I could do it in a flash.

Of course, I’d miss steak.

So occasionally, I can put some steak on my salad.

Diet is easier for me than exercise.

Unless you count the 6,000 steps I put in daily. That’s a piece of steak.

I think I’m going to have a steak for dinner.

Nah. That’d be a miss steak.

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I would say it’s about finding a way that works for the specific person. I have lots of different interventions that I practice and they come naturally and automatically without me thinking of them. They have been integrated into my lifestyle. To for example try to just copy my interventions and implement them in another person’s life would most likely work in some months but after that they will go back to their old lifestyle. The longevity journey is a step by step process where each person needs to find what works for them. We can inspire from what other people do but I would highly recommend not to just copy and paste things. It takes time to build and optimize a lifestyle that makes a person feel well and live hopefully a long life.

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It’s interesting to me to hear about the many diverse dietary lifestyles of the forum members.
So many things come into play, origin, what your mother fed you as a baby and child.
I think we tend to revert, at least those who are trying to eat a healthy diet, to the one that best fits us. We can see if our diet is best for us by using the many biomarkers that are available.

As we get older our tastes change and we continue to revert to diets that suit us.
I don’t advocate any diet that is unpleasant for us.

Calorie restriction and time-restricted feeding come naturally to me.
I remember as a child how I really didn’t want to eat breakfast, but at the time it was touted as being the most important meal of the day. Three meals a day is society’s norm, but may not be the best.

The calorie restriction part for me comes naturally from my diet which is heavily protein and fat-based. Since it is quite satiating the calorie restriction comes naturally.
My first meal of the day is often two eggs and bacon followed by yogurt with walnuts. Sometimes I have steak for breakfast. As I posted earlier my biomarkers are very good to excellent even though I am taking rapamycin.
Also, I do not advocate any diet, except for me.
Everyone needs to find the diet best for them. If your biomarkers are not good, maybe you need to change your diet.

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I didn’t think about this, but it is not a given if one doesn’t prioritize health in many areas that one will even live to 80 in good health in the first place. There’s lot of things that can go wrong. The lustgarten approach might not be super effective in some areas, but the system of continous measurement and improvement, regularly… Might be very effective and good. A YOLO tactic of just taking a PCSK9 inhibitor and maybe some rapamycin, might actually make one not so proactive, and ignoring having a system in place to continously improve health.

If many of us did the LUSTGARTEN approach, maybe the system in itself will help the many of us live to good health for long. Maybe many will get bad health in another one. The odds are more in one’s favor with a system similar to his.

It’s very pleasurable to eat calorically dense food. That’s the limiting factor for many of us. But the system is most important and there’s probably a way to adapt the system to our own preferences, culture, taste, etc…

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@scta123, agreed. Purpose, regular movement, social connection, relative lack of stress. Diet above all; Asian and Mediterranean societies tend to eat a lot of fish. Compare that to the San (Bushman) of Africa. A harsh environment of enforced chronic CR, dehydration, and physical labor resulting in malnutrition, small stature and modest lifespans. Much like traditional indigenous peoples in South America.
I was in a remote Ethiopian village, on the border with Kenya. These are ‘age set’ societies; you don’t have an age tied to the year you were born (not that they keep records), you are approximately: birth to 10, 11-20, 21-30, 31-40, and after that too old to count :smile: I was talking with a group of elders (over 40’s), tiny, wizened men who could have been 45 or 95, but when I tried to pin them down on age they began prevaricating. Not, I believe, because they were lying to me but because they have a much different version of reality, and my reality was not relevant to them. I’m not comparing Sardinia to a primitive, pre-literate African society, but in some cultures age, after a certain point, really is meaningless.

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And a debunking of the debunker (Criticizing Saul Newman’s commentary):

There was a story this week in the Economist:

Here is a link to the full Economist Article: https://archive.ph/7XLYC

A response from Robert Young of the GRG Supercentenarian Research and Database Division

The Economist should have done more vetting before putting out this ridiculous story.

