Indigenous South American group has healthiest arteries of all populations yet studied, providing clues to healthy lifes

March 17, 2017, Lancet
Typical Tsimane house. Credit: Ben Trumble

The Tsimane people - a forager-horticulturalist population of the Bolivian Amazon - have the lowest reported levels of vascular ageing for any population, with coronary atherosclerosis (hardening of the arteries) being five times less common than in the US, according to a study published in The Lancet and being presented at the American College of Cardiology conference.

The researchers propose that the loss of subsistence diets and lifestyles in contemporary society could be classed as a new risk factor for . The main risk factors are age, smoking, high cholesterol, , physical inactivity, obesity and diabetes.

"Our study shows that the Tsimane indigenous South Americans have the lowest prevalence of of any population yet studied," said senior anthropology author, Professor Hillard Kaplan, University of New Mexico, USA. "Their lifestyle suggests that a diet low in saturated fats and high in non-processed fibre-rich carbohydrates, along with wild game and fish, not smoking and being active throughout the day could help prevent hardening in the arteries of the heart. The loss of subsistence diets and lifestyles could be classed as a new risk factor for vascular ageing and we believe that components of this way of life could benefit contemporary sedentary populations."

Although the Tsimane lifestyle is very different from that of contemporary society, certain elements of it are transferable and could help to reduce risk of heart disease.

While industrial populations are sedentary for more than half of their waking hours (54%), the Tsimane spend only 10% of their daytime being inactive. They live a subsistence lifestyle that involves hunting, gathering, fishing and farming, where men spend an average of 6-7 hours of their day being physically active and women spend 4-6 hours.

Their diet is largely carbohydrate-based (72%) and includes non-processed carbohydrates which are high in fibre such as rice, plantain, manioc, corn, nuts and fruits. Protein constitutes 14% of their diet and comes from animal meat. The diet is very low in fat with fat compromising only 14% of the diet - equivalent to an estimated 38 grams of fat each day, including 11g saturated fat and no trans fats. In addition, smoking was rare in the population.

In the observational study, the researchers visited 85 Tsimane villages between 2014 and 2015. They measured the participants' risk of heart disease by taking CT scans of the hearts of 705 adults (aged 40-94 years old) to measure the extent of hardening of the coronary arteries, as well as measuring weight, age, heart rate, blood pressure, cholesterol, blood glucose and inflammation.

Tsimane village from the water. Credit: Ben Trumble

Based on their CT scan, almost nine in 10 of the Tsimane people (596 of 705 people, 85%) had no risk of heart disease, 89 (13%) had low risk and only 20 people (3%) had moderate or . These findings also continued into old age, where almost two-thirds (65%, 31 of 48) of those aged over 75 years old had almost no risk and 8% (4 of 48) had moderate or high risk. These results are the lowest reported levels of vascular ageing of any population recorded to date.

By comparison, a US study of 6814 people (aged 45 to 84) found that only 14% of Americans had a CT scan that suggested no risk of heart disease and half (50%) had a moderate or high risk - a five-fold higher prevalence than in the Tsimane population.

In the Tsimane population, heart rate, blood pressure, cholesterol, and blood glucose were also low, potentially as a result of their lifestyle. The researchers also note that the low risk of coronary atherosclerosis was identified despite there being elevated levels of inflammation in half of the Tsimane population (51%, 360 of 705 people).

"Conventional thinking is that inflammation increases the risk of heart disease," said Professor Randall Thompson, cardiologist at Saint Luke's Mid America Heart Institute, USA. "However, the inflammation common to the Tsimane was not associated with increased risk of heart disease, and may instead be the result of high rates of infections."

Because the study is observational it cannot confirm how the Tsimane population is protected from vascular ageing, or which part of their lifestyle (diet, physical activity or smoking) is most protective. The researchers suggest it is more likely to be a result of their lifestyle than genetics, because of a gradual increase in cholesterol levels coinciding with a rapidly changing lifestyle.

"Over the last five years, new roads and the introduction of motorised canoes have dramatically increased access to the nearby market town to buy sugar and cooking oil," said Dr Ben Trumble, Arizona State University, USA. "This is ushering in major economic and nutritional changes for the Tsimane people."

The researchers did not study whether coronary artery hardening in the Tsimane population impacted on their health, but note that deaths from heart attacks are very uncommon in the population so it is likely that their low levels of atherosclerosis and heart disease are associated. The researchers are investigating this in further research.

