Only 9% of >105,000 people with 30-years of follow-up reached age 70 without chronic diseases. Our diet and healthy aging, a review of the new report @naturemedicine.bsky.social this week, and placing it in context erictopol.substack.com/p/our-diet-a... - ThreadSky

erictopol.bsky.social • 6 days ago

Only 9% of >105,000 people with 30-years of follow-up reached age 70 without chronic diseases.
Our diet and healthy aging, a review of the new report @naturemedicine.bsky.social this week, and placing it in context
https://erictopol.substack.com/p/our-diet-and-healthy-aging

Comments

igorjad.bsky.social•6 days ago

📌

jayfb.bsky.social•5 days ago

Only 9% for a group in health care !! No surprises from the diet results, but 9% is astounding.

helen-clegg.bsky.social•6 days ago

📌

cxz.bsky.social•6 days ago

Thoughts on Pentadecanoic Acid (C15:0)? https://pmc.ncbi.nlm.nih.gov/articles/PMC10649853/

rapieress.bsky.social•6 days ago

I agree with this, but my mother was what many consider a health nut, and Drs predicted she’d live past 100, then she got Dementia.

It has had me thinking, what would I like to die from…?

bchanson.bsky.social•6 days ago

I think of this since my mom had dementia. I’m 62 and live a pretty healthy lifestyle.

rapieress.bsky.social•6 days ago

I think of things like a heart attack or Alzheimer's… cancer, or dementia. Oddly, we don't allow euthanasia in California which is what I would like if I ended up with a brain/body destroying disease. I like what Chelsea Handler says about calling her drug dealer and going out flying high. 😎

therapistgoneferal.bsky.social•6 days ago

I theorize that, at least in America, the drive for profit over anything else has created an epidemic of making processed food mainstream. It’s not just that storing food longer means you have more profit opportunities; it’s that quick, processed meals mean less time spent cooking, more time working

atezcan.bsky.social•6 days ago

I see this as another attempt on public health food recommendation, which failed miserably every time…

jaqjaqeats.bsky.social•3 days ago

Really? I saw this as data being regarding specific foods. The heat map doesn’t promote any combination of foods. The heat map isn’t saying don’t eat red or processed meat. It’s saying that eating those things regularly were associated with poorer outcomes. 🤷🏻‍♀️ Maybe I need to reread it.

atezcan.bsky.social•3 days ago

Point is not whether it recommends what to it or not in the paper, but how it is interpreted. Now these results are circulated as the evidence for “eat fruits and vegetables, don’t eat meat and butter.” Same old pattern. I’m tired of food questionnaire based studies

jaqjaqeats.bsky.social•3 days ago

Also, if you come across any animal based diet studies, pls post to the thread. I haven’t found any decent ones yet, but I’m looking for some.

jaqjaqeats.bsky.social•3 days ago

I think those things are open to interpretation. As I read the article, I took it as a reminder to eat those things in moderation, not exclude them entirely. It’s going to be very eye opening in a decade or two what animal based diets either do or don’t do. But also, your diet is like a giant

jaqjaqeats.bsky.social•3 days ago

experiment filled with biological and chemical reactions. This study doesn’t say how food should be paired, but chances are the pairings make a big difference as well. Ex: tumeric with black pepper vs. without. The problem isn’t the data or the science, it’s people on socials who twist the data to

jaqjaqeats.bsky.social•3 days ago

fit an agenda.

sinsji.bsky.social•6 days ago

My wife compensate BBQ meat with red wine, does that suffice? (On a serious note: thanks for sharing).

rayshl.bsky.social•6 days ago

But is life worth living without the occasional fish ‘n chips, with mushy peas of course!

semch.bsky.social•5 days ago

I've always liked French fries, but didn't eat them often. At one of my workplaces, there was a canteen where there were almost no vegetables and almost only French fries. After a month, I didn't like French fries anymore and I missed the vegetables terribly. I think it's the quantity that counts.

caseylangwith.bsky.social•5 days ago

It would be cool to upload your own dietary habits and see which index it falls under

erictopol.bsky.social•4 days ago

Coverage of this study, gift link
https://wapo.st/3DQzsym

erictopol.bsky.social•6 days ago

The foods that were associated with healthy aging (explanation of this heat map in the post)

daniellakrn.bsky.social•6 days ago

Guess I’m dying early

sissinghurstwitch.bsky.social•6 days ago

I learned that nuts can be difficult to digest

awilm.bsky.social•6 days ago

Cool chart, basically shows exactly what I would expect (and tracks with the usual dietary advice I give patients)

two-star.bsky.social•5 days ago

I looked at the article because I was curious about what a "low-energy beverage" is, but apparently that's defined deeper in the weeds than I managed to look. The lowest energy beverage I can think of is water, and I can't imagine that would be bad for you.

mbabco.bsky.social•5 days ago

ms-matisse.bsky.social•5 days ago

Have you read Topol's article and the research article?

mbabco.bsky.social•4 days ago

The data is all based on FFQs – Food Fantasy Questionnaires. "However, the emerging picture of nutritional epidemiology is difficult to reconcile with good scientific principles." – John P. A. Ioannidis.

https://jamanetwork.com/journals/jama/fullarticle/2698337

ms-matisse.bsky.social•4 days ago

Thanks for your response. I do understand it will never be the equal of pharmaceutical research, but do you trust any nutritional research?

mbabco.bsky.social•3 days ago

The AIM (Annals of Internal Medicine) studies of 2019 are a great example of applying more rigorous standards to nutritional studies, specifically about meat.

https://www.acpjournals.org/doi/10.7326/M19-2620

mbabco.bsky.social•3 days ago

Not epidemiological nutrition studies based on FFQs – subject to poor recall, responder and researcher bias. GIGO - garbage in, garbage out. This article by Christie Aschwanden points out issues:

https://fivethirtyeight.com/features/you-cant-trust-what-you-read-about-nutrition/

rholmes.bsky.social•5 days ago

Foods correlated with being wealthy and educated.

emeraldmuse.bsky.social•5 days ago

Couple of comments based upon my personal research over the years. I would be hesitant to put fruit juice on the 'good' list. It can easily spike glucose. Also, the kind of yogurt matters. Greek yogurt being the best. Wine? Maybe once or twice a year, not daily.

Fruit rates higher than veggies. ⚡

cardiovascmmm.bsky.social•6 days ago

Interesting! Did you change any habits after you read the results of this study?

kbsneed.bsky.social•3 days ago

Just mentioned in Fireside chat w/ @danielkraft.bsky.social at #NextMed. A must read!

truthoverfear2025.bsky.social•6 days ago

The effects of the DASH or Mediterranean diets will never be studied like Ozempic will or does. Thanks to NIH grant funding cuts, and industry sponsorship there is simply no $ funding for expensive dietary clinical trials. Healthy eating is not profitable for pharmaceutical companies and lobbyists.

muralirk.bsky.social•6 days ago

Isn’t killing patients or reducing quality of life bad for pharma and food companies?

truthoverfear2025.bsky.social•3 days ago

Pharma and food companies only care about $. Health outcomes are only studied during clinical trials to obtain FDA approval. Obesity is equally profitable for pharma and food companies, supported by lobbyists and dietary guidelines.... So, quality of life or lifespan are not in the equation here.

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