Protein: How Much and What Kind Is Best for Healthy Aging | Educational Video | Biolayne

Dr. Layne Norton
22 May 202412:04

Summary

TLDRThis educational video discusses a study published in the American Journal of Clinical Nutrition, which examines the relationship between protein intake and healthy aging. The study, involving 50,000 participants over 30 years, found that higher protein intakes were associated with healthier aging, contrary to claims that high protein might lead to diseases. The video highlights that all types of protein, including animal, dairy, and plant, showed beneficial effects, with plant protein having the most significant impact. The presenter suggests that a variety of protein sources, including plant proteins, can contribute to a healthy diet and aging process.

Takeaways

  • 📚 The video discusses a study on protein intake and its effects on healthy aging, published in the American Journal of Clinical Nutrition.
  • 🏅 Healthy aging is defined as being free from chronic diseases, having no impairments in cognitive or physical function, and maintaining good mental health.
  • 🔍 The study was a cohort study of approximately 50,000 people, followed for about 30 years, with an average starting age of 48 years old.
  • 📊 Higher protein intakes were associated with healthier aging, contrary to some claims that high protein intake could contribute to diseases like cancer and heart disease.
  • 🍽️ The study looked at four different quartiles of protein intake, ranging from about 57g to 90g, and from 14% to 23% of total calorie intake.
  • 🧐 The study attempted to control for confounding variables using multivariant models, although it's acknowledged that not all variables can be accounted for.
  • 🏋️‍♂️ People with higher protein intakes had lower energy intakes, suggesting that protein's satiety benefits might play a role.
  • 🥗 The study analyzed the effects of substituting various macronutrients with different types of protein, finding mostly neutral or positive effects.
  • 🌱 Plant protein showed the most significant beneficial effects, possibly due to its association with higher dietary fiber intake.
  • 🏁 The video concludes that protein is not an evil nutrient and may be important for healthy aging, with a wide variety of protein sources, including plant proteins, being beneficial.

Q & A

  • What is the main focus of the study discussed in the video?

    -The main focus of the study is the relationship between protein intake and healthy aging, specifically looking at how different types of protein intake affect the likelihood of aging without chronic diseases and maintaining cognitive and physical function.

  • What is defined as 'healthy aging' in the context of this study?

    -Healthy aging in this study is defined as being free from chronic diseases such as cancer, type 2 diabetes, heart diseases, and others, and not having impairments in cognitive or physical function, along with good mental health.

  • How many participants were involved in the study, and for how long were they followed?

    -The study was a cohort study of about 50,000 people, and they were followed for approximately 30 years.

  • What were the average protein intakes in the lower and higher quartiles of the study?

    -The average protein intake in the lower quartile was about 57-58 grams, and in the higher quartile, it was about 90 grams.

  • What is the significance of the different quartiles of protein intake in the study?

    -The study looked at four different quartiles of protein intake to see the association between higher protein intake and healthier aging, with the lower quartile being around 14% of calories from protein and the higher quartile being up to 23% of calories from protein.

  • What were the findings regarding the association between higher protein intake and chronic diseases?

    -The study found that higher protein intakes were associated with lower rates of chronic diseases, contradicting claims that high protein intake could contribute to diseases like cancer and heart disease.

  • What are some of the confounding variables mentioned in the study?

    -Some confounding variables mentioned include the fact that people with higher protein intakes had progressively lower energy intake, and there was a reduction in alcohol intake as protein intake increased.

  • What did the study find when analyzing the substitution of macronutrients with different types of protein?

    -The study found that substituting total protein, animal protein, dairy protein, or plant protein for other macronutrients generally had a neutral or positive effect on healthy aging, with plant protein showing the most beneficial effects.

  • What was the effect of each 3% increase in protein intake from different sources?

    -For every 3% increase in total protein intake, there was a 5% increase in the possibility of healthy aging. For animal protein, it was a 7% beneficial effect, for dairy protein it was 14%, and for plant protein, it was a 38% relative increase in benefit.

  • What is the speaker's opinion on the importance of protein for healthy aging?

    -The speaker believes that protein is important for healthy aging, and that there is no need to worry about protein intake being detrimental to health, based on the study's findings and other research on high protein diets.

  • What is the speaker's recommendation regarding the types of protein to include in one's diet?

    -The speaker recommends getting a wide variety of protein sources, including plant protein, and not being overly concerned about the specific type of protein as long as it contributes to overall health and aging.

