 54            (108)
                                                                                                                                                                (165)
Fulbe          (1992)                                                              y                    —                    —              24.53             (109)
Gainj
 Siriono       1982
                 1940–1941                              9–12mo
                                                           6 mo                 3 y, sometimes          —       —           10.5 6          38.5336           (110)
                                                                                                                                                                (166)
Garo           1954–1956           “Early”              9–12 mo         Almost 2 y old as 4 or
                                                                                   as                   0                   10.5            24                (111)
Goajiro        (1950)                                   6–8 mo          1–3 y or later
                                                                                   5y                   —                     7             24                (112)
Gond/Maria
 Tallensi      1927–1934,
                 1934–1937,                                “Soon”       Up to 33yy                      —       —            — 0            36 36             (113)
                                                                                                                                                                (167,1
                  1940–1941
                    1943                                                  (walking)
Gros
Tarasco        1940–1948
                 1940–1941                                 3–4 mo       2 y or more mo (as old
                                                                                18–24                   —       —            — 3.5          24 21             (114)
                                                                                                                                                                (169)
  Ventre                                                                  (sometimes as y, rare)
                                                                                   as 3–4
                                                 Sellen DW. J Nutr. 2001 Oct;131(10):2707-15!
                                                                          old as 6)
Saami1         1913–1947,        3–4 mo            3–4 mo               6 mo to 2 y                3.5             3.5         16.5         (1
                 1951–1952
Sarakatsani    1954–1955                           Reported              2–3 y           Best estimate
                                                                                                     —     Best estimate
                                                                                                                    —           30          (1
Senoi          1961–1962           Reported         When of
                                                     ages crawling       Up to age 4 or 5 of average —       of average
                                                                                                                    —      Best54estimate   (1
                                    age of       introduction              y                 age of            age of        of average
Siriono       Dates of data
               1940–1941         introduction       6 moof               3 y, sometimes introduction
                                                                   Reported ages of                  —      introduction
                                                                                                                    6          age of
                                                                                                                                36          (1
Ethnic        collection (or     of nonbreast      nonbreast         cessation of as 4 or of nonbreast
                                                                           as old                          of nonbreast     cessation of
designation    publication)       milk liquids    milk solids       breastfeeding
                                                                           5y              milk liquids      milk solids   breastfeeding     S
Tallensi       1934–1937,                           “Soon”               3y                          —              0           36          (1
                                                                                               mo
                                                                                                 meses           meses
                                                                                                                 mo
                                                                                                                             meses
                                                                                                                                 mo
                  1943
Tarasco        1940–1941                            3–4 mo               18–24 mo (as old            —              3.5         21          (1
Amele1        1983–1994                           7–8 mo          36.33 as 3–4 y, rare)         —                7.5          36.5           (8
Amhara
Teda          1958–1961
               1930–1955                                          2–3 y 17 mo                   — 12             ——           3017           (8
                                                                                                                                            (1
Aranda
Tibetans      1881–1935,
               1904–1925                            10–12 mo      2–5 y 10–12 mo                — —              — 11         3911           (8
                                                                                                                                            (1
Tiv            1949–1952
                (1929)           week 1             6 mo                 2–3 y                      0.25            6           30          (1
Tlingit
Arapaho        1893–1914
              1935–1942                                           4 y usual, or older
                                                                         3 y as old             — —              ——           4836          (1
                                                                                                                                             (8
Toda           (1873)                                               as 8 yy (up to 6 y,
                                                                         3                           —              —           36          (1
Araucani1     1946–1952                                           1–2 y rare)                   —                —            18             (8
Aymara2 1,2
Trobriands     1914–1920,
              1940–1942;         From birth       1.5 y
                                                    1 y           1–2 y; 1–3 y; 2 y
                                                                          2–2.5 y               — 0             18 12        18; 27 24
                                                                                                                                22.5;       (1
                                                                                                                                             (9
                  1971–1972,
                1961–1962
Azande            (1982)
              1911–1932                           Early          3–4 y                        0                 0            42              (9
Troni
Badaga         (1992)
              1962–1977                           3–5ymo
                                                   1             1 y 29.52                    — —               4 —           29.5
                                                                                                                             12             (1
                                                                                                                                             (9
Truk
Bang Chan      (1953)
              1952–1954                            A few mo            1–2 y (or
                                                                 5–36 mo (12–22               — —               ——            18
                                                                                                                             13             (1
                                                                                                                                             (9
                                                                         teething)
                                                                   mo usual);
Tuareg          1929–1940                                              2–2.5 y
                                                                   median 13 mo3                  —                —          27            (1
Banoi 1
Turkana       (1965) 1948–
                (1927),                                          1.5–6 or older 3 y; 2 y
                                                                       At least               — —               ——           53 24
                                                                                                                              36;           (1
                                                                                                                                             (9
Bellacoola         1949
              1922–1924          As soon as       As soon as     2–3 y                        0                 0            30              (9
Tzeltal1        1957–1958,       6–12 mo
                                   possible        3–4 mo
                                                    possible           1.5 y or older             9                3.5        28.5          (1
Bemba              1965–1967
              1930–1934                                          2–3 y                        —                 —            30              (9
Bhil 2
Warao           1933–1944,
              1943–1954          From birth       10–11 mo             10 mo to 2 or 3        0   —            10.5—          19; 24
                                                                                                                                —           (1
                                                                                                                                             (9
Buka               (1956)
              1929–1930                           From birth     4–5 y y; ;2 y                —                 0            54              (9
Wogeo
Burmese         (1943)
              1949–1950                                          2–3 y 3–4 y                  — —               ——            42
                                                                                                                             30             (1
                                                                                                                                             (1
Woleai
Cayapa          (1949)
              1959–1960          2 mo             4 3 mo
                                                    mo           Up to 3 y or later           2                 4 3           36
                                                                                                                             36             (1