It looks to be a re-tread of this NONSENSE:

It’s not often I wholly dismiss an alleged “academic”, but the facts of the matter are that Saul Newman’s “junk debunkings” have been repeatedly rejected for publication by many peer reviewers, and he has a history of faking data, including a 2019 attack on the GRG which was rejected for publication. When I asked him in 2019 what “GRG data” he actually used, he was unwilling to provide any actual data…a clear sign that someone is HOAXING. Saul Newman went so far as to ridiculously claim that persons age 110+ can’t be proven to exist…the mainstream demographic community consider him “fringe” and not reliable, and he has associated with Nikolay Zak, the Russian fringer who attacked the Jeanne Calment case. Quite ironic that a “debunker” or two is actually making false debunkings. That said…two wrongs don’t make a right. Dan Buettner’s “Blue Zones” concepts, which unfairly transmogrified a scientific concept from Dr. Michel Poulain of Belgium, is a marketing of anecdotes that have some quasi-beneficial truths to it…for example, I agree that much of his diet and exercise advice is useful…but fail scientific tests of rigor under scrutiny (but not Saul Newman scrutiny). What’s NOT useful is picking 5 places on the map and falsely claiming that these are the “only” special (read: magical, exotic regions that a paid cruise to would help the user live longer) when in fact much of what is being said can be expanded to larger macro-regions. Much of the Mediterranean has favorable diet, culture, lifestyle, and climate, so why pretend that “only” the islands of Sardinia and Ikaria are special, when in fact we see the macroregions including Mediterranean Spain, France, and mainland Italy and most Greek islands showing similar favorable longevity? Let’s not forget that the current “Oldest Living Person”, Maria Branyas Morera of Spain, 116, lives in a region of Spain within the “Mediterranean” watershed, yet not a so-called “Blue Zone”. Lucile Randon (1904-2023), the previous “Oldest Living Person” from France, lived in the Mediterranean region of France also…why not call this a “Blue Zone” also?

Continuing with this half-truth, here is some more recent “Blue Zone” coverage:

On the one hand, it is true that certain communities can have a greater LIFE EXPECTANCY if they practice a lot of healthy practices.

On the other hand, it’s wrong to suggest that only certain marketed regions have these advantages. It’s also wrong to use terms such as “live ten years longer”…high life expectancy is NOT the same as “high life span”. A ten-year “life expectancy” advantage can quickly dwindle to no advantage at the highest ages, especially with such a small population base with relatively low genetic diversity.

We do know that the oldest living persons currently living in California live in northern California (Edie Ceccarelli, 115) in a redwood forest region (favorable climate…why not a Blue Zone?) and Los Angeles, California (Pearl Berg, 114). Neither live in a so-called marketed “Blue Zone”.

On the other hand, much of California has a favorable “Mediterranean” climate, and the state of California overall often shows high super-longevity among the oldest-old, although we know that there are pockets of unfavorable longevity in certain regions of California as well (such as South Central).

Unless a demography group is willing and able to do a worldwide statistical map of human life expectancy and human lifespan data, I think we must understand that the concept of “Blue Zones” remains like weather forecasting: we may get large-scale climate trends right, but individual local results may vary.

The bottom line: the marketed “Blue Zones” health advice on diet, lifestyle, climate, and exercise may be beneficial. Just remember that the picking of so-called “Zones” for this marketing are meant to be examples, not a full survey of every longevous region on Earth, and so not the full picture. If we understand this, we can use our common-sense logic and parse out the good parts, while not swallowing the whole story “hook, line, and sinker”…a fish reference (also a healthy diet option, generally).s

Yes, this does look like the same recycled MISINFORMATION from the similar 2019 story. Why re-run this junk story?

Let’s start with some of the misinformation:

  1. “And public records can be woefully unreliable. A government audit in 2010 uncovered 230,000 supposedly living Japanese centenarians who were dead or missing.”

This is NOT correct. For those who know the TRUE story: Japan has a long history as a closed, feudal society where every family member is registered in the family register (koseki). That means “no one’s case gets left behind”. What happened is that most of the “230,000” missing “centenarians” were actually persons who died in WWII and whose deaths went officially unreported, since many bodies were never located. There was NEVER an attempt by the government of Japan to claim that there were actually “230,000” living centenarians at the same time. Compare, for example, a recent annual Respect for the Aged Day report from Japan:

The number of centenarians was estimated at 92,139…nowhere near “230,000” despite being the highest estimate ever for Japan.

  1. Yep, it’s Saul Newman…AGAIN. The same fringe theorist who in 2019 ridiculously claimed that “supercentenarians don’t exist”.

Saul Newman, whose degree is in botany, not the field he is pretending to be an expert in. I think it’s shameful that he is managing to continue to be promoted in the media as an “expert” in a field where he has brought preconceived, erroneous notions and has also has a track record of publishing dubious “debunking” claims. Look more closely: the “research” cited for this Economist article is only a “working paper”, not actually a peer-reviewed journal article.

And let’s continue with some more FACTS.

Fact: Okinawa is not actually among the top 3 Japanese prefectures for life expectancy or centenarian rate:

While Okinawa’s longevity in the past was notable, and it is still high, it’s certainly not extraordinary. There’s really nothing to “debunk” here.

