A New Health Report Ranks The Paleo Diet Dead Last—But Is It Really That Bad? (2024)

by Stephanie Eckelkamp
A New Health Report Ranks The Paleo Diet Dead Last—But Is It Really That Bad? (1)

Put down the nut mix and cauliflower pizza for a second. The insanely popular Paleo diet, which shuns dairy, legumes, grains, and processed junk foods in favor of nuts, meat, and other foods said to be preferred by our ancient ancestors, has suffered a major blow. In its annual Best Diets Rankings, U.S. News and World Report placed it dead last, based on input from a panel of health experts.

The panel assessed 35 different diets based on a number of factors including nutrition, safety, ease of adherence, weight-loss friendliness, and protectiveness against diabetes and heart disease. Among some of Paleo's criticized points: It's hard to sustain, too high in fat, and shuns entire food groups often thought to be healthy.

Even the Macrobiotic diet, which one panel expert called "a mix of sound dietary guidance, mysticism, folklore, and nonsense," ranked higher. So is going Paleo—the most googled diet of 2013—really that bad for you? We asked Gretchen Spetz, RD, nutritionist at the Cleveland Clinic, to hash out the pros and cons, and give us some straight talk on the much-debated diet.

Let's start with the CONS…

  • It's restrictive and confusing: U.S. News and World Report may be right about this: The Paleo diet is not easy to follow for more than a few months (or a few days). Because the diet cuts out several food groups, it may be hard to sustain long-term, says Spetz. People like to eat grains, and it can get very tiring to constantly be operating under this "avoid" mentality. There are also many definitions and versions of the Paleo diet, so it can be hard for someone to follow.
  • It may operate under false pretenses: Guess what? You've evolved—and your digestion system has evolved—since our Paleolithic ancestors walked the Earth a few millions years ago, but the diet works under the assumption that we have the same gut health as our ancestors, which we don't. It cuts out grains, legumes, dairy, and many processed foods because they're thought to cause GI problems. But the truth is, for the majority of the population, these are safe and healthy. We've been eating these foods for a long time, says Spetz.
  • It can be high in saturated fat: While research is beginning to suggest that saturated fat isn't as big of an evil as we once thought, experts still don't recommend overdoing it. If you're operating on a version of the Paleo diet that allows you to eat bacon, T-bone steak, and loads of coconut oil whenever you want, it may negatively affect your heart health, says Spetz.

And onto the PROS …

A New Health Report Ranks The Paleo Diet Dead Last—But Is It Really That Bad? (2)

Photo by Joe Potato Photo

  • It gets you cooking: The fact that the diet shuns processed foods is one of the best things going for it, says Spetz. Anything that comes in a bag, a box, or a can is discouraged on this diet, so it definitely gets people cooking more fresh, whole foods and away from processed convenience foods loaded with sugar and salt. A recent study also linked cooking at home to consuming fewer calories.
  • It packs plenty of nutrients: The diet really stresses vegetables and fruits, so you end up getting plenty of fiber and healthy carbs, despite cutting out grains and legumes, says Spetz. And fortified almond and coconut milks, as well as dark leafy greens, help you meet your calcium quota without dairy.
  • It can be low in saturated fat: You can tailor the diet so that it's not ridiculously high in fat, says Spetz. There's nothing that requires you to eat bacon at every meal, or slather everything with coconut oil. Leaner meats and fish are definitely allowed and encouraged, as well as oils containing healthy unsaturated fats like olive and walnut.
  • It emphasizes quality: The Paleo diet emphasizes consuming the highest quality proteins you can find (e.g. grass-fed beef, wild game meats, pastured pigs and chickens, wild-caught seafood, etc). That's good news from a sustainability, humane, and nutritional standpoint—for example, health experts say that grass-fed beef may contain less total fat, a greater proportion of omega-3 fatty acids, and more antioxidant vitamins such as vitamin E than conventional beef.

Bottom line: There are healthy ways to interpret and follow this diet, if you want to—it just might take some planning and weekend meal prep. And while more research is needed to make definitive health claims, some small preliminary studies have linked the diet to reduced blood pressure, weight, and waist circumference; and increased HDL "good" cholesterol. If you're going to give it a whirl, Spetz recommends aiming for a lot of variety within the confines of what you're "allowed" to eat and not overdoing it on any one thing—e.g. experimenting with new produce, and switching up your cooking oils and protein sources. "Find a Paleo approach that really stresses plenty of vegetables and fruit and emphasizes quality lean proteins like poultry and fish," says Spetz. For healthy, simple Paleo recipe ideas, check out these 5-Ingredient Paleo Meals.

A New Health Report Ranks The Paleo Diet Dead Last—But Is It Really That Bad? (3)

Stephanie Eckelkamp

Stephanie Eckelkamp is a freelance writer, health coach, and former associate editor for Prevention covering health, food, and nutrition. She’s a graduate of Syracuse University and obsessed with dogs, exploring the great outdoors, and chunky peanut butter.

