Transcript

00:00:00what about blue zone diets oh my god don't get me started on that one i mean blue zones are fun
00:00:07i mean look there's a lot to say about blue zone diet the first is again you know if you it's kind
00:00:15of like a mediterranean diet but with even less meat and if you like if you look at what it
00:00:19prescribes you know and but it also prescribes um skipping breakfast um it tells you to be social um
00:00:29it tells you to uh not finish your plate um you know there's some social aspects to it
00:00:35but but what's i find and you know if you look at the the the the the the the sort of prescription
00:00:43of the diet especially nutritionally it's kind of what a lot of you know it's not far off from
00:00:47the mediterranean diet um i don't know of any really good high quality studies
00:00:52for those blue zones diet compared to say the mediterranean diet but what i find amusing about
00:00:56the blue zones diet is how it's been advertised because it's advertised and marketed as a diet
00:01:01that'll help you live to be a hundred and that's where i begin to have some concerns because even
00:01:06if you look at the data for the blue zones like if you there's these supposed blue zones these five
00:01:10regions on the planet where are they let's see one of them is in the nicoya peninsula of costa rica
00:01:17one's a little kind of little village in sardinia it's like a little area in sardinia one is
00:01:21uh an island in the mediterranean i've forgotten the name of the island
00:01:25um one is uh okinawa and the other is loma linda california right outside of la
00:01:34those are the five blue zones and and the idea behind these are these are supposedly areas where
00:01:38a hot twice as many people live to be centenarians they live to be 100 years old and so the idea is if you
00:01:44eat like the people in these areas you too are going to live to be 100 years old now there's
00:01:49some problems with this the first is that even if you believe the data that that these these regions
00:01:56have a have a higher percentage of centenarians that turns out that the percentage of centenarians
00:02:02is tiny so it's like it's like six people out of 10 000 as opposed to in the united states where it's
00:02:07three people out of 10 000. the base rate's so low that small changes are massive proportions
00:02:12these are statistical outliers so you basically have to if you if you're not a statistical outlier
00:02:16which most of us are not it's irrelevant it's not a very it's statistical nonsense basically
00:02:22secondly there's a guy in oxford isn't um uh demographer oxford i'm trying to remember his name
00:02:27saul newman i think his name is he's published this really fascinating paper he did a deep dive
00:02:32onto these blue zones and found out that only 18 of the people in these blue zones actually had birth
00:02:37certificates so we don't even know who these people are they just self-report their age and these are
00:02:44areas so and he are you telling me are you telling me that a good chunk of the blue zone fervor could
00:02:53have been around the fact that people just didn't register how old they were correct or it could be
00:02:58insurance fraud i mean i have no idea um yeah exactly i'm sorry it's you can get online you can read
00:03:04sol neumann's paper it's hilarious paper to read um um but also think about it this way like there's
00:03:11this like a little area in sardinia if you go on if you click on the blue zones map there's this like
00:03:15you know think about sardinia it likes you know it's an oval shaped island right and there's this little
00:03:20area on the on the western side there's a little blue you know zone on the map right in that little
00:03:27area you have all these centenarians now tell me that if you like go like 30 miles north or 30 miles
00:03:33south that people have totally different diets and it's like so why in this little spot are they all
00:03:40centenarians and just 20 miles north or 20 miles south they're not it's kind of suspicious what are
00:03:44the what is the blue zone proponent explanation for that uh i think he's answered i don't think
00:03:50he's is it a guy uh yes guy named um what's his name um wetner butner i can't remember he's a he was
00:03:56a he was a um he was a national geographic reporter who who got really excited by this and figured out
00:04:02how to market all this but you know the one of the most interesting blue zones is loma linda california
00:04:07do you know who lives in loma linda california what why loma linda is a blue zone because obviously
00:04:11they're not little you know peasant team you know farmers eating their traditional foods no
00:04:18they're seventh day adventists and the seventh day adventists don't believe in smoking they believe
00:04:23in exercise they're you know they believe that they're many of them are vegetarians they believe
00:04:27that they don't believe in exercise no they do believe yeah they believe that you that god gave
00:04:33us our bodies our body is a sacred thing and that it's our responsibility as um as as as as christians
00:04:41to to take good care of our god-given body that's a physiological theology very good it is it is and and
00:04:49so um you know they don't smoke they exercise many of them are vegetarians they have they do all these
00:04:54sorts of things that the you know most doctors will tell you is what you should do and guess what
00:04:59they have a high percentage of people do they eat the same thing as the people in sardinia
00:05:04no of course not they're eating right so what's going on with this blue zones thing is it is it
00:05:09fair to say that the blue zone diet isn't a diet it doesn't it's it doesn't do what it says it does
00:05:16well i mean it does if you read the blue zones book it tells you what to eat tells you to at least a
00:05:21half a cup of beans a day it tells you lots of vegetables it tells you not to eat too much of this
00:05:25and not too much of that so there it's got some it's got some parameters you know um but it's not a
00:05:30it's not a it's not a rigidly defined diet um and you know the the suggestions aren't totally crazy
00:05:37um but they're again it's it's kind of oversold i mean like one of the one of my you know the one of
00:05:43the refrains from in like you know that i keep going back to in my book is that there are a lot of
00:05:49people trying selling us optimal diets you know and i have come to hate the word optimal if you want
00:05:56to piss me off say that's your trigger word it's my trigger word tell me your diet is optimal first of
00:06:02all is it optimal for you or optimal for me because you and i are not the same right we have different
00:06:06genetics we have different background you're young and strong a lot more muscle you know but i'm probably
00:06:10faster than you who knows probably suddenly but um um i'm 62 you're probably a lot younger um um um you
00:06:18know is is uh are you are you more worried about heart disease or alzheimer's or or arthritis or this
00:06:25or that or the other are you are you do you care more about the environment etc there's you there's no
00:06:31such thing as optimal um uh and um and it's it's kind of a it's just marketing and and we and i and
00:06:38so i i now react against people who claim their diet is optimal because it's just marketing it's
00:06:44salesmanship it's not science okay let's piss off some more people what about low carb high fat oh boy
00:06:50am i gonna get in serious trouble after this one yes yes yes we both are it's fine low carb high fat
00:06:55again there used to be atkins now it's keto yeah i mean look both depends what your goals are
00:07:01right um it turns out if you want to if your goal is to lose weight for example you can lose weight
00:07:06on a low carb diet and you can lose weight on a low fat diet um it is true that people tend
00:07:12to lose a little bit more weight on low carb diets than low fat diets um but but um and in fact
00:07:19i'm one of the co-authors of the carbohydrate insulin model big paper that was recently american
00:07:24journal of clinical nutrition so i've put my i've signed my name in blood on the and i believe in the
00:07:30biology behind uh the low carb diet so we can can you explain that in layman's terms
00:07:35we can but before we do let me just get to this which is that uh pretty much any non-crap diet can
00:07:43help somebody lose weight uh and the hard part is to sustain it and so you need to make a distinction
00:07:49between efficacy and effectiveness so efficacy is basically how well a diet works when in the perfect
00:07:56world right when there's no cheating and you eat exactly what you're told and you can do it for a long
00:08:01time and you know it's perfect effectiveness is how it works in the real world and it turns out
00:08:06that low carb diets have this higher efficacy for weight loss than low fat diets this is for weight
00:08:14loss but their effectiveness because people have a hard time sustaining them is only slightly larger
00:08:20right so if you could do it you might perform very well but being able to do it the difficulty is
00:08:28somewhat harder it's hard which means that it mitigates some of those gains i mean i tried it
00:08:31i mean i tried it tried every every single one of these by the way i i have done a much more
00:08:36bro science equivalent of what you did in the research for this book yeah i've tried all of
00:08:41things yeah i mean i tried the i tried an atkins diet and i was hard because i had intense carbohydrate
00:08:47cravings and i'm a runner and you know it's hard to be a runner and not eat carbs the hunger is
00:08:51rough yeah i mean i just just i didn't like it that much um but i didn't like a lot of the diets
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00:10:02made it to the end of a clip and the full-length episode is available right here go on