                                                                                                                                             (1
Yahgan2
Chipewyan       1918–1924,
              1960–1962                             4 mo         3–4 y 10–15 mo,              —                 —4            12.5; 24
                                                                                                                             42             (1
                                                                                                                                             (1
Chuckchee          (1946)
              1919–1921                           1y             3–4 y sometimes              —                12            42              (1
Datoga        1991–1992          3.6 mo3          10.6 mo3       21.93 much later; 2 y        3.5              10.5          30              (3
Delaware1 1
Yanomamo        1958–1967,
              1951–1952                                          2–4 y 2–3 y                  —                 — 33         36             (1
                                                                                                                                             (1
                   1964–1966,
                 (1950)
Dogon              1967, 1968,
              (1960)                                             2y                          —                  —            24             (1
Dorobo             1972–1979,
              1938–1939                                          1y                          —                  —            12             (1
Fang               1987
              1946–1954                           Before 1 y     18 mo to 2 y                —                  6            21             (1
Fulbe         (1992)                                                                         —                  —            24.53          (1
Gainj         1982                                9–12 mo                                    —                 10.5          38.53          (1
Garo          1954–1956          “Early”          9–12 mo         Almost 2 y                 0                 10.5          24             (1
Goajiro       (1950)                             Sellen DW. J Nutr. 2001 or later
                                                  6–8 mo          1–3 y Oct;131(10):2707-15! —                  7            24             (1
WEANING IN NONINDUSTRIAL SOCIETIES
                                                    WEANING IN NONINDUSTRIAL SOCIETIES
                                                                  TABLE 1
                                                              TABLE 1 (continued)
                     Indicators of ages at complementary feeding and weaning reported for nonindustrial societies
                      Indicators of ages at complementary feeding and weaning reported for nonindustrial societies
                                                    Reported                             Best estimate      Best estimate
                                   Reported          ages of                               of average         of average      Best estimate
                                                           Reported                          Best estimate      Best estimate
                                     age of       introduction                               age of             age of          of average
                                                            ages of Reported ages of           of average
                                                                                          introduction
                                                                                                                  of average
                                                                                                             introduction
                                                                                                                                 Best of
                                                                                                                                  age
                                                                                                                                       estimate
               Dates of data     introduction           of
Ethnic         collection (or    of nonbreast           introduction cessation of
                                  Reported age of nonbreast                                      age of
                                                                                         of nonbreast               age of
                                                                                                            of nonbreast           of average
                                                                                                                               cessation of
designation    Dates of data
                publication)      milk liquids of milk solids
                                   introduction               of                              introduction
                                                                     breastfeeding ages milk liquids
                                                                         Reported                             milk solids            age of
                                                                                                                 introduction breastfeeding     S
Ethnic          collection (or     nonbreast milk        nonbreast       of cessation of      of nonbreast      of nonbreast      cessation of
designation      publication)           liquids          milk solids      breastfeeding        milk liquids
                                                                                                 meses            milk solids
                                                                                                                  meses          breastfeeding
                                                                                                                                meses
                                                                                               mo                  mo               mo
Yap
Amele1          1947–1948
               1983–1994                           7–8 mo6 mo       36.33 2–3 y (4–5 y if     —                 7.56           36.5 30        (8
Amhara         1958–1961                                            2–3 y   youngest)         —                 —              30             (8
Yokuts
Aranda          1925–1930
               1881–1935,        2 wks–2 mo              1 mo       2–5 y 2 y (sometimes      —                 —1             39 24          (8
                  (1929)                                                    as 1.25 y old
Arapaho        1935–1942                                            4 y usual, as or 5)
                                                                            as 4 old          —                 —              48             (8
Yoruba          1949–1959                                             as 8 y y
                                                                          2–3                                                        30
Yucatec1
Araucani1       1932–1936;
               1946–1952                                            1–2 y 1–3 y               —                 —6             18 24          (8
Aymara2            1929–1931
               1940–1942;                          1.5 y            1–2 y; 2–2.5 y            —               18               18; 27         (9
Yurok1,2          1961–1962                              6–7 mo           1 y maximum                              6.5               12
Zapotec
Azande          1929–1933;
               1911–1932                           Early            3–4 y 1–3 y; ;2 y (or     0                 0               42 24         (9
Badaga             1957–1959;
               1962–1977                           3–5 mo           1y      older)            —                 4               12            (9
Bang Chan          1956–1957
               1952–1954                                            5–36 mo (12–22            —                 —              13             (9
Zulu2           1883–1945;                                            mo 2–3 y; 2–4 y
                                                                          usual);                                                   30;36
                   (1965)                                             median 13 mo3
Zuni
Banoi           1942–1948
               (1965)            At termination of                  1.5–6 1–3 y
                                                                          or older            —                 —              53 24          (9
Bellacoola     1922–1924         As breastfeeding As soon as
                                    soon as                         2–3 y                     0                 0              30             (9
!Kung           1963–1972,         possible          possible or
                                                         6 mo             3 or 4 y                                 3                 42
Bemba          1930–1934
                   1963–1973                                earlier 2–3 y                     —                 —              30             (9
Bhil           1943–1954         From birth        10–11 mo                                   0               10.5                 —          (9
Buka Estimates 1929–1930
     1                                             From birth conducted within 10 y of each other; means of original author’s estimated midpoin
                combine data from two or more field studies          4–5 y                     —                 0              54             (9
Burmeseof arithmetic midpoint of pooled reported ranges whenever2–3 y
instead        1949–1950                                             available.               —                 —              30             (1
Cayapa or more independent estimates from field studies conducted .10 y apart included in analysis.
     2 Two     1959–1960         2 mo              4 mo             Up to 3 y                 2                 4              36             (1
Chipewyan estimate from survival analysis.
     3 Median  1960–1962                                            3–4 y                     —                 —              42             (1
Chuckchee      1919–1921                           1y               3–4 y                     —               12               42             (1
Datoga         1991–1992         3.6 mo3           10.6 mo3         21.93                     3.5             10.5             30             (3
Delaware1      1951–1952                                            2–4 y                     —                 —               36            (1
mother–infant (1950) It would raise the possibility that under-
                   pairs.                                                           Table 2. Assumptions that the same socioecological
standing the (1960)
Dogon           sociocultural factors that supported optimal 2001 Oct;131(10):2707-15! — both cross-cultural and 24
                                                 Sellen DW. J Nutr. feed-
                                                                    2y              nants drive                 —               intracultural (1
                                                                                                                                               v
Dorobo         1938–1939                                            1y                        —                 —              12             (1
AMAMENTAÇÃO




