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Second edition

Corrections: what the first edition got wrong

This is the register of claims the first edition got wrong and the second edition corrects. It is kept in public, on its own page, because a book that revises itself quietly is harder to check.

71 corrections4 kinds

This edition corrects the first in more than sixty places. The biggest reversals are argued in the chapters themselves, and Chapter 38 makes a case study of several. The rest are listed here, briefly, for readers of the first edition. Where a correct figure is given, the chapter named carries its source.

Report an error or a newer study through the contact form. A confirmed error is added here rather than quietly edited away.

Claims reversed

18
  1. Chronic back pain is not a modern disease

    The first edition said it was. The Tsimane of Bolivia, forager-horticulturalists with no office chairs, report more pain than several comparison populations, and chronic pain at rates within the range of industrialized countries. What changed is what comes after the pain: disability.

    Topic 21: The Pain You Were Not Supposed to Keep

  2. ADHD medication is not a last resort

    In Swedish national registries, starting medication was associated with lower death rates over two years.

    Topic 31: The Mind That Cannot Find Its Village

  3. Melatonin is not an established anti-cancer agent (Chapter 22),

    and the link between night shifts and breast cancer rests on more than the single study the first edition used.

    Topic 22: Cancer in a New Environment

  4. Your lifestyle does not write itself into your grandchildren

    In humans, the evidence for inheriting a grandparent's experiences through epigenetic marks is weak.

    Topic 45: Designing the Bridge

  5. Fasting has not been shown to switch on autophagy in the human brain

    There is no validated way to measure autophagy in a living person.

    Topic 35: The Hallmarks of Aging

  6. Polyvagal theory is contested, not established

    Topic 38: The Case Against This BookTopic 39: The Unified Field of Mismatch

  7. "Most of the body's serotonin is made in the gut" does not explain mood

    Gut serotonin does not cross into the brain.

    Topic 38: The Case Against This BookTopic 39: The Unified Field of Mismatch

  8. Seed oils

    The first edition blamed them for inflaming the body and making the gut lining leak. The fats people eat did change, enormously; that seed oils make the gut leak is not established.

    Topic 12: The Gut That Expects Dirt

  9. Wild plants do not carry two to ten times the vitamins of crops

    The study cited compared garden crops in 1950 and 1999.

    Topic 38: The Case Against This Book

  10. Consumer haplogroups do not shape your heart, your response to dairy or your sensitivity to seasonal light

    Topic 37: The Individual Variable

  11. The Toba eruption did not cause a human population bottleneck

    People at South African sites lived through it.

    Topic 45: Designing the Bridge

  12. Mismatch is not one problem expressed through thirty systems

    The systems are linked, and inflammation is one interacting cause among several, not a single root.

    Topic 39: The Unified Field of Mismatch

  13. Loneliness is not proven to cause disease through cortisol and inflammation

    That pathway is a proposal with observational support.

    Topic 29: The Social Animal in Solitary Confinement

  14. The body does not read an absence of touch as a threat signal

    The evidence is narrower: touch of the right kind is followed by lower cortisol and heart rate.

    Topic 42: The Handrail III: People, Attention, Meaning

  15. The boredom-to-creativity chain is not in the imaging literature

    Topic 30: The Attention Economy and the Boredom Deficit

  16. Helminth therapy did not work in larger trials

    Early small trials were promising; larger placebo-controlled trials in Crohn's disease found no benefit.

    Topic 18: The Immune System's Education

  17. Central sensitization is not permanent

    The pain system can stay turned up a long while, but the change is reversible.

    Topic 21: The Pain You Were Not Supposed to Keep

  18. Ancestral injuries did not simply heal or kill

    Many people lived on with lasting damage, cared for by others.

    Topic 21: The Pain You Were Not Supposed to Keep

Advice withdrawn or changed

3
  1. Bedroom temperature

    The first edition told readers to keep the bedroom at 18 to 19°C (64 to 66°F). Neither paper it cited contains that number.

    Topic 41: The Handrail II: Light, Sleep, Temperature, Nature

  2. A dopamine "fast"

    Anna Lembke recommends 30 days away from a compulsive behavior, not 24 to 72 hours.

    Topic 30: The Attention Economy and the Boredom Deficit

  3. Cold showers

    The trial the first edition cited cut days absent from work by 29%, not days of illness, which did not change.

    Topic 41: The Handrail II: Light, Sleep, Temperature, Nature

Figures corrected

35
  1. DNA to the sun and back (Prologue)

    Not "more than 600 times": most of the body's cells are red blood cells with no DNA. Dozens of round trips.

