Why I’m Not Dismissing the Latest “Animal Protein is Bad” Study (But Not Losing Sleep Over It, Either)

9 03 2014

I keep doing this thing where I stand in the shower writing blog posts in my head, emerging from the suds giddy and prune-fingered, feeling strangely accomplished about the words I have not yet typed. And then I squeegee the fog off the bathroom mirror and tell myself you can do it Denise! and think about how awesome it will be to actually update my blog after so much horrible silence. And then I load WordPress and think I’m blogging, I’m blogging, I’m finally blogging, it’s really happening.

And then suddenly it’s three hours later and I’ve opened 800 new browser tabs in Firefox and have become distracted by something shiny, Facebooky, or delicious, at which point all hope is lost.

This madness must end. Today, we blog.

So now I stand before you here in Cyberland, up on my soapbox, rantin’ muscles ready to flex. In case you haven’t heard, the world just got slammed with a new “meat is bad” tsunami—and it’s a doozy. We’ve got the familiar swirl of headlines designed to strike fear in our hearts (“That chicken wing you’re eating could be as deadly as a cigarette!” – The Financial Express), and pretty much every mainstream outlet caught it on their radar (hello ABC, Fox, The Guardian, Scientific American, Washington Post, and any other big-hitters I left out). The actual study, which is decidedly less popular than the press releases heralding its existence, is available here: Low Protein Intake Is Associated with a Major Reduction in IGF-1, Cancer, and Overall Mortality in the 65 and Younger but Not Older Population. Go take a gander. The gist is that animal protein will (purportedly) shorten your life and increase your risk of chronic disease—at least if you’re eating a bunch of it before you turn 66. (Once you’re in your golden years, though, the study implies animal protein is a good thing. Tricky, eh?)

So what’s really going on here? Should we all go vegan until we retire?

To be honest, I get weary blogging about what seems like the same study repackaged and regurgitated every few months under a different name (and it appears I’m not the only one). Observational meat studies are a dime a dozen. The media-viral ones seem to pop up at least a few times per year (I’ve already dissected a few). Ultimately, there’s only so much you can say about a study that uses wobbly survey methods, tries to squeeze causation from correlation, and falls victim to the confounders plaguing most epidemiological projects involving food. So whenever I see a new Meat Is Gon’ Kill Ya Dead study hijacking the airwaves, I feel kind of  like

ugh

except with more sadness, and less nostril flare.

But this latest study grabbed my attention for a few reasons.

For one, it doesn’t orbit around the usual meat-damning suspects—saturated fat and cholesterol—but instead looks at animal protein, which I’m rather fond of discussing due to my previous shenanigans on this blog. And two, the researchers padded their observational study with some follow-up work on mice and cells, which at least earns them an A for effort. It’s still not the sort of research that should keep you awake at night, but at least in my mind, it’s interesting enough to warrant a closer look.

And perhaps more importantly, I think there might be some truth to the researchers’ findings. Yep, I said it. Gasp shock horror!

So let’s plow into this thing, shall we?

The Study Low-Down

Here’s the gist. The study itself was a two-parter: half human, half mouse (I realize that sounds like some kind of weird centaur). The human part grabbed the most media attention, so let’s start with that.

For this leg of the study, the researchers analyzed data from NHANES III—a giant survey of the health and nutritional status of American adults and kiddos, which churns up reams of info about what the good folks of this country eat. Basically, the researchers pulled data from almost 6,400 NHANES III participants aged 50 and over, looked at their food consumption (gleaned from a 24-hour recall survey they answered two decades ago), divided them up based on reported protein intake, and followed their disease and mortality outcomes for up to 18 years. (As best I can tell, that single recall survey was the sole source of the study’s dietary data.)

Those eating less than 10 percent of their calories from protein were scooted into the “low protein” group; those eating between 10 and 19 percent of their calories from protein comprised the “moderate protein” group; and those eating at least 20 percent of their calories from protein became the “high protein” group. Simple enough.

Initially, the only visible pattern was a much higher death rate from diabetes among the moderate- and high-protein groupers—not really worth sweating, though, because the sample size was too small to draw any meaningful conclusions. Other than that, protein consumption didn’t seem to be doing anything statistically noteworthy for the group as a whole: it was unrelated to all-cause mortality, death from cancer, and death from heart disease.

But here’s where it gets interesting. Instead of keeping all the participants lumped together, the researchers tried stratifying folks based on age—with the 50 to 65 year olds ushered into one group and the 66+ folks into another. The goal was to test for an age interaction, where a variable behaves differently depending on how old the participants are.

And it turned out “age interaction” was there in spades. Suddenly, a whole slew of diet-disease links cropped up—highlighting a trend for high protein to be bad news for middle-aged adults (50 to 65 years) but a boon for anyone older than that. Weird, right? It’s why protein didn’t have many meaningful correlations for the participant pool as a whole: its positive effects in the older crowd were canceled out by the negative effects in the younger crowd, creating the illusion of neutrality.

Gotcha.

GOTCHA.

Anyway, the most interesting findings of that age stratification included:

  • The 50 to 65 crowd had a 74 percent greater risk of death from all causes for the high-protein group compared to the low-protein group (hazard ratio: 1.74), and a 433 percent greater risk of dying from cancer (hazard ratio: 4.33).
  • Folks aged 66 and older had a 60 percent lower risk of cancer mortality for the high-protein group compared to the low-protein group (hazard ratio: 0.40), and a 28 percent decrease in deaths from all causes (hazard ratio: 0.72).

In other words, the middle-aged adults eating the most protein faced higher rates of cancer mortality and deadness in general. Meanwhile, the 66-and-older crowd was apparently benefiting from all things proteinaceous, and those eating the most were living longer and more cancer-freely. And because I can’t not: here’s a friendly reminder that this is an observational study, and we can’t slap a cause-and-effect label on any of these relationships.

* Important caveat: both in the media hoopla and throughout the text of the Cell Metabolism paper, the results are reported as relative risk (e.g., “five-fold greater chance of getting heart disease”) rather than absolute risk (e.g., “3 percent died of heart disease”)—a great way to make findings seem wildly more dramatic and scary than they really are. For instance, this study found that among the NHANES III participants who were diabetes-free at the study’s onset, those eating the most protein were 73 times more likely to die of diabetes (yikes!). But if we look at the absolute numbers, which are tucked away in a little PDF supplement accompanying the study, we’d see that 0.2 percent of the low-protein group died of diabetes (one person) versus 2.0 percent of the high-protein group. That’s an absolute difference of 1.8 percent, which no longer sounds quite as horrifying.

The researchers also added another layer to their analysis: percent of calories from animal protein and percent of calories from plant protein. Here’s where the plot thickens. When adjusting for animal protein, all those links between protein intake, cancer mortality, and all-cause mortality went poof into the abyss—with the protein-cancer connection significantly diminishing, and the protein-total-mortality connection disappearing entirely. But when the researchers tried adjusting for plant protein in the same way, nothing happened.

So what does that mean? In a nutshell, that animal protein specifically was driving those disease links, whereas plant protein didn’t elicit an effect one way or another. (That rules out the possibility that plant protein had special mortality-slaying superpowers that made animal protein look bad by comparison.)

Should You Freak Out?

To figure out how seriously we should take this, let’s look at the study’s lifeblood: its dietary intake data. Although the Cell Metabolism paper is strangely silent about how people’s food intakes were gauged (a bit unnerving, considering how heavily this study depends on that data being sound), we know that NHANES collects its information via 24-hour recalls. The CDC website has a file discussing the whole process. Basically, participants get phoned by an interviewer, are asked to name everything they ate from midnight to midnight of the previous day, get prodded to make sure they didn’t forget any snacks or butter pats or late-night cookie nibbles, and then receive some follow-up questions about tap water and salt and other fun things. According to the CDC file, the participants also answer a short questionnaire “to ascertain whether the person’s intake on the previous day was usual or unusual.”

After looking over that questionnaire, I’ve got to say the word “ascertain” seems a bit optimistic to me. Keep in mind, the 24-hour recall is the sole source of dietary data in this study—so it darn well better strive for accuracy. And indeed, the NHANES survey employs a five-step strategy to help participants remember every bite they ate, described in “Nutrition in the Prevention and Treatment of Disease” (PDF) as follows:

  1. An initial “quick list,” in which the respondent reports all the foods and beverages consumed, without interruption from the interviewer;
  2. A forgotten foods list of nine food categories commonly omitted in 24-hour recall reporting;
  3. Time and occasion, in which the time each eating occasion began and what the respondent would call it are reported;
  4. A detail pass, in which probing questions ask for more detailed information about the food and portion size, in addition to review of the eating occasions and times between the eating occasions; and
  5. Final review, in which any other item not already reported is asked.

As far as boosting reporting accuracy, that’s all a great help. But it appears the interviewers only asked one question to gauge how typical each participant’s reported diet was, relative to what they generally eat: “Was the amount of food that you ate yesterday much more than usual, usual, or much less than usual?”

That’s it. No qualifier for what “much more” or “much less” actually meant; no queries about specific foods; no prodding to see whether yesterday happened to feature a birthday barbeque, thus skewing the day’s frankfurter-to-kale ratio in a meatier direction than usual. Just one vague question about total food quantity, whose answer could only ever be subjective. (After the diet recall, each person’s reported intake was converted into food codes and nutrient components—so any flaws in that initial reporting trickled upstream to the final statistical analysis.)

And it gets worse. While it’d be nice to suspend disbelief and pretend the NHANES III recall data still manages to be solid, that’s apparently not the case. A 2013 study took NHANES to task and tested how accurate its “caloric intake” data was, as calculated from those 24-hour recall surveys. The results? Across the board, NHANES participants did a remarkable job of being wrong. Nearly everyone under-reported how many calories they were consuming—with obese folks underestimating their intake by an average of 716 calories per day for men and 856 calories for women. That’s kind of a lot. The study’s researchers concluded that throughout the NHANES’ 40-year existence, “energy intake data on the majority of respondents … was not physiologically plausible.” D’oh. If such a thing is possible, the 24-hour recall rests at an even higher tier of suckitude than does its cousin, the loathesome food frequency questionnaire.

(And in case that’s not enough to make your blood boil: the NHANES data is what the US government uses to determine what the country is eating, formulate dietary guidelines, and divvy up funding. Your tax dollars hard at work!)

If it’s that bad with calories, can we really expect the protein data to be much better?

In case you’re wondering why anyone uses such a destined-for-failure way of determining food intake, the answer is simple: it’s a heck of a lot cheaper (and easier) to ask people what they’re eating than to hellicopterishly stalk them all day long, weighing and measuring every morsel of food headed for their lips. When it comes to massive surveys like NHANES that track thousands of enrollees, affordability and convenience reign supreme. And sometimes that means cutting corners with precision.

Bottom line, it’s almost a given that the recall data here is less than stellar. And despite all the magical things math can do, no amount of statistical wizardry will heal numbers that are wrong from the start.

And to add insult to injury, keep in mind that this was the only diet information collected for each participant over the course of 18 whoppin’ years. Even if the recall managed to be accurate for the time it was recorded, there’s no way to know whether the participants’ diets evolved over the next two decades, and how any changes in their noshing habits impacted mortality outcomes.

That’s a lot of trust to put in one day’s worth of self-reported eating!

Diamonds Among Coals?