Sellen DW. J Nutr. 2001 Oct;131(10):2707-15!
~10,000 anos
                                   Revolução
                                   Agrícola
                                   ocorreu no
                                   Médio Oriente!



Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54.

Dubreuil L. Journal of Archaeological Science 2004; 31(11): 1613-1629.

Bar-Yosef O. Evol Anthropol 1998;6:159 –77.
EVIDÊNCIA DO CONSUMO DE LÁCTEOS
                                        NO MÉDIO ORIENTE




                                               Primeira	
  evidência	
  do	
  consumo	
  de	
  lácteos	
  no	
  Médio	
  Oriente	
  (Turquia)4	
  

                          Domes<cação	
  de	
  ovelhas,	
  cabras	
  e	
  gado	
  bovino	
  (Médio	
  Oriente)	
  1-­‐3	
  




                                                                                                                                                     Presente
                 10 000



                                9 000



                                              8 000



                                                            7 000



                                                                          6 000



                                                                                        5 000



                                                                                                      4 000



                                                                                                                    3 000



                                                                                                                               2 000



                                                                                                                                             1 000
Humanas
Gerações




               333             300          267           233           200            167           133           100         66           33


       1 - Hiendleder S, et al. Proc Biol Sci. 2002 May 7;269(1494):893-904
       2 - Luikart G, et al. Proc Natl Acad Sci U S A. 2001 May 8;98(10):5927-32
       3 - Loftus RT, et al. Mol Ecol. 1999 Dec;8(12):2015-22
       4 - Evershed RP et al. Nature. 2008 Sep 25;455(7212):528-31.
DATAS DE EXPANSÃO GEOGRÁFICA DAS2011
                          Downloaded from rstb.royalsocietypublishing.org on February 18,
                                                                                          PRIMEIRAS !
68   P. Gerbault et al. Evolution of lactase persistence NEOLÍTICAS!
                                   CULTURAS

                                            3950



                                                       4100
                                              4000


                                   < 5000
                                                              5500

                                            5200

                                                                     5600


     5300                                                                   6000
                                              5600
                                     5500

                            5400                                             6200
             5200
                                                                                          < 7000                  8500
                                                                     6100                          7800
                                                                              6600
                                                                                                               9000


                                                                                                       8300



             Villeneuve-Saint-Germain al. Philos Trans R Soc Lond B Biol Sci.(TRB) 27;366(1566):863-77.
                           Gerbault P, et          Funnel Beaker Culture 2011 Mar           Balkan Neolithic
EVIDÊNCIA DO CONSUMO DE LÁCTEOS
                                    NO MÉDIO ORIENTE E EUROPA
                                                                                   1ª	
  evidência	
  de	
  lácteos	
  no	
  Norte	
  da	
  Europa	
  (RU)6	
  

                                                             1ª	
  evidência	
  do	
  consumo	
  de	
  lácteos	
  	
  na	
  Europa	
  (Roménia)	
  5	
  

                                               Primeira	
  evidência	
  do	
  consumo	
  de	
  lácteos	
  no	
  Médio	
  Oriente	
  (Turquia)4	
  

                          Domes<cação	
  de	
  ovelhas,	
  cabras	
  e	
  gado	
  bovino	
  (Médio	
  Oriente)	
  1-­‐3	
  




                                                                                                                                                                  Presente
                 10 000



                                9 000



                                              8 000



                                                            7 000



                                                                           6 000



                                                                                             5 000



                                                                                                            4 000



                                                                                                                           3 000



                                                                                                                                          2 000



                                                                                                                                                         1 000
Humanas
Gerações




               333             300          267           233            200                167            133            100             66             33


       1 - Hiendleder S, et al. Proc Biol Sci. 2002 May 7;269(1494):893-904
       2 - Luikart G, et al. Proc Natl Acad Sci U S A. 2001 May 8;98(10):5927-32
       3 - Loftus RT, et al. Mol Ecol. 1999 Dec;8(12):2015-22
       4 - Evershed RP et al. Nature. 2008 Sep 25;455(7212):528-31.
       5 - Craig OE, et al. Antiquity 2005; 79:882-894
       6 - Copley MS et al. Proc Natl Acad Sci U S A. 2003 Feb 18;100(4):1524-9
UVB




Jablonski NG, Chaplin G. Proc Natl Acad Sci U S A. 2010 May 11;107 Suppl 2:8962-8
UVA




Jablonski NG, Chaplin G. Proc Natl Acad Sci U S A. 2010 May 11;107 Suppl 2:8962-8
FOLATO




Miller AL, Kelley GS. Altern Med Rev. 1996;1(4):220-235
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva
Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva

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Lacticínios e Saúde Humana - Perspectiva Histórica e Evolutiva