    Reference essay: The Staircase

  2. Neanderthal ancestry

    About 1 to 2% outside Africa, not 1 to 4%.

    Topic 37: The Individual Variable

  3. Tibetans on the plateau

    Permanent settlement is conventionally dated to about 3,600 years ago, with seasonal use far earlier, not "roughly 25,000 years".

    Topic 37: The Individual Variable

  4. Gut microbes and their hosts

    Shared descent over about 15 million years, not 90 million.

    Topic 12: The Gut That Expects Dirt

  5. Mean age at first birth in the US

    27.5 in 2023, not 30.4.

    Topic 32: The Reproductive Paradox

  6. Menopause in other animals

    Not only humans, orcas and pilot whales: five toothed whales, and wild chimpanzees at Ngogo in Uganda.

    Topic 32: The Reproductive Paradox

  7. Grandmothers and grandchild survival

    No single "10%" figure exists in the study cited.

    Topic 32: The Reproductive Paradox

  8. Brown fat

    After six weeks of daily mild cold, the extra heat it produced rose by roughly 180 calories a day, not 200 to 400.

    Topic 25: The Thermoneutral Trap

  9. Vitamin D deficiency by race

    In the national survey cited, 82.1% of Black Americans and 30.0% of white Americans were deficient.

    Topic 19: The Largest Organ

  10. Synthetic chemicals

    The "700,000 to 2.1 million" figure had no source; about 350,000 are registered for commerce.

    Topic 14: The Liver and the Chemical Century

  11. The brain in sleep

    Brain cells do not shrink by 60%; in mice, the space between them grows by about 60%, and even that model is disputed.

    Topic 9: The Invisible River

  12. "One trillion smells"

    The estimate depends heavily on the analysis used to make it.

    Topic 15: The Tongue and the Nose

  13. Opioid deaths

    About 806,000 Americans from 1999 to 2023, not "over 500,000".

    Topic 21: The Pain You Were Not Supposed to Keep

  14. Foragers' lifespans

    Adults who survive childhood often live into their late sixties and seventies, a decade or so short of industrialized populations, and far fewer children reach adulthood. Nor were heart attacks unknown: about a third of ancient mummies scanned for the purpose showed hardened arteries.

    Topic 36: Why We Die the Way We Do

  15. Anxiety

    The first edition said generalized anxiety disorder affects about 6% of the world. The World Health Organization puts anxiety disorders of every kind together at about 5.8%; generalized anxiety disorder alone is far rarer, about 1.8% of adults in a given year.

    Topic 31: The Mind That Cannot Find Its Village

  16. Hallmarks of aging

    Twelve since 2023, not nine.

    Topic 35: The Hallmarks of Aging

  17. Stress and cellular aging

    The famous "9 to 17 extra years" of telomere aging compared the most and least stressed mothers in one small study, not caregiving mothers with childless women.

    Topic 35: The Hallmarks of Aging

  18. Magnesium

    About half of Americans eat less than the average requirement, which is not the same as clinical deficiency, and standard water treatment generally leaves minerals in tap water.

    Topic 17: The Water You Forgot to Drink

  19. Overdrinking

    It does not "paradoxically impair cellular hydration": it dilutes the blood and makes cells swell.

    Topic 17: The Water You Forgot to Drink

  20. Nasal nitric oxide

    The first edition said it raises oxygen uptake by 10 to 15%. The one small study behind the figure found skin oxygen readings about 10% higher in six of eight volunteers.

    Topic 10: The Breath You Forgot How to Take

  21. Steps

    Americans average about 5,100 steps a day by step counter, not "fewer than 4,000". No study supports the first edition's forecast that self-driving cars would end walking within 20 years.

    Topic 40: The Handrail I: Move, Eat, DrinkTopic 44: The Luxury Trap Accelerates

  22. Milk digestion

    Lactase persistence took thousands of years to spread, not "about 300 generations", and its timing tracked famine and disease rather than milk drinking.

    Topic 44: The Luxury Trap Accelerates

  23. Screen time

    US tweens averaged 5 hours 33 minutes and teens 8 hours 39 minutes of entertainment screen media a day in 2021.

    Topic 30: The Attention Economy and the Boredom Deficit

  24. Teen mental health

    The first edition's "50 to 150%" figure was tied to no dataset anyone could check.

    Topic 30: The Attention Economy and the Boredom Deficit

  25. Loneliness and mortality

    The figures were attributed to the wrong studies.

    Topic 29: The Social Animal in Solitary Confinement

  26. Spouses' gut microbes

    The similarity tracks living together and closeness, not shared meals.

