New research says "blue zones" can be explained by flawed data
independent.co.uk
independent.co.uk
https://www.biorxiv.org/content/10.1101/704080v1
Abstract:
> The observation of individuals attaining remarkable ages, and their concentration into geographic sub-regions or ‘blue zones’, has generated considerable scientific interest. Proposed drivers of remarkable longevity include high vegetable intake, strong social connections, and genetic markers. Here, we reveal new predictors of remarkable longevity and ‘supercentenarian’ status. In the United States, supercentenarian status is predicted by the absence of vital registration. The state-specific introduction of birth certificates is associated with a 69-82% fall in the number of supercentenarian records. In Italy, which has more uniform vital registration, remarkable longevity is instead predicted by low per capita incomes and a short life expectancy. Finally, the designated ‘blue zones’ of Sardinia, Okinawa, and Ikaria corresponded to regions with low incomes, low literacy, high crime rate and short life expectancy relative to their national average. As such, relative poverty and short lifespan constitute unexpected predictors of centenarian and supercentenarian status, and support a primary role of fraud and error in generating remarkable human age records.
Nice work. It just won a 2024 Ig Nobel Prize. Well-deserved, I'd say:
According to the Blue Zone researchers, some of the Blue Zones are disappearing because the generations that came after the oldest live differently and much shorter. By differently, their eating, body movement, and other characteristics are different. Looking at the whole population doesn't segment for differences between generation. So, nuance is lost.
In some areas, like the Blue Zone in the US other research is finding the people who live there are healthier than the surrounding populations. Then you have to ask, what area do you average over for your measurement and statistics?
This is a big thing that I didn't seen in the paper this article is based on. It seemed like the author was comparing adjusted numbers from the blue zone with unadjusted numbers from non-blue zones. Without comprehensive investigation of error rates and even different error mechanisms by locale, it seems like a poor comparison to make. Comparing life expectancies is better than comparing outlier centarian numbers, but you are right that it depends on what other areas we are using as the baseline or average (and I take it a step farther by saying it depends on what error adjustments need to be made to both data sets).
The whole blue zone idea is a bit misapplied though. These population studies find new variables to look at. Then you have targeted studies to investigate thos variables. Discrediting the centarian numbers doesn't discredit the findings on stuff like a mederteranian diet having better health outcomes than the standard western diet, etc.
I state this to point out that there are other variables at plan than just changes in record keeping.
Also, please show reliable studies that show that western diets lead to more unhealthy outcomes.
Compared to what, third world diets with their insufficient nutrition and starvation?!
Furthermore food studies are notoriously badly done.
You are, of course, free to speculate that there are other issues related to longevity than those considered in the study in question, but even if these suppositions are correct, in no way would this justify saying the paper being discussed here misses the point. The point is that the blue zones study is too flawed to support any definite position, which includes both its own conclusions and the more nuanced issues about which you speculate.
Except, the author doesn't discredit specific claims of the Blue Zones. For example, the Blue Zones might take an area and state there is a higher rate of centurions who are healthy and capable. The counter to that might be the average life span in the region isn't an outlier. In one case you're looking at a targeted subgroup and the other your looking at the population as a whole. One observations doesn't disprove another.
This is just one example. It's why I call the work misleading.
- There's strong incentives to misreport in these areas (the compelling example from Sardinia was that the person is alive for the purposes of pension fraud, but really dead)
- People who are incentivized to report people being older than they are will do so
And the inductive case relies on data, which is presumed to be totally flawed because of the misaligned incentives.
Of course they would say that. But if these zones are simultaneously recording births better and reducing welfare fraud, and if 80%+ of the centenarians either had no birth certificate or were actually dead, I'm going to need more than "but they're also changing lifestyles" as an explanation.
We're talking here about unusually long life, not just "he's still going strong at 85" long. No one here is arguing that people who are active and eat right don't have a longer healthspan, but that's a concept that's provable without the so-called Blue Zones.
This presupposes that the previous generation was in fact living longer, which the linked study showed is not the case at all.