  • 1. LACTICÍNIOS E SAÚDE HUMANA Lisboa, 24 de Setembro de 2011 Pedro Carrera Bastos
  • 3. values defined by health institutions ( 120 mm Hg Table 1 Historical milestones in human generations14,63–65 T Y Historical milestones Generations % total Homo habilis 76,667 100.0 A Homo erectus 60,000 78.2 0 Modern Homo sapiens 6666 8.7 1 Neolithic Revolution 366 0.48 2 Industrial Revolution 7 0.009 3 Food industry (junk food) and 4 0.005 4 physical inactivity (Modern Age) 5 16 submit your manuscript | www.dovepress.com Carrera-Bastos P, Fontes-Villalba M, O'Keefe JH, Lindeberg S, Cordain L. Res Rep Clin Cardiol 2011;2:15-35. Dovepress
  • 4. !! !Tal como todas os seres vivos, o Homo sapiens do Séc. XXI está geneticamente adaptado para o ambiente em que os seus antepassados sobreviveram e que em consequência condicionou os seus genes.! Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54!
  • 5. QUAL FOI O NOSSO NICHO ECOLÓGICO??? !
  • 6. ORIGENS DO HOMEM! Homo sapiens 0 H. heidelbergensis H. erectus Paranthropus H. neanderthalensis boisei 1 H. antecessor H. habilis P. robustus 2 H. ergaster Au. garhi Au. 3 rudolfensis P. aethiopicus Milhões de anos Kenyanthropus Au. africanus platyops Au. bahrelghazali 4 Ardipithecus ramidus Au. afarensis Au. anamensis 5 Orrorin tugenensis 6 7 Sahelanthropus tchadensis 8 Adaptado de Wood B. Nature 2002:418:133-35 e de Cordain L, 2009!
  • 7. !Todos os humanos que vivem! na Europa, Ásia, Oceania e América têm uma ! ! ! ORIGEM AFRICANA! Etiópia! !! MENOR DIVERSIDADE GENÉTICA Liu H, et al., 2006! FORA DE ÁFRICA ! Relethford JH. Heredity. 2008 Jun;100(6):555-63.! Jakobsson M, et al. Nature 2008; 451(7181):998-1003! ! ! Manica A, et al. Nature; 2007; 448(7151):346-8! Hellenthal G, Auton A, Falush D. PLoS Genet. 2008 May 23;4(5):e1000078! ! ! Liu H, et al. Am J Hum Genet. 2006 Aug;79(2):230-7! Ramachandran S, et al. Proc Natl Acad Sci U S A. 2005 Nov 1;102(44):15942-7! ! ! Conrad D, et al. Nat Genet 2006; 38: 1251–1260! Prugnolle F, Manica A, Balloux F. Current Biology 2005; 15:R159–R160! ! ! RAY N, et al. Genome Res 2005; 15:1161–1167! Cavalli-Sforza LL, Feldman MW. Nat Genet 2003; 33:266–275! ! ! Macaulay V, et al. Science 2005; 308(5724):1034-6! Tishkoff S, Williams S. Nat Rev Genet 2002; 3: 611–621! ! ! Currat M, Excoffier L. PLoS Biology 2004; 2: 2264–2274! Harpending, H, Rogers, AR. Annu Rev Genomics Hum Genet 2000; 1:361–385!
  • 8. População de Homo sapiens de ~1.000 indivíduos! emigrou para a Eurásia há ~! 50 a 60,000 anos ! e habitaram todo o planeta ! Liu H, et al. Am J Hum Genet. 2006 Aug;79(2):230-7!
  • 9.
  • 10.
  • 11.
  • 12. CARACTERÍSTICAS UNIVERSAIS DO ESTILO DE VIDA DE CAÇADORES -RECOLECTORES!
  • 13. ACTIVIDADE FÍSICA OBRIGATÓRIA VITAL PARA A SOBREVIVÊNCIA! Cordain L, et al. Int J Sport Med 1998;19:328-335.
  • 14. CICLO SONO-VIGÍLIA Todos os humanos, até a invenção da luz artificial, dormiam em sincronia com a variação diurna da luz! Wiley TS, Formby B, Lights Out – Sleep, Sugar and Survival. Pocket Books, New York, 2000
  • 15. RADIAÇÃO UV CONSTANTE Figure 1. The potential for synthesis of previtamin D3 in lightly pigmented human skin computed from annual average UVMED. The highest annual values for UVMED are shown in light violet, withNG, Chaplinlower values in dark violet, then in light to dark shades of blue, orange, green and gray Jablonski incrementally G. J Hum Evol. 2000 Jul;39(1):57-106 (64 classes). White denotes areas for which no UVMED data exist. Mercator projection. In the tropics, the zone of adequate UV radiation throughout
  • 17. FONTES VEGETAIS ! ! ü  Plantas! ü  Raízes e tubérculos! ü  Frutos do Bosque! ü  Fruta! ü  Oleaginosas! ! ! Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54!
  • 18. FONTES ANIMAIS ! ü  Animais terrestres selvagens ! (músculo, gordura e vísceras)! ü  Aves! ü  Insectos! ü  Peixe e outros alimentos marinhos! Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54!
  • 19. O QUE NÃO COMIAM OS CAÇADORES-RECOLECTORES?
  • 20. Lácteos Açúcar isolado Cereais (excepto mel) Sal Leguminosas Álcool Carne de animais Óleos Vegetais domesticados obesos Cordain L. Implications of Plio-Pleistocene Hominin Diets for Modern Humans. ! In: Early Hominin Diets: The Known, the Unknown, and the Unknowable. Ungar, P (Ed.), Oxford University Press, Oxford, 2006, pp 363-83 !
  • 22. Comparison of Infant Feeding Patterns Reported for Nonindustrial WEANING IN NONINDUSTRIAL SOCIETIES Populations with Current Recommendations WEANING IN NONINDUSTRIAL SOCIETIES 270 1 Daniel W. Sellen TABLE 1 TABLE 1Emory University, Atlanta, GA 30322 Departments of Anthropology and International Health, Indicators of ages at complementary feeding and weaning reported for nonindustrial societies Indicators of ages at complementary feeding and weaning reported for nonindustrial societies ABSTRACT The observation that young child-feeding practices rarely conform to current global estimate Reported Best estimate Best recommenda- tions is of major public health ages of policy concern and raises questions about Best of average Reported nutrition Reported Best of average whether near-universal Best estimate estimate estimate compliance with recommendations is feasible in any population. This analysis uses indicatorsof averageof age of Reported introduction ages of age of of average of age at introduction estimate age Best of average Dates ofof complementary foods and termination of breastfeeding available from age of data introduction introduction age of of Reported ages of ethnographic and demographic reports averageof introduction introduction age of of age Ethnic publishedintroduction collection (or Dates of data between 1873 and 1998 to test the hypothesis thatof of nonbreast nonbreast Reported ages ofrecent introduction of cessation and contemporary introduction societies age of of nonbreast nonindustrial of nonbreast cessation of designation Ethnic collection practice patterns of infant feeding concordant withbreastfeeding recommendations. Results nonbreast ethno- breastfeeding publication) (or milk liquids of nonbreast milk solids nonbreast cessation global current of milk liquids of suggest that of nonbreast milk solids cessation of So designation graphically reported average milk solids publication) milk liquids ages at introduction of nonbreast milk liquids (4.5 6 6.0 mo) and solids (5.0 6 4.0 mo) breastfeeding milk liquids milk solids breastfeeding Source and the duration of breastfeeding (29.0 6 10.0 mo) among a sample of 113 such populations concord with those mo mo at which key weaning transitions are biologically optimal for most normal healthy children. However, wide variation mo meses meses meses in estimates across populations remains unexplained and serious limitations in the available data preclude proper mo mo mo Downloaded from jn.nutrition.org by on September 8, 2008 Amele1 1983–1994 7–8 mo 3 assessment of the underlying distribution of the 36.3 of weaning transitions within populations. 7.5Nutr. 131: 36.5 timing — J. (84 Amele1 Amhara 1983–1994 1958–19612707–2715, 2001. 7–8 mo 36.33 y 2–3 — — 7.5 — 36.530 (84) (85 Amhara Aranda 1958–1961 1881–1935, 2–3 y y 2–5 — — — — 30 39 (85) (86 Aranda 1881–1935, (1929)KEY WORDS: c breastfeeding c child survival y public health policy c — 2–5 c — infant feeding c cross-cultural 39 (86,87) Arapaho (1929) 1935–1942 4 y usual, as old — — 48 (88 Arapaho 1935–1942 4 y usual, y breastfeeding is — 18 mo (23). Globally, it has been esti- as 8 as old Observational studies show that exclusive breastfeeding in only — 48 (88) Araucani1 as 8 y the early months, continued partial breastfeeding and timelyy 1946–1952 1–2 — — mated that 85% of mothers do not conform to current recom- 18 (89 Araucani12 Aymara 1946–1952 to high quality nonbreast milk foods deliver physi-y; 2–2.5 y 1940–1942; transition 1.5 y 1–2 y 1–2 mendations (24). Attempts to improve maternal 18 18; 27 — — — 18 and child (89,88) (90 Aymara2 1940–1942; economic benefits to mothers and maximize y; 2–2.5 y 1961–1962 ological and 1.5 y 1–2 nu- health are often— frustrated because18 18; 27 normative practices differ (90,91) Azande 1961–1962 1911–1932 growth, development and survival for normaly trient intakes, Early 3–4 0 recommended ones for a number of rea- 0 42 (92 quite markedly from Azande Badaga 1911–1932 Early trials 3–4 y healthy children (1–5). Recent randomized mo lend strong 1962–1977 3–5 1y 0 — 0 4 42 12 (92) (93 sons. For example, perceived milk insufficiency, work activities Badaga Chan Bang 1962–1977 the hypothesis that delaying mo introduction of mo (12–22 support to 1952–1954 3–5 the 1 y5–36 — — 4 — 12 13 (93) (94 and lack of social support often undermine maternal inten- Bang Chan 1952–1954 5–36 mo (12–22 mo complementary foods until 6 mo often benefits infants and usual); to initiate — maintain breastfeeding (25–29). In some — 13 (94) tions and momedian 13 mo3 mothers through reduced disease exposure, increased breast usual); settings, ethnographic studies show that scientific claims about Banoi milk intake and lengthened birth intervals (4,6 –9). Such1.5–6 or older3benefits of exclusive and continued breastfeeding53 (1965) median 13 mo data the — — lack (95 Banoi (1965) attention on As soon as the scheduling and As soon as sucklingy older frequency of 1.5–6 or Bellacoola focus 1922–1924 2–3 local credibility — 0 — 0 53 30 because they conflict with local understand- (95) (96 Bellacoola 1922–1924 nutritional quality and timing of as As soon as As soon introduction of possible 2–3 y and on the possible ings of the best 0strategies to enhance child survival30 –32). 0 (30 (96) possible possible nonbreast milk substances (10 –13). The data suggest that ay Bemba 1930–1934 2–3 These include delayed initiation of — — breastfeeding, use of 30 (97 Bemba 1930–1934 specific subset of the potentially infinite variety of 2–3 y Bhil 1943–1954 From birth 10–11 mo possible prelacteals, discarding of colostrum,— 10.5 — 0 30 early introduction of wa- — (97) (98 Bhil Buka breastfeeding andFrom birth 1943–1954 1929–1930 complementary feeding practices is optimaly 10–11 mo From birth 4–5 ter, herbal teas 0 — and nutritive liquids and the delayed — of 10.5 0 use 54 (98) (99 Buka across a range of settings (14,15). From birth 1929–1930 4–5 y — semisolids and solid — 0 54 foods (24,33–38). Thus, in many contem- (99) Burmese 1949–1950 2–3 y — 30 (10 Burmese It is logical to assume that recommendations based yon 1949–1950 2–3 — — 30 (100) Cayapa 1959–1960 of clinical outcomes reflect an adaptive pattern 3 y porary societies, a 2 comparison 2 mo 4 mo Up to complex mix of material and ideological 4 36 (10 Cayapa 1959–1960 2 mo 4 mo Up to 3 y Chipewyan factors seem to 2 — constrain patterns of child feeding. 