https://i.imgur.com/vuegm5x.png
My point is not that people were doing better then. My point is we could do better given what we know and what we have.
The simple fact that we are debating nutrition on such a basic level ("is something loosely defined as fast food bad?"), shows how fucked we are in that regard.
(Similarly, nutritional concepts, whatever their merits and benefits, that come with a name, be it "atkins" or "paleo", also resemble a pre-scientific worldview based on superstition and vague knowledge. Think "We're building this bridge according to the teachings of Prof. Dr.-Ing. Whatshisname.")