So yeah, it's great the errors in the data have been called out it's a bit surprising that the author interviewed is so angry in the article. I guess it's fitting that he got the Ig nobel, since this correction doesn't have any applicable impact to end result, which were additonal studies investigating the individual suggestions/variables, such as specific dietary practices.
It would be different if these were new studies, but this is all in the past. This new finding of unreliability doesn't have any impact, hence the Ig nobel instead of the real nobel.
And the ignobel isn't supposed to be that the research had no impact. Is it?
The Ig nobel is a satirical award for trivial achievements.
The part of the wikipedia article you are referencing is an inference from a particular article: "A September 2009 article in The National titled "A noble side to Ig Nobels" says that, although the Ig Nobel Awards are veiled criticism of trivial research, history shows that trivial research sometimes leads to important breakthroughs."
The definition of "blue zones" never had anything to do with average longevity. The entire concept is predicated on unusual numbers of centenarians, not long average life spans. In fact, as is pointed out in the Ig Nobel winning paper, Blue Zone places like Sardinia, Okinawa, and Ikaria have always been paradoxical: they are supposed to have higher numbers of unusually long lived people, but have shorter average lifespans than the rest of their countries. The paradox goes away with the finding that the count of centenarians is incorrect. There's nothing left to the Blue Zone concept without the centenarians.
"Ig Nobel Prize Winner Dr. Elena Bodnar demonstrates her invention (a brassiere that can quickly convert into a pair of protective face masks)"
Some of the awards are straight up criticism of the research, like for bunk homeopathy stuff. It was awarded for the prank paper used in the Sokal affair, in which it's definitely praise of what Sokal did. Sometimes it is awarded for a bizarre but funny thing from something being studied in another more serious context like the magnetic frog levitation paper.
(Leaving discussion of the ignobel to the other thread.)
Similarly, if there are places that have debunked this paper, link one. It is a genuinely interesting topic to read about.
We know we need certain essential nutrients to prevent deficiencies, an energy intake surplus causes weight gain, and a few substances like trans fat are problematic. Beyond that, people seem to be making claims and recommendations not backed by hard evidence and frequently confuse correlation with causation.
You might be interested to look into some of the twin studies that put twins on similar exercise regimens and differening diets. They seem to be the strongest evidence possible for this sort of thing. Hardly what I would call junk science.
And I have searched on my own before. Never found much of anything reliable or actionable.
"And I have searched on my own before. Never found much of anything reliable or actionable."
Basically a tautology.
For most people if they eat more fibre and probiotics we would not need Ozempic.
Ozempic exists because Americans are addicted to hypercaloric hyper delicious "food" that was engineered by the big tobacco companies that used their excess cash to buy food companies in the 80's. They then applied their research on making tobacco addictive to make food addictive.
Modern American food is literally the new tobacco.
Ozempic disrupts hunger signals. Fiber does that to a certain extent ("increases feelings of satiety"). I haven't seen anything about probiotics doing that, but I think probiotics are bunk and tend not to read about them.
* The Blue Zones claim that most places that list many centurions are false due to bad record keeping. Only a few places have good enough records that are trustworthy. In this authors research he called out places that were not blue zones as examples of bad data against Blue Zones.
* In Okinawa the Blue Zones claim that only the oldest generation fits the Blue Zone model. That more recent generations eat poorly and have bad health. That this Blue Zone is going away. This researcher has focused on the more recent food and health of younger generations to discount it being a Blue Zone for that oldest generation.
* In the US he fails to find fault in record keeping (last I dug into it) with the only location that is considered a Blue Zone. Instead he focuses on generalities.
There are more examples like this.
This all seems disingenuous. It's not to agree with Blue Zones but rather to look at his arguments against those put forward for Blue Zones.
I keep thinking of the phrase "Lies, Damn Lines, and Statistics"
I am sure there are other places with bad record keeping which were not included in the study to deflate the pvalues of book keeping.
I don't think it is just bad statistics, it is very poor data extractions.
