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I was reminded the other day about the section in GCBC regarding Cynthia Kenyon's research linking carbohydrates and longevity (that is, at least for C. elegans). Adding glucose to C. elegans' diet significantly reduced its lifespan via an insulin-mediated pathway.

Is anyone aware of other research which could support or may contradict her results? Could a VLC diet be as effective at extending lifespan as a calorie-restricted diet? (For that matter, do CR diets really work for extending human's lifespans? We do know CR diets work great for extending the lifespan of rhesus monkeys.) Is there an article or paper with a good overview of the current state of longevity research?

I wonder if the longevity topic eventually ends up going in the same direction of the obesity topic: that is, newer research and insights will prove that it's not all about carbs nor calories, but rather a combination of several NADs.

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As far as I know "Primal Body, Primal Mind" is partly devoted to the longevity concept both regarding VLC and calorie restriction. – Primordial Aug 27 2011 at 19:22

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Aging, and health, are not related to caloric restriction per se. It is related to nutrient sensing hormones and pathways that caloric restriction effects that in turn greatly influences genetic expression towards a longevity phenotype. The same hormones may be affected the same way in a non-caloric restricted manner using a low non fiber carbohydrate, moderate protein, and relatively high-fat diet; the same diet that I have used to successfully treat many chronic diseases of aging including diabetes, cardiovascular disease, obesity, and even cancer for over two decades.

Below is a link to a research paper by myself and a couple of associates published finally a couple of years ago titled Clinical Experience of a Diet Designed to Reduce Aging along with the abstract of a related presentation to the American Aging Association given several years previously. They might shed some light on your question. See also my comments under Meredith's (much appreciated) answer… My book,The Rosedale Diet, also largely addresses that question. http://www.jarcet.com/articles/Vol9Iss4/Kohnilias.pdf

The American Aging Association June 4-7, 2004

Clinical Experience of a Diet Designed to Reduce Aging

R Rosedale*, E Westman

Rosedale Center for Metabolic Medicine, Broomfield CO Department of Medicine, Duke University Medical Center

The neuroendocrine theory of aging is associated with elevated levels of glucose, insulin and leptin. The objective of this study is to describe the metabolic effects of a nutritional program designed to reduce these correlates of aging. A retrospective chart review was performed of patients attending an outpatient metabolic management program utilizing instruction in a high-fat, adequate-protein, low-carbohydrate diet, the use of nutritional supplements, and periodic individual visits. The general dietary recommendation was approximately 15% carbohydrate, 25% protein, and 60% fat. Recommended sources of fat included raw nuts, avocados, olives and olive oil, flax and cod liver oil. The intake of protein was limited to 1.0 - 1.25 grams/kg lean body mass per day (increased for exercise to 1.25 grams/day). Recommended sources of protein included sardines, fish, eggs, tofu, poultry, wild meats, non-fat cheeses (cottage, ricotta, cream), and seafood. Only non-starchy, fibrous vegetables were acceptable. Nutritional supplements recommended daily were: L-carnitine 2000mg, alpha-lipoic acid 400mg, coenzyme Q10 100 mg, 1 tbsp cod liver oil, magnesium 300mg, potassium 300mg, vitamin C 1000mg, vitamin E 800mg, and a multivitamin. Medications were adjusted if needed. The mean duration of follow-up was 91.5 days (range 36-211). Thirty-one patients were identified with baseline and follow-up body weight, and fasting laboratory tests. The mean age of patients was 57.6 years, 53% were female. Over a mean follow-up of 91.5 days, body weight decreased 8.2% (p<0.01), fasting serum glucose decreased 8.3% (p=0.001). There were approximate 50% reductions in insulin, leptin, fasting serum triglyceride, and triglyceride/HDL ratio (p<0.001). Free T3 decreased 7% (p<0.001), while TSH did not change significantly. We conclude that a high-fat, adequate-protein, low-carbohydrate diet with nutritional supplementation led to improvements in serum factors related to the aging process in adherent patients. Further research regarding this nutritional approach and its relationship to aging is in order.