  1. More false debunking: “Few very old people have birth certificates. Some do not know their true age.” That might be true for the world population as a whole in 1900, but it’s definitely NOT the case for the areas that Saul allegedly studied. Japan, France, Britain, and Italy ALL had total population birth registration by the mid to late 1800s, and there’s clearly NO evidence that these areas continued to have “problems” with false supercentenarian claims in large numbers, with the exception of “paper-error” cases (such as a death went unrecorded, a typographical error, etc). However, those types of errors can be filtered out with the validation process. For data from the GRG and the IDL, the data for these 4 nations is already “cleaned” (filtered to remove false/errant claims) and passes statistical tests of certainty to a degree over 98%.

For the the USA, all areas have had substantial birth registration since 1919, and data prior to that had partial birth registration and lots of census records. While USA cases have some degree of data uncertainty in earlier records, the filtered USA data has shown very similarly to the validated data from Europe and Japan, with similar maximum ages, gender ratios, and annual mortality rates.

In other words, Saul Newman is trying to ‘solve’ a problem that is already resolved.

  1. The so-called “longevity regions” in his working paper don’t actually match up to his contentions, or his anti-blue zone rhetoric. First off, those marketing the “Blue Zone” concept don’t even claim that France is a “Blue zone”. For Italy, the highest rates of poverty appear to be in Sicily and Calabria, NOT Sardinia. And for Japan, Aomori prefecture has Japan’s lowest rate of life expectancy and among the highest rate of poverty, so once again Saul’s contentions don’t even fit well with his own data.

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To be clear, we literally have the Economist perpetrating a “pseudo-debunker” fringe conspiracy theorist as an “Expert” when he has little to no scientific publications in this area and a track record of publications repeatedly turned down, and past false claims made. Kind of hard to believe someone’s credibility when it’s based on making false claims about false claims. It seems more likely that Saul Newman is attempting to attract attention to himself. Ok, so he managed to go from Australia to Oxford. Congratulations. But his Doctorate is in botany, not biogerontology.

If anyone here cares to contact the Economist, please do so. They need to be called out for spreadin misinformation about misinformation.

Sincerely,

Robert D. Young, Director, GRG Supercentenarian Research and Database Division

While I think this idea that these “zones” are super-special or “magical” longevity regions needs to be walked back, it is true that many of these areas have cultures that promote healthy diet and lifestyle.

For example,

The Mediterranean Sea diet, which has long been eaten in Italy, Greece, Spain, and other Mediterranean countries, has been considered a healthy diet, but research has shown that it is related not only to health but also to "youth. Dr. Atsushi Otsuka, Chief Professor of Dermatology, Kinki University School of Medicine, explains based on the latest research results.

I think we are in agreement that cultural “zones” can adapt healthy lifestyle choices, and that studies show that certain climates are also more favorable toward human longevity (mild, sunny “Mediterranean” weather, for example) vs others (Ireland’s cold, wet climate is not favorable for longevity). In any case, despite there being “some” problems with the Blue Zones as a marketing concept, the pseudo-debunking of this idea by a false “expert” with no actual expertise in this field and without data to back up his assertions is concerning. We know, for example, that areas such as Italy and France already had 98+% birth registration by the late 1800s. To falsely claim that high centenarian numbers in these areas of highly-documented populations are caused by “no birth records” is preposterous, and it makes a mockery of the actual debunking work done on pre-validated, not post-validated, data. That this article seems to not understand the distinction between the two is quite concerning.

In short, under scrutiny, Saul Newman’s “debunking” claims are without merit. That the Economist would pick up a “working paper” from a non-expert that hasn’t even been published yet, while not asking anyone else in the field for their views on this topic area, is disappointing.

Sincerely

Robert D. Young, Director, GRG Supercentenarian Research and Database Division

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A good review of some of the science behind the blue zones:

Guest David Rehkopf is an expert in population health who says that where we live is one of the strongest influences on how long we live. While we know diet and health care are important, it has been tough to tease out what about these places allows people to live longer and healthier lives. By examining environmentally induced changes in DNA, we may be able to more quickly and more accurately quantify what aspects of environments promote longer, healthier lives, Rehkopf tells host Russ Altman in this episode of Stanford Engineering’s The Future of Everything podcast.

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Roseto, PA:

‘Spaghetti, they tell ya, not the best thing for ya all the time, ya know…but I tell ya, if I’m gonna go, I’m gonna go with a meathball in my mouth!’

https://www.amazon.com/Roseto-Story-Anatomy-Health/dp/0806136138

https://x.com/s_decatur/status/1832194388887244884

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What do you think it’s the secret of longevity in Hong Kong?

