The Metabolic Ghetto: An Evolutionary Perspective on Nutrition, Power Relations and Chronic Disease

The Metabolic Ghetto: An Evolutionary Perspective on Nutrition, Power Relations and Chronic Disease

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Jonathan C. K. Wells
Cambridge University Press
Edition: Illustrated, 7/21/2016
EAN 9781107009479, ISBN10: 1107009472

Hardcover, 622 pages, 25.1 x 17.8 x 3 cm
Language: English

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-economic perspectives in a unifying framework, to deepen our understanding of the societal basis of metabolic ill-health.

1. Introduction
Part I. The Physiology of Chronic Disease
2. Models of chronic disease
3. Links between nutrition and health
4. The developmental origins of disease
5. Life-course models of chronic disease aetiology
6. Applying the capacity-load model
Part II. An Evolutionary Perspective on Human Metabolism
7. Life history strategy
8. Ancestral environments
9. The evolution of human adaptability
10. Sensitivity in early life
11. The evolutionary biology of inequality
12. The metabolic ghetto
Part III. A Historical Perspective on Human Nutrition
13. The emergence of agriculture
14. Trade, capitalism and imperialism
15. Hierarchy and metabolic capacity
16. The emergence of consumerism
17. Enforcing obedience
18. The dual burden of malnutrition
Part IV. Power, Nutrition and Society
19. A series of games
20. A question of agency