[HN Gopher] New research says "blue zones" can be explained by f...
       ___________________________________________________________________
        
       New research says "blue zones" can be explained by flawed data
        
       Author : cpncrunch
       Score  : 197 points
       Date   : 2024-10-04 06:32 UTC (16 hours ago)
        
 (HTM) web link (www.independent.co.uk)
 (TXT) w3m dump (www.independent.co.uk)
        
       | closetkantian wrote:
       | So what are the real Blue Zones if there are any? Where do people
       | actually live the longest in other words?
        
         | fnands wrote:
         | The real Blue Zones are the friends we made along the way.
         | 
         | The problem will always be that you need to find places that
         | keep good records, and have done so for the last century.
         | 
         | What they set out to do was to find correlations between
         | lifestyle and longevity, and what they ended up finding was a
         | great tool for spotting pension fraud.
        
           | hieKVj2ECC wrote:
           | so no correlations between lifestyle and longevity? doubt
        
             | yaris wrote:
             | There is correlation (and maybe even causal relation)
             | between lifestyle and longevity. It's just the lifestyle in
             | those "Blue Zones" is not different from the lifestyle of
             | surrounding areas (or as in Okinawa - gradient points in
             | the wrong direction), so cannot serve as the sure way to
             | longevity.
        
             | simonh wrote:
             | That is no way shape or form invalidates any actual link
             | between lifestyle and longevity. It just means you can't
             | simply assume that any given example of longevity, or data
             | indicating longevity, must be due to lifestyle.
        
             | resoluteteeth wrote:
             | There are it's just the outlier blue zones where people are
             | supposed to be reaching very hugh maximum ages at a
             | surprising rate that are probably not real. There are still
             | plenty of correlations between healthier lifestyles
             | generally you just shouldn't attempt to live past 100 by
             | emulating what people in an alleged blue zone do.
        
           | giantg2 wrote:
           | The levels of fraud aren't that rampant. Focusing on life
           | expectancy in those regions still seems to have some valid
           | correlation. It was a mistake from the beginning to try to
           | focus on outliers (people living over 100).
        
             | lolinder wrote:
             | Part of the research shows that when you drop the outliers
             | these regions have a lower than average life expectancy.
        
               | giantg2 wrote:
               | Yeah, it does show that for some of the areas, but not
               | others. The problem with these population studies is they
               | do not give you answers, only new variables. In my view,
               | the whole blue zone study is moot, at least in the way it
               | is typically applied. What it does give us are new
               | variables to study. Those smaller studied can control for
               | variables that the population level cannot. They can also
               | apply those studies to populations of different decent
               | (genetics).
               | 
               | The glass of wine recommendation has had many studies
               | done and the results are conflicting.
               | 
               | The eating guidelines like heavy in plants,
               | mederteranian, eating to 80% full all have multiple
               | studies showing benefits over the typical western diet
               | and especially the typical American diet. It's a no
               | brainer that if you want to live a long life you have a
               | better chance of doing that if you have a reduced risk of
               | heart attack, stroke, diabetes, etc.
        
               | lolinder wrote:
               | Right, I have no problem with dietary recommendations
               | that are inspired by "blue zones" and then validated with
               | research in other populations.
        
               | simiones wrote:
               | Most of these guidelines are based on the same sort of
               | flawed population-level studies that can't control for
               | many other aspects. For example, the "Mediterranean diet"
               | is consumed in countries that have all sorts of other
               | specific lifestyle differences that are just as likely to
               | influence health and longevity - siesta, a general
               | tendency not to stress or work in exaggerated amounts, a
               | month or more of vacation per year, significant sun
               | exposure, good social healthcare, and many others. All of
               | these together have certain (mild) effects on longevity
               | and health, but there is virtually no way to isolate any
               | one from all of the others.
               | 
               | There are also many studies that suggest other kinds of
               | diets are beneficial, and many populations that consume
               | significantly different diets and have even better health
               | than the average person around the Mediterranean. For
               | example, inuit populations also display generally low
               | obesity and risks of heart attack, stroke, diabetes etc -
               | while consuming almost the opposite of a Mediterranean
               | diet or of plant heavy diets.
        
               | giantg2 wrote:
               | "For example, inuit populations also display generally
               | low obesity and risks of heart attack, stroke, diabetes
               | etc - while consuming almost the opposite of a
               | Mediterranean diet or of plant heavy diets."
               | 
               | That doesn't seem to be true.
               | 
               | https://pubmed.ncbi.nlm.nih.gov/30578133/
               | 
               | The studies backing up specific diets are not population
               | level, but rather specific study groups. And yes, there
               | are other healthy diets too.
        
           | mcphage wrote:
           | > what they ended up finding was a great tool for spotting
           | pension fraud
           | 
           | I mean, that's not nothing, y'know?
        
           | 93po wrote:
           | i mean there are studies that show good socialization leads
           | to longer life expectancy so you're not wrong
        
         | dsq wrote:
         | I wonder if there was anything historically equivalent to the
         | Antediluvian lifespans described in the Old Testament. If, for
         | example, there was something in the food a few thousand years
         | ago in the area of the Persian/Arabian Gulf, now underwater,
         | that could extend lifespan.
        
           | tsimionescu wrote:
           | You're wondering if there was any ancient food that allowed
           | people to live to 800 or 900 years old. There wasn't.
        
             | dsq wrote:
             | I also don't think there was, its more of a scifi kind of
             | musing.
        
           | quesera wrote:
           | Possibly a parallel in New Orleans? Anne Rice documents
           | unusual individuals that can live well into the hundreds of
           | years.
        
           | nradov wrote:
           | In some ancient cultures around that region, stating that
           | someone was hundreds of years old was a sign of respect for
           | their wisdom, authority, and line. The numbers weren't meant
           | to be taken literally.
        
         | Terr_ wrote:
         | It's likely the most significant zones simply aren't
         | geographical.
         | 
         | The numbers probably look better in the Affluent Alliance
         | versus the Protectorate of Poverty, for starters.
        
           | meindnoch wrote:
           | Reminds me of the South Park episode where they discover
           | Magic Johnson's secret for curing his HIV.
        
         | gregwebs wrote:
         | There's extensive literature on the lack of modern disease in
         | hunter gatherers. Frontier doctors could get a case report
         | published when they found cancer.
         | 
         | Some lived long but on average their lives were short because
         | they didn't have antibiotics or emergency medicine and lived in
         | harsh environments that few of us would be able to survive
         | today.
         | 
         | Their wisdom appropriately coupled to a modern less harsh
         | environment might lead to greater longevity. But the harshness
         | is what ensures exercise, movement, unprocessed food, etc.
        
           | meindnoch wrote:
           | Their "wisdom" of avoiding cancer amounts to dying young.
           | Cancer rates shoot up well beyond 50 years.
        
             | gregwebs wrote:
             | Do you have any evidence you can point to for this
             | assertion? The book Good Calories Bad Calories has a
             | section that reviews the literature on the subject. Disease
             | and Western Civilization reviews specific populations in
             | detail. Nutrition and Physical Degeneration for a
             | geographically diverse primary source although it's not
             | about cancer or longevity.
        