These are the habits that Hong Kongers have that I think leads to a longer lifespan.

  1. Mobility - Cars are for the rich. Public transportation is cheap and readily available. They do a lot of walking/standing. People are thin in general.

  2. Nutrition - Steamed fresh food is available daily. The seafood I eat at dinner at home was usually swimming that morning. Lots of vegetables. Portions are half the size of American. No unlimited soda drinks.

  3. Public healthcare - If you’re sick, you have excellent medical care and medications on par with the USA (except for the newest most expensive treatments). My father-in-law with metastatic pancreatic cancer is still alive 4 years after diagnosis. His surgery and chemotherapies were free (except the last one).

  4. Cheap helpers - Elderly usually have 1-2 live in Filipina helpers who cook, clean, take them for a walk, go shopping, take them to the doctor, etc… Much better than a nursing home as it’s individual care. We have a helper who cooks healthy and nutritious food which we normally wouldn’t cook ourselves because it takes too much time for prep and clean up. My wife and I haven’t cooked for ourselves in years.

  5. Family - Families live nearby. I am surprised how many of my sons’ friends have grandparents or great grandparents in their 90s-100s. They either live with their grandchildren or are visited weekly. Families support their members and stay close.

  6. Incredibly safe - traffic accidents are fender benders because speed limits are low. Guns are illegal. Crime is almost non-existent. Drugs are treated harshly so not many ODs.

I think those are the top 6 factors off the top of my head.

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Sounds like a great life! I think I will move to Hong Kong when I am old. Actually I have some Chinese friends working in tech in SF, all talking about moving back to China when they retire. When asked why, they say life stops at 5pm here in US where in China or Hong Kong, you can continue to be active in the evening outdoor.

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Some Cons of Hong Kong are:

  1. Very small living spaces so people usually go out a lot.

  2. Hong Kong is a lot more expensive than mainland China. It used to be more expensive that the USA, but due to the super inflation in the USA and Western World, it’s not as bad. Mainland China is dirt cheap in some locations, but then you really need to learn the language.

  3. There is no freedom of speech when it comes to the government. (Recent development)

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There are some countries like Spain where most life happens in the late evening and night. Could be a cheaper alternative to HK.

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I also remembered Hong Kong people don’t eat much fry foods. Much less AGEs

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There’s a 6th Blue Zone - Singapore. I’d also add Hong Kong as a 7th.

Singapore is a fun place to visit. Lots of touristy stuff to do, but incredibly hot. Hottest place I’ve visited outside of the Nevada dessert. Also the cleanest and safest as crime is non-existent.

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Thank you for sharing. I have relatives in Singapore and in southern Malaysia, and I have spent quite some time there. Yes, Singapore is hot all year round.

One should not generalize too bluntly about the fact that both Singapore and Hong Kong have a high population density per Square km, and those areas still show impressive longevity. To me, that correlation leans towards the idea that GNP per capita, social engineering through central planning for a healthy living habitat and modern healthcare are more important factors than living in a less crowded modern environment that is closer to a more natural habitat with significantly less airborne pollution.

Diet, social interaction, and bipedal movement (walking) can, of course, also have some effect on longevity.

And quite a lot of the people that approach old age today grew up close to poverty. Unhealthy western dietary habits and obesity have not, until more recent decades, influenced the general health of the public.Just like what I have observed in Malaysia, 25 years ago, it was uncommon to see an overweight kid in Malaysia, but today you see quite a lot more. That observation is only valid for Malaysia, but it shows that modernization is a double-edged sword.

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Agree. Singapore clean, safe, warm and humid. I’ll go with Djibouti as hottest place I’ve ever been.

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Is there non-touristy stuff in Singapore? I know I could look this up but I’ve always been lazy for some reason about this place in particular. It’s a place I’ve considered on my list to at least visit once given the history of rapid progress, diversity, the food especially. But does anyone visit there for other reasons?

Well, there’s the people that live there, and the rest would be considered tourists or there for business. It’s the new financial hub of SE Asia having taken the position from Hong Kong. The bank I used to work for would train their employees in Singapore. (Although it was as much holiday as training). When it was my turn to go, they changed the location to Stamford CT to save costs. :sob:

David Rehkopf, ScD, associate professor of epidemiology and population health researches longevity, healthy aging and social determinants of health, among other areas. As Director of the Stanford Center for Population Health Sciences, Rehkopf connects researchers with communities and valuable data to improve health equity, focusing on areas of the world known as blue zones. His research also delves into the biological signals that may act as early warning signs of systemic disease, in particular accelerated aging.

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