(2004) People — Not Their Words — Tell "The Carbohydrate Story" by Dr McDougall. An excerpt:
The Southwestern Indians Live and Die by Carbohydrates
The Tarahumara Indians living in the Sierra Madre Occidental region of northwestern Mexico are an example of the high level of activity an entire population of people can enjoy on high-carb foods.[8] These people are known worldwide as "the running Indians," because their entire culture is based around sprinting from one place to the next, and they have been known to travel between 50 and 80 miles every day at a race-like pace. Their diet is practically meatless, consisting of 90% corn, pinto beans (chili), and vegetables (like squash).[9] This energetic population is free of diabetes, obesity, and heart disease.[10]
However, their genetic relatives, the Pima Indians, reside in Gila River Indian Community in Arizona. These Indians gave up their high-carbohydrate diet over 75 years ago in favor of the high-fat, high-protein, and high-cholesterol American diet. Now, over 80% of these people who are over 55 years of age suffer from type-2 diabetes and obesity; and heart disease and kidney failure are epidemic.[10,11] Needless to say, running is not a part of their daily doings, in part because of the all-too-common amputations of gangrenous legs and feet because of their diabetes.
(2004)
Type 2 Diabetes — the Expected Adaptation to Overnutrition by Dr McDougall. An excerpt:
Native Americans, for example the Pima Indians of Arizona, introduced to the Western diet over the past 75 years, are now afflicted so severely that as many as one-half of them has diabetes.[7] However, their genetic cousins, the Tarahumara Indians of Mexico, following a diet consisting of 90% corn and pinto beans (chili), and vegetables (like squash), are free of type-2 diabetes – as well as obesity and heart disease.[8,9]
Pre-historic eating patterns in Latin America and protective effects of plant-based diets on cardiovascular risk factors by Navarro et al, Clinics (San Paulo), 2010 Oct; 65(10): 1049-1054. Excerpts:
Tarahumara Indians:
The Tarahumara Indians from Mexico have attracted special medical attention because of their remarkable physical endurance and their diet, which contains very little food from animal sources. They inhabit the rugged Sierra Madre Occidental Mountains in the north‐central state of Chihuahua, Mexico. Members of this tribe have an exceptional capacity for exercise.[12,13] Scattered anthropological reports suggest that the diet of the Tarahumaras consists primarily of beans, corn, and squash.[12,14] Connor [15], evaluating 523 healthy Tarahumara, observed cholesterol intake to be 72 mg/day, while fat comprised only 12% of total calories. The mean plasma total cholesterol (TC) was 125 mg, and triglyceride was (TG) 120 mg/dl. They showed an excellent correlation between intake of cholesterol from 20 to 150 mg/dl and TC levels. Adult Tarahumara have low plasma TC levels, averaging 136 mg/dl.[16] In another study, the same authors enrolled eight Tarahumara men in a cholesterol‐feeding experiment with two dietary periods of 3 weeks: first a baseline, cholesterol‐free diet followed by a second one containing 1000 mg of cholesterol provided in the form of egg yolk. Other than different cholesterol content, the diets were identical, with the bulk of calories derived from corn and beans. Plasma cholesterol level increased from 113 to 134 mg/dl after feeding dietary cholesterol; LDL‐C rose similarly. This net increase of 34 mg/dl, or 30%, in plasma cholesterol was, roughly, similar to the changes already described in normocholesterolemic U.S. subjects having a different dietary background.[17]
Pima Indians:
The Pima Indians of Arizona have the highest reported prevalence of obesity and type 2 diabetes. In parallel with abrupt changes in lifestyle, these prevalences in the Arizona Pimas have increased to epidemic proportions during recent decades. To assess the possible impact of the environment on the prevalence of obesity and type 2 diabetes, Ravussin et al.[19] collected data on members of a population with Pima ancestry (separation 700‐1000 years ago) living in a remote, mountainous location in northwestern Mexico, with a lifestyle contrasting markedly with that in Arizona. They observed that obesity and, perhaps, type 2 diabetes are less prevalent among people of Pima heritage living a “traditional” lifestyle than among Pima living in an “affluent” environment. The authors suggest that, despite a similar potential genetic predisposition for metabolic health conditions, a traditional lifestyle, characterized by a diet including less animal fat and more complex carbohydrates and by greater energy expenditure in physical labor, may protect against the development of cardiovascular disease risk factors, obesity, and type 2 diabetes.