               | dmurray wrote:
               | The assertion that older people get cancer more than
               | young people? You could try any medical source whatsoever
               | that deals with cancer or longevity, instead of picking
               | one that doesn't, e.g. [0]
               | 
               | > Advancing age is the most important risk factor for
               | cancer overall and for many individual cancer types. The
               | incidence rates for cancer overall climb steadily as age
               | increases, from fewer than 25 cases per 100,000 people in
               | age groups under age 20, to about 350 per 100,000 people
               | among those aged 45-49, to more than 1,000 per 100,000
               | people in age groups 60 years and older.
               | 
               | [0] https://www.cancer.gov/about-cancer/causes-
               | prevention/risk/a...
        
               | gregwebs wrote:
               | That study doesn't include hunter gathers. Certainly
               | cancer rates increase for them as they age as well. The
               | point is the rate is orders of magnitude less than we
               | experience today.
        
               | Spooky23 wrote:
               | Who was diagnosing hunter gatherers with cancer?
               | 
               | I lost my wife to melanoma that spread to the brain. I
               | don't know how some hunter gatherer society would detect
               | a brain tumor.
        
           | tempaway456456 wrote:
           | _There's extensive literature on the lack of modern disease
           | in hunter gatherers._
           | 
           | Well yeah because their life expectancy is about 45 years
        
             | FollowingTheDao wrote:
             | Well we seem to now be doing worse than the hunter
             | gatherer's who "had a life expectancy of about 45 years"
             | with the rise in early onset cancers.
             | 
             | https://www.yalemedicine.org/news/early-onset-cancer-in-
             | youn...
             | 
             | And on your "had a life expectancy of about 45 years", you
             | have a math problem. The average life span was closer to 25
             | years but was dragged down but the huge amount of infant
             | mortality which is normal in humans.
             | 
             | The Tsimane of the Amazon are know to live well into their
             | 70s.
        
               | lolinder wrote:
               | > The Tsimane of the Amazon are know to live well into
               | their 70s.
               | 
               | Some of them do, but those are filtered to the most
               | healthy if the lot. It's not really surprising that if
               | you lose the sickly ones while they're infants the ones
               | who make it to adulthood are less likely to get sick.
               | 
               | This is further confounded when you have generations that
               | have lived longer, as we do in the first world, because
               | now not only do the sickly ones live long enough to get
               | modern diseases, they also live long enough to reproduce
               | and pass on the previously-non-viable genes. So
               | generation after generation gets added that would never
               | have survived without modern medicine.
               | 
               | I consider it to be a good thing that we can optimize our
               | evolution for different traits now besides raw
               | survivability, but it does mean that we should expect our
               | disease numbers to be higher.
        
               | FollowingTheDao wrote:
               | My point was that when someone says the "life expectancy
               | is 45" that does not mean that everyone dies at 45.
               | 
               | > I consider it to be a good thing that we can optimize
               | our evolution
               | 
               | We cannot "optimize" our evolution for different traits.
               | Evolution is optimization to the environment. We cannot
               | use human thought to optimize evolution, and that is
               | eugenics anyway so no thanks.
        
               | lolinder wrote:
               | I was anthropomorphizing the natural process of
               | evolution, not suggesting eugenics. I thought that would
               | be obvious, but apparently not.
        
           | giantg2 wrote:
           | You can look to the Amish for some answers. They aren't
           | hunter gatherers but they do live a more primitive lifestyle.
           | Some studies seem to show they have lower rates of cancers.
           | It's not really a secret that if you are active, eat fairly
           | healthy, aeent obese, and don't drink or smoke that you will
           | be significantly healthier than the baseline rates in the US.
        
             | nucleardog wrote:
             | Could be that that "more primitive lifestyle" could fall
             | victim to some of the same issues that lead us to see the
             | cancer rates throughout history as much lower. (E.g., lack
             | of diagnosis)
             | 
             | I took a look at the Hutterites in Canada because while
             | they live a simpler lifestyle with a more traditional diet,
             | no smoking, and minimal alcohol consumption, they are
             | generally much less averse to modern conveniences where
             | they supplement their lifestyle. Combined with Canada's
             | public health system, that means they have few barriers in
             | the way of receiving modern medical care.
             | 
             | It's a bit old, but I found a study from the 80s[0] that
             | found men have significantly lower rates of lung cancer
             | (yep, not smoking helps) but they found an increased risk
             | of stomach cancer and leukemias. Women had lower rates of
             | uterine cancer. This was fairly consistent across all three
             | traditional groups in North America.
             | 
             | Other sources seem to show their life expectancy is in line
             | with the general population, removing that as a factor.
             | 
             | So not smoking helps. If I had to take a wild guess, the
             | lower rate of uterine cancer could potentially be explained
             | by lower rates of HPV as we now know that's the main risk
             | factor for developing cervical cancer. I can't find any
             | reports on the rates of STDs among the Hutterites, but I
             | would hazard a guess it's "lower".
             | 
             | Which, on the surface, makes it look like the lifestyle and
             | diet (besides not smoking!) isn't having a lot of impact.
             | 
             | [0] https://pubmed.ncbi.nlm.nih.gov/6624898/
        
               | giantg2 wrote:
               | "the same issues that lead us to see the cancer rates
               | throughout history as much lower. (E.g., lack of
               | diagnosis)"
               | 
               | Except the Amish have access to modern medicine and there
               | are modern studies investigating their population level
               | disease rates.
        
               | nucleardog wrote:
               | I'm definitely less familiar with the Amish, so I did
               | some looking beforehand. What I was finding that their
               | willingness to use modern medicine, or to use it
               | preferentially, is said to vary a lot from community to
               | community.
               | 
               | As well, I found they self-fund access to healthcare, and
               | I have no idea what the dynamics would be like with that
               | --would you decide not to see a doctor so you're not
               | placing a burden on your neighbours?
               | 
               | Neither's a factor with Hutterites in Canada. They're
               | very willing to use and rely on modern technology (they
               | probably have some of the most technologically advanced
               | farming setups you've seen, have cell phones, etc) and
               | there's no cost barrier to accessing healthcare.
               | 
               | I was curious, shared what I found. Take from it what
               | you'd like!
        
           | LorenPechtel wrote:
           | And note that it's not "get cancer" but "find cancer".
           | 
           | In a harsh environment how many die of a tumor that saps
           | their energy before causing any specific effect that causes
           | them to seek out a doctor and presents with something the
           | doctor can find without the million-dollar machinery?
           | 
           | Let's grab our Mr. Fusion and head back a quarter century. My
           | father came to visit. He had definitely declined since the
           | last time we saw him but had no known major health issues.
           | There wasn't anything in particular, yet what my wife saw was
           | enough that she said we wouldn't see him again. Half a year
           | later the big machines found the cancer. Would he have made
           | it that half year in a harsh environment? No.
        
         | bluepizza wrote:
         | Highly developed countries with access to affordable or free
         | healthcare seem to be real blue zones. Especially in highly
         | urban areas. Hong Kong, Singapore, and the big cities of some
         | countries (Tokyo, Sydney) have very high life expectancy
         | numbers.
         | 
         | Seems like getting treatment when you're sick, and having
         | regular check ups to induce lifestyle changes are what makes a
         | place a blue zone.
        
           | giantg2 wrote:
           | "having regular check ups to induce lifestyle changes"
           | 
           | More likely that those areas have society level positive
           | lifestyles by default, especially relating to foods (eg
           | Okinawa eating until 80% full, Italy and the mederteranian
           | diet, Loma Linda plant heavy diet, etc).
           | 
           | Plenty of people get at least an annual covered checkup, but
           | that doesn't mean they will make lifestyle changes. Even the
           | ones that try end up like a new years resolution - not being
           | strict about it or giving up after a month or two.
           | 
           | Edit: why disagree?
        