Just an example:
"Like the ‘blue zone’ islands of Sardinia and Ikaria, Okinawa also represents the shortest-lived and second-poorest region of a rich high-welfare state"
Sardinia[1], at 83.8, had in 2018 one of the EU highest life expectancies, certainly higher than the rest of Italy (83.4). Like the rest of Italy it was badly hit by COVID in 2020. Life expectancy at 55 is 30.6 vs 30.1 for the rest of Italy. I don't know how to match it with their Figure 2 that shows the all Sardinian provinces being extreme outliers in negative other than they completely misinterpreted the data. Also the same graph shows 7 blue dots for Sardinian provinces, historically Sardinia had only 4 provinces and has had 8 only for a short period in the mid 2000s.
[edit: The newer version of the paper[2] is different and doesn't have figure 2]
[1] https://ec.europa.eu/eurostat/databrowser/view/demo_r_mlifex... (Sardegna In the table).
Although the fact that those four provinces stick out as extreme outliers in their graph should have clued them that something was wrong.
Here's a tweet from the same year referencing it: https://x.com/Mangan150/status/1159074479194066944
The researcher's criticism of Loma Linda isn't that people don't live longer there; it's that Adventist Health purchased Dan Buettner's marketing company Blue Zones LLC in 2020.
Adventists are teetotalers, so he questions why they'd want to be associated with the Blue Zones guideline of drinking "every day at twice the NHS heavy drinking guidelines."
Which is a fair question -- but it doesn't have anything to do with whether Loma Linda is an area with greater longevity.
The CDC looked at average life expectancy in Loma Linda across all demographics. Purely geographical and on average.
The blue zones focused on the greater longevity specifically of Adventists in Loma Linda.
It wasn't a question of whether living inside the municipal boundaries of Loma Linda automatically conferred some special health benefits -- clearly it doesn't.
It was, "Why is there an unusually high concentration of outliers living here, and what behaviors cause them to live longer than average?"
Blue Zones LLC also provided a set of answers to that question, and one of those answers (“drinking 1-2 glasses of wine per day”) is clearly not true in this case.
And honestly, it’s just Bayesian statistics—if they present 5 data points, and 4 of those data points are floating somewhere between data errors and fraud, then odds are, that last data point is flawed somehow as well. Certainly they would need to do some extra work to prove that it isn’t.
In a large enough forest, there's always one or two randomly weird trees.
If Adventists have cracked the code for longevity, you'd find their other congregations with similar benefits. Barring that, we're just p-hacking our way to a spurious conclusion.
Who's claiming that living inside the boundaries of such zones would confer health benefits?
The paper is pointing out that if you actually look at the data there is nothing remarkable about the region's average lifespan (actually lower than the entire country of Japan), which is what's being discussed here.
That's my point -- the region's average lifespan is irrelevant. It's only relevant given the misconception that Loma Linda itself has some special properties of rejuvenation.
But that doesn't mean it's not a longevity hotspot. Even if the average lifespan there were lower than normal -- say a large number of unhealthy people lived there -- it still wouldn't negate that, if an abnormally high number of healthy centenarians also live there.
"Loma Linda residents have some of the highest lifespans in the world."
"Well it turns out they actually just have average lifespans."
"Only true Loma Linda residents have the highest lifespans."
If you discount everyone who died at a normal age, you can conclude that Loma Linda residents are doing something special.
Just kidding. But more seriously, the original claim was deeply flawed so it makes sense to challenge the criteria for the population study.
> This claim is hard to reconcile with the CDC's official numbers which show a typical life expectancy for the entire area
Buettner's focus was on the outliers. Loma Linda is a longevity hotspot, and the question is why.
He found the long-living outliers practiced certain behaviors that they associated with Adventism, like vegetarianism.
Not all Adventists practice those behaviors. About half of Adventists eat meat, for example.
But the long-living outliers were Adventist and practiced the behaviors that he highlighted. So that was his takeaway.
By focusing on the older people only in such a small population, he is introducing selection bias and survivorship bias. Moreover, he did not control or compare studies. I believe there are more than one Adventist community in the US, yet those are not Blue Zones somehow?
Isn't there bound to be some random noise?
There are 330,000,000 million Americans. There are likely millions of categories people can be split into. Just for fun let's say counties (6000+) then any of a zillion other cross items (left handed, blue eyed, above average height, smells like butter, etc., etc.,Etc.) Say we find 10,000 of these categories.
