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CHAPTER 13
Human Adaptation
to a Changing World
Chapter Preview
What Is Evolutionary Medicine?
Evolutionary medicine, a branch of medical anthropology, uses the principles of evolutionary
theory to contribute to human health. Basic to this approach is framing health issues in terms
of the relationship between biological change and cultural change. Biological evolution shaped
humans slowly over millions of years while cultural change occurs relatively quickly. The resulting
dissociation between human biology and current cultural practices may lead to disease. Also,
because culture shapes even scientific interpretations of the human body, evolutionary medicine
acknowledges that some physiological phenomena regarded as symptoms of disease can also be
understood as naturally evolving defense mechanisms.
How Have Humans Adapted
Biologically to Naturally Occurring
Environmental Stressors?
When faced with an environmental stressor, the human spe-
cies has responded biologically at three distinct levels: genetic,
developmental, and physiological. Some genetic adaptations
are expressed in terms of phenotypic variation of continuous
traits. Even when the genetic bases to these adaptations are
not precisely known, scientists can study them through com-
parative measurement of the associated phenotypic variation.
In addition, the long period of human growth and devel-
opment allows the environment to interact with genes and
shape the human body. Short-term changes or physiological
adaptations occur in response to a particular environmental
stimulus. Today, the rapid rates at which cultural processes
change human environments pose new biological challenges
with important consequences for our species.
How Are Humans Adapting
in the Face of Globalization?
The interconnectedness of humans to one another and
to the environment is critical for understanding human
adaptation and disease. Today, because local human environ-
ments are shaped by global political and economic systems,
these features directly impact the distribution of health and
disease. Simply describing disease in terms of biological
processes, such as those associated with infection or malnu-
trition, leaves out the ultimate reasons that some individuals
are likelier than others to become sick. Examination of the
impact of political processes on disease can reveal its social
causes, bringing us closer to finding long-lasting cures.
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