Outlines

00:00

🥚 Protein Intake and Healthy Aging

This paragraph introduces a study published in the American Journal of Clinical Nutrition that investigates the relationship between protein intake and healthy aging. Healthy aging is defined as being free from chronic diseases and maintaining cognitive and physical function along with good mental health. The study, a cohort study of approximately 50,000 individuals followed for 30 years, found that higher protein intakes were associated with healthier aging. The video creator commends the study's authors for their methodological rigor in controlling for confounding variables. The study also examined different types of protein intake, such as animal, dairy, and plant proteins, and their effects on aging.

05:02

📊 Analysis of Protein Intake and Its Impact

The second paragraph delves into the analysis of protein intake, focusing on the effects of substituting various macronutrients with different types of protein. The study found that for every 3% increase in total protein intake, there was a 5% increase in the likelihood of healthy aging. Animal protein showed a 7% beneficial effect, dairy protein a 14% benefit, and plant protein an impressive 38% relative increase benefit for every 3% increase in intake. The video discusses the potential confounding variables, such as dietary fiber, which could contribute to the observed benefits of plant protein. The creator suggests that a variety of protein sources, including plant proteins, can be beneficial for healthy aging.

10:03

🏋️‍♂️ The Role of Protein in Longevity and Quality of Life

The final paragraph summarizes the video's main takeaways regarding protein's role in longevity and quality of life. It challenges the notion that protein is detrimental to health, citing the lack of evidence from the study and other randomized control trials. The video emphasizes the importance of protein in maintaining muscle mass and strength, which are crucial for a healthy end of life. The creator concludes that there is no need to worry about protein intake and encourages viewers to include a variety of protein sources in their diet, including plant proteins, without being overly concerned about potential negative effects.

Mindmap

Keywords

💡Protein Intake

Protein intake refers to the amount of protein consumed through one's diet, typically measured in grams per day. In the video, protein intake is a central theme as it is studied for its effects on healthy aging. The script discusses different quartiles of protein intake, ranging from 57-90 grams per day, and how higher protein intakes are associated with healthier aging, contradicting some claims that high protein might lead to diseases.

💡Healthy Aging

Healthy aging, as defined in the video, is the state of being free from chronic diseases and maintaining good cognitive and physical function along with mental health. The study mentioned in the script explores how protein intake affects healthy aging rather than just longevity. It's used as a measure to evaluate the quality of life as people age.

💡Chronic Diseases

Chronic diseases are long-term health conditions that are not acute and can include conditions like cancer, diabetes, and heart disease. The video script lists several chronic diseases that the study defines as excluding someone from being considered as aging healthily. These diseases are used as parameters to measure the outcomes of different protein intake levels on aging.

💡Cohort Study

A cohort study is a type of epidemiological study design where a group of subjects is followed over a period of time to observe outcomes. The video script mentions a cohort study of about 50,000 people followed for 30 years, highlighting the robustness of the study in terms of sample size and duration.

💡Confounding Variables

Confounding variables are factors that can distort the relationship between a cause and an effect. The script discusses how the study attempted to control for these variables using multivariant models. An example given is that people with higher protein intakes had lower energy intakes, which could confound the results if not accounted for.

💡Satiety

Satiety refers to the feeling of fullness or satisfaction after eating, which can influence overall energy intake. The video mentions that protein has satiety benefits, which might explain why those with higher protein intakes had lower overall energy intakes.

💡Macronutrients

Macronutrients are nutrients that the body needs in large amounts, including carbohydrates, proteins, and fats. The script discusses an analysis where different macronutrients were substituted with various types of proteins to see the effects on healthy aging.

💡Odds Ratios

Odds ratios are a statistical measure used to describe the relationship between two events. In the video, odds ratios are used to describe the increased likelihood of healthy aging with each 3% increase in protein intake from different sources.

💡Sarcopenia

Sarcopenia is the loss of muscle mass and strength that occurs with aging. The video script emphasizes the importance of protein in preventing sarcopenia, which is a significant factor in the quality of life and health span of older individuals.

💡Dietary Fiber

Dietary fiber is the indigestible part of plant foods that is beneficial for health, particularly for gut health and disease prevention. The script suggests that the beneficial effects of plant protein on healthy aging might be due to its higher fiber content, which is associated with reduced risks of various diseases.

💡Micronutrients

Micronutrients are nutrients needed by the body in small amounts, including vitamins and minerals. The video mentions that plant proteins are often associated with beneficial micronutrients that could have positive effects on inflammation and oxidation, contributing to the overall health benefits observed.

Highlights

This week's video discusses the relationship between protein intake and healthy aging.

A new study published in the American Journal of Clinical Nutrition is the focus of the discussion.