Life expectancy is decently modeled as a gaussian with std deviation 8 years. A 10 year excess is a z-score of 1.25, and 10% of samples will be at this point.
The odds of TONS of subsets of size 9000 of the 330,000,000 people that can be found in the same pair of county+trait from the 600,000,000 pairs is nearly 1.
Thus the Adventists in Loma Linda are far more likely to be one of these many blips that have zero causal power than they are to have special life sauce. Finding them is merely an artifact of being able to filter data, not a special power of the objects.
Or a simpler way: pick two binary traits, split the 330m Americans into 33,000 chunks of size 10,000 where each group has all in one of the four pairs of traits, and you would expect (more or less - there is some more math to do here) that 10% of these groups has average lifespans over 10 years, i.e., 3,300 of the groups are the same as the Loma Linda Adventists.
No magic needed. Just rolling dice.
I just gave you the math showing such groups are common, with no need for anything special. It's simply math. It as simple as: if I flip a coin long enough, I can find a run of 10 heads, or 100 hears, or a trillion heads.
The number of Americans and the number of ways to organize them is large enough that, just by chance, there will be many that have a 10+ years lifespan for no other reason than we simply have zillions of ways to split people into groups.
The math I presented give you the direction to compute such things. Learn enough math to solve the expected number of such groups, and you will be surprised.
To show one such group is anything other than statistical chance takes far more science and study and analysis than just saying "Look group has desired thing Y all we have is to repeat what the group did!"
> It seems that it is not that easy to find them
It's trivial to find such groups - medicine finds them all the time. Pick any medical result X that is expected to add Y years to life, pick some population center, pick those in the center with the habits/genetics in the study, and voila, you get yet another mystical group with magical life properties.
Except it's not magic. And it will happen with certainly without there being any underlying cause simply due to statistics. Medicine tries to remove the pure randomness of the result and demonstrate a causual relationship, but that is hard and not always done. They do this extra work because they know that stuff like the above happens so often purely randomly.
Simple example: [1] claims (I have not dug into the study, but it is likely well done) that 8 habits (eat healthy, exercise, good body weight, not too much alcohol, not smoking) would add 20ish years to life expectancy. So, go to a big city, find those in this group, and you'll get likely several thousand of them.
And now woo hoo! 24 years!
And for special effect, pick the subset that intersects yet another silly variable, say has red hair, or was bullied as a child, and now you too can get headlines that will spread like this one: "The 8 traits that make readheads live 20 more years!" "Bullied kids can do this one simple trick and outlive their tormentors!"
But this is simply nonsense. There is science, there is causality, and there is statistics, and not being able to disentangle them leads lots of people to post voodoo as if it's not simply random chance.
[1] https://www.medicalnewstoday.com/articles/8-healthy-longevit...
Loma Linda residents don't have a notable longer life span than the other residents of California.
The CDC's average was purely geographic and irrespective of lifestyle, which is different.
> A slice of carrot looks much like the pupil, iris, and radiating lines of the human eye. Of course, science has demonstrated that carrots improve eye function.
Seriously?
I've seen a number of byproducts of the "Blue Zone trend" namely in youtube videos and dinner party conversations from so called health experts. The creator of Blue Zones (Dan Buettner) does seem to profit off of this as well, one quick look at the website shows a Blue Zone cooking course sale and other marketing schemes that could trap the unwary. https://www.bluezones.com/about/history/
I'm not questioning whether or not the intent was malicious but he does stand to gain quite a lot. Happy to see this being exposed. In a semi related sense I highly recommend checking out Bryan Johnson's (founder of Braintree Venmo) Blueprint protocol, I've been following his work for a number of years now and it is scientifically backed although the for profit arm of his initiative just reared its (ugly?) head recently with him selling supplements and dietary goods that are vetted by his agency.
They should make a study focusing on northern European retirees who decide to live here on the coast. We have quite a few of those and I wonder whether they tend to live longer compared to their counterparts back home.
The allegation that its simply fraud is ridiculous. If someone in the village dies, the whole village would know before sunset, and pretty much nobody dies at home anyway. And what about inheritance? Or paying rent? No, that's completely ridiculous. Not to mention that pretty much everyone is highly religious around those parts and not giving your relatives a proper Catholic burial is one of the worst things you could do. Not even a staunch atheist would stoop that low.