             | bglazer wrote:
             | Isn't the whole point of this research that people Okinawa
             | and Italy probably don't live any longer. In fact these
             | areas have shorter average life span? So, all the stories
             | about the benefit of the Mediterranean fish heavy diet are
             | post-hoc rationalizations of bad data?
        
               | giantg2 wrote:
               | "Isn't the whole point of this research that people
               | Okinawa and Italy probably don't live any longer."
               | 
               | I didn't see that claim in the article. What I did see is
               | that the data on centarians was shown to be invalid. It's
               | certainly possible that the overall life expectancy stats
               | could be distorted. In most cases (excluding Okinawa), I
               | doubt that the mistakes or fraud are that rampant. The
               | problem with the blue zone studies is that they
               | explicitly focused on outliers from the beginning. Any
               | mistakes or fraud become a big impact in a small
               | population like that. If you use population level life
               | expectancy, the impact should become much smaller, or at
               | the very least any systemic fraud and mistakes should
               | become readily visible and be able to be corrected in the
               | numbers if further studies are done to measure it.
               | 
               | The article is very emotional and seems to
               | mischaracterize some things, such as claiming that every
               | blue zone must fit each piece of the suggestions. The
               | idea of drinking every day is probably not a good
               | suggestion as there is some research contesting the
               | benefits of a glass of wine a day. But let's take Okinawa
               | as an example. It's uncontested that the records have
               | problems, it's trending in the wrong direction (younger
               | generations, probably better records), and it doesn't fit
               | all the practices (eg religion). But does this invalidate
               | the longevity recommendation of eating to 80% full that
               | comes out of the blue zone recommendation? No. There are
               | independent studies showing the benefits of this practice
               | to reduce cardiovascular disease, insulin resistance, and
               | obesity.
               | 
               | So even if the blue zone centarian data is wrong (it is),
               | that doesn't say anything about the suggested practices.
               | Those have always needed their own studies to validate
               | the suggested practices anyways. Fot example, there are
               | numerous studies on the mederteranian diet that shows it
               | is beneficial compared to a typical western diet and
               | especially compared to the typical American diet.
        
               | simiones wrote:
               | The point is that, if the Blue Zones concept is BS and
               | none of these places have high life expectancy, then
               | there is no reason to discuss them in the context of
               | nutrition or lifestyle recommendations of any kind. Those
               | recommendations may be good or bad, but they are
               | unrelated to the non-existent longevity of these "blue
               | zones".
        
               | giantg2 wrote:
               | Yeah, but it's all ancient history at this point. The
               | recommendations have already been proven or disproven
               | through followup studies. Disproving blue zones at this
               | point in time is basically moot.
        
           | nradov wrote:
           | I think you're confusing correlation with causation. There is
           | no reliable evidence that having regular check ups improves
           | longevity, or even benefits healthy patients at all. And
           | advice given by doctors about lifestyle changes is
           | notoriously ineffective: long-term patient compliance close
           | to zero.
        
         | Eumenes wrote:
         | A marketing term to push TV shows, books, Business Insider
         | articles, clicks/engagement, etc.
        
       | fire_lake wrote:
       | Longevity is a poor metric anyway - we need to emphasize quality
       | * years
        
         | melling wrote:
         | Yes, someone always says this. Health span is the term. Maybe
         | we can all use the term and skip this discussion
         | 
         | https://www.merriam-webster.com/wordplay/what-is-health-span
        
           | ImaCake wrote:
           | Quality of Life Years, QALYs, is a commonly used term in
           | epidemiology/biostatistics.
        
         | Mistletoe wrote:
         | Blue Zones were supposed to be examples of that too.
        
         | tsimionescu wrote:
         | The two are greatly correlated, so at a population level it's a
         | distinction without a difference. There's no population of
         | people all living to be 100 but spending their 90s on a
         | respirator.
         | 
         | The distinction matters for individual health decisions, and
         | for comparing different interventions, where you can extend
         | someone's life at the cost of their quality of life.
        
         | resoluteteeth wrote:
         | In theory that is a reasonable distinction (and that type of
         | trade-off can come up in very specific situations like
         | treatment of terminal disease in elderly people) but in terms
         | of lifestyle choices there is currently no known difference
         | between lifestyle choices that increase expected longevity and
         | lifestyle choices that increase expected quality years.
        
       | brushfoot wrote:
       | This doesn't really address Loma Linda, California, the Adventist
       | blue zone.
       | 
       | The researcher's criticism of Loma Linda isn't that people don't
       | live longer there; it's that Adventist Health purchased Dan
       | Buettner's marketing company Blue Zones LLC in 2020.
       | 
       | Adventists are teetotalers, so he questions why they'd want to be
       | associated with the Blue Zones guideline of drinking "every day
       | at twice the NHS heavy drinking guidelines."
       | 
       | Which is a fair question -- but it doesn't have anything to do
       | with whether Loma Linda is an area with greater longevity.
        
         | neaden wrote:
         | This seems pretty explainable by Seventh Day Adventists'
         | behavioral factors leading to increased life, a group with very
         | little smoking and drinking living longer isn't surprising.
        
         | vitorfblima wrote:
         | From the paper: _For example, the Centres for Disease Control
         | generated an independent estimate of average longevity across
         | the USA: they found that Loma Linda, a Blue Zone supposedly
         | characterised by a 'remarkable' average lifespan 10 years above
         | the national average, instead has an unremarkable average
         | lifespan29 (27th-75th percentile; Fig S6)._
        
           | brushfoot wrote:
           | This misses the forest for the trees.
           | 
           | The CDC looked at average life expectancy in Loma Linda
           | across all demographics. Purely geographical and on average.
           | 
           | The blue zones focused on the greater longevity specifically
           | of Adventists in Loma Linda.
           | 
           | It wasn't a question of whether living inside the municipal
           | boundaries of Loma Linda automatically conferred some special
           | health benefits -- clearly it doesn't.
           | 
           | It was, "Why is there an unusually high concentration of
           | outliers living here, and what behaviors cause them to live
           | longer than average?"
        
             | mcphage wrote:
             | > It was, "Why is there an unusually high concentration of
             | outliers living here, and what behaviors cause them to live
             | longer than average?"
             | 
             | Blue Zones LLC also provided a set of answers to that
             | question, and one of those answers ("drinking 1-2 glasses
             | of wine per day") is clearly not true in this case.
             | 
             | And honestly, it's just Bayesian statistics--if they
             | present 5 data points, and 4 of those data points are
             | floating somewhere between data errors and fraud, then odds
             | are, that last data point is flawed somehow as well.
             | Certainly they would need to do some extra work to prove
             | that it isn't.
        
             | em500 wrote:
             | So first it was Sardinia, Okinawa, Ikaria, Loma Linda. Then
             | it's not even Loma Linda but specifically Loma Linda
             | Adventists. That looks like XKCD-level p-hacking
             | 
             | https://www.xkcd.com/882/
        
               | wpietri wrote:
               | Yeah, if the point is really about Adventists, I think
               | it's better made with statistics on them. Ditto
               | teetotalers or vegetarians (Adventists are often both).
               | Or if it's about studying individuals with long
               | lifespans, then great, let's do that.
        
             | ceejayoz wrote:
             | > This misses the forest for the trees.
             | 
             | In a large enough forest, there's always one or two
             | randomly weird trees.
        
               | red-iron-pine wrote:
               | yeah but there isn't a cluster of 100 trees, all sharing
               | the same religion. they are a cluster, the Adventists,
               | that is.
        
