Talk 15: Scientific Panel - Fontana, Masoro, Mattson, Horwitz, Johnson
Q: How low can you go (calorie-wise)?
Mattson: BMI crude estimate. Below 18.5 or 18 may be bad.
Masoro: There is a risk to CR. Rodent data says early life mortality higher
in CRed group.
Q: Will primate studies show lifespan extension?
Masoro: Concerned that primate studies are "poking and prodding" monkeys too
much, which may taint results. Need tighter controls.
CR animals do better at handling minor stress like heat and minor surgery
CR animals do worse at dealing with cold stress - don't have the necessary
fuel reserves.
Wound healing better w/ CR if you give more food shortly before or at time
of wound.
Mattson: "perturbing" animals (poking and prodding) may be more like real
life, so data may be more reflective of real effect.
Q: What about intermittent fasting + CR?
Mattson: Don't have data. Rats clearly are CRed on EOD feeding (~30% CR) -
confound results. Some strains of mice don't lose weight on EOD feeding.
Johnson: People generally don't quite eat twice as many calories on the
"On-day" - so it is naturally a combination of intermittent feeding and CR
Q: What about vitamin supplements?
Johnson: Doesn't see data to support supplements.
Fontana: Vitamin D important, but best to get from sun. Nearly all CRers
taking supplements in his study. Almost none of Raw food people do?
Q: Please describe practice of CR or not.
Mattson: Vegetarian + fish + yogurt. Lots of whole grains. BMI 18-18.5. 1/2
hour exercise / day rigorous. A bit anemic. 2000-2200K per day.
Masoro: Has never practiced CR. At age 69 he was diagnosed w/ severe heart
disease. Instructed to do exercise and clean up diet. Now does low fat.
Mostly fish and vegetables ad lib.
Fontana: Healthy diet all his life. Always thin. Formerly macro-biotic, lots
of grains, legumes, fish. Very rare to eat other meats. Never eats desserts
or sweets. Lots of veggies. Doesn't count calories. BMI 20.2. Exercise a
lot. Yoga + resistance + biking. Doesn't supplement - gets micronutrients
from foods.
Q: Where will we be in 5 years in our understanding of primary aging?
Masoro: Feels we already know the nature of aging. Doesn't buy primary /
secondary aging distinction. Aging relates to fact that damage is
inevitable. Free radicals aren't only bad guy. The extent to which we age is
determined by our ability to repair, and cope w/ the slings and arrows that
come at us.
Mattson: We don't know all the details of aging at molecular level, and
we'll continue to make progress. Masoro agrees - lots of details left to be
worked out. Thinks further research into pathways involved in oxidative
metabolism, insulin-signalling etc. will bear fruit - showing us details of
mechanisms of aging.
Not optimistic about recommendations that people adopt dietary changes. But
also not very optimistic about narrowly targeted mimetics (like sirtuins).
Thinks that if a mimetic is going to be effective, it must mimic CR at early
stage in its effects pathway - e.g. appetite suppression or blocking
absorption. Otherwise, the mimetic won't cover all the multitude of ways
that our body gets damaged as we age. Something else will eventually get us.
Q: Is hormesis relevant in yeast?
Masoro: Yes. Definitely. Sinclair's work can be interpreted as a
demonstration of hormesis for extension of lifespan in yeast. Hormesis
pathway in different organisms may be different (rats vs. yeast). Sirtuins
may be shared, but can't expect all pathways to be identical between
organisms.
Q: How does assay for Sirtuins work?
Horwitz: Described detailed biochemical technique for measuring sirtuin
levels.
Q: Resveratrol sounds like fountain of youth. Can it be the "magic bullet"?
Everyone agreed resveratrol has almost ZERO probably of being THE magic
bullet.
General agreement - save money, eat varied diet.
Mattson: Save your money (don't buy supplements).
Horowitz: Resveratrol probably fairly harmless - non-toxic. So it won't hurt
you. But benefits uncertain. But Sinclair and other researchers are taking
it. But of course they are getting it from sponsor for free...
Q: Please share view of exercise. Is CR only better for longevity?
Fontana: If overweight - exercise beneficial.
Johnson: Excessive exercise causes more free radical damage.
Q: what about resistance training?
Fontana: Resistance training helpful for maintaining muscle mass. Doesn't
burn as many calories as aerobic exercise. Matter of balance. Don't build
big muscles, but don't let too much muscle atrophy on CR or with age.
Q: BMR. Is being a "burner" good or bad?
Masoro: Rate of living theory has been thorough discredited. Aging much more
complicated than just how many calories you're burning.
Q: Mortality doubling rate reduced by CR in rats. Clear indicator of
intrinsic mortality slowing?
Masoro: In a population of (rodents), yes. This shows CR slows intrinsic
aging. But we want marker of aging for individual. We still haven't been
able to find good biomarker of aging.
Fontana: CR may lengthen life, but may also increase risk of dying. The
average lifespan of a CR'ed population of humans may be longer, but an
individual may be hurt by CR if taken to "extreme". Unfortunately we don't
have a good way to judge how far is too far. In general, may be better to be
in "safer" range for body fat, BMI, etc.
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