No? Even the writeup gives specific examples. Number of pension payouts to Greek 100+ year olds was cut by 72% after an audit.
Even if they had a proper Catholic burial. Never underestimate the power of greed. In a predominantly low-income area great-grandpa's pension might be what is keeping you from losing your home.
That it seems plausible is why the story has circulated for so long, but that doesn't make it true. We do research precisely to check what seems plausible against actual data.
Since you're using a throwaway anyway, can you share which part of the Southern coast of Europe you live in? Maybe together we can find data that would help.
You can be active in any climate. Spain is too hot during the summer so the Spanish aren't active during those hours. If it's too cold you can use a gym or even exercise at home.
>and pretty much nobody dies at home anyway.
That's just not true. A lot of people die in their sleep in their beds.
>The allegation that its simply fraud is ridiculous.
It's not ridiculous.
Your whole post is just littered with statements that just aren't true.
That happens all over the place. People get busted for collecting grandmas social security checks all of the time in the US. When I was in college in the mid-90s, I rented an apartment from a dude who died in the early 80s.
We know caloric restriction can extend lifespan. It's usually tested as a discrete variable, but its statistical effect in the wild is continuous. It can be unintentional, coincidental, income-related, historical event-related, culturally related, and related to the local economy. Multiple categories can apply at the same time, complicating the analysis.
Add fasting to the mix, and the analysis is even harder. Here's a difficult to refute conjecture: areas that underwent episodes of accidental fasting during world wars may have spikes of ultra-centenarians. The keyword is may, because you have to subtract out the negative correlations that come with the event. For instance, during a famine you may end up eating lifespan-reducing foods.
The problem will always be that you need to find places that keep good records, and have done so for the last century.
What they set out to do was to find correlations between lifestyle and longevity, and what they ended up finding was a great tool for spotting pension fraud.
The glass of wine recommendation has had many studies done and the results are conflicting.
The eating guidelines like heavy in plants, mederteranian, eating to 80% full all have multiple studies showing benefits over the typical western diet and especially the typical American diet. It's a no brainer that if you want to live a long life you have a better chance of doing that if you have a reduced risk of heart attack, stroke, diabetes, etc.
There are also many studies that suggest other kinds of diets are beneficial, and many populations that consume significantly different diets and have even better health than the average person around the Mediterranean. For example, inuit populations also display generally low obesity and risks of heart attack, stroke, diabetes etc - while consuming almost the opposite of a Mediterranean diet or of plant heavy diets.
That doesn't seem to be true.
https://pubmed.ncbi.nlm.nih.gov/30578133/
The studies backing up specific diets are not population level, but rather specific study groups. And yes, there are other healthy diets too.
I mean, that’s not nothing, y’know?
The numbers probably look better in the Affluent Alliance versus the Protectorate of Poverty, for starters.
Some lived long but on average their lives were short because they didn’t have antibiotics or emergency medicine and lived in harsh environments that few of us would be able to survive today.
Their wisdom appropriately coupled to a modern less harsh environment might lead to greater longevity. But the harshness is what ensures exercise, movement, unprocessed food, etc.
> Advancing age is the most important risk factor for cancer overall and for many individual cancer types. The incidence rates for cancer overall climb steadily as age increases, from fewer than 25 cases per 100,000 people in age groups under age 20, to about 350 per 100,000 people among those aged 45–49, to more than 1,000 per 100,000 people in age groups 60 years and older.
[0] https://www.cancer.gov/about-cancer/causes-prevention/risk/a...
I lost my wife to melanoma that spread to the brain. I don’t know how some hunter gatherer society would detect a brain tumor.
Sorry for your loss. We all have lost loved ones to cancer today. It didn't used to be that way. Cancer is one of the many afflictions known in academic literature as "Diseases of Civilization". It's incidence is increasing in our society at any given age, so it's not because we are living longer.
Well yeah because their life expectancy is about 45 years
https://www.yalemedicine.org/news/early-onset-cancer-in-youn...