Now that I’ve bashed the NHANES diet survey to the moon and back, let’s look at why it might actually have some legitimacy. Bear with me!

While combing through the Cell Metabolism paper, one thought kept tickling my brain. Typically, if we dig into an observational study about meat, we see the heavy meat eaters—particularly those daredevils mowing down on red and processed varieties—engaging in a variety of lifestyle practices that spell I AM NOT HEALTH CONSCIOUS loud and clear: more smoking and drinking, less exercise, higher calorie intake, fewer fruits and vegetables each day, the works.

In turn, all those health-defeating behaviors tend to confound the true relationship between meat and various diseases and mortality. It’s hard to decipher whether meat itself is increasing cancer and heart disease and early death, or if reckless-with-their-health folks—already on a crash course towards chronic illness—just eat more of it because they don’t heed any conventional advice about diet and lifestyle.

If a situation like that was at play in this study, and protein intake was a surrogate for health-unconsciousness the same way meat tends to be, we’d expect to see the folks in the high-protein group fitting a similar anti-health profile—poorer diets overall, more risky behaviors. In turn, that would mean the study’s results could’ve been biased against the high-protein consumers due to all that residual confounding.

So was that the case?

Unfortunately, the paper doesn’t make it very easy to answer that question. There’s no data for biggies like drinking or exercise in the paper’s “participant characteristic” list. But we can see that the high-protein group actually had relatively fewer smokers than the low-protein group (18.2 percent versus 21.8 percent for current smokers; 37.8 percent versus 39.8 percent for former smokers), and that the high-protein group reported a lower calorie intake than the low-protein group (though heaven knows if that’s accurate). In addition, more people in the high-protein group than the low-protein group reported trying to lose weight during the past year (43.9 percent versus 37.5 percent), as well as changing their diet for health reasons (29.3 percent versus 15 percent). But it’s hard to say whether that’s a reflection of greater health awareness or poorer health when the study started.

What can we piece together from that?

Here’s my take. Contrary to what we might assume, the deck probably wasn’t stacked against the high-protein eaters from the start. If anything, the study’s confounders should have given them an advantage in their health outcomes. And I think that possibility is supported by more than just the (admittedly sparse) participant characteristics.

Here’s why. When the researchers took their protein correlations and adjusted for fat and carbohydrate intake (as percent of total calories), the numbers didn’t budge. That’s pretty interesting, because this batch of NHANES III surveys happened at the height of the nation’s fat-phobia, when mainstream thought was that all fat was bad—regardless of whether it came from something hooved, winged, or rooted in the dirt. Since adjusting for fat intake didn’t dissolve the links between protein and mortality, it reduces the likelihood that fat was acting as a confounder here.

Likewise, protein—at least until this study came out and ignited terror in omnivorous hearts near and far—has been the only macronutrient not demonized by any popular diets or mainstream health authorities. Fat and carbs have received more than their fair share of bashing over the years, but protein, as far as conventional thought goes, has clung tightly to its health halo—emerging unscathed from even the bloodiest of diet wars. (And the perception of “good protein” certainly includes that from animal sources, thanks in large part to the USDA’s push to consume our meat and dairy lean. How many egg-white omelets and and skinless chicken breasts have been choked down in the name of health?)

So again, if we were going to find any bias in the survey data, it’d probably lean towards protein being a good thing—at least in the eyes of the health-conscious crowd. The fact that a non-stigmatized macronutrient had such defined links with mortality cranks up its relevance, in my mind.

Of Mice and Rodent Chow (And Growth Factors and Protein)

Is your brain full yet? Save room, because there’s still another piece of the study to run through our wringer—and this one’s a lot more rambunctious and furry. To understand why protein might be linked to cancer and overall mortality as their human study suggested, the researchers conducted a series of experiments on mice, feeding them a range of protein levels mirroring that of the NHANES III participants—4 percent to 18 percent of calories. The prime goal was to see whether tweaking those protein levels would impact levels of insulin-like growth factor 1 (IGF-1) circulating in the mice’s bodies, as well as cancer incidence and progression.

But first, lets back up for a moment and get some context on this whole IGF-1 thing and why it’s so relevant.

As you might’ve seen in some of the news reports, the lead researcher of this study was Valter Longo—the director of the University of Southern California’s Longevity Institute, who already has a scroll of really cool studies under his belt (mostly on fasting and cancer). And he was profiled on “Through the Wormhole” with Morgan Freeman, which ups his awesomeness quotient considerably. Because science.

morgan_freeman

And in the world of aging research, IGF-1 is a bona-fide spotlight stealer. As its name implies, insulin-like growth factor 1 is a hormone molecularly similar to insulin, with its modus operandi being “grow, grow, grow!” It promotes growth for nearly every cell in your body—building muscle, making young’uns get taller, creating new brain cells, repairing nerve damage, and doing other awesome things that keep your body cranking like the fabulous machine it is. But IGF-1 is kind of a double-edged sword. And the bad-slicey side plunges right through the heart of longevity.

Part of the problem is that, while fulfilling its growth-promoting duties, IGF-1 doesn’t distinguish between healthy cells and damaged ones—potentially spurring cancer proliferation and contributing to tumor growth, if the conditions are right. High levels of IGF-1 have been linked to breast cancer, prostate cancer, bladder cancer, colorectal cancer, endometrial cancer, and lung cancer (though most of that research is observational, so there’s always the possibility of tumors increasing IGF-1 levels instead of the other way around, or a third unmeasured variable raising both). On the flip side, folks with a genetic deficiency in IGF-1 appear nearly immune to cancer—a phenomenon Longo himself has investigated.

Apart from the potential cancer connection, IGF-1 plays a huge role in the aging process. After all, the cycle of cells growing, dividing, and repairing is just a fancy way of explaining that they’re aging—so IGF-1 is pretty much orchestrating how rapidly that happens.

And the evidence comes from more than just the usual rat and test-tube studies. As far as human data goes, there’s some interesting research showing a connection between IGF-1 levels and lifespan when we look at the oldest of the old. A disproportionate number of centenarians have mutations affecting their IGF-1 receptor activity, which probably plays a role in their long-livedness. Likewise, the offspring of centenarians have lower IGF-1 levels than others of their age, gender, and BMI—suggesting the hereditary component of longevity could be due to reduced IGF-1 tricking through a family’s bloodline. (It’s less useful to look at IGF-1 levels in centenarians themselves, since the hormone naturally declines with age and will be pretty low in anyone who reaches the century mark.)

For longevity researchers, there’s an ongoing quest to “hack” all this life-extending genetic stuff and help us average Joe Shmoes reap the same benefits. Quite a few things can influence your body’s levels of IGF-1 beyond genes—everything from your stress level to your ethnicity to your estrogen status to the time of day—but diet is a huge determinant, and perhaps the easiest to tweak and control. So it’s not too surprising that food gets so much attention in this field. And as Longo was keenly aware of, protein is chief among the IGF-1 governors we consume.

But the life-extension hunt is still a work in progress. For at least 60 years, the darling of longevity seekers was calorie restriction (CR)—with the first case of its life-extension properties appearing in 1935, when an experiment showed that rats lived longer if their energy intake was reduced. Ditto for mice, flies, crustaceans, and yeast, more studies revealed. And subsequent research showed the same longevity effect in calorie-restricted ringworms, who idled in their larva’s “dauer” stage instead of catapulting towards maturity like usual. (Which made their lives longer, but not necessarily more enjoyable: the dauer stage consists mostly of not eating, not reproducing, and sitting like a lump on a bump until food supply becomes abundant. Even if we humans had a dauer stage, I can’t imagine wanting to stay there for very long. It sounds too much like high school.)

c-elegans

Please, come join me in existential limbo.

The reasons behind calorie restriction’s perks? A biggie was thought to be its suppressive effect on growth hormone and IGF-1—essentially slowing down aging and age-related diseases. Calorie-restricted organisms had much lower levels of IGF-1 than their more abundantly fed counterparts, at least in the creatures and fungi that’d been studied up to that point. And those reduced IGF-1 levels seemed to help protect cells from DNA damage—a boon for warding off cancer. It made sense: there’s a huge evolutionary and survival advantage to halting growth in times of food scarcity.

Although there wasn’t controlled data available for humans (we live too darn long to make lifespan studies an easy feat), the benefits of calorie restriction were expected to be universal. And thus emerged an era of books, gurus, theories, and research funding all pouring towards the promising new field of “CR.”

But soon cracks in the calorie-restriction theory started appearing. More comprehensive rodent studies, including one looking at 41 different strains of mice, found that calorie restriction shortened the lifespan in more strains than it extended. Likewise, in wild mice opposed to massively lab-domesticated ones, a lower energy intake did nada for average life expectancy (though it did curtail cancer rates). A 25-year rhesus monkey study—which the longevity world had waited with baited breath for completion—failed to show any life-extension benefit from feeding them less. And while studies on calorie-restricted humans weren’t far enough along to offer mortality data, the existing numbers showed their IGF-1 levels were pretty much the same as everyone else’s, casting doubt on the hope those earlier rodent and yeast and worm studies would be translatable to humans.

mad_monkey

Well, f%@#.

What the heck was going on?

Eventually it emerged that calorie restriction, for most species, was only effective if it also restricted protein intake. And as the study gods breathed more and more research into being, it seemed all that deliberate hunger might be for naught. Protein restriction alone could push down IGF-1 levels and spark a cascade of longevity-enhancing changes. (In case you’re wondering, neither fat restriction nor carbohydrate restriction seemed to increase lifespan, at least in rodent models.)

But it didn’t end there! A new wave of studies zeroed in on methionine, a sulfur-containing amino acid abundant in muscle meat and eggs. In mice, restricting methionine—without reducing calories—was enough to increase lifespan and induce health perks like slowing down immune aging, improving blood glucose, reducing IGF-1 and insulin levels, and protecting organ cells from oxidative damage. The reason? It appeared to be twofold: methionine tends to generate toxic byproducts—

And then the plot turned once more! Seriously, this saga had more twists than a pretzel factory. A fascinating but woefully little-known study in 2011 showed that in mice, supplementing with glycine—an amino acid found abundantly in connective tissue and gelatin and bone broth—had the exact same life-extending effect as restricting methionine. Without reducing calories or other amino acids, glycine supplementation increased the rodents’ lifespan, reduced fasting glucose and insulin, decreased IGF-1 levels, and nearly halved their triglycerides—the very perks that’ve variously been attributed to calorie restriction, protein restriction, and methionine restriction.

Let me make it abundantly clear: THIS IS HUGE. If the glycine finding translates over to humans (which I strongly suspect it does), life-extension-seekers may be barking up the wrong tree—or at least an unnecessarily complicated one—by trying to selectively reduce animal protein in order to live longer, as Longo seems to support. A wiser method could be simply getting a more “biologically appropriate” balance of amino acids than the standard Western diet typically provides. That means eating more of the glycine-rich foods that’ve been gradually stripped from our menus—things like skin, bones, tendons, tripe, feet, hooves, ears, connective tissue, and some organ meats—and less of the muscle meat typically dominating our fridges and freezers.

So to put all that in a Reader’s Digest version, the history of life-extension research went something like this:

“Calorie restriction extends rats’ lifespans. We must eat less to live longer!”

“Wait… reducing protein without reducing calories does the same thing. We must eat less protein to live longer!”

