farmacology: using food as medicine
DESCRIPTION
Daphne Miller, MD: Associate Clinical Professor, Department of Family and Community Medicine, University of California San Francisco MO Health Policy Summit 2013TRANSCRIPT
The Science and Wisdom of Traditional Diets
Implications for health policy & community health
Daphne Miller, MD
Associate Clinical Professor
Department of Family and Community Medicine, UCSF
NUTRITION TRANSITION
World Health Statistics, 2007
New Cases of Diabetes Among US Adults
BIOLOGY TECHNOLOGY
Sweet preference
Thirst and satiety uncoupled
Fatty preference
Energy efficiency
MISMATCH
What have we lost?
What can we regain?
1. Lost medicine
“Those who walk well”
Schulz, Diabetes Care, 2006
Billberry hunting, Iceland
Horta hunting, Crete
Nature’s ibuprofen Morocco
photos by Jim Richardson
2. Lost recipes
“Three sisters”
27
3. Lost preparation techniques
high tech processing
savings account
Simopoulos, 2001
Fermentation
EluboIruEkoEbaUjiAmasiMahewuGariOgiFufu Ben-saalga
Florence Burkina Faso
www.pnas.org/cgi/doi/10.1073/pnas.1005963107 De Filippo et al.
Microbiome
http://www.waojournal.org/content/6/1/3
inter-biome communication
http://www.waojournal.org/content/6/1/3
biodiversity and allergic diseases
4. Lost eating traditions
5. Lost eating traditions
Garulet, International Journal of Obesity 2013
Breakfast and weight loss
n=420
dinner for ?
Hara Hachi Bu
modified fasts: 180 days
5. Lost farming methods
photo by Milagro Salazar via IPSNews
HOLISTIC FARMING
Rockin’ H Ranch, Norwood, MO
Reganold, PLoS ONE, 2010
FRUIT QUALITY ORGANIC >> CONVENTIONAL P value
antioxidant activity
8.5% 0.019
phenolics
10.5% 0.0003
ascorbic acid
9.7% 0.009
Reganold, PLoS ONE, 2010
people
farm method
LOST
medicine
recipes
food preparation techniques
eating traditions
farming traditions
How to regain?
medicine
recipes
food preparation techniques
eating traditions
farming traditions
*New England Health Care Institute
88% of US
health care expensitures*
Farm-to-Hospital
Local recipes and traditions
Ecological Literacy
Local Food Economy
Slow Food Chapter, Springfield MO
Local seed reservoir
(Local Medicine)
Local Food Advocacy
Comments due by November 15 sustainableagriculture.net
@drdaphnemiller