Voted 2-5. [1] compares risk factor among Californian Adventists, who have on average 7 years higher life-expectancy in men and 4 in women compared to other white Californians. Note that those numbers contain all causes of death, including those due risky behaviour, which I presume is being lowered in Adventists (in fact I think that is the very reason for this particular choice of cohort, to control for non-lifestyle related causes of death). A great read, has estimates for variety of factors (between high and low risk groups). [2] OTOH gives difference between being in high-low risk in 20 categories only 6.5 years (for Americans), which is CONSIDERABLY less than what [1] might imply (the difference between high and low risk choices being 10 years), given the much wide ranging risk factors accounted for. I have to make a more through analysis on the papers myself when I have the time.
Also, the constant technological development focusing on disease treatment (asssuming no war on aging is launched) is most likely reducing the effect of lifestyle choices.
The above studies are from these CR posts by Michael Rae, they some additional references and and analysis. Especially interesting is [3] (which I can't get my hands on), estimating the effects of eradicating some major killers.
http://lists.milepos...m=41052&P=62330http://lists.milepos...5B40B379434C751My heuristics:
Optimum (non-CR) nutrition + exercise would bring maybe 3 years (expected value above mean), AFTER that (currently existing) supplementation is nearly worthless my guesstimate being perhaps <1 year (expected value, could be even negative due added risks Don mentioned). As an example of the latter, the AGE inhibiting properties of currently existing substances do not fare nearly as well compared to actually reducing blood sugar level through diet.
It think slight CR might bring about perhaps 5 years (i.e. few extra years beoynd otherwise healthy diet), OTOH after that supplementation (anything beoynd a low dose multi to cover for deficiencies induced by CR) probably just adds neglible amount and risks negating the beneficials of slight CR. Doing anything beyond slight CR (<-5-10% calories) is not justified with current knowledge IMO, as going beyond maximum beneficial restriction is known to drastically decrease life expectancy below normal. OTOH the maximum beneficial CR level is inversely correlated with species maximum lifespan [4] (C. elegans can CR 100% in dauer state, mice about 50%), thus in humans the maximum effective percentage CR is expected to be fairly low. My guestimate of optimum level of human CR is based on a rather loose and convoluted analysis from various papers found here:
http://www.imminst.o...=237&t=10839&s=Above guesstimates are based on the assumption that the absolute difference between optimal and mean lifestyle is not diminished by new technology and new therapies, which I consider most unlikely as I said.
Bottom line: see signature [tung]
[1] Fraser GE, Shavlik DJ. Ten years of life: Is it a matter of choice? Arch Intern Med. 2001 Jul 9;161(13):1645-52. PMID: 11434797 [PubMed - indexed for MEDLINE]
http://archinte.ama-...int/161/13/1645[2] Ezzati M, Hoorn SV, Rodgers A, Lopez AD, Mathers CD, Murray CJ; Comparative Risk Assessment Collaborating Group.
Estimates of global and regional potential health gains from reducing multiple major risk factors.
Lancet. 2003 Jul 26;362(9380):271-80.
PMID: 12892956 [PubMed - indexed for MEDLINE
http://www.globalhea..... factors1.pdf[3] Science 1990 Nov 2;250(4981):634-40
In search of Methuselah: estimating the upper limits to human longevity.
Olshansky SJ, Carnes BA, Cassel C
PMID: 2237414
[4] Gerontology. 2005 Mar-Apr;51(2)
The unfortunate influence of the weather on the rate of ageing: why human caloric restriction or its emulation may only extend life expectancy by 2-3 years.
De Grey A.
http://www.sens.org/weatherPP.pdfPS:If those links to CR list don't work, it's because some part of the address is due to my own session. notify me or try to fix the link yourself by removing some part with & in it
P.P.S: Just by looking at the abstract of [3], it seems that guesstimates of 10+ year increase in life expectancy would call for near cure in ALL major degenerative diseases, thus achieving that with currently available means, especially without CR, seems ludicrous to me.
Edited by opales, 12 June 2006 - 01:15 PM.