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What about the exclusion of saturated fats from your high fat diet? – Paleo2.0 Aug 28 2011 at 14:12
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If you read Dr. Rosedale's web or book, he plainly states that he prefers that you eat short chain fatty acids in the first 3 weeks of his diet. Like learning to ride a bike with training wheels. They are easier to burn and help you train your body to burn ketones rather than glucose. Once the 3 week window is passed, he then opens the door to eat SAT fat. Anyone who believes that Dr. Rosedale is excluding SAT fat has not either read or understood the words in his book and web. This is from his web...to follow – Andre Chimene Aug 28 2011 at 19:25
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LIMIT SATURATED FAT FOR THE FIRST THREE WEEKS When you want to lose weight, what you really want to lose is saturated fat. So stop eating it, at least for the first three weeks you are on the meal plan. Pass on the beef, pork, lamb and most dairy products and eat primarily fish, nuts, chicken, vegetables and no fat cheese. After the first three weeks on the meal plan, you can eat foods that are higher in saturated fat (such as lean beef, lamb and pork) although those wishing to continue losing weight should not eat very much of these foods. – Andre Chimene Aug 28 2011 at 19:25
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The more saturated a fat is, the more difficult it is to burn... especially for those unaccustomed to burning fat. And yes, there are papers that support this. This is why, as Andre has stated, I will limit saturated fats for the first several weeks after which one becomes more accustomed to the beta oxidation of fats. Thereafter, I don't mind them much.. I am far more against the over consumption of omega six fatty acids. There are also many papers that have shown a reduction in insulin sensitivity with the over consumption of saturated fats. These, as usual,have been done on high carbers... – Ron Rosedale M.D. Aug 29 2011 at 12:25
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... so also as usual, I believe the results might be different in those who consume on a regular basis a higher fat, low carbohydrate diet and are able to successfully burn fat (and ketones) as their primary fuel as opposed to glucose. In my study that I referenced, the participants were told, as was typical, to limit saturated fats for the first several weeks. Most continued to do so, and so this was stated in the study. I appreciate the comments and questions. – Ron Rosedale M.D. Aug 29 2011 at 12:32
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Actually Ron Rosedale has been talking about this for quite some time. A lot of what Nora Gedgaudas has to say on the MTor aspect of aging (which I understand NOT) has already been said by Rosedale years ago.

There are some great interviews on this site with Rosedale - http://www.meandmydiabetes.com/2010/05/07/ron-rosedale-insulin-leptin-and-the-control-of-aging/

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That talk is not at all outdated...New findings have only further supported what I have said for 20 years. I had even talked to Cynthia Kenyon over lunch about the design of her worm study several years before it was done..and it showed what I knew it would show... that the health and longevity benefits of caloric restriction are not due to caloric restriction but are due to keeping certain nutrient sensing hormones including insulin at a low level, and this massively changes genetic expression to a longevity profile that nature has evolved and endowed us with to outlive a perceived famine... – Ron Rosedale M.D. Aug 28 2011 at 9:24
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..so as to be able to reproduce at a future more nutritionally opportune time. Meredith is correct; I taught about the vital connection of insulin to health and aging for almost 20 years, long before others (See “Insulin and its Metabolic Effects” all over the Internet), and was also first to talk and write about the strong link between leptin, health, and longevity and have been doing so for 15 years. I was the first to show the reversal of diabetes using a low carb, higher fat diet and later argued against my then partners' (the Eades) high protein diet.. – Ron Rosedale M.D. Aug 28 2011 at 10:29
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I long ago (17 years?) presented to several medical groups the then unknown concept of “glycemic index” introduced in an obscure paper by David Jenkins in 1981 and the importance to aging of the apt acronym AGE's (advanced glycated end products). I talked about cardiovascular disease being secondary to inflammation and not cholesterol in the mid-1990s. Virtually everything that I have said over the years has stood the test of time and shown to be correct supported by many dozens of subsequent studies... – Ron Rosedale M.D. Aug 28 2011 at 10:33
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More recently (over 5 years ago) I believe I was the first to speak of the powerful association between protein, BCAA, mTOR, cancer and aging (in the above highly referenced and published medical talk and others). The information in that talk is still very current, much discussed, and as far as I know still very correct. I would very much like “The Quilt” to state what he feels are "outdated" as he himself currently talks much about concepts (including his comments below about mTOR,BCAA [not BCCA],protein, IGF, Sirt1, "fat burning" that seem to be taken directly from that seminal talk. – Ron Rosedale M.D. Aug 28 2011 at 11:50
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Almost all the information about the pertinence of insulin, leptin, mTOR, and IGF to health that other people are now talking about (often incorrectly) including “The Quilt” and writing about, originated from my writings and talks so many years previously, that many don't now know (or care to credit) their origin. – Ron Rosedale M.D. Aug 28 2011 at 12:16
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I have the strong suspicion that a ketogenic diet is longevity producing, even more so than CR, and without the concomitant malnutrition. Here's a paper that shows they have common mechanisms: The Neuroprotective Properties Of Calorie Restriction, The Ketogenic Diet, And Ketone Bodies.

