@John_Hemming On the topic of the importance of mitochondrial health, hereās a thought experiment that just occurred to me to see the energy expenditure of the body for doing nothing (i.e., just maintenance). This is simplistic, but how would you make it better?
Okay, to drive home the point that the body is doing a lot just to stay alive and repair stuff. And, any problem with ATP production by the mitochondria would interfere with this demand for energy even if enough food was consumed or enough fuel storage was in place or if autophagy was functioning well. The issue at hand is the mitochondriaās capacity to turn non-ATP fuel (fatty acids, glucose, lactate, ketone bodies, etc.) into ATP needed by the cellsā¦ cells die without a continuous flow of ATP, and cells (and organs) have the ability to down regulate processes that canāt be fueled. If i designed the system, I would prioritize surviving for the next few seconds or minutes over surviving for the next decade or two (especially for a 60 year old).
For context:
1000 kcal per hour is an all out, kick your butt level of intensity that can only be done by very fit people. I am not confident I could do this today. Most exercise I do is between 200 - 700 kcal over 45 min to 90 minutes. This is the energy my body needs to move my 200 lbs body around vigorously for around an hour. Call it 400 kcal per hour. That is what 400 kcals buys
Letās see what the body needs every 24 hours just to do regular maintenance (including the stuff needed for healthspan and lifespan). For simplicity, letās ignore the energy cost of digesting food. Iām also going to ignore the low energy usage of fidgeting and using the toilet, for simplicity sake. Iām also going to ignore the energy needed to do extra repair and adaptation from exercise.
25 kcal per KG body weight is a rough estimate of BMRā¦energy cost for keeping the body alive. Letās say that amount includes the commonly referred to 30% used by the brain for thinking. An 80kg person would need 2000 kcal x (1-30%)= 1400 kcal to power all the body āstay aliveā processes.
1400 kcal just to stay alive. Call it 60 kcals per hour every hour every day. Yes, 60<400, but that is a comparison of how hard I can exercise in an hour vs. doing nothing. I would have guessed a 100x difference, not a 7x.
Eating more wonāt help. I need to keep vast hoards of healthy mitochondria powering my repair and maintenance processes to have a healthy body for a long time.
What did this rough sketch leave out or get wrong?