               | ceejayoz wrote:
               | Big enough forest - say, eight billion or so trees -
               | there'll absolutely be 100 weird trees in a spot
               | somewhere.
               | 
               | If Adventists have cracked the code for longevity, you'd
               | find their other congregations with similar benefits.
               | Barring that, we're just p-hacking our way to a spurious
               | conclusion.
        
             | vitorfblima wrote:
             | I don't get your point.
             | 
             | Who's claiming that living inside the boundaries of such
             | zones would confer health benefits?
             | 
             | The paper is pointing out that if you actually look at the
             | data there is nothing remarkable about the region's average
             | lifespan (actually lower than the entire country of Japan),
             | which is what's being discussed here.
        
               | brushfoot wrote:
               | > The paper is pointing out that if you actually look at
               | the data there is nothing remarkable about the region's
               | average lifespan
               | 
               | That's my point -- the region's _average_ lifespan is
               | irrelevant. It 's only relevant given the misconception
               | that Loma Linda itself has some special properties of
               | rejuvenation.
               | 
               | But that doesn't mean it's not a longevity hotspot. Even
               | if the average lifespan there were lower than normal --
               | say a large number of unhealthy people lived there -- it
               | still wouldn't negate that, if an abnormally high number
               | of healthy centenarians also live there.
        
               | PleasureBot wrote:
               | This is just the No true Scottsman fallacy.
               | 
               | "Loma Linda residents have some of the highest lifespans
               | in the world."
               | 
               | "Well it turns out they actually just have average
               | lifespans."
               | 
               | "Only true Loma Linda residents have the highest
               | lifespans."
               | 
               | If you discount everyone who died at a normal age, you
               | can conclude that Loma Linda residents are doing
               | something special.
        
               | brushfoot wrote:
               | Loma Linda residents _do_ have some of the highest
               | lifespans in the world. Not on average -- but that wasn
               | 't Buettner's point. His point was that there's an
               | unusual number of long-living outliers there.
        
               | twobitshifter wrote:
               | That doesn't seem to be a claim I see, he said ten years
               | longer on average.
        
               | e_y_ wrote:
               | This is not a No True Scotsman fallacy ... and if you
               | argue otherwise, you're falling for the No True Scotsman
               | fallacy.
               | 
               | Just kidding. But more seriously, the original claim was
               | deeply flawed so it makes sense to challenge the criteria
               | for the population study.
        
             | maartenscholl wrote:
             | I don't think that is right. In the Blue Zones marketing
             | material, they characterise Loma Linda's 9000 Adventists,
             | who make up 40% of the population, as living a decade
             | longer on average. That is the claim being investigated.
             | This claim is hard to reconcile with the CDC's official
             | numbers which show a typical life expectancy for the entire
             | area, unless living next to Adventists somehow lowers the
             | life expectancy for the remaining 60% of the population,
             | which would be far more interesting.
        
               | brushfoot wrote:
               | > they characterise Loma Linda's 9000 Adventists, who
               | make up 40% of the population, as living a decade longer
               | on average
               | 
               | > This claim is hard to reconcile with the CDC's official
               | numbers which show a typical life expectancy for the
               | entire area
               | 
               | Buettner's focus was on the outliers. Loma Linda is a
               | longevity hotspot, and the question is why.
               | 
               | He found the long-living outliers practiced certain
               | behaviors that they associated with Adventism, like
               | vegetarianism.
               | 
               | Not all Adventists practice those behaviors. About half
               | of Adventists eat meat, for example.
               | 
               | But the long-living outliers were Adventist and practiced
               | the behaviors that he highlighted. So that was his
               | takeaway.
        
               | maartenscholl wrote:
               | Sure Buettner does focus on the older people of the
               | community by interviewing them, but that does not
               | generalise to the claim of the book (or the website to
               | this day) that this community has a high life expectancy,
               | which is shown to be false by the corrected statistics.
               | This is known as a "population fallacy".
               | 
               | By focusing on the older people only in such a small
               | population, he is introducing selection bias and
               | survivorship bias. Moreover, he did not control or
               | compare studies. I believe there are more than one
               | Adventist community in the US, yet those are not Blue
               | Zones somehow?
        
               | twobitshifter wrote:
               | Why are Adventists or vegetarians outside of Loma Linda
               | not super centarians, why the Loma Linda boundary?
        
             | onlyrealcuzzo wrote:
             | > It was, "Why is there an unusually high concentration of
             | outliers living here, and what behaviors cause them to live
             | longer than average?"
             | 
             | Isn't there bound to be some random noise?
        
             | SideQuark wrote:
             | There are ~9000 Adventists in Loma Linda. This is two
             | categories you can split people into, then intersect.
             | 
             | There are 330,000,000 million Americans. There are likely
             | millions of categories people can be split into. Just for
             | fun let's say counties (6000+) then any of a zillion other
             | cross items (left handed, blue eyed, above average height,
             | smells like butter, etc., etc.,Etc.) Say we find 10,000 of
             | these categories.
             | 
             | Life expectancy is decently modeled as a gaussian with std
             | deviation 8 years. A 10 year excess is a z-score of 1.25,
             | and 10% of samples will be at this point.
             | 
             | The odds of TONS of subsets of size 9000 of the 330,000,000
             | people that can be found in the same pair of county+trait
             | from the 600,000,000 pairs is nearly 1.
             | 
             | Thus the Adventists in Loma Linda are far more likely to be
             | one of these many blips that have zero causal power than
             | they are to have special life sauce. Finding them is merely
             | an artifact of being able to filter data, not a special
             | power of the objects.
             | 
             | Or a simpler way: pick two binary traits, split the 330m
             | Americans into 33,000 chunks of size 10,000 where each
             | group has all in one of the four pairs of traits, and you
             | would expect (more or less - there is some more math to do
             | here) that 10% of these groups has average lifespans over
             | 10 years, i.e., 3,300 of the groups are the same as the
             | Loma Linda Adventists.
             | 
             | No magic needed. Just rolling dice.
        
               | pulse7 wrote:
               | If "no magic is needed", then why don't you - or someone
               | else - name, say, 5 more such groups/chunks with their
               | exact characteristics? It seems that it is not that easy
               | to find them... and yet someone found such a group in
               | Loma Linda...
        
         | happymellon wrote:
         | It does if you read it.
         | 
         | Loma Linda residents don't have a notable longer life span than
         | the other residents of California.
        
           | brushfoot wrote:
           | The idea wasn't that averaging out the lifespan of all Loma
           | Linda residents, regardless of lifestyle, would yield a
           | higher number than everywhere else. It was that there was an
           | unusually high number of outliers living there, and the
           | question was why.
           | 
           | The CDC's average was purely geographic and irrespective of
           | lifestyle, which is different.
        
             | iamthejuan wrote:
             | https://manna.amazingfacts.org/amazingfacts/website/mediali
             | b...
        
             | iamthejuan wrote:
             | Here is probably why: https://manna.amazingfacts.org/amazin
             | gfacts/website/medialib...
        
       | FollowingTheDao wrote:
       | The whole Blue Zone thing cracks me up. They think everyone will
       | live longer on a plant based diet? Tell that to the Inuit and
       | Sami who have genetically adapted after generations of eating
       | very few, if any, plants.
       | 
       | If they Blue Zones do exists, they exist because people are
       | eating their traditional genetic diet.
       | 
       | And if they eat plants, what plants? Should someone of Irish
       | decent eat wheat even though they are more likely to have Celiac?
       | 
       | I have Sami heritage. I was also a Vegan at one time. A healthy
       | Vegan. The plant based diet was literally killing me with
       | hyperglycemia and immune issues. These people who think there is
       | one true diet are dangerous adn do not know the first thing about
       | nutritional genetics.
        