Key Takeaway

Marketing claims surrounding Blue Zone longevity and optimal diets rely on statistical outliers, self-reported ages, and salesmanship rather than solid scientific evidence.

Highlights

  • Only 18 percent of individuals living in designated Blue Zones possess birth certificates to verify their age.

  • Centenarians comprise a tiny base rate of six people out of ten thousand in Blue Zones compared to three out of ten thousand in the United States.

  • Low-carbohydrate diets demonstrate higher efficacy for weight loss than low-fat diets in controlled environments, though real-world effectiveness remains similar due to sustainability challenges.

  • Optimal diets do not exist because nutritional requirements vary significantly based on individual genetics, age, and personal health risks.

Timeline

Flaws in Blue Zone Longevity Claims

  • Blue Zone diets resemble the Mediterranean diet with reduced meat consumption alongside social prescriptions like skipping breakfast and not finishing meals.
  • Proponents market Blue Zones as five specific regions where twice as many people reach one hundred years old.
  • Demographic research by Saul Newman reveals that only 18 percent of individuals in these regions have birth certificates, making age verification unreliable.

Nutritional prescriptions found in Blue Zones share many similarities with the standard Mediterranean diet, yet lack high-quality comparative studies. Marketing campaigns heavily promote these regions as proof that specific dietary habits guarantee a century of life. However, deep-dive demographic analyses indicate that the high concentration of centenarians heavily stems from self-reported ages, missing birth records, and potential insurance reporting inaccuracies rather than verified biological longevity.

Geographic Anomalies and Loma Linda Realities

  • Centenarian density drops drastically just miles away from designated Blue Zone pockets like the western side of Sardinia.
  • Loma Linda functions as a Blue Zone due to the Seventh-day Adventist population rather than traditional peasant farmers.
  • Seventh-day Adventists avoid smoking, exercise regularly, and practice vegetarianism based on physiological theology.

Concentrations of centenarians appear strictly inside tiny map bubbles while neighboring towns twenty to thirty miles away show entirely normal mortality rates despite similar environments. Loma Linda in California qualifies as a Blue Zone entirely because of its Adventist population, who attribute physical health to religious stewardship of the body. Universal optimal diets fail to exist because nutritional success depends heavily on individual differences, personal health concerns, and genetics rather than one-size-fits-all marketing.

Low-Carb Versus Low-Fat Diets and Efficacy

  • Weight loss occurs successfully on both low-carbohydrate and low-fat diets depending on personal goals.
  • Low-carbohydrate diets exhibit slightly higher weight loss efficacy in controlled environments compared to low-fat alternatives.
  • Real-world effectiveness drops because sustaining restrictive carbohydrate limits proves difficult for most people over time.

Any non-junk diet assists with initial weight loss, but the primary challenge lies in long-term sustainability. Distinctions between efficacy and effectiveness explain why laboratory results differ from real-world outcomes. Co-authored clinical research supports carbohydrate-insulin models of biology, but intense carbohydrate cravings and runner requirements often make strict adherence challenging for the general population.

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