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Hippocrates: ‘To talk, move during conversation, think and listen to others increases the combustion’

Hippocrates commented on body and soul, physical activity and physical achievement more than 400 years BC. Hippocrates has been quoted all through the medical history and the Hippocratic oath is still sworn by doctors in some countries. Interesting enough, the first part of the oath relates to the fact that young doctors assume an obligation to financially care for their teachers. Hippocrates was born 460 BC on the Island of Kos. With his pupils and followers as well as family members he later developed the school which has been associated with his name. In Hippocrates’ writings both from himself and his followers there are numerous allusions to diet, exercise, lifestyle. Many of them still happen to be relevant today. Although Hippocrates never made any single experiment to prove his thoughts, his medical ideas dominated centuries after his death. The quotation above is interesting in that it illustrates that what we today would call fidgeting was recognized by Hippocrates. Recent studies of NEAT (non-exercise activity thermogenesis) actually demonstrate that upright position, fidgeting, singing, toe-tapping, guitar playing and laughter may all contribute to NEAT to an extent that it may also affect body-weight development. From the Hippocrates writings it is obvious that the Greeks had a wide dietary repertoire: in addition to beef, mutton and pork meat from dogs, donkeys and horses was also consumed. Game meat included rabbit and deer, but also fox and porcupine. Meat could stored for some time in wine or vinegar – the Greeks knew about food conservation. In ‘Regimen’ more than 40 herbs are described and various health promoting properties are associated with them. Dietary fibre is discussed at length, various types of gruels, differing in structure, were prescribed in different clinical conditions. Hippocrates also expressed thoughts about diet before sport activity and recommended meat-rich foods as athletes were building up to compete. He made suggestions regarding the timing between the dietary approach to build up muscles in relation to the time for the athletic competition. In many respects the Mediterranean diet, as we know it today, has traditions already from the days of Hippocrates, although fox and dog meat seems to have disappeared from the menu. It is ironic in a historical perspective that in the European obesity league, Greece has now become one of the fatter countries.