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by XzetaU8·8y ago·view on hn ↗
A few thoughts regarding today's big carb study in The Lancet:

- This study will get tons of press, with misleading headlines all over the place. Like this one we already saw: "Low carb diets shorten your life unless you are mostly vegetarian."

- Nobody actually knows which diets are best for longevity, as it's an impossible question to answer without a trillion dollar randomized trial. Supercentenarians eat a wide variety of diets, calorie/methionine restriction helps in some animal studies, etc. A collection of observational evidence (like in the Lancet paper) is helpful for noticing overall patterns, but can't say much about actual diets. One high-carb diet could be high in candy and cake, and another high in fruit and tubers. The Lancet study wasn't able to address diet quality.

- The Lancet paper is not one study, but two: a long-term observational study in the US, plus a meta-analysis of international cohorts.

- The "easy" conclusions (low carb bad, high carb bad, high meat bad) are not so easy. The broadest way to cut dietary data is by macronutrient, so the result interpretations aren't always useful. Those with high and low carb intake are more likely to be on a diet, for example, and dieters can be more likely to have health conditions they're trying to address.

- When you meta-analyze heterogeneous data sets, problems arise. There's no good way around this, since the different data sets are from different research groups, and individual-level meta-analysis is thus rarely possible.

[1] https://www.facebook.com/Examinecom/posts/2146299502057199?_...

1 comments
> Nobody actually knows which diets are best for longevity, as it's an impossible question to answer without a trillion dollar randomized trial. Supercentenarians eat a wide variety of diets,calorie/methionine restriction helps in some animal studies, etc.

But all of the super centenarians ate very little meat, with the exception of some fish in a few populations.

And we don't know for certain whuch diets will help you live the longest, but the knowledge and evidence we do have very heavily favors a diet that is primarily plant based, low in protein, and has very little chicken/pork/beef.

> but the knowledge and evidence we do have very heavily favors a diet that is primarily plant based, low in protein, and has very little chicken/pork/beef.

Hong Kong has one of the highest life expectancies (Surpasses even Japan) in the world yet their cuisine is mostly based on meat, not plant-based

Furthermore not a single country from this list is a plant-based or low in protein, all of them eat alot of meat, dairy, seafood etc

https://en.wikipedia.org/wiki/Centenarian

The only part of that page that discusses diet talks about how okinawa owes it's longevity to "A diet that is heavy on grains, fish, and vegetables and light on meat, eggs, and dairy products.'

If you look at the Wikipedia article for blue zones(areas with especially high levels of centenarians). https://en.m.wikipedia.org/wiki/Blue_Zone

They mention that one of the things that unites these areas is a mostly plant based diet.