         | InMice wrote:
         | For all the nutrition wars raging these days about plant based
         | vs animal etc I really agree with you. Modern transportation of
         | the industrial age shuffled humans around the globe everywhere.
         | Prior to this distinct groups were adapting in distinct biomes
         | for thousands upon thousands of generations. Some were pure
         | carnivore, some were high carb almost all plants, some in
         | between.
        
           | FollowingTheDao wrote:
           | If you search for a nutritional genomics, I think you'll be
           | pleasantly surprised. There are plenty of researchers who are
           | trying to do the hard work or telling people how important
           | genetics is to our personalized health. The University of
           | North Carolina at Kannapolis has a very good program.
        
         | coffeefirst wrote:
         | Right, the hype is nuts. My read is regardless of the flaws in
         | demographic data, one observation does seem told hold up: if
         | you go somewhere that's been slower to adapt modernity, and
         | introduce western levels of inactivity and hyperprocessed food,
         | you get all the same maladies.
         | 
         | Which I think is a good sign? It suggests you don't need island
         | magic, you don't need to settle these purist debates or figure
         | out The Answer(tm). The only thing that matters is addressing
         | the two really bad things that are obviously pathogenic.
         | 
         | And then we can argue about moderate drinking until the end of
         | time.
        
       | dghughes wrote:
       | My guess is blue zones are countries that have good social
       | programs and medical systems. Also helpful are regions where the
       | environment isn't going to kill you.
        
         | nradov wrote:
         | Also helpful are regions where the _people_ aren 't going to
         | kill you. Either directly, or by selling you fentanyl.
        
       | cs702 wrote:
       | Paper:
       | 
       | https://www.biorxiv.org/content/10.1101/704080v1
       | 
       | Abstract:
       | 
       |  _> The observation of individuals attaining remarkable ages, and
       | their concentration into geographic sub-regions or 'blue zones',
       | has generated considerable scientific interest. Proposed drivers
       | of remarkable longevity include high vegetable intake, strong
       | social connections, and genetic markers. Here, we reveal new
       | predictors of remarkable longevity and 'supercentenarian' status.
       | In the United States, supercentenarian status is predicted by the
       | absence of vital registration. The state-specific introduction of
       | birth certificates is associated with a 69-82% fall in the number
       | of supercentenarian records. In Italy, which has more uniform
       | vital registration, remarkable longevity is instead predicted by
       | low per capita incomes and a short life expectancy. Finally, the
       | designated 'blue zones' of Sardinia, Okinawa, and Ikaria
       | corresponded to regions with low incomes, low literacy, high
       | crime rate and short life expectancy relative to their national
       | average. As such, relative poverty and short lifespan constitute
       | unexpected predictors of centenarian and supercentenarian status,
       | and support a primary role of fraud and error in generating
       | remarkable human age records._
       | 
       | Nice work. It just won a 2024 Ig Nobel Prize. Well-deserved, I'd
       | say:
       | 
       | https://improbable.com/ig/winners/#ig2024
        
         | comboy wrote:
         | So there's this short little book "Food rules" by Michael
         | Pollan. Not much content but seems like the author went through
         | a lot of research. He comes to conclusion based on this tons of
         | data that all we really know for sure is that people living in
         | these blue regions are living much longer and it seems to be
         | related to what they eat. That it is basically the only solid
         | and stable data point we have. Welp. (I'm overstating it a bit,
         | but not by that much)
        
           | mannykannot wrote:
           | The one thing that this paper does is demolish the claim that
           | people living in these blue regions are living much longer
           | than average.
        
             | lolinder wrote:
             | I think a lot of commenters either didn't read the abstract
             | or assumed from its tone that it was supportive of the idea
             | of blue zones.
        
             | mfer wrote:
             | Except, it misses the point and doesn't really do that
             | while being persuasive.
             | 
             | According to the Blue Zone researchers, some of the Blue
             | Zones are disappearing because the generations that came
             | after the oldest live differently and much shorter. By
             | differently, their eating, body movement, and other
             | characteristics are different. Looking at the whole
             | population doesn't segment for differences between
             | generation. So, nuance is lost.
             | 
             | In some areas, like the Blue Zone in the US other research
             | is finding the people who live there are healthier than the
             | surrounding populations. Then you have to ask, what area do
             | you average over for your measurement and statistics?
        
               | giantg2 wrote:
               | "Then you have to ask, what area do you average over for
               | your measurement and statistics?"
               | 
               | This is a big thing that I didn't seen in the paper this
               | article is based on. It seemed like the author was
               | comparing adjusted numbers from the blue zone with
               | unadjusted numbers from non-blue zones. Without
               | comprehensive investigation of error rates and even
               | different error mechanisms by locale, it seems like a
               | poor comparison to make. Comparing life expectancies is
               | better than comparing outlier centarian numbers, but you
               | are right that it depends on what other areas we are
               | using as the baseline or average (and I take it a step
               | farther by saying it depends on what error adjustments
               | need to be made to _both_ data sets).
               | 
               | The whole blue zone idea is a bit misapplied though.
               | These population studies find new variables to look at.
               | Then you have targeted studies to investigate thos
               | variables. Discrediting the centarian numbers doesn't
               | discredit the findings on stuff like a mederteranian diet
               | having better health outcomes than the standard western
               | diet, etc.
        
               | mavhc wrote:
               | Or now better records are kept the incorrect data dies
               | off
        
               | mfer wrote:
               | There was a study I read about in Barrons that was noting
               | that places a western diet goes the health care costs
               | then start going up. Other studies have found that a
               | western diet leads to more unhealthy outcomes (increased
               | disease and earlier death).
               | 
               | I state this to point out that there are other variables
               | at plan than just changes in record keeping.
        
               | moi2388 wrote:
               | Healthcare spending goes up. As you'd expect from a
               | country starting to become richer.
               | 
               | Also, please show reliable studies that show that western
               | diets lead to more unhealthy outcomes.
               | 
               | Compared to what, third world diets with their
               | insufficient nutrition and starvation?!
               | 
               | Furthermore food studies are notoriously badly done.
        
               | mannykannot wrote:
               | It is very much to the point, addressing the specific
               | claims and methodology of a specific (and apparently
               | somewhat influential) study.
               | 
               | You are, of course, free to speculate that there are
               | other issues related to longevity than those considered
               | in the study in question, but even if these suppositions
               | are correct, in no way would this justify saying the
               | paper being discussed here misses the point. The point
               | _is_ that the blue zones study is too flawed to support
               | any definite position, which includes both its own
               | conclusions and the more nuanced issues about which you
               | speculate.
        
               | mfer wrote:
               | > It is very much to the point, addressing the specific
               | claims and methodology of a specific (and apparently
               | somewhat influential) study.
               | 
               | Except, the author doesn't discredit specific claims of
               | the Blue Zones. For example, the Blue Zones might take an
               | area and state there is a higher rate of centurions who
               | are healthy and capable. The counter to that might be the
               | average life span in the region isn't an outlier. In one
               | case you're looking at a targeted subgroup and the other
               | your looking at the population as a whole. One
               | observations doesn't disprove another.
               | 
               | This is just one example. It's why I call the work
               | misleading.
        