    Topic 29: The Social Animal in Solitary Confinement

  27. The screen-before-bed experiment

    Published in 2015, with the tablet's light peaking at 452 nm.

    Topic 23: Sleep and the Dark You Have Lost

  28. Sleep loss and immune cells

    One short night cut natural killer cell activity by about a quarter, not 70%, and a normal night restored it.

    Topic 23: Sleep and the Dark You Have Lost

  29. Hunter-gatherer children's play

    The "four to seven hours a day" figure could not be traced to a primary study, and neither could the claim that outdoor play fell by half between 1955 and 2005.

    Topic 34: The Children's Mismatch

  30. Time outdoors and cortisol

    Visits of 20 to 30 minutes gave the biggest cortisol drop per minute spent, not the biggest drop overall.

    Topic 27: The Green Prescription

  31. Phone checks

    The "96 times a day" figure comes from a three-day survey run for a device-insurance company, not from measurement.

    Topic 30: The Attention Economy and the Boredom Deficit

  32. Heart rhythm in hunter-gatherers

    Heart-rate variability appears never to have been measured in them, so the ancestral level is unknown.

    Topic 8: The Heart That Remembers the Savanna

  33. Body fat

    No primary source exists for the first edition's comparison of hunter-gatherer and modern body-fat percentages.

    Topic 32: The Reproductive Paradox

  34. Doggerland

    The first edition tied its drowning to the Storegga Slide tsunami; a 2024 model suggests much of it was lost earlier.

    Topic 4: The Last Ice Age and the Birth of Agriculture

  35. A fast fitness gain

    No trace could be found of the 2005 paper the first edition credited with a rise in aerobic capacity in six to eight weeks.

    Topic 45: Designing the Bridge

Attributions and sources corrected

15
  1. Who named mismatch

    Daniel Lieberman popularized the idea. S. Boyd Eaton and Melvin Konner proposed it in 1985 and, with Marjorie Shostak, called it a "mismatch" in 1988.

    Topic 5: The Idea of Mismatch

  2. The first edition's opening quotation

    attributed to Lieberman cannot be found in his work and has been dropped.

  3. Persistence hunting

    David Carrier proposed it; Louis Liebenberg documented the hunts.

    Topic 2: Standing Up

  4. The East Side Story

    was presented as fact. A hominin roughly seven million years old, found in Chad far west of the Rift Valley, undermined it.

    Topic 2: Standing Up

  5. The knee

    Four-legged animals do have the ligament the first edition said "barely exists" in them: in dogs, injuring it is among the most common orthopedic problems.

    Topic 2: Standing Up

  6. Birth and the pelvis

    The first edition credited Holly Dunsworth's team with the pelvis-versus-brain explanation of early birth; their paper argues close to the opposite, that the mother's energy budget sets the timing.

    Topic 33: Born Too Soon

  7. Light skin

    does not absorb more ultraviolet light; it lets more through.

    Topic 37: The Individual Variable

  8. "Vanishing caloric density"

    is the food scientist Steven Witherly's phrase, and his example was Cheetos.

    Topic 11: The Hijacked Reward System

  9. The gut microbe survey

    compared Guahibo Amerindians, rural Malawians and US city dwellers, not the Hadza and the Yanomami.

    Topic 12: The Gut That Expects Dirt

  10. The squatting study

    was about bowel movements, not hip angles in chairs.

    Topic 6: The Sitting Disease

  11. The nose-plug experiment

    had two participants, the author James Nestor and Anders Olsson.

    Topic 10: The Breath You Forgot How to Take

  12. "200,000 nerve endings in the sole of each foot"

    is folklore with no primary source.

    Topic 7: The Foot That Forgot the Ground

  13. The exercise meta-analysis

    the first edition cited was three different papers merged into one, and the minutes it recommended come from modern cohorts, not from any ancestral pattern.

    Topic 40: The Handrail I: Move, Eat, Drink

  14. The venue decibel table

    could not be traced to the World Health Organization source it was credited to.

    Topic 26: The Ear in the Silent Room

  15. Women's and men's stress responses

    The claim that women's stress systems react more to social threats and men's to achievement rested on one study of 50 students. Pooled across 34 studies, men's cortisol ran higher.

    Topic 28: Stress and the Hijacked Alarm

How to use this page

Each correction carries its own link, so a single one can be cited without citing the rest. Where a corrected figure is given, the reference topic named beside it carries the source.

The recommendations that survived the revision, and how strong the evidence behind each one is, are in the evidence register.