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I'm betting my life on it, literally. – Rose Aug 28 2011 at 3:35
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of course it is......It is very energy efficient for mitochondria as I pointed out in my blog about discussing the possible Quantum effect of electrons from MCT. In fact the Kracken pointed out the biochemical reason for this in the comment section. The key is it is great for longevity but not for performance......so one has to make a decision as one ages. Performance or longevity. I think this decision will be answered very easily......by one issue. How we depeleted our stem cell supply the first 40 yrs of life. This is where endurance exercise comes in. – The Quilt Aug 28 2011 at 4:48
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I think some people have looked the hypothalamic signaling and wiring of the brain gut studies and made the leap that since the brain appears to sense lipid levels at the circumventricular organs and modulates the hepatic response via control of the gluconeogenic enzymes they believe that dietary saturated fat maybe a trigger to hyperglycemia seen T2d. One big problem. Clinical experience and data on the ketogenic diet especially one that loaded with MCT (coconut oil) has been shown to demolish insulin signaling and cause a lot of weight loss and improve diabetics and increase cognition – The Quilt Aug 28 2011 at 15:16
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Fortunately for me, I'm nor suffering any noticeable performance right now. However, if I were, it would be easy to add targeted carbohydrates around performance needs that make only a small perturbation in ketosis. Even if it put me out for two hours a day, I'd still be getting huge benefits from the remaining time in ketosis. – Ambimorph Aug 28 2011 at 15:23
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Moreover, in diabetics it works extremely well in improving leptin sensitivity and decreasing insulin pathways. It's no paradox. Dietary saturated fat is not a problem for the brain.....but the saturated fat made from de novo lipogenesis in fructose metabolism is quite interesting. This is made with out an insulin response at all and it's metabolism must be all handled by the liver. Its biochemistry is quite different and I think this is why the fats made from this pathway are a very different animal than the one in coconut oil. this is where the rubber meets the road for me,Lustig,rosedale – The Quilt Aug 28 2011 at 15:24
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Good point below, Travis. In fact, that is the point. It is not caloric restriction per se that mediates longevity; it is a change in, specifically down regulating, particular metabolic pathways that elicits the shift in genetic expression towards a longevity phenotype. These pathways must be intact as they are in non-genetically modified people for CR to have significant benefit. The latest science is showing that these pathways likely pertain to insulin and mTOR that are conserved in virtually all animal species, and I suspect the leptin pathway will be shown to be very significant in mammals including humans. This places (non-fiber) carbohydrates and excessive protein in the middle of the fray.

The calorie restriction protocol has been shown to extend lifespan in the vast majority of species studied. In many of these species, obesity is a non issue such as flies, worms, spiders, and many others. DBA2 mice are being studied as in the paper cited by Travis precisely because they are a known exception to the CR extending lifespan rule. But for every exception, you could likely find hundreds of studies since the 1930s that show caloric restriction extends lifespan in other strains and species. Research is being done to try to find out why exceptions exist.

The DBA 2 mice are quite weird aside from their well known non response to caloric restriction. CR increases their blood glucose rather than decreasing it as in almost all other species, including humans. This can hardly be called an insignificant difference. They also die of unusual diseases and also have some strange genetic defects affecting their brain manifested as hearing impairments and epilepsy I believe.

It is known that if you dietary restrict any animal too much it will tip the scale beyond hormesis and decrease lifespan. A 30% reduction in calories may be too much for this strain.

Attributing the lack of effect of caloric restriction on lifespan extension in this strain of mice to their being thin and non obese is far from conclusive and a hugh scientific leap, as these mice have many other genetic and metabolically relevant differences other than being thin. I would not sing the death knell to CR just yet.

It is quite possible and I would say probable that the lack of lifespan extension in this mouse strain is due to its inability to burn fat as opposed to glucose, secondary to the strange genetic abnormalities that the strain possesses including the maintenance of elevated glucose and therefore the likelihood and necessity of constantly burning it.

To summarize, the advantage to health and lifespan that caloric restriction elicits is not due to CR per se, but to changes in metabolic hormone signaling. Part and parcel of that change is the increased ability to effectively burn fat.

To quote from p 18 of my book, "I am often asked to briefly summarize what it is that establishes health. I can do this in a single sentence. 'Health and life span is determined by the proportion of fat versus sugar people burn throughout their lifetime'. The more fat you burn as fuel, the healthier you will be. The more sugar you burn as fuel, the more disease-ridden you will be, and the shorter will likely be your life."

