Brand-Miller Jennie C, Griffin Hayley J, Colagiuri Stephen
The Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, G89 Medical Foundation Building K25, NSW 2006, Sydney, Australia.
J Obes. 2012;2012:258624. doi: 10.1155/2012/258624. Epub 2011 Dec 22.
The "Carnivore Connection" hypothesizes that, during human evolution, a scarcity of dietary carbohydrate in diets with low plant : animal subsistence ratios led to insulin resistance providing a survival and reproductive advantage with selection of genes for insulin resistance. The selection pressure was relaxed at the beginning of the Agricultural Revolution when large quantities of cereals first entered human diets. The "Carnivore Connection" explains the high prevalence of intrinsic insulin resistance and type 2 diabetes in populations that transition rapidly from traditional diets with a low-glycemic load, to high-carbohydrate, high-glycemic index diets that characterize modern diets. Selection pressure has been relaxed longest in European populations, explaining a lower prevalence of insulin resistance and type 2 diabetes, despite recent exposure to famine and food scarcity. Increasing obesity and habitual consumption of high-glycemic-load diets worsens insulin resistance and increases the risk of type 2 diabetes in all populations.
“食肉动物关联”假说认为,在人类进化过程中,植物与动物生存比例较低的饮食中膳食碳水化合物稀缺,导致胰岛素抵抗,这为胰岛素抵抗基因的选择提供了生存和繁殖优势。在农业革命初期,大量谷物首次进入人类饮食时,选择压力有所缓解。“食肉动物关联”解释了在从低升糖负荷的传统饮食迅速转变为以高碳水化合物、高升糖指数饮食为特征的现代饮食的人群中,内在胰岛素抵抗和2型糖尿病的高患病率。欧洲人群的选择压力缓解时间最长,这解释了尽管近期经历过饥荒和食物短缺,但胰岛素抵抗和2型糖尿病的患病率较低。在所有人群中,肥胖加剧和习惯性食用高升糖负荷饮食会使胰岛素抵抗恶化,并增加患2型糖尿病的风险。