2014
DOI: 10.1073/pnas.1318176111
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Earliest evidence for caries and exploitation of starchy plant foods in Pleistocene hunter-gatherers from Morocco

Abstract: Significance We present early evidence linking a high prevalence of caries to a reliance on highly cariogenic wild plant foods in Pleistocene hunter-gatherers from North Africa. This evidence predates other high caries populations and the first signs of food production by several thousand years. We infer that increased reliance on wild plants rich in fermentable carbohydrates caused an early shift toward a disease-associated oral microbiota. Systematic harvesting and processing of wild food resources… Show more

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Cited by 134 publications
(144 citation statements)
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“…Although some argue that Paleolithic foragers experienced high helminth loads (37,39,40), archaeological data instead show an increase in helminths in farming populations (33,(41)(42)(43)(44)(45) as compared with mobile, low-density hunter-gatherers. In summary, the overall effect of agriculture on health was a trend toward increasing morbidity and mortality (16,19,28,46), although the intensity of the trend exhibits some regional variation and inconsistencies (47)(48)(49)(50)(51)(52)(53)(54)(55)(56).…”
mentioning
confidence: 99%
“…Although some argue that Paleolithic foragers experienced high helminth loads (37,39,40), archaeological data instead show an increase in helminths in farming populations (33,(41)(42)(43)(44)(45) as compared with mobile, low-density hunter-gatherers. In summary, the overall effect of agriculture on health was a trend toward increasing morbidity and mortality (16,19,28,46), although the intensity of the trend exhibits some regional variation and inconsistencies (47)(48)(49)(50)(51)(52)(53)(54)(55)(56).…”
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confidence: 99%
“…The influence of each of these factors on oral health has been assessed in various comparative studies, both on fossil hominins and extant humans. Dietary cause-effect relationships are best documented for caries, the prevalence of which is clearly related to consumption of starch-rich foods, both in Late Pleistocene and modern (archeological) human populations (Fujita 2012;Da-Gloria and Larsen 2014;Humphrey et al 2014;Lacy 2014a). As indicated by Costa et al (1980b), the prevalence of caries may also be related to other dietary preferences not related to starchy diets.…”
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confidence: 99%
“…Caries has been documented in many Late Pleistocene Neanderthal and human populations, indicating that the prevalence of this condition was more significant than previously assumed (Lacy 2014). The highest prevalence (51%) of caries was recorded in the population of Taforalt, Morocco (~14000 BP), and was interpreted as reflecting a high percentage of starchy plant foods in their diet (Humphrey et al 2014). …”
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confidence: 99%
“…At Paglicci, the presence of deciduous Quercus is testified by the recovery of charcoal (11). In the Mediterranean basin, acorn consumption was indicated in Morocco, between 15,000 and 13,700 cal B.P (20); acorn flour has been recorded in Qingshui River valley, China, since the beginning of the Holocene, when broadleaf trees began to spread in that region (21). Therefore, the Paglicci record could represent the most ancient documented use of acorns after processing, marking the beginning of a very long tradition that has not yet completely died out in the Mediterranean basin and in Italy, surviving in the production of bread for village festivities (22).…”
Section: Discussionmentioning
confidence: 99%