Healthy aging is defined as being free from chronic diseases and having no impairments in cognitive or physical function.

The study is a cohort study of about 50,000 people followed for about 30 years.

Higher protein intakes were associated with healthier aging across the board.

Protein intake at the lower quartile was about 57-58g, and at the highest quartile was about 90g.

The study controlled for many confounding variables using multivariant models.

People with higher protein intakes had progressively lower energy intake.

Higher protein intake was associated with reduced alcohol intake.

The study analyzed the effects of substituting various macronutrients with different types of protein.

Plant protein showed beneficial effects when substituted for most other nutrients.

For every 3% increase in total protein intake, there was a 5% increase in the possibility of healthy aging.

Animal protein showed a 7% beneficial effect for every 3% increase in energy intake.

Dairy protein had a 14% benefit for each 3% increase in energy from dairy protein.

Plant protein had a 38% relative increase benefit for every 3% increase in plant protein intake.

The study suggests that protein, including animal and plant sources, may be important for healthy aging.

The video concludes that there is good evidence to suggest that protein is not detrimental to health.

Transcripts

play00:00

what's up guys we're back with another

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educational video and this week we are

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talking about protein intake and healthy

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aging But first you know the drill make

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sure you like the video subscribe to the

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channel and leave a comment for the

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algorithm so a new study came out

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published in the American journal of

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clinical nutrition looking at protein

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intake and then different kinds of

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protein intake and its effects on

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healthy aging and healthy aging was

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defined as being free from chronic

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diseases including and I'm reading off

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the paper cancer except for non-melanoma

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skin cancer type 2 diabetes mardal

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inunction coronary artery bypass grass

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surgery or percutaneous transluminal

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coronary angioplasty congestive heart

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failure stroke kidney failure chronic

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obstructive pulmonary disease

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Parkinson's disease multiple sclerosis

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and ALS basically some of the major

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diseases that are the cause of not just

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death but also drastically impaired

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lifestyle during a so the study wasn't

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really looking at longevity it was more

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looking at what we call Health span as

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people age are they healthy or not and

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so they looked at these diseases and

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they also uh assessed healthy aging as

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not having impairments in either

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cognitive or physical function and

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having good mental health so I think

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that's pretty cool that they included

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all those things in this bucket now this

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was a cohort study of about 50,000

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people and they followed them for about

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30 years so a pretty long time the

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average age in the study was 48 years

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old when they started so by the end the

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average age is going to be in the 70s

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now I want to compliment the authors

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because they did do a good job using

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different multivariant models also

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trying to co-variate out a lot of

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different confounding variables now

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again as I've talked about many times

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you can't covariant out everything

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covariant is where you attempt to

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control for confounding variables it's

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just not possible to covariate

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everything out but it's a cohort study

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large population of people long time

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there's not going to be a high level of

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control what was very interesting is

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across the board for protein intake

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protein intakes that were higher were

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associated with healthier aging and they

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looked at four different quartiles of

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protein intake and just using absolute

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gram amounts protein intake at the lower

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quartile was about 57 G on average or 58

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G and at the highest quartile was about

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90 G not a huge difference and in terms

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of percent of calorie intake it was from

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14% of calories all the way up to

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23% of calories the lower end is what we

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call kind of your normal protein intake

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it's right in line with the dietary

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guidelines up to 23% would be considered

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high protein and a lot of people have

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made claims that protein could

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contribute to various diseases like

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cancer heart disease I mean this study

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doesn't really support that because

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people who were eating higher protein

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intakes had lower rates of these now I

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want to point out a few confounding

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variables just because it's important to

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point these out and remember I have a

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bias towards high protein I'll freely

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admit that I think high protein diets

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have a lot of utility I think they're

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very important for healthy aging my

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research was on high protein diets that

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is my bias I'm being upfront with it

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some confounding variables are people

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with higher protein intakes actually had

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progressively lower energy intake so the

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average energy intake amongst low

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protein intake was about 19900 calories

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a day the average intake amongst the

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highest protein intake was about 1,5 70

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calories that's a pretty big difference

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I mean you're looking at like well over

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300 calorie difference but you can call

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it a confounding variable it is but we

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also know that protein has some satiety

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benefits and so this could be a function

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of protein having a benefit of satiety

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now you could also argue people who are

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eating higher protein maybe prone to

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other health promoting behaviors and in

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fact they did see progressively reduced

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alcohol intake as protein went up so

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again you can't co-variate out all these

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confounding variables what I thought was

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very interesting is they did an analysis

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where they substituted various

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macronutrients with either total protein