36 42 4 (101) Chipewyan naturally selected to optimize the sometimes-conflicting3–4 y 1960–1962 1960–1962 bio- 3–4 y — (10 Chuckchee logical interests of infants, mothers, 1 y and affines (16 –21).y 1919–1921 kin y 1 3–4 The scientific knowledge upon — 12 our current child- — which 42 (102) Chuckchee 1919–1921 3–4 y 3 — — 12 42 42 (103)(10 Datoga 1991–1992 3.6 mo3 mo3 10.6 to which21.93 21.9 feeding recommendations are based is 10.5 recently acquired 3.5 only Datoga 1991–1992 arise, however, about the 10.6 mo3 Questions 3.6 mo3 extent current 3.5 30 30 (38) (38 Delaware1 recommendations based on clinical observation fit with actualy 1951–1952 2–4 and remains limited— (39). It would10.5 — to know to36 be useful what (10 Delaware1 1951–1952 2–4 y — — 36 (104,10 (1950) care-giving behaviors across the breadth of human societies extent populations primarily dependent on nonindustrial tra- (1950) Dogon ditional modes of subsistence achieved optimal infant-feeding Dogon (1960) about the acceptability and feasibility of compliance yin (1960) and 2 y2 — — — 24 24 (10 Dorobo 1938–1939 1y patterns and to — specific cultural contexts. It isSellen DW. J Nutr. 2001 Oct;131(10):2707-15! — — any common factors that undermine identify — (106) Dorobo 1938–1939 estimated that in developing 1y — 12 12 (10 (107) Fang countries, where the relative benefits of optimalyfeeding are to 2 y 1946–1954 Before 1 18 mo optimal feeding in nonindustrial modern and postmodern set- — 6 21 (10
  • 23. Indicators of ages at complementary feeding and weaning reported for nonindustrial societies Buka 1929–1930 From birth 4–5 y — 0 54 (99) Burmese 1949–1950 Reported 2–3 y — Best estimate — Best estimate 30 (100) Cayapa 1959–1960 2 Reported mo 4 mo of ages Up to 3 y 2 of average 4 of average 36 Best estimate (101) Chipewyan 1960–1962 age of introduction 3–4 y age of — age of— 42 of average (102) Chuckchee 1919–1921 Dates of data introduction 1 yof 3–4 y Reported ages of — introduction 12 introduction age42of (103) Datoga Ethnic 1991–1992 collection (or 3.6 mo3 of nonbreast 10.6 mo3 nonbreast 21.93 cessation of 3.5 of nonbreast 10.5 of nonbreast 30 cessation of (38) Delaware1 designation 1951–1952 publication) milk liquids milk solids 2–4 y breastfeeding — milk liquids — milk solids 36 breastfeeding (104,105) Sources (1950) meses meses meses Dogon (1960) 2y mo — mo — mo24 (106) Dorobo 1938–1939 1y — — 12 (107) Fang 1 Amele 1946–1954 1983–1994 7–8 mo 1 y Before 36.33 mo to 2 y 18 — — 7.5 6 36.5 21 (84) (108) Fulbe Amhara (1992) 1958–1961 2–3 y — — — — 30 24.53 (85) (109) Gainj Aranda 1982 1881–1935, 9–12 mo 2–5 y — — — 10.5 39 38.53 (110) (86,87) Garo (1929) 1954–1956 “Early” 9–12 mo Almost 2 y 0 10.5 24 (111) Arapaho Goajiro 1935–1942 (1950) 6–8 mo 4 y usual, as old 1–3 y or later — — — 7 48 24 (88) (112) Gond/Maria 1927–1934, Up 8 y 3 y as to — — 36 (113) Araucani1 1946–1952 1940–1941 1–2 y(walking) — — 18 (89,88) Gros 2 Aymara 1940–1942; 1940–1948 1.5 y 1–2 y or more 2 y; 2–2.5 y — — 18 — 18; 2724 (90,91) (114) Ventre 1961–1962 (sometimes as Azande 1911–1932 Early 3–4 y as 6) old 0 0 42 (92) Badaga Hadza 1962–1977 1980–1992 3–5 mo 1 y or 3 y 2 — — 4 — 12 30 (93) (115) Hare Chan Bang 1952–1954 (1962) 6 mo 5–36 mo (12–22 2–3 y — — — 6 13 30 (94) (116) Hausa 1949–1950 2 y usual); mo 3 — — 24 (117) Humbebe (1992) 29.63 13 mo median — — 29.5 (109) Downloaded from jn.nutrition.org by on September 8, 2008 Banoi (1965) 1.5–6 or older — — 53 (95) Igbo1,2 1929–1932, 2.5–3 y; 2–3.5 y — — 33; 33 (118,119) Bellacoola 1922–1924 As soon as As soon as 2–3 y 0 0 30 (96) 1951–1960 possible possible Igorot Bemba (1985) 1930–1934 4 mo 2–3 y y 1–1.5 — — — 4 30 15 (97) (120) Ila Bhil 1902–1914 1943–1954 From birth “Very 10–11 mo 2–3 y 0 — 10.5 0 — 42 (98) (121) Buka 1929–1930 early” From birth 4–5 y — 0 54 (99) Iroquois Burmese 1951–1956 1949–1950 2–3 y y 3–4 — — — — 30 (100) (122) Javanese Cayapa 1952–1904 1959–1960 2 mo From birth 4 mo Up tomoy to several 14 3 2 0 4 0 36 14 (101) (123) Chipewyan 1960–1962 3–4 y y — — 42 (102) Jivaro2 Chuckchee 1917–1928, 1919–1921 1 Teething y 3–4 y y; 4–7 y 2–3 — — 12 — 42 30; 66 (103) (124,125) Datoga 1956–1907, 1991–1992 3.6 mo3 10.6 mo3 21.93 3.5 10.5 30 (38) Delaware1 1964, 1969 1951–1952 2–4 y — — 36 (104,105) Kapauku 1954–1955 (1950) 3y — — 36 (126) Kikuyu Dogon 1925–1952 (1960) 2 y least 2 y At — — — — 24 24 (106) (127,128) Klamath Dorobo (1950) 1938–1939 1y 2–3 y — — — — 12 30 (107) (129) Fang Kogi 1946–1954 1946–1950 Before 1 y 181moor less y to 2 y — — 6 — 21 12 (108) (130) Fulbe Koryak (1992) 1900–1902 Early 2–3 y — — — 0 24.5330 (109) (131) Gainj Kpelle1,2 1982 1914–1915, 9–12 mo Early 1.5 y or older; —0 10.5 0 38.53 33; 30 18; (110) (132–135) Garo 1954–1956 1957–1958, “Early” 9–12 mo Almost 2 y (2.5 1–4 y 0 10.5 24 (111) Goajiro (1950) 1968–1969, 6–8 mo 1–3 y or later 2–4 y average); — 7 24 (112) Gond/Maria 1927–1934, 1970–1971 Up to 3 y — — 36 (113) Kwoma 1940–1941 1936–1937 (walking) 2–4 y — — 36 (136) Gros Lolo2 1940–1948 (1924, 1947) From birth 2 y or morey 1 y; 4–5 — — — 0 24 54; 12 (114) (137) Ventre Lozi2 (1922, 1944) 18 mo; 2–3 as (sometimes y — — 18 (138)3 old as 6) Hadza 1980–1992 2 or 3 y — — 30 (115) (table continued Hare (1962) 6 mo 2–3 y — Sellen DW. J Nutr. 2001 Oct;131(10):2707-15! 6 30 (116)
  • 24. Indicators of ages at complementary feeding and weaning reported for nonindustrial societies Reported Best estimate Best estimate Reported ages of of average Best estimateBest estimate Best estimate of average age of introduction of average age of of average ofBest estimate age of average Dates of data introduction of Reported ages of Reported age of Reported ages of introduction of age introductionof age age average of of Ethnic Dates of data collection (or introduction of cessation of ages of nonbreast of nonbreast of nonbreast introduction Reported of introduction of nonbreast age of introduction cessation of Ethnic designation publication) (or collection nonbreast milk milk liquids milk milk solids nonbreast cessation of milk liquids breastfeeding of nonbreast breastfeeding of of nonbreast milk solids cessation Source designation publication) liquids solids