               | mannykannot wrote:
               | You are using "might" more than once here. I have my
               | opinions too, and FWIW, this looks like motivated
               | reasoning, holding the response to a much higher standard
               | of proof than the original claim.
        
               | mywacaday wrote:
               | I listened to an interview with the author during the
               | week, in short as soon as you start getting reliable
               | recording of births and clamp down on old age welfare
               | fraud the phenomenon disappears.
        
               | jimberlage wrote:
               | Kinda depends on how much you value inductive vs.
               | deductive reasoning, but the authors make the deductive
               | case that:
               | 
               | - There's strong incentives to misreport in these areas
               | (the compelling example from Sardinia was that the person
               | is alive for the purposes of pension fraud, but really
               | dead)
               | 
               | - People who are incentivized to report people being
               | older than they are will do so
               | 
               | And the inductive case relies on data, which is presumed
               | to be totally flawed because of the misaligned
               | incentives.
        
               | lolinder wrote:
               | > According to the Blue Zone researchers, some of the
               | Blue Zones are disappearing because the generations that
               | came after the oldest live differently and much shorter.
               | 
               | Of course they would say that. But if these zones are
               | _simultaneously_ recording births better and reducing
               | welfare fraud, and if 80%+ of the centenarians either had
               | no birth certificate or were actually dead, I 'm going to
               | need more than "but they're also changing lifestyles" as
               | an explanation.
               | 
               | We're talking here about _unusually_ long life, not just
               | "he's still going strong at 85" long. No one here is
               | arguing that people who are active and eat right don't
               | have a longer healthspan, but that's a concept that's
               | provable without the so-called Blue Zones.
        
             | giantg2 wrote:
             | Not exactly. It establishes that error rates are high in
             | those areas, demolishing the centarian numbers. It doesn't
             | give much investigation into the averages at all. Where it
             | does, it seems to compare adjusted numbers of one data set
             | with unadjusted numbers of another. If you really want to
             | get into the averages, you'd have to determine error rates
             | and adjustments for each specific area, probably by
             | jurisdiction or record keeper, and then compare them. The
             | problem is, nobody is going through that process for the
             | entire world so we just use the face value numbers until we
             | want disprove a specific area and then compare the adjusted
             | numbers against unadjusted numbers. The data is too massive
             | to rigorously investigate. But this whole effort is moot.
             | What tangible benefit comes from disproving blue zone data?
             | These population level studies aren't meant to provide
             | answers. They're meant to provide new variables. Each of
             | the blue zone longevity recommendations have their own
             | studies to either prove (food stuff) or disprove (drinking
             | wine daily) them.
             | 
             | So yeah, it's great the errors in the data have been called
             | out it's a bit surprising that the author interviewed is so
             | angry in the article. I guess it's fitting that he got the
             | _Ig_ nobel, since this correction doesn 't have any
             | applicable impact to end result, which were additonal
             | studies investigating the individual suggestions/variables,
             | such as specific dietary practices.
        
               | adamc wrote:
               | If the error rates are high, there is no reliable signal
               | that these areas _are_ different, so how the hell can
               | looking at their  "new variables" help?
        
               | giantg2 wrote:
               | Go look up the studies that came out of it.
               | 
               | It would be different if these were new studies, but this
               | is all in the past. This new finding of unreliability
               | doesn't have any impact, hence the _Ig_ nobel instead of
               | the real nobel.
        
               | taeric wrote:
               | Any chance you can point to the specific studies?
               | 
               | And the ignobel isn't supposed to be that the research
               | had no impact. Is it?
        
               | giantg2 wrote:
               | There are roo many to list. You can search each topic in
               | Pubmed.
               | 
               | The Ig nobel is a satirical award for trivial
               | achievements.
               | 
               | https://en.m.wikipedia.org/wiki/Ig_Nobel_Prize
        
               | jfcoa wrote:
               | The Ig Nobel is not for trivial achievements, it is to
               | "honor achievements that first make people laugh, and
               | then make them think." This takes different forms.
               | 
               | The part of the wikipedia article you are referencing is
               | an inference from a particular article: "A September 2009
               | article in The National titled "A noble side to Ig
               | Nobels" says that, although the Ig Nobel Awards are
               | veiled criticism of trivial research, history shows that
               | trivial research sometimes leads to important
               | breakthroughs."
               | 
               | The definition of "blue zones" never had anything to do
               | with average longevity. The entire concept is predicated
               | on unusual numbers of centenarians, not long average life
               | spans. In fact, as is pointed out in the Ig Nobel winning
               | paper, Blue Zone places like Sardinia, Okinawa, and
               | Ikaria have always been paradoxical: they are supposed to
               | have higher numbers of unusually long lived people, but
               | have shorter average lifespans than the rest of their
               | countries. The paradox goes away with the finding that
               | the count of centenarians is incorrect. There's nothing
               | left to the Blue Zone concept without the centenarians.
        
               | giantg2 wrote:
               | It's hard to believe it's not satirical...
               | 
               | "Ig Nobel Prize Winner Dr. Elena Bodnar demonstrates her
               | invention (a brassiere that can quickly convert into a
               | pair of protective face masks)"
        
               | nradov wrote:
               | There are basically zero studies which prove anything
               | about particular foodstuffs. It's all observational
               | studies with small effect sizes and multiple uncontrolled
               | confounding variables: junk science.
               | 
               | We know we need certain essential nutrients to prevent
               | deficiencies, an energy intake surplus causes weight
               | gain, and a few substances like trans fat are
               | problematic. Beyond that, people seem to be making claims
               | and recommendations not backed by hard evidence and
               | frequently confuse correlation with causation.
        
               | giantg2 wrote:
               | We aren't talking about unequivocal proof. If someone
               | asks what they can do to increase longevity, it's
               | perfectly reasonable to tell them about studies that show
               | strong correlations and mention the way the confounding
               | factors play a role.
               | 
               | You might be interested to look into some of the twin
               | studies that put twins on similar exercise regimens and
               | differening diets. They seem to be the strongest evidence
               | possible for this sort of thing. Hardly what I would call
               | junk science.
        
               | nradov wrote:
               | The exercise part I can believe as we have somewhat
               | better quality evidence there. But if you have seen
               | dietary studies on twins that actually meet evidence-
               | based medicine criteria then I would greatly appreciate a
               | citation as those would be interesting to read.
        
               | giantg2 wrote:
               | You can search for your own. This should be just as
               | rigorous as any exercise studies.
               | 
               | https://pubmed.ncbi.nlm.nih.gov/38032644/
        
             | comboy wrote:
             | That's my point.
        
               | modeless wrote:
               | I think a single "Welp" at the end of the comment is not
               | communicating that clearly enough.
        
             | seydor wrote:
             | keeping in mind that they live in countries with higher
             | life expectancy than most countries anyway. Indeed they may
             | not even be outliers within those countries.
        
           | twobitshifter wrote:
           | Ozempic is showing that life expectancy is mostly avoiding
           | obesity, heart disease, and diabetes, but not a specific
           | magic food. It is just calories, vitamins and minerals.
        
             | uxhacker wrote:
             | No as Ozempic mimics the reaction of the body to certain
             | classes of food such as fibre and probiotics.
             | 
             | For most people if they eat more fibre and probiotics we
             | would not need Ozempic.
        
