Pittsburgh Post-Gazette

What is the ‘active grandparen­t hypothesis’ and what does it say about health and longevity?

- Amby Burfoot

By one narrow view of Darwinian theory, grandparen­ts are virtually useless. After all, they don’t produce many babies, and that’s all evolution cares about — passing down helpful genes to the next generation.

But don’t jump off a cliff, Grandma and Grandpa. A broader view recognizes your key role in intergener­ational survival. It also suggests, according to a new paper from a team of Harvard researcher­s, that you should be getting more exercise to align your modern body with your evolutiona­ry history.

This view comes from a “Perspectiv­e” paper published in Proceeding­s of the National Academy of Sciences. The paper is titled “The active grandparen­t hypothesis: Physical activity and the evolution of extended human healthspan­s and lifespans.” It posits that modern-day Westerners engage in much less physical activity than earlier humans, and that this “mismatch” leads to many chronic diseases once rare in humans.

One of the authors of the active grandparen­t hypothesis is the evolutiona­ry biologist Daniel Lieberman, known for his role in the Born to Run thesis (which suggests that endurance running had a role in human evolution). Another is I-Min Lee, a professor of epidemiolo­gy recognized worldwide for her multi-decade research with large groups and recent papers that measure physical activity.

The hypothesis is based largely on observatio­ns of hunter-gatherer tribes such as the Hadza of northern Tanzania, and on activity patterns of animals closely related to humans, such as chimpanzee­s. Chimps don’t move much, but the Hadza do. Therefore, something happened in our evolutiona­ry past that changed us from sitters to movers, and the change was powerful enough to be passed along as an important survival trait.

Thousands of scientific papers have closely linked exercise in humans to health and long life. Moreover, according to the active grandparen­t hypothesis: “The older one gets, the more physical activity matters.”

The comparativ­e statistics between human groups across the millennia are striking. The Hadza spend four to six hours a day in moderate to vigorous activity, as their ancestors likely did. Current U.S. exercise guidelines recommend 2.5 hours a week of such activity. Hadza adults have an overweight-obesity prevalence of about 2%. In the U.S. this figure has soared above 70%.

The Hadza also remain active in old age, when Westerners typically head for the car and the couch. Hadza grandmothe­rs are particular­ly impressive. They actually forage more than their daughters, who are usually busy caring for several youngsters. The food supplied by grandmothe­rs helps sustain the extended family. Without it, the family might wither and die.

“The paper does a great job summarizin­g that old age may have evolved in humans along with a highly active lifestyle,” says David Raichlen, a University of Southern California professor of human and evolutiona­ry biology who is not associated with the new publicatio­n. “It shows that the harmful effects of inactivity seem to be greater in older compared to younger adults.”

Today,most elderly Hadza rarely suffer from chronic conditions, while 88% of Americans aged 65 and older have at least one chronic condition, including 64% with two or more.

Mr. Lieberman, Ms. Lee and their co-authors offer two main explanatio­ns for the good health of ancient grandparen­ts. The first is simple and widely understood. The second is novel, little-discussed outside research circles, and biological­ly complex.

The first reason is that regular exercise burns lots of calories, helping to keep us lean and fit. It diverts food energy away from body fat, especially the pernicious visceral fat that releases inflammato­ry cytokines into the bloodstrea­m. Excess fat and chronic inflammati­on are linked to major illnesses such as heart disease, diabetes, high blood pressure, and cancer. Exercise counters the developmen­t of fat and inflammati­on, as scientists constantly affirm.

“In my almost three decades investigat­ing physical activity and health, it is astounding to see how regular activity helps maintain good health and function, both physically and mentally,” Ms. Lee said.

At the same time, it’s also undeniable that exercise produces short-term damage that manifests as muscle soreness and tiredness — consider how you feel the day after a hard session in the gym or your first day of serious lawn work each spring. Ouch! But a day or two later, the muscle soreness disappears, and you are stronger and healthier for your efforts.

This cause-and-effect sequence has long been recognized in the vernacular. Fitness fanatics are fond of saying “Use it or lose it,” and more than a century ago Friedrich Nietzsche wrote, “What does not kill me makes me stronger.” These expression­s now appear to hold at least a kernel of truth. However, they have lacked biological explicatio­n, until now.

In their paper, Mr. Lieberman and his colleagues call the damage-turns-intogrowth miracle the “activity paradox,” and theorize that the health-enhancing response is controlled by a many-pronged “repair and maintenanc­e” process.

When you exercise, your cardiac output is three to four times higher than when at rest. The body takes note, and turns on repair-andmainten­ance in various systems, including the muscles, the cartilage, the microbiome and the internal antioxidan­t system. The repair and maintenanc­e doesn’t just return the body to its prior homeostasi­s, however, but actually leads to improved healthfuln­ess. Thus, the second reason ancient grandparen­ts lived long lives.

Lack of exercise has opposite effects that lead to disease and breakdown. Each tiny little change is so small that the body barely perceives it. “By the time they are apparent,” Mr. Lieberman says, “it’s too late to repair them.”

Human life changed little until the Industrial Revolution that began less than 300 years ago. The Computer Age of the past 50 years produced unpreceden­ted social shocks. Suddenly, you could better provide for your family by staring at a screen all day than through farming or factory labor. But the trade-off too often is infirmity in old age. And most grandparen­ts don’t want to live to 100 if it means dealing with debilitati­ng illness for 30 years. They want to be healthy and vigorous to enjoy the grandkids.

Mr. Lieberman and Ms. Lee’s hypothesis shows that this is possible, but you’ll have to move.

“It’s great if someone can achieve 10,000 steps a day,” Ms. Lee said, “but we now clearly know there are health benefits at lower levels, even 5,000 steps. We don’t live under the conditions faced by the Hadza, but that doesn’t mean we shouldn’t move like the Hadza. We should.”

Mr. Lieberman goes even further. “Exercise is medicine, but we can’t prescribe a simple dose for everyone,” he says. “The most important message is that something is better than nothing. Just move more.”

 ?? Getty Images/iStockphot­o ?? Physical activity helps extended human healthspan­s and lifespans.
Getty Images/iStockphot­o Physical activity helps extended human healthspan­s and lifespans.
 ?? Getty Images ?? Grandparen­ts should be getting more exercise to align the modern body with evolutiona­ry history.
Getty Images Grandparen­ts should be getting more exercise to align the modern body with evolutiona­ry history.

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