“Well I’ll be darned! The whole ‘life extension’ thing works just by limiting methionine. Methionine bad. Other amino acids okay! Down with meat!”

And now, it seems we’re at yet another crossroads—one where methionine intake may become less important than its balance and interaction with other nutrients, especially glycine.

*Note: This is deliberately oversimplified and lots of other really interesting discoveries happened. But heaven knows this blog post doesn’t need to be even longer than it already is.

Now back to Longo’s mice.

mouse

Exhibit A: Denise has inserted yet another cute animal picture to distract you from the fact this blog post is horrifyingly long and word-full.

In a nutshell, the researchers put groups of mice on different experimental diets: one relatively high protein (18 percent of total calories) and one very low (4 to 7 percent of total calories). Then the mice were injected with cancer cells—melanoma for one experiment, breast cancer for another—in order to kick off the tumor-growing process.

Now brace yourself for some China Study déjà-vu. Fifteen days after getting their melanoma implants, all of the mice on the high-protein diets had developed measurable tumors—compared to only 80 percent of the low-protein group. (Over the course of the experiment, that number rose to 90 percent, but never got any higher.) What’s more, the low-protein group’s tumors seemed to grow at a much slower rate: by the final day of the experiment, the average tumor size in the high-protein group was 78 percent bigger than in the low protein group.

When that experiment was repeated with breast cancer cells, the results were pretty similar—except the tumor rate of the low-protein group maxed out at 70 percent of the mice, while the high-protein group was universally tumor-stricken.

And to tie IGF-1 back into the picture, the low-protein mice—as we might expect—had significantly lower levels than their protein-gorging brethren.

So there’s the gist. Is it a legitimate strike against eating lots of protein?

There’s one major reason I’m reluctant to draw any conclusions from all this (apart from the whole we aren’t mice thing). And that reason is called “AIN-93G standard chow.” That’s the name of the lab diet used for the high-protein mice, according to some notes in the paper’s supplement. You can download the AIN-93G specs here, but if you’d like to save yourself the effort (and hard drive space), here are the top six ingredients:

  • Corn starch (397 g)
  • Casein (200 g)
  • Maltodextrin (132 g)
  • Sucrose (100 g)
  • Soybean oil (70 g)
  • Cellulose (50 g)

Yum?

A lot of things are wrong with this picture, such as “where are the food things?”—but for the sake of brevity, I’m just going to focus on that second ingredient: casein. It’s one of the major proteins in milk, and it’s got an awful track record for promoting tumor growth more than other types of protein, including its dairy-derived cousin whey.

I’ve already written tomes on casein, cancer, and rodents in previous blog entries—including my Fork’s Over Knives critique and China Study critique—so I won’t torture you by rehashing it all here. Chris Masterjohn also has some awesomesauce posts on the subject, so hop on over there if you’re insatiably curious about it all. The bottom line is that when we look at the mice-and-protein studies outlined in Longo’s paper, this is what we’re dealing with: a cocktail of purified ingredients, with the protein component being a well-known promoter of cancer in rodents. It’s not at all surprising that the mice eating the most of it sprouted tumors like mad. But it’s impossible to say how much of that’s due to protein per se, or to casein—especially casein that’s been stripped of all the other goodies in dairy and tossed into a party bag of refined junk.

Putting It All Together

For those of us in the ancestral, paleo, “real food,” low carb, and other related communities, there’s a tendency to see a study like this and be like RAAWRRR KILL IT BEFORE IT BREEDS at the first whiff of its correlation-is-causation tone. And as someone who generally places epidemiology in the ninth circle of Research Hell, I’ve certainly been guilty of that myself. But one of the biggest gifts of observational studies like this one is the opportunity to explore new hypotheses and test out perspectives that challenge what we believe.

I think that’s definitely the case here.

Think of it this way. For most of human history, dietary consistency was a fairy tale. Famines struck. Periods of scarcity tangoed with those of abundance. We gorged on energy-dense foods like meat when they became available, knowing full well we might not be so lucky the next day or week. And to be sure, we ate the whole freakin’ animal after a kill—not just the skeletal muscle.

Constant abundance and pickiness is absolutely new to our bodies, even for those of us eating foods we deem ancient or ancestral. So it’s really not all that far-fetched to think that America’s animal protein habits—heavy on the methionine-rich muscle meats, scant on the glycine, swimming in ceaseless surplus instead of punctuated with scarcity—could be a problem for our health.

Perhaps it’s not a coincidence that many of the world’s longest-living populations eat fairly low-methionine diets or periodically abstain from protein-rich foods (like in Ikaria, where the predominantly Orthodox Christian residents cyclically fast from animal products). And perhaps just as relevant as the types of foods we eat is the manner in which we eat them—nose-to-tail for animals, with some plant-only days thrown in for good measure.

That doesn’t mean the solution is to go vegan. Nor is it necessarily to eat a low-animal-protein diet. But perhaps it’s time to seriously explore options like protein cycling, periodic fasting, or just cooking up heaps o’ bone broth to get that glycine down our gullets.

Just to be clear, nothing I’ve written here—even my moments of quasi-defending this study—changes the fact that the NHANES III data is observational and the diet recalls are basically handicapped from the start, thanks to the history-revising sinkhole that is the human mind. As always, correlation isn’t causation. It’s pretty disappointing that the study’s own researchers seemed to forget that. The reason I’m not sliding this study straight into the slush pile is because regardless of its validity, it at least opens the door to some important discussion. The bigger point is that the trends it excavated and hypotheses it explored could feasibly be real—evolutionarily, biologically, logically. In my opinion, the greatest value of this study, then, is its role as a springboard for breaking out of the comfort zone of what we think—and want—to be true.

Otherwise, I guess it could make a nice doorstop.

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138 responses

9 03 2014
rdfeinman

The independent variable is lumped into Ooh, big, little and all the rest. So how many people in each group died? And of what? All of the data is buried in statistical manipulations. I don’t know what the data are. Do you? And there are standards for epidemiology. There is specificity. All protein causes all cancer? To show something like that you would have to have very good data. Again, what is the data? What is the absolute difference in risk? This is not a real study. IMHO.

9 03 2014
thedelicateplace

thank you once again for gleaning the info out of what sometimes can be completely convoluted peer reviewed papers. it’s refreshing to see the moderation stance (one that i’m inclined to believe it most accurate in overall health). our bodies are smart machines and we need not obsess over macros all the time. we need to eat what is available, seasonal and take a break from things from time to time! we are masters of adaptation and overall i think oxidative stress is much more of a killer than how much protein we may or may not be ingesting!

9 03 2014
wyatt

Thank you Denise!

12 03 2014
samhuff96

Ditto. I love to read your blog and I have bought and read your book.

9 03 2014
Howard Lee Harkness

My take on dietary recall is that it is substantially less reliable that just guessing at random.

As for dietary studies on rats, the most popular Atkins-bashing rat chow has been a crapinabag concoction labeled “5TJP”, the formulation for which has changed since I started tracking it (they no longer use Crisco aka partially-hydrogenated cottonseed oil as the main source of fat). However, they still add sucrose, since that’s about the only way to get a rat to eat enough seed-based industrial lubricant to “prove” that Atkins’ diet is “unhealthy.”

Back about 12 years ago, I spent a *lot* of time reading nutritional “studies.” I pretty much quit after I saw a study (published in one of the minor journals) in which sugar was removed from the diet of the test group, and the substantial health improvements led the “researchers” to conclude that animal protein was bad for type II diabetics. Head. Bang. On. Desk.

I have since concluded that there is only one significant variable in all nutritional “studies.” Especially observational “studies.” I explain that in my blog, which, like you, I don’t update often enough.

P.S. I sure missed you and Chris on last year’s LC cruise.

16 03 2014
roque

Hey, can you link to the this research paper?

18 03 2014
Howard Lee Harkness

I had tried unsuccessfully several times to find this “study” and thought maybe it had been scrubbed from UseNet. However, this morning, I tried some more general search terms, and I found a reference to it: https://groups.google.com/forum/#!searchin/sci.med.nutrition/animal$20protein$20diabetics/sci.med.nutrition/XyNTQ4sOgvI/MxzfVT-3IFkJ

Here’s the important sentence (last sentence in 2nd paragraph): “Sugars were eliminated, but caloric content remained the
same to prevent weight loss.”

Later in the same synopsys: “14 switched from red meat to fish and poultry, but their metabolic profile did not improve.” This was nearly half of the group — yet the conclusion of the “study” does not reflect this.

This reference is from about a year before I came across it, so I think that part of my problem in locating it was that I was restricting my search to the wrong time frame. And, as I said, this was the point at which I drew the conclusion that reading “studies” in the field of nutrition was mostly a waste of my time. There is just too little real science in that field.

I still go back and read “studies” from time to time, but I don’t actively look for “studies” to read. There are other bloggers out there who do a great job of finding them for me. Including Denise.

BTW, a search of Medscape for the title of the “study” returns “We’re sorry, your search for “Diet Low in Animal Protein Improves Blood Glucose in Type 2 Diabetics” did not match any documents in News.” Apparently, it has been deleted from that site.

9 03 2014
Elliott Mitchell

Denise, you are an incredible writer/communicator. I have never meet a smart and clever technical writer with your level of coherence and simplicity of complex concepts. Thank you, and please try not to get stodgy as awareness of your abilities becomes even wider known.

9 03 2014
Rick

So diets low in methionine are shown to extend lifespan, and populations with diets low in methionine are the worlds longest living, also low protein diets are shown to reduce rates of cancer. But in your opinion the solution isn’t to eat a plant based diet or even a lower protein diet – the very diets shown to extend lifespan and reduce rates of cancer – but go on a some kind of complicated protein fasting, or cycling diet, you know, the type of diets where you micromanage macro-nutrients that are usually reserved for people who spend more time at a gym than work or home. Or we could purchase another supplement, glycine, because rats that take it have shown the same benefit as lowering methionine. Why not just recommend the obvious here, which is to eat less animal protein and if you’re so inclined eat a plant-based diet rich in whole foods that is also very low or absent in refined processed foods?

9 03 2014
b-nasty

One could tease out related “if this, then that” type comments all day. Since eating animal protein is associated with more muscle mass [1], and muscle mass is strongly correlated with survival in older people [2], one should eat a sufficient amount of animal protein for longevity.

Even if, and it’s a really big and untested (by a decent, non-observational study) if, animal protein is harmful at some *high* intake, it does not follow that one should throw the baby out with the bathwater and avoid all animal protein. I’d put my money on an *optimal* level of animal protein intake where one gets all the good vitamins/aminos/other things in animal meat, but without crossing the threshold into harm.

[1] http://www.ncbi.nlm.nih.gov/pubmed/19678968
[2] http://www.ncbi.nlm.nih.gov/pubmed/22820447

10 07 2014
Fartknocker

“…one should eat a sufficient amount of animal protein for longevity.”

Protein or animal protein?

9 03 2014
chainflow

How is that in any way “obvious”? You’re taking a flying leap of logic without supporting it in any way.

You could:
A) restrict your diet, cutting out whole foods with proven health benefits
-or-
B) try to increase your consumption of one AA to provide the same benefit while retaining all those whole foods with loads of vitamins not found in plants

The “obvious” solution is B.