And on your "had a life expectancy of about 45 years", you have a math problem. The average life span was closer to 25 years but was dragged down but the huge amount of infant mortality which is normal in humans.
The Tsimané of the Amazon are know to live well into their 70s.
Some of them do, but those are filtered to the most healthy if the lot. It's not really surprising that if you lose the sickly ones while they're infants the ones who make it to adulthood are less likely to get sick.
This is further confounded when you have generations that have lived longer, as we do in the first world, because now not only do the sickly ones live long enough to get modern diseases, they also live long enough to reproduce and pass on the previously-non-viable genes. So generation after generation gets added that would never have survived without modern medicine.
I consider it to be a good thing that we can optimize our evolution for different traits now besides raw survivability, but it does mean that we should expect our disease numbers to be higher.
> I consider it to be a good thing that we can optimize our evolution
We cannot "optimize" our evolution for different traits. Evolution is optimization to the environment. We cannot use human thought to optimize evolution, and that is eugenics anyway so no thanks.
I took a look at the Hutterites in Canada because while they live a simpler lifestyle with a more traditional diet, no smoking, and minimal alcohol consumption, they are generally much less averse to modern conveniences where they supplement their lifestyle. Combined with Canada's public health system, that means they have few barriers in the way of receiving modern medical care.
It's a bit old, but I found a study from the 80s[0] that found men have significantly lower rates of lung cancer (yep, not smoking helps) but they found an increased risk of stomach cancer and leukemias. Women had lower rates of uterine cancer. This was fairly consistent across all three traditional groups in North America.
Other sources seem to show their life expectancy is in line with the general population, removing that as a factor.
So not smoking helps. If I had to take a wild guess, the lower rate of uterine cancer could potentially be explained by lower rates of HPV as we now know that's the main risk factor for developing cervical cancer. I can't find any reports on the rates of STDs among the Hutterites, but I would hazard a guess it's "lower".
Which, on the surface, makes it look like the lifestyle and diet (besides not smoking!) isn't having a lot of impact.
Except the Amish have access to modern medicine and there are modern studies investigating their population level disease rates.
As well, I found they self-fund access to healthcare, and I have no idea what the dynamics would be like with that--would you decide not to see a doctor so you're not placing a burden on your neighbours?
Neither's a factor with Hutterites in Canada. They're very willing to use and rely on modern technology (they probably have some of the most technologically advanced farming setups you've seen, have cell phones, etc) and there's no cost barrier to accessing healthcare.
I was curious, shared what I found. Take from it what you'd like!
In a harsh environment how many die of a tumor that saps their energy before causing any specific effect that causes them to seek out a doctor and presents with something the doctor can find without the million-dollar machinery?
Let's grab our Mr. Fusion and head back a quarter century. My father came to visit. He had definitely declined since the last time we saw him but had no known major health issues. There wasn't anything in particular, yet what my wife saw was enough that she said we wouldn't see him again. Half a year later the big machines found the cancer. Would he have made it that half year in a harsh environment? No.
Seems like getting treatment when you're sick, and having regular check ups to induce lifestyle changes are what makes a place a blue zone.
More likely that those areas have society level positive lifestyles by default, especially relating to foods (eg Okinawa eating until 80% full, Italy and the mederteranian diet, Loma Linda plant heavy diet, etc).
Plenty of people get at least an annual covered checkup, but that doesn't mean they will make lifestyle changes. Even the ones that try end up like a new years resolution - not being strict about it or giving up after a month or two.
Edit: why disagree?
I didn't see that claim in the article. What I did see is that the data on centarians was shown to be invalid. It's certainly possible that the overall life expectancy stats could be distorted. In most cases (excluding Okinawa), I doubt that the mistakes or fraud are that rampant. The problem with the blue zone studies is that they explicitly focused on outliers from the beginning. Any mistakes or fraud become a big impact in a small population like that. If you use population level life expectancy, the impact should become much smaller, or at the very least any systemic fraud and mistakes should become readily visible and be able to be corrected in the numbers if further studies are done to measure it.