         | mfer wrote:
         | A while back I dug into the research of this author and I was
         | not impressed. Some examples of things that caught me poor and
         | leading...
         | 
         | * The Blue Zones claim that most places that list many
         | centurions are false due to bad record keeping. Only a few
         | places have good enough records that are trustworthy. In this
         | authors research he called out places that were not blue zones
         | as examples of bad data against Blue Zones.
         | 
         | * In Okinawa the Blue Zones claim that only the oldest
         | generation fits the Blue Zone model. That more recent
         | generations eat poorly and have bad health. That this Blue Zone
         | is going away. This researcher has focused on the more recent
         | food and health of younger generations to discount it being a
         | Blue Zone for that oldest generation.
         | 
         | * In the US he fails to find fault in record keeping (last I
         | dug into it) with the only location that is considered a Blue
         | Zone. Instead he focuses on generalities.
         | 
         | There are more examples like this.
         | 
         | This all seems disingenuous. It's not to agree with Blue Zones
         | but rather to look at his arguments against those put forward
         | for Blue Zones.
         | 
         | I keep thinking of the phrase "Lies, Damn Lines, and
         | Statistics"
        
           | minifridge wrote:
           | It is definitely a bit fishy.
           | 
           | I am sure there are other places with bad record keeping
           | which were not included in the study to deflate the pvalues
           | of book keeping.
        
           | gpderetta wrote:
           | Yes, I did a bit of investigation and I commented on it the
           | few times this article made the rounds on HN:
           | https://news.ycombinator.com/item?id=20633769
           | 
           | I don't think it is just bad statistics, it is very poor data
           | extractions.
           | 
           | Just an example:
           | 
           | "Like the 'blue zone' islands of Sardinia and Ikaria, Okinawa
           | also represents the shortest-lived and second-poorest region
           | of a rich high-welfare state"
           | 
           | Sardinia[1], at 83.8, had in 2018 one of the EU highest life
           | expectancies, certainly higher than the rest of Italy (83.4).
           | Like the rest of Italy it was badly hit by COVID in 2020.
           | Life expectancy at 55 is 30.6 vs 30.1 for the rest of Italy.
           | I don't know how to match it with their Figure 2 that shows
           | the all Sardinian provinces being extreme outliers in
           | negative other than they completely misinterpreted the data.
           | Also the same graph shows 7 blue dots for Sardinian
           | provinces, historically Sardinia had only 4 provinces and has
           | had 8 only for a short period in the mid 2000s.
           | 
           | [edit: The newer version of the paper[2] is different and
           | doesn't have figure 2]
           | 
           | [1] https://ec.europa.eu/eurostat/databrowser/view/demo_r_mli
           | fex... (Sardegna In the table).
           | 
           | [2] https://www.biorxiv.org/content/10.1101/704080v3
        
             | gpderetta wrote:
             | Figure 2 is now Figures S2 and S3 in the newer paper. Table
             | S1 is also relevant: all four Sardinian provinces that
             | appear in that table have existed only from 2005 to 2016.
             | The other 4 historical provinces do not appear. I can't
             | help but think that they didn't somehow account for that
             | and it messed up their data.
             | 
             | Although the fact that those four provinces stick out as
             | extreme outliers in their graph should have clued them that
             | something was wrong.
        
       | CareerAdvice01 wrote:
       | I come from one of these blue zones on the southern coast of
       | Europe. That low income low literacy people live longer, provided
       | they have good genetics seems plausible to me. These people tend
       | to lead a semi-agrarian life and remain active well into their
       | 80s. Their more educated higher income counterparts will probably
       | have spent their life being sedentary and their retirement in a
       | coffee shop indulging themselves. If food plays a role, it's only
       | insofar as them being less indulgent. Otherwise I believe the
       | obsession on diet is only because it is one factor that is
       | relatively easy for people to change. Genetics plays a huge role,
       | because if your body betrays you early on, you won't be able to
       | remain active and focused on life in your later years. Climate
       | probably also plays a role because again, you need good climate
       | to remain active all year round. So does family. Seeing your
       | family everyday keeps you planted in life. Healthcare might also
       | play a role. Our healthcare is much more caring than the one in
       | the northern European states.
       | 
       | They should make a study focusing on northern European retirees
       | who decide to live here on the coast. We have quite a few of
       | those and I wonder whether they tend to live longer compared to
       | their counterparts back home.
       | 
       | The allegation that its simply fraud is ridiculous. If someone in
       | the village dies, the whole village would know before sunset, and
       | pretty much nobody dies at home anyway. And what about
       | inheritance? Or paying rent? No, that's completely ridiculous.
       | Not to mention that pretty much everyone is highly religious
       | around those parts and not giving your relatives a proper
       | Catholic burial is one of the worst things you could do. Not even
       | a staunch atheist would stoop that low.
        
         | fn-mote wrote:
         | > The allegation that [it is] fraud is ridiculous.
         | 
         | No? Even the writeup gives specific examples. Number of pension
         | payouts to Greek 100+ year olds was cut by 72% after an audit.
         | 
         | Even if they had a proper Catholic burial. Never underestimate
         | the power of greed. In a predominantly low-income area great-
         | grandpa's pension might be what is keeping you from losing your
         | home.
        
         | lolinder wrote:
         | > That low income low literacy people live longer, provided
         | they have good genetics seems plausible to me.
         | 
         | That it seems plausible is why the story has circulated for so
         | long, but that doesn't make it true. We do research precisely
         | to check what _seems_ plausible against actual data.
         | 
         | Since you're using a throwaway anyway, can you share which part
         | of the Southern coast of Europe you live in? Maybe together we
         | can find data that would help.
        
         | seydor wrote:
         | Unfortunately the fraud is real. The fact that blue zones are
         | islands makes it easier to hide the fact from authorities (if
         | it is widespread practice that many people exploit)
        
           | red-iron-pine wrote:
           | how would islands help? it means they're isolated and static
           | compared to areas with lots of people flowing in and out.
        
             | seydor wrote:
             | In the past they were the opposite, hard to move out,
             | everyone knows each other, the priest can agree not to
             | register the death
        
         | s_dev wrote:
         | >Climate probably also plays a role because again, you need
         | good climate to remain active all year round.
         | 
         | You can be active in any climate. Spain is too hot during the
         | summer so the Spanish aren't active during those hours. If it's
         | too cold you can use a gym or even exercise at home.
         | 
         | >and pretty much nobody dies at home anyway.
         | 
         | That's just not true. A lot of people die in their sleep in
         | their beds.
         | 
         | >The allegation that its simply fraud is ridiculous.
         | 
         | It's not ridiculous.
         | 
         | Your whole post is just littered with statements that just
         | aren't true.
        
         | kelipso wrote:
         | You can have a proper burial and just not submit the death
         | certificate to the government.
        
         | LorenPechtel wrote:
         | The one part of the blue zone theory that does make sense--a
         | lifestyle that involves a lot of physical activity. Which goes
         | along with what we know elsewhere.
        
         | Spooky23 wrote:
         | The people in the village know, but the culture is such that
         | they aren't going to rat out the family for the fraud. The
         | priest has nothing to do with the state bureaucracy.
         | 
         | That happens all over the place. People get busted for
         | collecting grandmas social security checks all of the time in
         | the US. When I was in college in the mid-90s, I rented an
         | apartment from a dude who died in the early 80s.
        
       | eadmund wrote:
       | > drinking 1-2 glasses of wine per day
       | 
       | > the astounding thing is that one of the guidelines is that you
       | should drink every day at twice the NHS heavy drinking
       | guidelines. That is a recipe for alcoholism.
       | 
       | Say what? The article implies that 1 glass of wine every day or
       | two (i.e., half of 1-2 per day) is heavy. That seems frankly
       | insane to me.
        