10 03 2014
einstein

hey rick, haven’t you noticed she is not defending eating lots of muscle meats? on the contrary. but eating tripe, intestines, kidneys, livers, brains, gizzard, bone marrow etc! that’s what I call a healthy diet. my food is plant based too! i eat all this delicious stuff usually with veggies, potato, sweet potato and sometimes even rice! I finish it with a healthy fruit and I am half vegan already! the other half – I am eating vegan creatures :-) which is just as good! just kidding, but your post is a joke too, so why wouldn’t I be joking too.

11 03 2014
James

Coming to Marksdailyapple soon. Damage Control version II + glycine. Only $49.99 (most effective when consumed alongside Primal Fuel).

11 03 2014
einstein

only vegans need to buy supplements. paleo folks don’t. unless they want to, for whatever reason.

28 03 2014
JAMES

I could recommend many supplements for paleo dieters. Resistant starch and magnesium for the the majority of people that have problems with bowel movements. I had to supplement Thiamaine when I was paleo as well.

12 03 2014
samhuff96

For one thing it’s hard to get a enough protein on a plant based diet without more carbohydrates than many people can healthy tolerate, without eating soy which has its own problem or isolates which have others.

28 04 2014
brec

I’ve never heard of anyone who has by their own standards enough to eat, vegan or omnivore, complaining of or being diagnosed with protein deficiency.

28 04 2014
suzubick

The second part of the first part of the sentence is important: “without more carbohydrates than many people can health[il]y tolerate.” It’s not protein deficiency but carbohydrate oversupply that can be problematic for those of us with limited ability to deal with carbohydrates.

28 04 2014
brec

I don’t want to request an essay, but perhaps a link to elaborate on your carbohydrate sensitivity or reaction? I’m familiar with low-carb advocacy, but not with a medical (appropriate term?) condition that affects a small(?) group when whole-food carbs are consumed.

9 03 2014
Stan

Great to hear from you again, Denise…..good work as always…..my take is 1) the methionine/glycine issue deserves more investigation
2) studies never take into account the wide range of metabolic types
3) rat chow is most assuredly GMO and therefore cannot be entirely relevant to Paleo folks who try to never eat this junk
4) I’m not big on supplements but TMG seems a worthwhile addition to MY diet (see #1 above)

9 03 2014
Sally

Been waiting for this and what a gem! Thanks! x

9 03 2014
ayelet

well written, thank you !!

9 03 2014
suzubick

Nice, Denise! Admittedly, I’m writing off the top of my head here, but I remember Katharine Milton saying, in my Human Dietary Niche class with her, that methionine and the other suphur-containing amino acids are important for detoxifying some plant compounds, especially those like the glycosides found in tubers like manioc. Once I get through with the current chapter of my honors’ thesis, I’ll hit up some studies…Whew, found the one I knew I’d bookmarked! http://www.fao.org/docrep/t0207e/t0207e08.htm

9 03 2014
Colleen Hammer

Hi Denise. I began researching nutrition after a GI told me my 6 year old would likely need her colon replaced at 16 due to her Ulcerative Colitis. Today she is 18 with an intact colon, is not on any meds, and eats a healthy diet with extra fermented foods.

I’m a huge fan of your work; I’ve read your book, blogs, watched your cruise ship video etc. I’ve read many nutrition books, watch documentaries, but of all the researchers I am mostly impressed with how much deeper “digging for the truth” you’ve done. Thank you for all of your hard work and sharing your knowledge with humor.

I’ve been on the 5:2 fasting diet for a year (more often than not), but then saw a UW-Madison study with monkeys concluding protein was the key element to reduce. Now I see it’s the methionine and glycine that might be responsible in large part for our health. This is HUGE as you say!! Dr. Cate Shanahan has been pushing bone broth; now I see why.

One point that could be added (or maybe it’s obvious) is to eat healthy, grass fed organ meats and bone broth. I’m not sure many people are aware of just how sickly the animals from the big food industries are.

9 03 2014
hippman

Take your time Denise. We’ll be here. Your book, Death by Food Pyramid, instantly became one of my top three books that I recommend to people trying to understand the best way to eat; I include it with Primal Blueprint, Sisson; Perfect Health Diet; the Jaminet’s. We can all use your chapters on interpreting “studies” to analyzes the recent and recurring information on “meat.” Based on your book, when it comes to meat, I try to think “nose-to-tail” not just muscle meat. Your summary of Weston Price’s 1939 book, Nutrition and Physical Degeneration, shows all of us just how broad our eating choices are; we are each different but all within certain parameters. Thanks and keep up the good work.

9 03 2014
Gary

Mil gracias. Three cheers for bone broth!
Gary

9 03 2014
Jamey Dyson

Thanks again for such an entertaining and thorough explanation. You bring up some great points for us to consider. The cute animal picks definitely helped keep me going to the end!

9 03 2014
Warren Dew

Thanks for the link to the actual study. I skipped directly to the “results” section to try to find the facts rather than the spin. It starts with, “Using Cox Proportional Hazard models, we found that high and moderate protein consumption were … not associated with all-cause … mortality when subjects at all the ages above 50 were considered.

In other words, the study shows exactly nothing. By slicing and dicing the results into enough subcategories regarding age and specific cause of death, they find some correlations, but it’s a “green jellybean” effect, not anything real.

9 03 2014
rdfeinman

My own opinion as above is that they should have sliced down to the real variable, the amount of protein. You are right that it’s all “Cox Proportional Hazard…” and no primary data. Only the computer knows for sure whether this is meaningful or not but we have some ideas.

9 03 2014
steve g

Excellent analysis!! Paul Jaminet did a good write up too that echoes many of your observations. Great to have you back!

9 03 2014
Joel

Thank you for giving this study the careful and appropriately skeptical scrutiny it deserves, Denise. Here’s my CliffsNotes version of your post, with focus on take-home info:

Ancient people ate the whole animal, and their bodies benefitted from this practice. Modern people eat mainly muscle meat, which causes a problem. When you eat from the whole animal, you’ll fulfill the benefits described in the study, no matter what your age, because:

1. You’ll eat less muscle meat, and thus less methionine.

2. You’ll get your daily glycine for calming your mind and rebuilding your body.

3. You’ll feel better from the super-nutrients in organ meats and gelatin, and thus won’t be as likely to smoke, drink, or eat junk food.

This latter point is never explained in these studies, since they don’t look at the possible link between whether eating muscle meat – which isn’t a complete protein – is related to other risk behaviors, such as drinking, smoking, and eating junk foods.

10 03 2014
einstein

muscle meat contains complete protein. gelatin does not. that was not the point here anyway.

9 03 2014
charles grashow

Is this a potential problem with IF?

http://intermountainhealthcare.org/about/news/Pages/home.aspx?NewsID=713

“Unlike the earlier research by the team, this new research recorded reactions in the body’s biological mechanisms during the fasting period. The participants’ low-density lipoprotein cholesterol (LDL-C, the “bad” cholesterol) and high-density lipoprotein cholesterol (HDL-C, the “good” cholesterol) both increased (by 14 percent and 6 percent, respectively) raising their total cholesterol — and catching the researchers by surprise.”

10 03 2014
MITBeta

Skimmed the article and didn’t see whether LDL was measured or calculated. Fasting causes triglycerides levels to fall, and below 100mg/dl, the standard calculation overestimates LDL. See the Iranian correlation.

12 03 2014
charles grashow

The Iranian calculation is not accurate as well. You need direct measurement of LDL-C

10 03 2014
einstein

LDL-C is irrelevant. Particle count and size is what matters. Just surprised you don’t know about it.

12 03 2014
charles grashow

LDL-C is not irrelevant. High LDL-C usually correlates with high LDL-P

21 05 2014
saxnviolins

It is not a problem if you read the succeeding sentence.

“Fasting causes hunger or stress. In response, the body releases more cholesterol, allowing it to utilize fat as a source of fuel, instead of glucose. This decreases the number of fat cells in the body,” says Dr. Horne. “This is important because the fewer fat cells a body has, the less likely it will experience insulin resistance, or diabetes.”

9 03 2014
Suzanna

As always, brilliant.

9 03 2014
D. M. Mitchell

Another great article, Denise. Now, since it’s been over 15 hours since I last ate, I’m going to get that big container of bone broth I made day before yesterday out of the fridge and make myself a hot bowl of broth. I’ll put some butter in it and serve it with a side of the pasture-raised pork liver pate I also made a few days ago. (Yes I really do eat this way… just not every day.) But I’ll have my daily apple first.

9 03 2014
Paul H. Roe (@viewlesswings)

Well put, all around. I tried to get through the whole post, since it was all quite interesting. But, it was long! Lack of attention span forced me to skim over around 1/3. But, still – really informative. A combined history lesson, nutrition lesson, editorial, and science writing bonanza. I will share the methionine-glycine balance discussion with some omnivorous friends whom I want to see live long healthy lives! Reminds me of the Omega 3 and Omega 6 balance issue and how Western diets were typically overly heavy in Omega 6, but I am not sure on that. Also not sure on the protein argument either. Though a vegan since 1995 and a vegetarian since 1987, I cannot help but think that some do benefit from a high animal protein diet. Not just athletes or rough and tumble types, but those who need easily available complete protein in sufficient amounts and who might not obtain it otherwise from a more plant-based diet, typically because they cannot or don’t have the time to obsess over their diets. Still, much to ponder. Thanks for sharing.

9 03 2014
Joel

Thank you, Denise, for giving this study the appropriate attention and skeptical scrutiny it deserves.

My CliffsNotes version of your post:

1. Don’t eat excessive muscle meat because it has too much methionine.

2. Do eat organ meats and gelatin to get the super-nutrients and glycine missing from muscle meats.

3. By following #2, you’ll feel better, and will be less likely to smoke, drink, and eat junk foods.

4. These principles apply to all age groups.

9 03 2014
rdfeinman

It is probably good not to confuse this with biochemistry.

9 03 2014
A.J.

hi Denise — thank you, very much, for your work, for sending me an email so I could read it hot off the press, so to speak, for your efforts finding and critiquing the research all the media hype is about, and mostly for answering many of the questions free-floating in my mind after reading a couple of the professional journal reports on this study. bravo!!! A.J., AJsBod, nurse, nutrition researcher and consultant :-)

9 03 2014
Vladimir Heiskanen

Hi Denise. :)

I actually think I might have tried to contact you on this subject, but I didn’t get any answer from you so I’ll say it again. I’ve written a short review (40+ refs) on glycine. I thought you might find it interesting:

http://valtsus.blogspot.fi/2013/12/glycine.html

-Vladimir

9 03 2014
David

Ah, Denise… I still love you (in that never-met-you, non-stalky, no-restraint-order-required sort of way), and I still love this post (in that “thank you for saving me a ton of time trying to figure out the NHANES methods”), but I must take issue with a couple important points:

1) Relative risk is extremely important. You hit the nail on the head by pointing out that absolute risk “no longer sounds quite as horrifying,” but making things *sound* horrifying or making them *sound* insignificant is the name of the game for people who wish to manipulate scientific data to support their own biases. Compare the following statements:

a) Risk of infant mortality in home births compared to in-hospital births is a SEVEN-FOLD higher risk! EHRMAHGERD!!!
b) Absolute risk of infant mortality in home births is barely over an eighth of one percent (0.126%). Who cares about 1/8th of a percent? Midwives Represent!
c) There are over 4 million births/year in the US. If everybody birthed at home, that would be 0.00126 x 4×10^6 = 5,040 additional neonatal fatalities compared to having them all in hospital. Now picture a huge pile of 5,040 dead babies. Get the pitchforks and set the fires, hunt down the midwives!