The article is very emotional and seems to mischaracterize some things, such as claiming that every blue zone must fit each piece of the suggestions. The idea of drinking every day is probably not a good suggestion as there is some research contesting the benefits of a glass of wine a day. But let's take Okinawa as an example. It's uncontested that the records have problems, it's trending in the wrong direction (younger generations, probably better records), and it doesn't fit all the practices (eg religion). But does this invalidate the longevity recommendation of eating to 80% full that comes out of the blue zone recommendation? No. There are independent studies showing the benefits of this practice to reduce cardiovascular disease, insulin resistance, and obesity.
So even if the blue zone centarian data is wrong (it is), that doesn't say anything about the suggested practices. Those have always needed their own studies to validate the suggested practices anyways. Fot example, there are numerous studies on the mederteranian diet that shows it is beneficial compared to a typical western diet and especially compared to the typical American diet.
If they Blue Zones do exists, they exist because people are eating their traditional genetic diet.
And if they eat plants, what plants? Should someone of Irish decent eat wheat even though they are more likely to have Celiac?
I have Sami heritage. I was also a Vegan at one time. A healthy Vegan. The plant based diet was literally killing me with hyperglycemia and immune issues. These people who think there is one true diet are dangerous adn do not know the first thing about nutritional genetics.
Which I think is a good sign? It suggests you don't need island magic, you don't need to settle these purist debates or figure out The Answer™. The only thing that matters is addressing the two really bad things that are obviously pathogenic.
And then we can argue about moderate drinking until the end of time.
In my observation (after examining anecdotes, and accounting for flawed anecdotes) everyone without exception does well on an animal based diet. It's when it comes to plants there are enormous variations.
Starts at 1:10, also the radio slot is a light hearted one, not serious scientific discussion.
If you go to Hawaii where there are japanese-style graves with YOB and YOD inscribed, the centenarians all seem to have Okinawan names (and there are quite a few).
Science should sharpen science.
Deep down we know how we should eat and live. Society and the economy, though has different plans.
> the astounding thing is that one of the guidelines is that you should drink every day at twice the NHS heavy drinking guidelines. That is a recipe for alcoholism.
Say what? The article implies that 1 glass of wine every day or two (i.e., half of 1–2 per day) is heavy. That seems frankly insane to me.
One might think that having admitted this Smith would be circumspect, apologetic and more careful with his claims about health in future. Of course he did the exact opposite:
> However, Mr Smith says this doesn't mean alcohol is not dangerous. He later told The Guardian that this would be a "serious misinterpretation" of his comments. He also argued that the figures were "in the right ball park", and called for heavier taxes to cut consumption
The numbers were based on no evidence but also amazingly in the right ballpark. No contradiction there if you work in public health. Sure enough, ten years later the guidance had become even more extreme [2], with men and women now becoming biologically identical and the government telling citizens that even one drop of alcohol was dangerous:
> The report recommend an upper limit of 14 units per week for both adult men and women, and then included the much-derided “no safe limits” observation.
This highly ideological guidance might have been because:
> Members of the expert group include prohibitionists and anti-alcohol campaigners
[1] https://www.theregister.com/2007/10/22/drinking_made_it_all_...
[2] https://www.theregister.com/2016/01/22/stats_gurus_open_fire...
Current science proposes that even 2 drinks a week significantly increases cancer rate, and is the current suggested limit for health - I suspect it would be lower but for reactions like you're having. It seems likely that double or triple that is indeed unsafe.
Media is very careful not to shame their readers: https://www.cbsnews.com/news/alcohol-cancer-risk-what-to-kno...
https://www.cdc.gov/alcohol/about-alcohol-use/moderate-alcoh...
Yes. I assert that drinking 3½–7 drinks a week sounds moderate. One or two drinks a week is light. Heavy drinking would be something like 24 or more.
I define the heaviness of drinking by intoxication, not cancer risk.
I think maybe you moved the goalposts here.
https://www.merriam-webster.com/wordplay/what-is-health-span
The distinction matters for individual health decisions, and for comparing different interventions, where you can extend someone's life at the cost of their quality of life.
If you answer yes to both, you may safely discard the material as simply a means for the author to advance their career.
Other greatest hits from this genre: Grit, Deep Work, Why We Sleep, Thinking Fast and Slow, How Not to Die.