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Increasing average lifespan is nice but not near as powerful as extending youth and increasing maximum lifespan.. For that there are no human counterparts; only science as revealed in animal studies. That being said, the Okinawans eat considerably more fish than other groups and a higher percentage of carbohydrates as vegetables i.e. fiber as opposed to starches. Most of the fiber gets excreted, so Okinawans are likely relatively calorie restricted. Also, overindulging in food among Okinawans is very frowned upon. I don't know much about the Kitivans but I suspect much the same applies. – Ron Rosedale M.D. Aug 30 2011 at 13:26
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doesnt CR in this lifespan(like yours or mine) set up the NEXT generation for obesity and diabetes? – Mallory Aug 30 2011 at 15:59
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The okinawan supercentenarians have been found to have a genetic abnormality in th efirst cytochrome of their mitochondria that allows it to be less leaky to ROS. That is the reason they live longer.....it has nothing to do with their diet. This was even mentioned in Nick Lane's books. – The Quilt Aug 31 2011 at 1:50
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There are many speculations of why Okinawans have a high number of centenarians. It does appear that they eat a low retain calorie diet. What Nick Lane has said is the following,p 275 “Oxygen”, “based on a 25 year study, the book [The Okinawa Way written by a Japanese cardiologist] argues that the secret of the Okinawans... goes beyond genes, diet, and exercise to their relaxed lifestyle and low level of stress. The Okinawans have a word for it, "tege", which means 'half-done': forget timetables, forget finishing today things that can be done tomorrow. I suspect they are probably right.” – Ron Rosedale M.D. Sep 1 2011 at 21:56
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In the most comprehensive study pertaining to the Okinawan diet and longevity entitled, "Caloric Restriction, the Traditional Okinawan Diet, and Healthy Aging" published in the Annals of the New York Academy of Sciences, the following was found; “Findings include low caloric intake and negative energy balance at younger ages, little weight gain with age, life-long low BMI...and survival patterns consistent with extended mean and maximum life span." The study concluded... (next comment) – Ron Rosedale M.D. Sep 1 2011 at 22:34
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Regarding caloric restriction, I was under the impression that it only extended the life of animals with a strong genetic predisposition (due to our engineering) toward obesity. In those cases, caloric restriction was necessary to fend off obesity, and all of the longevity-reducing things that come with it:

http://www.physorg.com/news151928423.html

It seems like caloric restriction is a ham-handed way to reduce oxidative stress.

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Calorie restriction seems to be a long shot. There was one study where increasing the heat of the room negated the effects of calorie restriction. Usually cr induces shivering and a lowered body temp. Whoops :). Its probably good to be in energy balance at leAst though. – mari Aug 30 2011 at 2:03
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Igf 1 pathways can be bad if there is back round cellular inflammation. This depletes the stem cell supple and the organ become senescent. When a cell is senescent it has two options apoptosis or cancer. The more inflammatory the terroir is the more likely your develop cancer. High protein diets with inflammation do thensame thing to the mTor pathway

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So, in small words, are you saying that it's not carbs per se that reduce longevity, but rather insulin-like growth factor in the presence of inflammation? And if that's the case, then it's inflammation, regardless of origin, that is the enemy? I just want to wrap my little pea-brain around this. Thanks. – Rose Aug 27 2011 at 21:06
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Yes inflammation is the true enemy, regardless of its genesis. – Josh M Aug 27 2011 at 22:18
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But Carbs directly influence IGF 1 levels.....and yes that is bad news. BCCA do the same for MTor. The basis of CRON is eating a low BCCA diet with enough fat. This stimulates Sirt 1 and confers the benefit.....to get it your inflammatory have to be low low low. So in small words........the only good carbs are veggies with low glycemic index for longevity. Telomere biology proves it. But the benefit to humans or primates is yet to be proved. In every other species it has been validated. Primate data is a real mixed bag. Human data is non existent. – The Quilt Aug 27 2011 at 22:58
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Okay - this I do get even if it makes me crazy because I want to eat melons. BUT what's with the glycolytic exercise? Why the HIIT and sugar burning exercise? If burning fat is better for longevity, wouldn't it be better to do slow moderate exercise? I need help here. – none Aug 28 2011 at 0:16
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Yes being a fat burner life long is best for longevity. Humans live longer when they live a life of hormetic stresses. – The Quilt Aug 28 2011 at 4:49
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First, of course, there's no proof, but it is illogical that primates would be the exception to the rule.

Second is my observation. Regardless of its origin, I consider the bible to be an historical account. In the earliest parts, closer to hunter-gatherer times, people were living several hundred years. As time passes, moving well into agriculture, lifespans decrease. I've never heard an explanation that makes sense. Cynthia Kenyon's research produces the missing puzzle piece IMO. It also explains why we didn't breed like rabbits during H-G times.

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