I definitely don’t want to generate a sh**-storm of unrelated debate on your page (and I apologize if that happens), but I use that example because it’s a very emotionally charged debate, and one in which you don’t even have to manipulate the statistics: you just have to report them in the way that makes them *sound* like you want them to sound. When you start talking about diet, it’s also a very (oddly) emotionally charged debate, and it applies to 100% of the population, which is a very large number. From what I can glean from census data, there are roughly 80 million people aged 50-65 and 40 million aged 65+ in the US right now. If eating a high-protein diet generated an absolute mortality risk difference of 1.8% for those 80 million, that would be an additional 1.4 MILLION deaths. Suddenly, absolute risk sounds truly horrifying, and suddenly it sounds pretty good to be able to reduce relative risk by 73x.

(Important side note/question, since you’ve obviously taken a much closer look at this data than I have: is that 1.8% an *annual* risk, or *total* risk over the entire 18-year study period? That’s a huge difference, and it’s not clear either from the study itself or from your analysis.)

2) Epidemiological data is also extremely important. Like any scientific data, it gets misused, but I think placing it in the 9th ring of research Hell is a bit dangerous (though I do like the analogy, since the 9th ring is reserved for The Betrayers). If it weren’t for epidemiological studies clearly showing that it’s utter bunk, we might still be arguing that vaccines cause autism. Oh, wait, we’re still debating that. WHY??? The epidemiological studies (and others) are quite clear, but people who have a pseudoscientific axe to grind *hate* epidemiological studies. They want to show some mouse study or a test-tube study or some other poorly-designed, small-n study that supports their bias, but when millions upon millions of people get lumped together and analyzed, no such relationship exists. Epidemiological data, *used properly*, can be extremely compelling. Like any data, though, it can be used to Betray the Truth. (OK, fine, you can leave it in the 9th ring.)

Furthermore, epidemiological data can sometimes tease out sub-groups that warrant further analysis, and those sub-groups (such as IGF-1 deficient folks) can lead the way towards a much better understanding of the actual pathophysiology of the condition being studied. There may, for example, be a vanishingly small portion of the population with a genetic mutation which makes them particularly susceptible to aluminum adjuvants in vaccines, causing severe immune reactions with neurologic consequences. (Et tu, Brute?) This work is ongoing and may someday reveal a very small sub-population who should not get aluminum-containing vaccines, but thankfully, the epidemiological data suggests that for the *vast majority* of us, vaccines prevent way more disease than they cause. Long live Epidemiology!

There is one thing I found interesting in this study, and you didn’t bring it up. Perhaps I’m misinterpreting it, so I’m curious for your input: the authors are trying to make an “IGF-1 –> cancer, and meat –> IGF-1, so therefore meat –> cancer” connection, yet their epidemiological information doesn’t seem to match their basic science/mouse data. In humans, they showed an increased meat –> increased cancer risk, and they say that this *only* applies to meat proteins, but when they looked at IGF-1 levels in mice, dropping the level of plant protein actually decreased IGF-1 levels by the same amount, and increased IGF inhibitor levels even *more* than decreasing animal protein levels. (Switching from high animal to low animal protein –> 30% reduction in IGF-1 and 84% increase in IGFBP-1; switching from high plant to low plant protein –>30% decrease in IGF-1 and 140% increase in IGFBP-1.) So, if IGF-1 and IGFBP-1 are the relevant indicators for cancer risk, and if their mouse model is an accurate representation of the relationship between protein and relevant indicators, then plant protein intake should have had an even greater effect on the human population… but it didn’t.

Anyhoo, thanks again for a great analysis of that paper. I totally agree that it raises some important issues that shouldn’t be dismissed, despite some significant methodological flaws and some grossly overstated conclusions.

9 03 2014
Brandon Berg

Huh. Who knew pork rinds would turn out to be the ultimate health food?

9 03 2014
psychohist

Incidentally, I noticed you didn’t include a link to the Rhesus Macaque results. Here’s a link to the most recent results from one of the Rhesus Macaque studies:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2812811/

9 03 2014
Wenchypoo

Once again, they try to bash meat without clarifying WHAT KIND of meat they use for the studies! When, oh WHEN is somebody going to do the same studies using grass-fed, pastured meats? Probaby when they get over being afraid of the results!

10 03 2014
Bob

Amen and exactly! I was going to post this this same thing. I’m assuming they mostly ate grain-fed, antibiotic laced, hormone injected meat which is going to randomly skew the results for whichever group consumes it.

9 03 2014
james

Thanks Denise, but my my you spend an awful lot of time in the shower to think this all up. Thanks also for the book Death by Food Pyramid. For most of us following this blog, Mark’s,and a few others, of course nothing new, but it is really nice to have it all together and be able to hand it out.

9 03 2014
Stevie

Fascinating! And thank you for providing so much food for thought (sorry) in your return to the the joys of blogging; I am always grateful when someone takes the trouble to not only think about the contents of pieces of research, but to explain the thought process along the way as you work through it.

9 03 2014
luobi_robbie

In Antifragile, Nassim Taleb goes into detail on some of the ideas in your conclusion, like the importance of fasting and random food intake. He has a short mathematical discussion of the topic here: Antifragility and Dose-Response in Nature – http://youtu.be/WMS8ydyeb4E

9 03 2014
james

As an afterthought and only partly connected, you are almost certainly aware of the new rumours going around about the glycine thing. See the contributions of Duck Dodgers on Free the Animal.. By the way, following all the links will keep you out of the shower for a few days :-)

9 03 2014
Jim Browning

Thank you so much for digging into this study, Denise. I really and truly appreciate what you do, and you are spot on as usual.

9 03 2014
Brad

Yes, (muscle) meat and eggs have methionine, but (fatty) meat and eggs are also high in Choline which affects methionine levels. More complexities.

9 03 2014
Gordon Wayne Watts

You forgot to mention foods rich in glycine and methionine:

“Glycine is mainly found in protein rich food.

Animal sources: Fish, dairy foods, meat, cheese etc
Plant sources: beans, soybean, spinach, pumpkin, kale, cabbage, cauliflower, burdock root, cucumber, kiwi , banana, etc
Glycine is a nonessential amino acid, which means that it is manufactured from other amino acids in the liver; it does not have to be obtained directly through the diet.” (Fair Use excerpt)

Source: http://blissreturned.wordpress.com/2012/04/09/glycine-the-amino-acid-that-is-necessary-for-central-nervous-system-function-and-a-healthy-prostate/

AND in swine gelatin!!
Source: http://wholefoodcatalog.info/nutrient/glycine/foods/high/

“Lowered methionine ingestion as responsible for the decrease in rodent mitochondrial oxidative stress in protein and dietary restriction possible implications for humans.” Source: http://www.ncbi.nlm.nih.gov/pubmed/18252204

“Top 100 plant sources of methionine
food name methionine calories
sesame flour,low-fat 0.033028 6.6
sesame flr,part defatted 0.033011 9.5
seaweed,laver,raw 0.024957 6
turnip grns,cnd,sol&liquids 0.022794 10.3
turnip grns,frz,ckd,bld,drnd,wo/salt 0.022687 8.7
turnip grns,frz,ckd,bld,drnd,w/salt 0.022687 8.7
turnip grns,frz,unprep 0.022672 8.9
turnip grns&turnips,frz,ckd,bld,drnd,w/salt 0.021739 11.4
turnip grns&turnips,frz,ckd,bld,drnd,wo/salt 0.021739 11.7
sunflower sd flr,part defatted 0.021702 6.8
seaweed,wakame,raw 0.020792 14.9
seaweed,spirulina,dried 0.019993 5
seaweed,spirulina,raw 0.019932 4.4
turnip grns&turnips,frz,unprep 0.019512 8.5
oat bran,raw 0.019364 14.2
mushrooms,brown,italian,or crimini,raw 0.0192 8.8″ (Fair Use Excerpt)

Source: http://scoobysworkshop.com/top-100-sources-of-methionine/

Here are 9 more studies on caloric intake:

(#1.) “These results suggest that total caloric intake may modulate the rates of cell death and proliferation in a direction consistent with a cancer-protective effect in DR mice and a cancer-promoting effect in AL mice.” from: http://ehpnet1.niehs.nih.gov/docs/1998/Suppl-1/307-312james/abstract.html .

(#2.) “9. Weindruch, R. and Sohal, R. S. (1997) Caloric intake and aging. N. Engl. J. Med. 337, 986-994.” from: http://www.smu.edu/~biology/sohal.html .

(#3.) “13.Dhahbi, J.M., Tillman, J.B., Cao, S., Mote, P,L., Walford, R.L., and Spindler, S.R.: Caloric intake alters the efficiency of catalase mRNA translation in the liver of old female mice. J. Gerontol. 53A: B180-185, 1998.” from: http://www.walford.com/bio.htm . See also: http://cnas.ucr.edu/~biochem/faculty/spindler.html for this quote.

(#4.) “A UCR researcher finds a connection between decreased caloric intake and increased life span.” from: http://www.ucr.edu/SubPages/2CurNewsFold/Magazine/April99/eat.html .

(#5.) “We have known for many years that reduction of caloric intake by up to 40% over that of the normally fed diet, while also maintaining essential nutrients and avoiding malnutrition, is the only intervention that will extend the maximum life span of animals from many different genera.” from: http://www.ssc.wisc.edu/aging/pugh.htm .

(#6.) “Caloric Restriction, or reducing the caloric intake by 30 to 50 percent, has increased both the average and maximum lifespan in rats and mice more than 30 percent. The animals receive enough nutrients but weigh considerably less than their non-restricted counterparts. Studies have also shown that the rodents are healthier, with lower blood pressure and a postponement of age-related declines in muscle mass, immunity and other areas.” from: http://www.buffzone.com/extra/last-rights/23future.html .

(#7.) “Recent Research Shows Lower Calorie Diets are Associated with Longer Life” from: http://www.clos.net/caloric_restriction.htm .

(#8.) “Harman: It was first shown in the mid-1930s that reducing caloric intake would increase both the average and maximum life spans and decrease disease incidence. I believe that this result was due to decreased free radical damage owing to decreased oxygen utilization. Glycosylation may play a minor role in this effect as glucose levels go down when calories are restricted.” from: http://www.healthy.net/asp/templates/interview.asp?PageType=Interview&ID=175 .

(#9) Researcher, Gordon Wayne Watts, BS Biological and Chemical Sciences (FSU, 2000) thinks that the reason reducing caloric intake helps increase life span is quite simple: When the human body is not overloaded with food, it can more easily get rid of bodily waste products –and thus, we have the body’s cells able to reproduce and heal in a cleaner chemical environment. http://www.GordonWatts.com/consumer.html ** mirror:

http://www.GordonWayneWatts.com/consumer.html

11 03 2014
einstein

“glycine is manufactured in the body fm other amino acids, therefore non essential”. so in order to produce glycine in the body, you need to eat all the more protein, probably containing more methionine. no,no. better way to consume more glycine so that you don’t have to manufacture it and reduce the rest of the aminos fm muscle meat. makes sense, no?