"This study suggests that coronary atherosclerosis could be avoided if people adopted some elements of the Tsimane lifestyle, such as keeping their LDL cholesterol, and blood sugar very low, not smoking and being physically active," said senior cardiology author Dr Gregory S. Thomas, Long Beach Memorial Medical Centre, USA. "Most of the Tsimane are able to live their entire life without developing any coronary atherosclerosis. This has never been seen in any prior research. While difficult to achieve in the industrialized world, we can adopt some aspects of their lifestyle to potentially forestall a condition we thought would eventually effect almost all of us."

Explore further: Hunter-gatherers and horticulturalist lifestyle linked to lower blood pressure increases

More information: The Lancet, … (17)30752-3/fulltext

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1 / 5 (2) Mar 17, 2017
and their mean life expectancy is 45 years.
4.5 / 5 (2) Mar 18, 2017
One should also include the effects of air pollution - burned fuel and brake dust- as well as the poisons refined cane sugar and unnatural use of fructose into the mix when talking about westernized hardening of the arteries.
1 / 5 (1) Mar 18, 2017
Oral hygiene is considered poor in this tribe and oral microflora may affect pheromone processing. Increased pheromone consumption from kissing and other affectionate behaviors may also distinguish this tribe. The electrodeposition process of atherosclerosis is mediated by human pheromones.
3 / 5 (2) Mar 18, 2017
"Tsimane' coca is essentially consumed when doing hard physical work (e.g., clearing forest cover for farming)."

-I wonder if chewing coca leaves plays into this study in some way-
4 / 5 (1) Mar 18, 2017
No white sugar, No white flour, No white salt. The evidence has been there for over 50 years, and no chemicals, No industrial farming. Japan and south Korean's do the best, garlic and green tea and no dairy.. the stats are all there
3 / 5 (2) Mar 18, 2017
No white sugar, No white flour, No white salt. The evidence has been there for over 50 years, and no chemicals, No industrial farming. Japan and south Korean's do the best, garlic and green tea and no dairy.. the stats are all there
This is no different from other indigene groups around the world. But coca leaves are only chewed in select areas. This is one of them.

The best way to destroy the utility of a natural drug is to turn it into something nasty. Opium wasnt such a big problem until they turned it into heroin. Beer wasnt so bad but then they made whiskey. Etc.

So perhaps coca leaves are good for you.
5 / 5 (1) Mar 18, 2017
Opium wasnt such a big problem until they turned it into heroin..

Except for laudanum during the 19th century.

Now, back to the topic of the article.

Gut flora has been shown to be exceptionally important to the overall health and well being of any organism. Perhaps its simply a mater of having the right flora and not killing them off with modern "food".
3 / 5 (2) Mar 18, 2017
That was just as much OT as your microbiome comment which was already addressed. Maybe you werent aware of the term?

Something in their environment is increasing lifespan. I suggest it could be coca which is ingested by few other people.
not rated yet Mar 19, 2017
It may just be simpler to wait for evolution to catch up to our modern lifestyle, its hard to read when you're physically active all the time ;P
not rated yet Mar 19, 2017
These folks live in extreme poverty, and everything appears to be held in common. Dangerously common as notice the machete lying in the dirt on the floor of the open-air no walls shed called a 'house'. Likely most would live a really long time if they did not: get snake bit; get crocodile ate; get shot by ranchers trying to genocide them; get killed in industrial accidents when working for local mines that feed them coca leaves so they will be stupefied and work extreme hours in conditions to cold or hot to live long...and for low pay too; get scorpion stung; get army ant ate; get caiman ate; get jaguar ate; get cannibalized; get machete chopped for being with other man's woman; get machete chopped for being with other woman's man; get run over by a bus; go on too many busses on 'death roads' and die in accidents; die in fights; get tetanus; get plague; get hemorrhagic fevers; get killed by death squads, get snake bit, get frog poisoned, get paranha ate, killer bees
not rated yet Mar 19, 2017
Perhaps it's the 16 hours of sleep they apparently get every night. The article states that they are inactive only 10% of the time they are awake, and that they average 6-7 hours of activity per day. That would mean they must sleep at least 16 hours a day. Hope the rest of the statistics in the article are correct.

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