         | mike_hearn wrote:
         | _> The UK government 's guidelines on how much it is safe to
         | drink are based on numbers "plucked out of the air" by a
         | committee that met in 1987. According to The Times newspaper,
         | the limits are not based on any science whatsoever, rather "a
         | feeling that you had to say something" about what would be a
         | safe drinking level. This is all according to Richard Smith, a
         | member of the Royal College of Physicians working party who
         | produced the guidelines._ [1]
         | 
         | One might think that having admitted this Smith would be
         | circumspect, apologetic and more careful with his claims about
         | health in future. Of course he did the exact opposite:
         | 
         |  _> However, Mr Smith says this doesn 't mean alcohol is not
         | dangerous. He later told The Guardian that this would be a
         | "serious misinterpretation" of his comments. He also argued
         | that the figures were "in the right ball park", and called for
         | heavier taxes to cut consumption_
         | 
         | The numbers were based on no evidence but also amazingly in the
         | right ballpark. No contradiction there if you work in public
         | health. Sure enough, ten years later the guidance had become
         | even more extreme [2], with men and women now becoming
         | biologically identical and the government telling citizens that
         | even one drop of alcohol was dangerous:
         | 
         |  _> The report recommend an upper limit of 14 units per week
         | for both adult men and women, and then included the much-
         | derided "no safe limits" observation._
         | 
         | This highly ideological guidance might have been because:
         | 
         |  _> Members of the expert group include prohibitionists and
         | anti-alcohol campaigners_
         | 
         | [1]
         | https://www.theregister.com/2007/10/22/drinking_made_it_all_...
         | 
         | [2]
         | https://www.theregister.com/2016/01/22/stats_gurus_open_fire...
        
         | Schiendelman wrote:
         | Are you saying that defining half of 7-14 (or 3.5.7) drinks per
         | week as heavy seems insane to you?
         | 
         | Current science proposes that even 2 drinks a week
         | significantly increases cancer rate, and is the current
         | suggested limit for health - I suspect it would be lower but
         | for reactions like you're having. It seems likely that double
         | or triple that is indeed unsafe.
         | 
         | Media is very careful not to shame their readers:
         | https://www.cbsnews.com/news/alcohol-cancer-risk-what-to-kno...
        
           | alxfoster wrote:
           | According to the CDC, NIH and other respected credible,
           | mostly objective federal health research groups have all
           | suggested up to 2 drinks per day for men and 1 drink for
           | women is not only safe but also beneficial, citing that
           | moderate drinking "reduced risk of heart attack,
           | atherosclerosis, and certain types of strokes". Obviously
           | this would not be the case for people prone to alcoholism or
           | some other complications or contraindications. Sources:
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761695/
           | 
           | https://www.cdc.gov/alcohol/about-alcohol-use/moderate-
           | alcoh...
        
             | kelipso wrote:
             | More recent research has come out pretty much destroying
             | the claim that moderate drinking "reduced risk of heart
             | attack, atherosclerosis, and certain types of strokes". So
             | CDC, NIH suggestions are outdated and they'll probably
             | update it in a year or two (hopefully lol).
        
           | eadmund wrote:
           | > Are you saying that defining half of 7-14 (or 3.5.7) drinks
           | per week as heavy seems insane to you?
           | 
           | Yes. I assert that drinking 31/2-7 drinks a week sounds
           | moderate. One or two drinks a week is light. Heavy drinking
           | would be something like 24 or more.
           | 
           | I define the heaviness of drinking by intoxication, not
           | cancer risk.
        
         | tokai wrote:
         | Drinking any amount of alcohol everyday is heavy. And frankly
         | alcoholic.
        
         | mavhc wrote:
         | Alcohol is just as bad for you as smoking according to the
         | data, the only safe amount is 0. Why it's not packaged with
         | giant warning labels is another question entirely
        
       | Aerroon wrote:
       | What always seemed questionable to me about Blue Zones is how
       | they account for unnatural causes of death. A decade ago
       | centenarians would've had to live through two world wars and the
       | devastation and famine they caused. How do you compare a
       | population that went through that to a population that didn't?
        
       | seydor wrote:
       | Why hasn't the Ignoble Paper been published somewhere? Note that
       | it was first drafted in 2019
        
       | stonethrowaway wrote:
       | Technically speaking (the best kind of speaking) you didn't need
       | new research to conclude this. All you had to do was ask "is this
       | a pop science book?" and "will I hear about it at my next family
       | gathering from the one person who thinks of themselves as
       | qualified on subject matter but is in fact the furthest from the
       | truth?"
       | 
       | If you answer yes to both, you may safely discard the material as
       | simply a means for the author to advance their career.
       | 
       | Other greatest hits from this genre: Grit, Deep Work, Why We
       | Sleep, Thinking Fast and Slow, How Not to Die.
        
       | mywacaday wrote:
       | Interview with the author from an Irish national radio station
       | here: https://www.goloudplayer.com/episodes/what-are-blue-zones-
       | an...
       | 
       | Starts at 1:10, also the radio slot is a light hearted one, not
       | serious scientific discussion.
        
       | Rocka24 wrote:
       | Absolutely incredible.
       | 
       | I've seen a number of byproducts of the "Blue Zone trend" namely
       | in youtube videos and dinner party conversations from so called
       | health experts. The creator of Blue Zones (Dan Buettner) does
       | seem to profit off of this as well, one quick look at the website
       | shows a Blue Zone cooking course sale and other marketing schemes
       | that could trap the unwary.
       | https://www.bluezones.com/about/history/
       | 
       | I'm not questioning whether or not the intent was malicious but
       | he does stand to gain quite a lot. Happy to see this being
       | exposed. In a semi related sense I highly recommend checking out
       | Bryan Johnson's (founder of Braintree Venmo) Blueprint protocol,
       | I've been following his work for a number of years now and it is
       | scientifically backed although the for profit arm of his
       | initiative just reared its (ugly?) head recently with him selling
       | supplements and dietary goods that are vetted by his agency.
       | 
       | https://protocol.bryanjohnson.com/
        
         | jf22 wrote:
         | What's the difference between Johnson and the other 40,000
         | wellness hackers who make the same claims?
        
           | BobbyJo wrote:
           | The extreme to which he is taking things and the level of
           | rigor he is (seemingly) applying, are the differences I see.
           | He has a lot more time and resources at his disposal than
           | most wellness hackers.
        
             | jf22 wrote:
             | Isn't this just marketing, though?
        
       | poulsbohemian wrote:
       | I live in a community that was part of the Blue Zones project,
       | that has cultural ties to one of the original Blue Zones
       | geographies. While I think there is something to the general idea
       | - eat well, limit stress, have a sense of community, keep moving
       | physically - it was always clear that there was a lot of
       | pseudoscience going on. The videos put out by the project in
       | particular (I think maybe it was a Netflix program for a while?)
       | had a lot of unsubstantiated but authoritative sounding
       | statements. Regardless, I felt like the overall message was
       | positive and got people thinking about how they were living. That
       | said, there was a merchandise angle on it, and thinking back
       | there are ideas we've talked about as a community that Blue Zones
       | could have stewarded - but they would have been outside their
       | established game plan.
        
       | Flatcircle wrote:
       | Been saying this for years. It's so obvious.
        
       ___________________________________________________________________
       (page generated 2024-10-04 23:01 UTC)