9 03 2014
vanslix

If this study is right, then it’s despite itself. Anyone looking for ANY effect in retrospective fashion of an observational study is going to find something by pure statistical chance. This is why drug companies are required to PREDEFINED their end points BEFORE the study. You can’t just start cherry picking because it leads to false conclusions. Post hoc drive by is BS. This in NO WAY meets the criteria for John Snow’s rules for cause and effect. And trying to isolate one single thing in the diet is unrealistic. Humans evolved to eat damned near anything. Eskimos and Maasai don’t have problems. Eat the Mediterranean diet and you’ll be fine.

9 03 2014
Brian Stanton

Hi Denise – the links to the glycine study, the methionine study, and the caloric restriction comments alone made this worth my while. Got me thinking. Anyway, in light of the CR stuff, I was interested to hear your thoughts on Intermittent Fasting, as it doesn’t seem to fit into the methionine/glycine theory of life extension. As I’m sure your aware, there have been several controlled studies on rats that show an IF longevity benefit, calories held constant. In my humble opinion, I’d bet that the CR complications with mouse and monkey life spans has a lot to do with the nasty side effects of CR (loss of muscle mass, bone density, etc). How does this jive with your thinking and research?
Thanks,
Brian

11 03 2014
Warren Dew

Unlike CR studies, the rat IF studies only show an increase in life span if started as juveniles. Starting isocaloric IF in adulthood did not have the same benefits.

12 03 2014
Brian Stanton

Actually, the below study showed that IF increased lifespan of the subject rats at 2 different age start-points (not just as juveniles). There are other studies with the same types of controls, but I believe I’ve sufficiently made my point with this one.

http://geronj.oxfordjournals.org/content/38/1/36.short

15 03 2014
Warren Dew

That study does not appear to be isocaloric. If the IF rats eat less, of course they benefit from CR, because they’re actually doing CR.

8 05 2014
Brian Stanton

http://www.sciencedirect.com/science/article/pii/S0047637400001093

Here’s another. Calories don’t appear to be restricted as the fasted group weighed more than the non-fasted (and had longer life spans!).

CR clearly boosts lifespan – there’s no argument there. However, it’s preferable to pursue IF and mitigate the lean muscle / bone density loss that comes with CR. Same benefits. Fewer side effects.

9 03 2014
Jeff C

Great write up and definitely thought provoking, particularly as I eat large quantities of animal protein. I realize everyone wants a quick fix, but what about just supplementing the diet with glycine? Looks like only the abstract is available for the FASEB journal paper, but it appears that’s all they did with the mice. It’s not eating nose to tail, but wouldn’t it be better than nothing?

Glycine is dirt cheap, Nutrabio has it for ~ $20 a pound. I’m sure it will mix right into that potato starch smoothie.

http://www.nutrabio.com/mm5/merchant.mvc?Store_Code=NOS&Screen=PROD&Product_Code=23210

9 03 2014
mhanch

Reblogged this on Cognitive Dissonance and commented:
As always, Denise gives a good breakdown.

9 03 2014
shawn

Great review!

One thing that want mentioned that I think is relevant is that the lead researcher owns a plant-based protein company.

That immediately causes me to be suspicious.

11 03 2014
psychohist

Good catch!

9 03 2014
Peter

In a world of alleged skepticism, better perceived as denial, folks want to be politically correct with the latest prevailing idea, which is atheism and life ex nihilo, that purportedly evolved to its present diversity. But the God that created it all, (and I believe the Bible) told Noah that everything that lives on the earth shall be food for him. If I believe God, then meats are definitely intended for human consumption, provided that they have not been fed GMO laden substances, which in themselves are not the natural diet of cows, pigs and chickens. Also, provided that they have not been injected with all sorts of hormones, antibiotics and who knows what other chemicals and pharmaceuticals. Therefore, at age 77 and in excellent health, I will continue to enjoy my bacon and eggs, steaks, poultry, seafood, and vegetables too, giving thanks to my Creator.

These pseudoscientists keep changing their minds on what is good and what is bad for you, depending on the current source of their funding and other incentives for “cooking” the data. The conflicts of interest that you mention and are so prevalent that any “evolved chimpanzee” ought to be moved to think.

9 03 2014
Laura

Great breakdown, but two important caveats about the glycine study:

Following up on Shawn’s comment above, it’s worth noting that the lead author of the glycine study is the CEO of a company marketing glycine supplements (Joel Brind, Proglyta).

Also, the “study” you linked is NOT a peer-reviewed study. FASEB, one of the top journals in biology, routinely publishes the abstracts of presentations at its annual meeting. This paper was accepted for presentation, not publication. That’s usually a very low-bar process, done by a committee sorting through hundreds or, in the case of FASEB’s meeting, thousands of abstracts very quickly, and in no way implies peer review. That’s why it’s so “little known”–because despite having been completed years ago, the results have still not been published. For such, as you say, potentially bombshell findings, that strikes me as odd, and given Brind’s involvement in commercial products, it’s enough to put the brakes on my enthusiasm. I suspect if it were available as a full paper, and knowledgeable people could critique it properly, glycine might not appear as miraculous as it does in this abstract. Still, it’s an interesting research direction, and apparently the NIA has agreed to add glycine to its mice supplementation/longevity study this year.

10 03 2014
Jeremy

Joel Brind also has some non-mainstream views linking abortions to subsequent breast cancer. Maybe he is right, maybe he is not, but he is not a mainstream researcher.

http://en.wikipedia.org/wiki/Joel_Brind

11 03 2014
psychohist

Good information, Laura, thanks!

9 03 2014
Jeffrey A.Winfleld,MD.PhDF.

Hummmm ….. maybe that “pink slim” from saluter houses is healthy after all !
Methionine is essential in the GSSH human oxidative reduction system.
Makes little sense that a single amino acid methionine nor glycine as a single entity is the death bullet or fountain of youth respectively; don’t you think ?

10 03 2014
Amy

Thanks. Excellent dissection and filling-in-the-blanks. You’re the best. I’ve no doubt that it’s possible to eat too much protein, just like it’s possible to eat too much fat and too many carbs. The only thing we likely can’t eat too much of is a huge variety of raw organic greens. Still, I suppose the jury is still out….

11 03 2014
einstein

only if you drink protein shakes and other unnatural supplements. i don’t believe it is possible to eat too much protein fm meats. ever tried to fill yourself up with dry chicken breasts? how many can you eat till you can’t even see them anymore? protein sends a powerful satiety signal to the brain and if you overload on meats, you will not be hungry for many hours to come. i do this daily, fasting for 18 hrs every day and what helps the fast is the meat i eat before i start it. in global i would say i reduced my protein intake by a lot, even if eating a lot of it in one sitting. too much protein is of course toxic, and that’s why your body won’t allow you to eat too much of it unless you eat processed supplements. leave that to the bodybuilders and you’ll be fine.

10 03 2014
Daniel Woodhouse

Thanks Denise :)

10 03 2014
thepaleopi

Thanks very much for sharing Denise. I’ve been hit with a number of questions on this study and have been looking for a response from the Paleosphere to direct people to. As always, a well considered and thorough post.

10 03 2014
bill banister

Seriously, how did you get so damn smart! I love your breakdowns and takedowns! I am a neurosurgeon who has always had an interest in health and nutrition and I cringe at some of the crap out there that makes lots of money! I am wondering if an experienced researcher is behind these articles and they have put your pretty face on the web. You are an example of how a bright person with work and tenacity can understand what they set out to, and not  settle for what is on the surface along the way. Keep up the good work. Bill B

10 03 2014
George Henderson

No alcohol is a huge confounder,because alcohol tends to displace carb in the diet, pushing up % protein from food.

And % tells us nothing about absolute dose and the response to it.
It maybe that older people reported differently from the younger generation.

10 03 2014
stipetic

Great article.

BTW, my meat doesn’t contain any casein like those mice chow meats!

10 03 2014
stipetic

Great article Denise. Pretty much my thougthts as well.

It’s interesting that the lead author, and two of his collegues on this paper, have founded a company that sells a plant-based nutritional supplement and program.

BTW, my meat is casein-free, unlike the mice chow meat!

10 03 2014
FrancisMcGrath

OMG, a rational response to all this stupidity. I am officially in love. Can I connect in LinkedIn. Iget so tired of responding to the many variants of stupidity that poses as rational nutrition discussions.
From now on I am just referring people to your blog.

10 03 2014
heidrunschaller

If the takeaway from this is what I think it is, namely that an ancestral diet including gristle, bone, and organ meats should serve to balance the possible negative effects of too much methionine from animal protein, I still find it confusing that these negative effects do not seem to exist in the older age group, if that NHANES-based observational study is any indication.

14 03 2014
GB

Great question! Pure speculation here, but I wonder if the age difference also implies a difference in how the participant prepared meats. My grandmothers were both constantly making soups, bone broths, lamb on the leg etc. My mum, not so much.

10 03 2014
ivor cummins

Hi Denise

Very comprehensive post – thank you. I must admit I took a somewhat simpler (and more visceral) route on this one due to lack of time, but you may find it interesting, or worthy of comment:

http://www.slideshare.net/ivorcummins/20140309-protein-debacle-simplified-version

Keep up the good work!

Best Regards
Ivor

11 03 2014
Gordon Wayne Watts

Ivor, thank you for reminding me of this fact:

The study is NOT very sound or solid -due at the very least to how it is INCONSISTENT:

You point out that this study shows that “Low protein” is associated with *more* cancer for ages 65 years … LOL.

While I don’t remember the exact text of the study (I’m taking your word for these claims), I **do** VERY vividly remember that it showed that one age group was *more* healthy for low protein, and another, ADJACENT age-group was *less* healthy -and since there is no rational thing that can explain this, it stands to reason that the factor under observation (protein intake) was NOT as “bad” a problem (or as “good” a cure) as anyone might otherwise have said – or else, why would it “help” one cohort, but “harm” a similarly-situated cohort?

Gordon Wayne Watts, LAKELAND, Fla., U.S.A.
BS, The Florida State University, Biological & Chemical Sciences,
double major with honours
AS, United Electronics Institute , Valedictorian

11 03 2014
einstein

maybe the old guys have less teeth and prefer the juicier tender parts while the younger ones like to chew on the muscle meat :-) just kidding

10 05 2014
Gordon Wayne Watts

:-D

11 03 2014
ivor cummins

Hi Gordon

I’ll save you picking through the faeces that is the report proper, below is taken directly from the author’s Abstract/Summary:

“Respondents aged 50-65 reporting high protein intake had a 75% increase in overall mortality and a 4-fold increase in cancer death risk during the following 18 years. These associations were either abolished or attenuated if the proteins were plant derived. Conversely, high protein intake was associated with reduced cancer and overall mortality in respondents over 65″

By the way, the “4-fold increase” they quote was based on 6 (yes 6) deaths total in the low protein group – the overall death rate for low protein (averaged across all ages) was higher than for moderate or high. So the researchers DID need to go picking through their ordure to get something fruity.

As I said…………..faeces.

See Zoe Harcombe’s nice piece earlier today:

http://www.zoeharcombe.com/2014/03/animal-protein-as-bad-as-smoking-headlines-based-on-6-deaths/

Cheers
Ivor

12 03 2014
charles grashow

http://www.zoeharcombe.com/about/

Zoë is a qualified nutritionist with a Diploma in Diet & Nutrition and a Diploma in Clinical Weight Management, but she is first and foremost an obesity researcher.