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A New Health Report Ranks The Paleo Diet Dead Last—But Is It Really That Bad? (2024)

FAQs

A New Health Report Ranks The Paleo Diet Dead Last—But Is It Really That Bad? ›

Among some of Paleo's criticized points: It's hard to sustain, too high in fat, and shuns entire food groups often thought to be healthy. Even the Macrobiotic diet, which one panel expert called "a mix of sound dietary guidance, mysticism, folklore, and nonsense," ranked higher.

How bad is the Paleo diet? ›

This diet can put you at risk for deficiencies in calcium and vitamin D, which are critical to bone health. At the same time, you may consume saturated fat and protein far above recommended levels due to eating so much meat. This can cause an increased risk of kidney and heart disease and certain cancers.

What do doctors think about the Paleo diet? ›

The bottom line

A paleo diet may help you lose weight or keep a healthy weight. It also may have other helpful health effects. But there are no long-term clinical studies about the benefits and potential risks of the diet.

Is paleo fake? ›

The paleo diet can't be a faithful replication of what our ancient cousins ate because there was no single Paleolithic diet — their diets varied wildly. Also, the plants and meat we eat today differ from those available to our ancestors. And the paleo diet bans legumes and grains, which some Paleolithic people did eat.

Why is the Paleo diet not sustainable? ›

Additionally, raising animals for food requires large amounts of feed, land, and water, and it often leads to deforestation and biodiversity loss. Given its emphasis on animal proteins, the Paleo diet can have a relatively high carbon footprint.

Is the Paleo diet inflammatory? ›

Both paleo and keto diets have anti-inflammatory properties but work differently in managing inflammation and related health conditions. The paleo diet is better for managing autoimmune diseases, while the keto diet is better for managing diabetes and metabolic syndrome.

What foods should I avoid to reduce inflammation? ›

Foods that can be inflammatory: Highly processed foods, like corn chips, fried foods and too much red meat, sugar, wheat, rye and barley in people with gluten allergies of celiac disease.

What are humans supposed to eat naturally? ›

Although many humans choose to eat both plants and meat, earning us the dubious title of “omnivore,” we're anatomically herbivorous. The good news is that if you want to eat like our ancestors, you still can: Nuts, vegetables, fruit, and legumes are the basis of a healthy vegan lifestyle.

Is the Paleo diet historically inaccurate? ›

The Paleo diet not only misunderstands how our own species, the organisms inside our bodies and the animals and plants we eat have evolved over the last 10,000 years, it also ignores much of the evidence about our ancestors' health during their—often brief—individual life spans (even if a minority of our Paleo ...

Is paleo considered clean eating? ›

Paleo recipes can almost always be used as clean eating recipes because the paleo diet focuses on similar standards for ingredients. However, clean eating recipes cannot always be used for paleo because they may have grains, legumes, and dairy.

Why are people questioning the Paleo diet? ›

There is however concern that individuals following the Paleo diet may be at risk of falling short of obtaining important nutrients and fibres from whole grains, high fibre grain foods and legumes which may have a negative impact on chronic disease risk over the lifespan(6, 18-23).

Are eggs paleo? ›

“The paleo diet is all about unprocessed, natural foods: Think vegetables, fruit, meat, seafood, natural fat sources, nuts, seeds, and eggs,” says Ginger Hultin, RDN, nutritionist based in Seattle.

Can you eat rice on paleo? ›

Strict paleo dieters exclude all grains from their diets — including rice — primarily due to their high phytate content. Although it's technically prohibited, many people still consume small amounts of white rice while following a paleo diet because it's lower in phytates, compared with other types.

What are the side effects of going paleo? ›

Symptoms can include headaches, fatigue , weakness, hazy thinking (brain fog) and irritability, which can result from reducing carbohydrate intake. For somen, low-carb flu can take days to subside, but for others it can take a couple of weeks. Some may not even experience these symptoms are at all.

Is paleo bad for gut? ›

However, more research is needed to fully understand how the paleo diet affects gut health. Some research findings suggest that following a paleo diet long-term could negatively affect gut health by reducing the abundance of beneficial bacteria and increasing numbers of TMA-producing Hungatella bacteria.

Do you poop less on a paleo diet? ›

This makes sense Paleo replaces grains with fat, which is much more calorie-dense, so the volume of food consumed on Paleo is often much smaller. This obviously makes for smaller bowel movements, especially if you're also going from eating a calorie surplus to eating a calorie deficit (less food overall).

What happens to your body when you start paleo diet? ›

This diet may lead to significant weight loss (without calorie counting) and major improvements in health. Anthropologists also speculate that the paleo diet influenced anatomic and physiologic changes in humans, including increased brain size and reduced gastrointestinal tract size ( 1).

References

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