Chronic diseases have rapidly become the leading global cause of morbidity and mortality, yet there is poor understanding of this transition, or why particular social and ethnic groups are especially susceptible. In this book, Wells adopts a multidisciplinary approach to human nutrition, emphasising how power relations shape the physiological pathways to obesity, diabetes, hypertension and cardiovascular disease. Part I reviews the physiological basis of chronic diseases, presenting a 'capacity-load' model that integrates the nutritional contributions of developmental experience and adult lifestyle. Part II presents an evolutionary perspective on the sensitivity of human metabolism to ecological stresses, highlighting how social hierarchy impacts metabolism on an intergenerational timescale. Part III reviews how nutrition has changed over time, as societies evolved and coalesced towards a single global economic system. Part IV integrates these physiological, evolutionary and politico
This comprehensive synthesis of current medical and evolutionary literature addresses key questions about the role body fat plays in human biology. It explores how body energy stores are regulated, how they develop over the life-course, what biological functions they serve, and how they may have evolved. There is now substantial evidence that human adiposity is not merely a buffer against the threat of starvation, but is also a resource for meeting the energy costs of growth, reproduction and immune function. As such it may be considered as important in our species evolution as other traits such as bipedalism, large brains, and long life spans and developmental periods. Indeed, adiposity is integrally linked with these other traits, and with our capacity to colonise and inhabit diverse ecosystems. It is because human metabolism is so sensitive to environmental cues that manipulative economic forces are now generating the current obesity epidemic.
Chronic diseases have rapidly become the leading global cause of morbidity and mortality, yet there is poor understanding of this transition, or why particular social and ethnic groups are especially susceptible. In this book, Wells adopts a multidisciplinary approach to human nutrition, emphasising how power relations shape the physiological pathways to obesity, diabetes, hypertension and cardiovascular disease. Part I reviews the physiological basis of chronic diseases, presenting a 'capacity-load' model that integrates the nutritional contributions of developmental experience and adult lifestyle. Part II presents an evolutionary perspective on the sensitivity of human metabolism to ecological stresses, highlighting how social hierarchy impacts metabolism on an intergenerational timescale. Part III reviews how nutrition has changed over time, as societies evolved and coalesced towards a single global economic system. Part IV integrates these physiological, evolutionary and politico