Where exactly did she get her diplomas from? Why does she not list the university?

17 03 2014
ivor cummins

HI Charles

I’d say her scholarship-enabled Mathematics and Economics from Cambridge is equally (if not more) salient to her fundamental capability in this arena. I have a Chemical Engineering degree (biochemical stream), and over 25 years of Engineering & Management roles specializing in Complex Technical Problem Solving and Statistical Inference. This capability is hard won, believe me, and I see a depressing dearth of it out there in the medical and nutritional research fields. As I said earlier – faeces abound, but there are good guys too in fairness; it’s a tremendous tragedy that the media don’t evhibit positive discrimination in focusing on them, rather than the extruded “movements” of the obfuscators ……

Best Regards
Ivor

10 05 2014
Gordon Wayne Watts

Thx, Ivor – I agree meat and/or protein may not be as bad as they were portrayed, but all that still carries statistically-significant risks -especially if from animal sources and/or if processed a lot and/or if inundated with hormones, antibiotics, etc.

http://GordonWatts.com/consumer.html

http://GordonWayneWatts.com/consumer.html

10 03 2014
Mary

Thanks for this great post Denise. Please blog more often if you can, and please write another book soon. The people I trust in the diet world are down to precious few, and you top the list!

10 03 2014
sucram497rcus volke

ok, that was the coolest article i’ve read all year, I can’t believe this is the first i’m hearing about the role of glycine in longevity, i’m experiencing a nutrition-nerd rhapsody as I type :)

10 03 2014
David Bucina

Denise, don’t ever apologize for long posts. Your commitment to lending balance and perspective while remaining accurate is greatly appreciated in a world dominated by reductionist thinking. Unfortunately the Dr. Oz effect has people hopscotching from one sensational study to the next and they remain blind to the holistic perspective that can truly save them and repair their health. Thanks for all you do and thanks for such a great book!! I’ve been spreading the word as it was so impactful. To our health!

10 03 2014
Avishek

Where is the smoking data?

10 03 2014
rdfeinman

Avishek is right. I don’t think this can be evaluated at all in the absence of presentation of the primary data. How many people died of which disease when?

10 03 2014
Jamie

This is incredible. I think Death by Food Pyramid needs a sequel — Death by Observational Study.

11 03 2014
Kirill

“Death by Observational Study”… LOL!

12 03 2014
samhuff96

Yeah. You have to laugh because it hurts to much to cry.

10 03 2014
Angela Larson

Love it! I was hoping you’d take on this study when it came out. Very helpful analysis. I wish I could get you to teach all my dietitian colleagues how to think for themselves!

10 03 2014
Marlene Merritt

Thank you so so much for taking the time to analyze and write this. Immensely appreciated :-)

11 03 2014
emi11n

Yay Denise is back! So happy to see your witty and intriguing posts again!

11 03 2014
Chris Boyd

Thanks for your great analysis, Denise. Also, thanks for your wonderfully funny writing style–I was laughing many times as I scrolled down. Great job!
Chris

11 03 2014
hbb

Interested article but then I stumbled across this:-

Cancer is Addicted to Glycine by Ashley Yeager

http://www.biotechniques.com/news/Cancer-is-Addicted-to-Glycine/biotechniques-330983.html

Does this mean cancer cells use glycine as fuel?

11 03 2014
hbb

Everybody that has read this post by Denise should also google “glycine cancer”. It seems to be pretty well established that cancer cells consume much greater levels of glycine than healthy cells. It was even suggested that the suppression of glycine may be a treatment for cancer.

14 03 2014
chupilo

That may be the case in vitro but not in vivo.

Dietary glycine inhibits angiogenesis during wound healing and tumor growth.

http://www.ncbi.nlm.nih.gov/pubmed/12750558

Dietary glycine prevents the development of liver tumors caused by the peroxisome proliferator WY-14,643.

http://www.ncbi.nlm.nih.gov/pubmed/10545408

Dietary glycine inhibits the growth of B16 melanoma tumors in mice.

http://www.ncbi.nlm.nih.gov/pubmed/10334195

This makes sense as glycine lowers the growth factors IGF-1 and Insulin. It also lowers glucose which is probably an even better fuel for cancer than glycine itself.

18 04 2014
Jon Wheeler

Chupilo, those “in vivo” experiments you mentioned were all rat studies.

19 04 2014
chupilo

Lots more here on glycine – including human: http://valtsus.blogspot.fi/2013/12/glycine.html

19 04 2014
Jon Wheeler

Chupilo, none of the human data cited on Valtsus’ blog had anything to do with glycine counteracting the negative effects of methionine.

11 03 2014
einstein

sign me up to the fan club of those officially in love with your intellect. hey, the good looks don’t hurt either :-)

11 03 2014
Maranda

So I have to admit I had to read this in a few sittings lest my eyes dry out and I miss something :) BUT learned so much. Thank you for taking the time to break it all down. I knew some of the flaws/challenges with the studies but this was super enlightening. Great work, keep it up!

12 03 2014
David

One of the major take-home messages here — and, from what I’ve read, one of the major reasons that this blog exists — is that nutritional research is not really research. The VAST majority of it is marketing and bias-confirmation masquerading as research. Notes from this thread:

1) At least one of the authors of the primary study in question (Levine et al) has a major conflict of interest. Three other authors MAY have an undeclared conflict of interest. See #2.

2) As pointed out in Zoe Harcombe’s blog, three other authors on the Levine et al paper *may* have an undeclared conflict of interest, in that they work on the L-Nutra scientific team. That does not necessarily mean diddley-squat, though. “Conflict of Interest” in the scientific world means (in brief; a full discussion is complicated) that you are a significant stakeholder or officer in a company which stands to gain from your research. Being an employee does not give you a conflict of interest; being President of the company or having a major share does. Zoe does not differentiate, and those same authors have been on numerous other publications without declaring any conflicts, so they probably don’t have one by official definition. So, about Zoe…

3) Zoe Harcombe sells diet books; she has half a dozen of them so far. She has also been caught fibbing in the past about her qualifications: http://carbsanity.blogspot.com/2013/01/zoe-harcombe-credentials-ii.html (I haven’t bothered to look up the author of the “Carb-Sane Asylum” website, but I would be amazed if that person didn’t have a conflict as well. Lord knows he obviously has a tremendous bias.)

4) The lead author of the study Denise quoted showing a cancer-protective effect of glycine just happens to be CEO of a company that sells a glycine supplement, and he also just happens to be a major proponent of the reasonably well-debunked claim that abortion increases breast cancer rates. (http://en.wikipedia.org/wiki/Joel_Brind).

5) For entertainment value, I have to point out the failed politician who QUOTES HIMSELF as an authority, and then points out that his qualifications are that he got a Bachelor’s degree (“double major with honors”! Whoopdy-friggin’-do! I’ll see your Bachelor’s and raise you my MD!) and that he was Valedictorian for his *associate’s degree*. It’s hard not to laugh. (NB: I’m no degree-snob; neither Gary Taubes nor Denise Minger have more than a bachelor’s, and I think they’re both brilliant. They’re just not as douchey as Mr. Didn’t-get-the-vote.)

Finally, I have to point out that basically what happens in a “debate” like this (in quotes because there’s so little reliable data on which to conduct a real debate; it’s basically dogma vs dogma) is that everybody finds a sufficient reason to distrust an article they don’t like; sufficient suspicion of conflict of interest for the people with whom they disagree; sufficient support of their own biases & dogma; and everybody goes back to their Happy Place, where life is simple and they don’t have to question their own beliefs. I love, for example, how people who hate the Levine et al study decry the study, and then claim that it would have been different if they had used Organic, Grass-fed beef. Please show me one iota of evidence that such products increase human health. Not an in-vitro study, not a study of the contents of the beef, but an actual study that shows that it makes one go***mn bit of difference to actual human health. Can’t do it? I didn’t think so.

Just to stir the pot (‘cuz I’m that much of a d**k), here’s a link to a “grass-fed beef is crap” article:

http://extension.psu.edu/animals/beef/grass-fed-beef/articles/telling-the-grass-fed-beef-story

15 03 2014
Lee

Born in Rochester, New York, Taubes studied applied physics at Harvard and aerospace engineering at Stanford (MS, 1978). After receiving a master’s degree in journalism at Columbia University in 1981…

15 03 2014
David

OOPS! My bad, thanks for the correction. :)

Anyway, my point was that I wasn’t discriminating against people who have “just” a bachelor’s, which is what I thought he had. It doesn’t matter, really, I think his work is recognition-worthy, regardless of letters after his name. I was basically just razzing the dude who signed his post thusly:

Gordon Wayne Watts, LAKELAND, Fla., U.S.A.
BS, The Florida State University, Biological & Chemical Sciences,
double major with honours
AS, United Electronics Institute , Valedictorian

It’s pretty douchey, if you ask me, to try to flaunt your credentials when they’re not really very extraordinary. That was not in any way meant to demean otherwise smart people who haven’t felt the need to pursue “advanced” degrees. You can be a critical thinker without having a university title. You can also be a very poor/NON-critical thinker and have a big title…

21 03 2014
earthskids

Personally I think it’s douche-y to quote Wikipedia anymore since they’re basically a tool of the Quackwatch people. I trust people who sell supplements more than Wikipedia that’s for sure.

Lots of research has to be carried out by interested parties instead of “independent” people. We all like to think that there is some robotic emotionless person doing research on our behalf, but that simply isn’t how it works. Bias begins with the funding process. If you can’t get your idea funded, you’ll have to do something to find funding. Anyone who isn’t familiar with the concept should subscribe to just one journal and find out. Reading the commentaries for a year will reveal the process quite well. I’m grown up enough to look for bias in the work of researchers. I don’t expect them to be angels and neither should you.

Plus those arguments you made were not on the merits.

10 05 2014
Gordon Wayne Watts

It’s all good, David :) – yes, I have “just” a bachelor’s degree – BUT it’s a double major – AND with honours -AND also an AS degree in Electronics Technology (Valedictorian of UEI), etc…

The bigger point, though, is this: was what I posted correct on the merits?

Also, Lee, who were u referring to? Another Gordon Watts, maybe the Washington professor of Physics here? http://d0.phys.washington.edu/~gwatts/
and here

http://gordonwatts.wordpress.com/

and even here??

http://www-tele.fnal.gov/cgi-bin/telephone.script?name=Watts

I’m “this” Gordon Watts:

http://gordonwatts.com/#GW.gww

http://gordonwaynewatts.com/#GW.gww

12 03 2014
L-S Johansson

Hi Denise,
I liked a lot you China Study analysis and The death of the food pyramid. As for this study: since you can the statistics, you should also be interested in Zoe Harcombe’s new info on the splitting of the groups in Longo’s study. It has not been given out elsewhere, and it seemed to be hard to get also this time. With the figures given I’m not surprised of that, either.

Here’s the link: http://www.zoeharcombe.com/2014/03/animal-protein-as-bad-as-smoking-headlines-based-on-6-deaths/

Cheers
LeenaS

12 03 2014
barly

did you mention methionine and glycine. are you going all ray peat now?

12 03 2014
scottukgb

Surely this study says that middle-age people should eat MORE protein?

It says that there is a relationship between the protein that you ate 18 years ago and your current health. If you are 50-65, the ‘effect’ of protein is bad, if you are 65+ the effect is good.