breastfeeding milk liquids milk solids breastfeeding Sour meses meses meses mo mo mo Maasai 1895–1908 From birth ;2 y 0 — 24 (139) Marshalls Amele1 1908–1910 1983–1994 7–8 mo 36.33 2–3 y — — 7.5 — 36.5 30 (140) (84) Islanders Amhara 1958–1961 2–3 y — — 30 (85) Mbundu Aranda 1945–1951 1881–1935, 2–5 y 2–4 y — — — — 39 36 (141) (86,87) Micmac 1911–1912, (1929) 2–3 y — — 30 (142) Arapaho 1953 1935–1942 4 y usual,(traditionally) as old — — 48 (88) Mongo (1938) as 8 2–2.5 y y — — 27 (143) Nahane Araucani1 1943–1945 1946–1952 1–2 y 2–3 y — — — — 18 30 (144) (89,88) Navaho Aymara21,2 1940–1943; 1940–1942; 6 mo 6 mo 1.5 y 1–2 y; 2–2.5 y to 2 y; as 18 mo — 6 18 6 22.5 18; 27 (145,1 (90,91) 1960–1966 1961–1962 long as 3 y Ojibwa Azande (1935) 1911–1932 Early 3–4 y 2–3 y 0 — 0 — 42 30 (147) (92) Okayama Badaga 1950–1951 1962–1977 5–6 mo 3–5 mo 1y 2y — — 4 5.5 12 24 (148) (93) Okinawan Bang Chan 1954–1955 1952–1954 Before 1 y 5–36 mo (12–22 — — 6 13 24 (149) (94) Ona No date mo usual); — — 24 (150) Papago2 1931–1939; median 13 mo3 (eldest 18–30 mo — — 24; 30 (151,1 Banoi (1965) 1942–1943 1.5–6 or older 4–5 y child, — — 53 (95) Bellacoola 1922–1924 As soon as As soon as 2–3 y (youngest 0 0 30 (96) possible possible child); 2–3 y Bemba Yuma Plateau 1930–1934 1951–1958 2–3 y 3–4 y — — — — 30 42 (97) (153) Bhil “Pygmies” 1943–1954 (1986) From birth 10–11 mo “Soon” 3y 0 — 10.5 0 — 36 (98) (154) Buka Quechua1,2 1929–1930 1940–1941, 6 mo From birth mo 4–5 y 1.5–4 y; from 18 6 mo; 8 — 6 0 6; 8 54 32; 21 (99) (155– Burmese 1949–1950 1949; 2–3 y mo, 213 — — 30 (100) Cayapa 1959–1960 1970–1971 2 mo 4 mo Up to 3 y 2 4 36 (101) Chipewyan Rimaibe 1960–1962 (1992) 3–4 y 22.43 — — — — 42 22 (102) (109) Chuckchee Rucuyen 1919–1921 1948–1959 1y 3–4 y 14–18 mo — — 12 — 42 16 (103) (159) Datoga Rundi1 1991–1992 1949–1951, 3.6 mo3 10.6 mo3 21.93 18–24 3.5 — 10.5 — 30 22.5 (38) (160,1 Delaware1 1951–1952 1956–1957 2–4 y — — 36 (104,10 Saami1 (1950) 1913–1947, 3–4 mo 3–4 mo 6 mo to 2 y 3.5 3.5 16.5 (162,1 Dogon (1960) 1951–1952 2y — — 24 (106) Dorobo Sarakatsani 1938–1939 1954–1955 1y 2–3 y — — — — 12 30 (107) (164) Fang Senoi 1946–1954 1961–1962 Before 1 crawling mo to 2to age 4 or 5 When y 18 Up y — — 6 — 21 54 (108) (165) Fulbe (1992) y — — 24.53 (109) Gainj Siriono 1982 1940–1941 9–12mo 6 mo 3 y, sometimes — — 10.5 6 38.5336 (110) (166) Garo 1954–1956 “Early” 9–12 mo Almost 2 y old as 4 or as 0 10.5 24 (111) Goajiro (1950) 6–8 mo 1–3 y or later 5y — 7 24 (112) Gond/Maria Tallensi 1927–1934, 1934–1937, “Soon” Up to 33yy — — — 0 36 36 (113) (167,1 1940–1941 1943 (walking) Gros Tarasco 1940–1948 1940–1941 3–4 mo 2 y or more mo (as old 18–24 — — — 3.5 24 21 (114) (169) Ventre (sometimes as y, rare) as 3–4 Sellen DW. J Nutr. 2001 Oct;131(10):2707-15! old as 6)
  • 25. Saami1 1913–1947, 3–4 mo 3–4 mo 6 mo to 2 y 3.5 3.5 16.5 (1 1951–1952 Sarakatsani 1954–1955 Reported 2–3 y Best estimate — Best estimate — 30 (1 Senoi 1961–1962 Reported When of ages crawling Up to age 4 or 5 of average — of average — Best54estimate (1 age of introduction y age of age of of average Siriono Dates of data 1940–1941 introduction 6 moof 3 y, sometimes introduction Reported ages of — introduction 6 age of 36 (1 Ethnic collection (or of nonbreast nonbreast cessation of as 4 or of nonbreast as old of nonbreast cessation of designation publication) milk liquids milk solids breastfeeding 5y milk liquids milk solids breastfeeding S Tallensi 1934–1937, “Soon” 3y — 0 36 (1 mo meses meses mo meses mo 1943 Tarasco 1940–1941 3–4 mo 18–24 mo (as old — 3.5 21 (1 Amele1 1983–1994 7–8 mo 36.33 as 3–4 y, rare) — 7.5 36.5 (8 Amhara Teda 1958–1961 1930–1955 2–3 y 17 mo — 12 —— 3017 (8 (1 Aranda Tibetans 1881–1935, 1904–1925 10–12 mo 2–5 y 10–12 mo — — — 11 3911 (8 (1 Tiv 1949–1952 (1929) week 1 6 mo 2–3 y 0.25 6 30 (1 Tlingit Arapaho 1893–1914 1935–1942 4 y usual, or older 3 y as old — — —— 4836 (1 (8 Toda (1873) as 8 yy (up to 6 y, 3 — — 36 (1 Araucani1 1946–1952 1–2 y rare) — — 18 (8 Aymara2 1,2 Trobriands 1914–1920, 1940–1942; From birth 1.5 y 1 y 1–2 y; 1–3 y; 2 y 2–2.5 y — 0 18 12 18; 27 24 22.5; (1 (9 1971–1972, 1961–1962 Azande (1982) 1911–1932 Early 3–4 y 0 0 42 (9 Troni Badaga (1992) 1962–1977 3–5ymo 1 1 y 29.52 — — 4 — 29.5 12 (1 (9 Truk Bang Chan (1953) 1952–1954 A few mo 1–2 y (or 5–36 mo (12–22 — — —— 18 13 (1 (9 teething) mo usual); Tuareg 1929–1940 2–2.5 y median 13 mo3 — — 27 (1 Banoi 1 Turkana (1965) 1948– (1927), 1.5–6 or older 3 y; 2 y At least — — —— 53 24 36; (1 (9 Bellacoola 1949 1922–1924 As soon as As soon as 2–3 y 0 0 30 (9 Tzeltal1 1957–1958, 6–12 mo possible 3–4 mo possible 1.5 y or older 9 3.5 28.5 (1 Bemba 1965–1967 1930–1934 2–3 y — — 30 (9 Bhil 2 Warao 1933–1944, 1943–1954 From birth 10–11 mo 10 mo to 2 or 3 0 — 10.5— 19; 24 — (1 (9 Buka (1956) 1929–1930 From birth 4–5 y y; ;2 y — 0 54 (9 Wogeo Burmese (1943) 1949–1950 2–3 y 3–4 y — — —— 42 30 (1 (1 Woleai Cayapa (1949) 1959–1960 2 mo 4 3 mo mo Up to 3 y or later 2 4 3 36 36 (1 (1 Yahgan2 Chipewyan 1918–1924, 1960–1962 4 mo 3–4 y 10–15 mo, — —4 12.5; 24 42 (1 (1 Chuckchee (1946) 1919–1921 1y 3–4 y sometimes — 12 42 (1 Datoga 1991–1992 3.6 mo3 10.6 mo3 21.93 much later; 2 y 3.5 10.5 30 (3 Delaware1 1 Yanomamo 1958–1967, 1951–1952 2–4 y 2–3 y — — 33 36 (1 (1 1964–1966, (1950) Dogon 1967, 1968, (1960) 2y — — 24 (1 Dorobo 1972–1979, 1938–1939 1y — — 12 (1 Fang 1987 1946–1954 Before 1 y 18 mo to 2 y — 6 21 (1 Fulbe (1992) — — 24.53 (1 Gainj 1982 9–12 mo — 10.5 38.53 (1 Garo 1954–1956 “Early” 9–12 mo Almost 2 y 0 10.5 24 (1 Goajiro (1950) Sellen DW. J Nutr. 2001 or later 6–8 mo 1–3 y Oct;131(10):2707-15! — 7 24 (1
