Milk Tells Us About the Optimal Diet

Breast milk tells us everything about the optimal infant diet, much about the optimal diet of children, and is supporting evidence for our view of the adult diet.

Regarding carbohydrates, it tells us that carbs should account for 39 percent of calories in infants and then a gradually decreasing fraction of energy as children grow into adults.

It doesn’t tell us the optimal carb fraction for adults—we’ll need more evidence—but we can be pretty sure that the “cannibal diet” of fasting is too low in carbs, and the Paleolithic diet might have been too low in carbs.

So optimal adult carb intake is probably above 20 percent but probably not more than 35 percent of total energy intake.

Breast milk probably gives us an upper limit to the optimal adult PUFA intake. Infants obtain about 9.6 percent of their energy as PUFA, but they have a great need for PUFA to support the rapid growth of the infant brain. Adults, who have a stable brain size, need substantially less dietary PUFA.

Breast milk confirms that saturated and monounsaturated fats should be the largest source of calories at all ages. There’s no good reason to be afraid of fats!