Most people have taken away from this that people should eat less protein during middle age (ie 50-65). But surely people should start eating more protein 18 years before they hit 65, ie from age 47… ?

(The people who showed a benefit from eating a lot of protein (i.e. the over 65s) had reported what they ate when they were 47, whereas the other had reported war they ate from age 32.)

13 03 2014
roryrobertson (former fattie)

Denise,

That mouse study started with 30 diets and nearly 1000 mice. The final pro-LP results consider the results for only 25 diets and 854 mice. Huh?

Yes, before declaring that low-protein diets boost longevity in mice, the researchers excluded five LP diets and 100+ sick/dying mice from the calculations. It’s all here: (Comment 5) http://www.abc.net.au/radionational/programs/healthreport/high-protein2c-low-carbohydrate-diet/5309616#transcript

Excluding 5 killer LP diets from longevity results before “finding” LP diets boost longevity seems outrageous, at least to me.

Am I wrong? Readers, any thoughts. Anyone?

13 03 2014
Brad

Another good analysis and some good info nuggets…

“The idea of laying blame on a single dietary factor such as protein intake in the pathogenesis of cancer – or any disease for that matter – is absurd,” adds Aragon. “The adverse potential of not getting enough protein (sarcopenia, compromised glucose control, lower immunity, brittle bones), especially in the aging population, far outweighs the risks of getting too much.“

There was no consideration of food sourcing. No consideration of exercise. No looking at what other foods the participants consumed.
Yes—the researchers will point out that they controlled for carbs and fats. But again, this was just bottom line and didn’t consider what types of food were consumed. Would anyone doubt that green + grains + organic chicken ≠ fast food burger + mayo + fries?
Those macronutrients (proteins, carbs, and fats) could be matched in those two meals, but if two different people ate those identical meals year-over-year for 18 years, I’m pretty sure I know whom I would bet on for better health.

Schoenfeld was also quick to point out that most people who eat red meat tend to consume it at fast food restaurants. (Just look at the sheer volume of sales to understand how much red meat is devoured at all of these establishments.) And while it’s not a hard rule, most people who eat fast food consistently have other lifestyle factors that could impact overall health.
Maybe the most important takeaway is an increased awareness that the needs of your body might change during different phases of your life.
The main thing we have to realize—or at least entertain—is that the things that make us ‘jacked’ or ‘ripped’ may not also be the best thing for longevity,” says nutrition researcher, Brad Pilon, author of Eat Stop Eat. “Even optimal health guidelines when you’re young may not be the best for longevity, as longevity is all about maintaining a status quo by reducing cumulative cellular damage and debris.”
Pilon suggests that the biggest push from this research could be a greater investigation into whether there simply might be different protein needs throughout your life cycle.

The response is not necessarily to overreact and cut all protein, but instead consider what your body needs given it’s activity levels and goals, and then consider the sourcing of your foods and all other factors that lead to health.

– See more at: http://www.bornfitness.com/do-high-protein-diets-cause-early-death/#sthash.mpscJZ3Y.dpuf

15 03 2014
Morgana

Some good points Brad, especially about the fast food. And what goes together with fast food?: hamburger buns, ketchup, french fries, sodas….(high fructose corn syrup, soy oil, soy protein, additives, sugar…..maybe it’s not the animal protein after all…..)
Another point I’d like to make is, did they ask the people what medications they took? That could be another factor, as certain medications can cause illness (I don’t know if they include that in NHANES data). Some people in the 50-65 aged group might have been on statins, which are known to be a factor in diabetes and cancer.

19 03 2014
Caitlin Allday

Someone else may have mentioned this but there are a lot of comments and I can’t read them all, so just in case:

Several of the people involved in the study all work for the same company, which Valter Longo apparently founded (http://www.l-nutra.com/index.php/about/team.) That company, L-Nutra sells completely plant based products. Conflict of interest perhaps?

And to piggy-back on Brad’s comment above, the whole singling-out-a-single-nutrient study model needs to be retired. The human body and how it utilizes nutrients is way too complex for sweeping macronutrient claims.

Love your work and writing style Denise!

21 03 2014
earthskids

Very thought provoking post, thank you. I kept thinking about the CR people and how they often intersect with the vegan and raw vegan communities, probably because of this protein issue. I spent many “retreats” with groups of these people in San Diego for a period of about 6 years. Willowy is a kind description of the body type. So the thread that’s hard to pinpoint in this discussion is the muscle mass issue. How can you look healthy, maintain strength and your own muscles while gaining CR benefits? Is it enough to just increase glycine or glycine rich foods? And…. ahem… when are we going to see the Denise Minger Meet Your Meat Cookbook? Heheh..

25 03 2014
Christian

There are at times certain information that crops up which runs contrary to all that you’ve always held to be true. Something like this comes up … what do you do? Heck .. I do some research and see whether this new data has got any basis at all.

6 04 2014
Mary

Have attempted several times on Amazon to leave a review on your book. Tried different words making your excellent book even less desirable than I found it. None were put through.

Couldn’t help but wonder if the person(s) reviewing the review for Amazon rules were fans of Campbell.

Maybe I will make another attempt to get it through today?

6 04 2014
neisy

Mary — so sorry you’re running into trouble with that! Quite a few people have reported the same thing. Did you use my last name anywhere in the review? “Minger” is a derogatory term in the UK (“someone who fell out of the ugly tree and hit every branch on the way down,” according to Urban Dictionary :( ), and Amazon flags it as a swear word. A few people had success by deleting Minger and just writing “Denise” or “the author” instead. Let me know if that works or not!

12 04 2014
Peggy C

Teeny weeny correction: C.elegans is a round worm, I believe, not a ring worm (which isn’t actually a worm at all. It’s a fungus.) I get the bottom line, though: more broth, skin (which I love and do eat anyway) and organ meats, less muscle meat. I’ve got a pot of broth cooking right now. :) Thank you. Love your posts, long or otherwise.

25 04 2014
Lidia

Hi Denise, Thank you for your amazing posts – I’m becoming addicted. They go deep, and are clear at the same time.
Just to give my 2 cents: in my opinion, if it’s true that glycine counterbalances the bad deed methionine might do in our body, there’s that easy solution you mentioned on your post – let’s just consume it from the other parts of the animal. We focus (obsess?) too much about lean animal protein, but the rest is important too, everything balances each other! (sorry for the bad english?) Let’s eat the skin, let’s drink the bones’ broth, let’s eat the crunchy cartilage – in case you’re not a vegetarian of course. [Foods highest in glycine: http://nutritiondata.self.com/foods-000094000000000000000.html ]

28 04 2014
brec

I’ve been waiting with bated breath to post this: proofreading alerts!

“waited with baited [sic] breath”

“including my Fork’s [sic] Over Knives critique” — grocer’s apostrophe

30 04 2014
chartnaturalcancerhealing

Awesome as usual Denise, thanks!

15 05 2014
Jon Wheeler

I really don’t understand the enthusiasm for Brind’s glycine study. Aside from the various criticisms raised above (Brind’s conflicts of interest, the fact that it was a study in rats not humans, the fact that it was merely a meeting presentation not a peer-reviewed study etc), the glycine used in the study was in it’s isolated (ie non-wholefood) form. I seem to recall Campbell being raked over the coals for allegedly making conclusions about whole foods based on isolated nutrient feeding studies, and yet that’s exactly what you appear to be doing here.

23 05 2014
Tikka Linnut

Methionine causes a flushing reaction very similar to what many people of Asian or Finnish genome experience with alcohol (the “Asian flush”). I experience both.

That latter flush is related to our genetically inherited alcohol dehydrogenase deficiency (ALDH2). To put it over-simply, this is a flawed alcohol metabolism pathway; those who have it do not metabolize alcohol efficiently and end up with a mess of (highly toxic) acetaldehydes floating around in our systems. For some of us (SE Asian and American Indian, e.g.), it means going from one sip to totally drunk or sick, very fast. For others (esp. Finns) it means being able to drink enormous amounts without “feeling it” until literally nearly fatally poisoned (a huge public health issue in Finland, btw).

Take a look at this, on the relationship between methionine synthase and acetaldehyde:

http://mthfr.net/methylation-inhibited-by-candidas-toxin/2012/09/08/

Surprise–candida albicans also produces acetaldehyde.

The glycine connection is spot on IMO. But in the metabolic view at the link above, other micronutrients also come into play…and even more so, inherited alleles.

[The Web site is targeted toward people who have MTHFR mutations. "The MTHFR gene provides the instructions for making the MTHFR enzyme, which plays a role in converting the amino acid homocysteine to methionine."]

Think we’ll live to see the day when dietary “scientists” pay attention to genomic differences in recommending diets? I’m afraid that political correctness will rule that one out. But we’re on the verge of finding out that what you eat is less important than who your parents were. It’s getting harder every year to deny the inherited genomic role in wellness and disease.

7 06 2014
Darryl

I’m glad you gave this study a fair hearing. I too think the glycine / methionine ratio is important, but when you go into the pathways, glycine and serine fairly freely interconvert, and cysteine spares methionine requirements. A useful article regarding this is Fukada et al. 2008. Effects of various amino acids on methionine-induced hyperhomocysteinemia in rats. So I believe the ratio of interest in proteins is (glycine + serine) / (methionine + cysteine). Here are some averages of that ratio for food groups:

Among “supplemental” proteins, collagen and and its rendered product gelatin still reigns: gelatin (36.0), soy (3.4), pea (3.2), casein (2.1), egg whites, whey (1.8).

Among more common foods, beans have the highest ratio:
legumes (4.1), nuts (3.0), mollusks (2.8), grains (2.5), tubers, red meat, poultry (2.4), dairy, pork (2.3), fish, eggs (2.1).

Generalized protein restriction and methionine restriction seem to be working by slightly different pathways. Protein restriction downregulates the IGF-1/PI3K/mTOR pathway, reducing protein synthesis and increasing autophagy. Methionine restriction does this as well, but excess free methionine floating about in cells appears to marked increase mitochondrial ROS generation and DNA damage.

Personally, I’ve chosen to rely on beans and nuts for most of my lysine, ensuring a relatively low (G+S)/(M+C) ratio, but its possible omnivores may benefit from adding rendered connective tissue (in stocks etc) and gelatin to their diet.

6 07 2014
Darryl

Last paragraph should read “relatively HIGH (G+S)/(M+C) ratio”.

18 07 2014
Ben

http://www.sciencemag.org/content/336/6084/1040

This would imply caution for people with active cancer considering glycine / bone broths.

“Metabolic reprogramming has been proposed to be a hallmark of cancer, yet a systematic characterization of the metabolic pathways active in transformed cells is currently lacking. Using mass spectrometry, we measured the consumption and release (CORE) profiles of 219 metabolites from media across the NCI-60 cancer cell lines, and integrated these data with a preexisting atlas of gene expression. This analysis identified glycine consumption and expression of the mitochondrial glycine biosynthetic pathway as strongly correlated with rates of proliferation across cancer cells. Antagonizing glycine uptake and its mitochondrial biosynthesis preferentially impaired rapidly proliferating cells. Moreover, higher expression of this pathway was associated with greater mortality in breast cancer patients. Increased reliance on glycine may represent a metabolic vulnerability for selectively targeting rapid cancer cell proliferation.”

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