  • 26. WEANING IN NONINDUSTRIAL SOCIETIES WEANING IN NONINDUSTRIAL SOCIETIES TABLE 1 TABLE 1 (continued) Indicators of ages at complementary feeding and weaning reported for nonindustrial societies Indicators of ages at complementary feeding and weaning reported for nonindustrial societies Reported Best estimate Best estimate Reported ages of of average of average Best estimate Reported Best estimate Best estimate age of introduction age of age of of average ages of Reported ages of of average introduction of average introduction Best of age estimate Dates of data introduction of Ethnic collection (or of nonbreast introduction cessation of Reported age of nonbreast age of of nonbreast age of of nonbreast of average cessation of designation Dates of data publication) milk liquids of milk solids introduction of introduction breastfeeding ages milk liquids Reported milk solids age of introduction breastfeeding S Ethnic collection (or nonbreast milk nonbreast of cessation of of nonbreast of nonbreast cessation of designation publication) liquids milk solids breastfeeding milk liquids meses milk solids meses breastfeeding meses mo mo mo Yap Amele1 1947–1948 1983–1994 7–8 mo6 mo 36.33 2–3 y (4–5 y if — 7.56 36.5 30 (8 Amhara 1958–1961 2–3 y youngest) — — 30 (8 Yokuts Aranda 1925–1930 1881–1935, 2 wks–2 mo 1 mo 2–5 y 2 y (sometimes — —1 39 24 (8 (1929) as 1.25 y old Arapaho 1935–1942 4 y usual, as or 5) as 4 old — — 48 (8 Yoruba 1949–1959 as 8 y y 2–3 30 Yucatec1 Araucani1 1932–1936; 1946–1952 1–2 y 1–3 y — —6 18 24 (8 Aymara2 1929–1931 1940–1942; 1.5 y 1–2 y; 2–2.5 y — 18 18; 27 (9 Yurok1,2 1961–1962 6–7 mo 1 y maximum 6.5 12 Zapotec Azande 1929–1933; 1911–1932 Early 3–4 y 1–3 y; ;2 y (or 0 0 42 24 (9 Badaga 1957–1959; 1962–1977 3–5 mo 1y older) — 4 12 (9 Bang Chan 1956–1957 1952–1954 5–36 mo (12–22 — — 13 (9 Zulu2 1883–1945; mo 2–3 y; 2–4 y usual); 30;36 (1965) median 13 mo3 Zuni Banoi 1942–1948 (1965) At termination of 1.5–6 1–3 y or older — — 53 24 (9 Bellacoola 1922–1924 As breastfeeding As soon as soon as 2–3 y 0 0 30 (9 !Kung 1963–1972, possible possible or 6 mo 3 or 4 y 3 42 Bemba 1930–1934 1963–1973 earlier 2–3 y — — 30 (9 Bhil 1943–1954 From birth 10–11 mo 0 10.5 — (9 Buka Estimates 1929–1930 1 From birth conducted within 10 y of each other; means of original author’s estimated midpoin combine data from two or more field studies 4–5 y — 0 54 (9 Burmeseof arithmetic midpoint of pooled reported ranges whenever2–3 y instead 1949–1950 available. — — 30 (1 Cayapa or more independent estimates from field studies conducted .10 y apart included in analysis. 2 Two 1959–1960 2 mo 4 mo Up to 3 y 2 4 36 (1 Chipewyan estimate from survival analysis. 3 Median 1960–1962 3–4 y — — 42 (1 Chuckchee 1919–1921 1y 3–4 y — 12 42 (1 Datoga 1991–1992 3.6 mo3 10.6 mo3 21.93 3.5 10.5 30 (3 Delaware1 1951–1952 2–4 y — — 36 (1 mother–infant (1950) It would raise the possibility that under- pairs. Table 2. Assumptions that the same socioecological standing the (1960) Dogon sociocultural factors that supported optimal 2001 Oct;131(10):2707-15! — both cross-cultural and 24 Sellen DW. J Nutr. feed- 2y nants drive — intracultural (1 v Dorobo 1938–1939 1y — — 12 (1
  • 27. AMAMENTAÇÃO Sellen DW. J Nutr. 2001 Oct;131(10):2707-15!
  • 28. ~10,000 anos Revolução Agrícola ocorreu no Médio Oriente! Cordain L et al. Am J Clin Nutr. 2005 Feb;81(2):341-54. Dubreuil L. Journal of Archaeological Science 2004; 31(11): 1613-1629. Bar-Yosef O. Evol Anthropol 1998;6:159 –77.
  • 29. EVIDÊNCIA DO CONSUMO DE LÁCTEOS NO MÉDIO ORIENTE Primeira  evidência  do  consumo  de  lácteos  no  Médio  Oriente  (Turquia)4   Domes<cação  de  ovelhas,  cabras  e  gado  bovino  (Médio  Oriente)  1-­‐3   Presente 10 000 9 000 8 000 7 000 6 000 5 000 4 000 3 000 2 000 1 000 Humanas Gerações 333 300 267 233 200 167 133 100 66 33 1 - Hiendleder S, et al. Proc Biol Sci. 2002 May 7;269(1494):893-904 2 - Luikart G, et al. Proc Natl Acad Sci U S A. 2001 May 8;98(10):5927-32 3 - Loftus RT, et al. Mol Ecol. 1999 Dec;8(12):2015-22 4 - Evershed RP et al. Nature. 2008 Sep 25;455(7212):528-31.
  • 30. DATAS DE EXPANSÃO GEOGRÁFICA DAS2011 Downloaded from rstb.royalsocietypublishing.org on February 18, PRIMEIRAS ! 68 P. Gerbault et al. Evolution of lactase persistence NEOLÍTICAS! CULTURAS 3950 4100 4000 < 5000 5500 5200 5600 5300 6000 5600 5500 5400 6200 5200 < 7000 8500 6100 7800 6600 9000 8300 Villeneuve-Saint-Germain al. Philos Trans R Soc Lond B Biol Sci.(TRB) 27;366(1566):863-77. Gerbault P, et Funnel Beaker Culture 2011 Mar Balkan Neolithic
  • 31. EVIDÊNCIA DO CONSUMO DE LÁCTEOS NO MÉDIO ORIENTE E EUROPA 1ª  evidência  de  lácteos  no  Norte  da  Europa  (RU)6   1ª  evidência  do  consumo  de  lácteos    na  Europa  (Roménia)  5   Primeira  evidência  do  consumo  de  lácteos  no  Médio  Oriente  (Turquia)4   Domes<cação  de  ovelhas,  cabras  e  gado  bovino  (Médio  Oriente)  1-­‐3   Presente 10 000 9 000 8 000 7 000 6 000 5 000 4 000 3 000 2 000 1 000 Humanas Gerações 333 300 267 233 200 167 133 100 66 33 1 - Hiendleder S, et al. Proc Biol Sci. 2002 May 7;269(1494):893-904 2 - Luikart G, et al. Proc Natl Acad Sci U S A. 2001 May 8;98(10):5927-32 3 - Loftus RT, et al. Mol Ecol. 1999 Dec;8(12):2015-22 4 - Evershed RP et al. Nature. 2008 Sep 25;455(7212):528-31. 5 - Craig OE, et al. Antiquity 2005; 79:882-894 6 - Copley MS et al. Proc Natl Acad Sci U S A. 2003 Feb 18;100(4):1524-9
  • 32. UVB Jablonski NG, Chaplin G. Proc Natl Acad Sci U S A. 2010 May 11;107 Suppl 2:8962-8
  • 33. UVA Jablonski NG, Chaplin G. Proc Natl Acad Sci U S A. 2010 May 11;107 Suppl 2:8962-8
  • 34. FOLATO Miller AL, Kelley GS. Altern Med Rev. 1996;1(4):220-235