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animal protein Dairy protein or plant

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protein versus uh total carbohydrate

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refined carbohydrate carbohydrates from

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whole grains total fat saturated fat

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polyunsaturated fat and monounsaturated

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fats and looked at you know did the

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substitution favor protein or not favor

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protein some of the effects weren't

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significant but I got to be honest when

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you look at the forest plots it almost

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favors protein with every single one the

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one nutrient that total protein animal

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protein and dairy protein were either

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the same as or a little bit worse than

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was polyunsaturated fats so sorry seed

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oil demonizer uh polyunsaturated fats

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are the only ones that came out looking

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good in this study uh compared to

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protein at least plant protein had

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beneficial effects in substitution for

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all of these things so and in fact it

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was pretty powerful I'm going to talk

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about that here in a second but

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basically for any of these nutrients

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substituting protein either had a

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neutral or positive effect You could

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argue like on the animal side

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polyunsaturated fats were better to

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substitute in place of animal protein

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but the effect wasn't significant it's

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either a neutral or positive effect when

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substituting total protein animal

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protein Dairy protein or plant protein

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for these various nutrients including

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whole grains monounsaturated fats which

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are thought to be healthy and again I'm

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not saying these other things aren't

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healthy what I'm saying is protein in

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particular seem to have a beneficial

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effect on healthy aging when substituted

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from most of these other nutrients now

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let's get to the different types of

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protein when looking at the effects of

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total protein the odds ratios for every

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3% increment of protein intake was was

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1.05 which basically means for every 3%

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increase in total protein intake there

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was a 5% increase in the possibility of

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healthy aging meaning that they were

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free from all these conditions we talked

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about if we go back to thinking about

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the 14% intake of protein versus 23%

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intake in protein we're looking at a 15%

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greater probability that those people

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eating the higher intake of protein the

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highest intake of protein would Age

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healthier than the bottom cortile then

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if we break it into the specific types

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of protein every single type of protein

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had beneficial effects for each 3%

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increase in animal protein there was a

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7% beneficial effect meaning if you

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increase your energy intake from animal

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protein by 3% you get a 7% reduction in

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the risk of developing these diseases or

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a 7% increased likelihood that you will

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fall under the category of healthy aging

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now if we look at Dairy the effect was

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more powerful it was a 14% benefit for

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each 3% increase in energy from dairy

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protein and if we look at plant protein

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very powerful a 38% relative increase

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benefit for every 3% increase in plant

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protein intake and again if we look at

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these uh Forest plots plant protein

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showed a benefit for every single

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nutrient it got substituted for and and

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pretty powerful to that effect this will

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probably lead some people to say well

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focus on just getting a lot of plant

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protein in I think eating plant protein

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is a great idea but I'm not convinced

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it's that the protein itself has

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something spectacularly beneficial about

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it the amino acids from plants when

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they're broken down are still just amino

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acids now you can argue well plant

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protein has less Lucine Lucine activates

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inor that's going to cause all these

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problems I don't think that's why plant

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protein has this Association one thing

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they didn't control for was dietary

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fiber plant protein is going to have by

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far more dietary fiber than other

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sources of protein which are basically

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devoid of fiber so if you're eating more

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plant protein you're eating more fiber

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by default and what do we know about

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fiber for every 10 gram increase in

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fiber there is a 10% decrease in the

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risk of cardiovascular disease the risk

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of cancer and the risk of mortality I

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think that this is likely explained by

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the fact that people eating more plant

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protein are eating more fiber with that

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being said there's no downsides to

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eating some plant protein now do I think

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everybody to go out and buy like soy

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protein and uh pea protein and rice

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protein compared to whey protein or

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something like that I don't think that's

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going to make a difference really I I

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just don't I think that what you're

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seeing is an effect of the overall

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source of the food animal protein going

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to be higher in fat higher in saturated

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fat whereas plant protein is going to be

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higher in if it has any fat it's going

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to be polyunsaturated fat it's going to

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be higher in dietary fiber insoluble and

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soluble and there's going to be

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micronutrients associated with those

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plant proteins that may have beneficial

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effects on inflammation and oxidation

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and those sorts of things My overall

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take-home from this is that one protein

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is not this evil nutrient that people

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have made it out to be two it may be

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important for healthy aging and in fact

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one of the biggest detrimental effects

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during aging is sarcopenia in fact after

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age 65 you can tie many many many deaths

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back to a lack of muscle mass and

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especially inability to live a healthy

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end of your life people don't want to

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think about this kind of stuff cuz they

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just I guess they think when they get to

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be 70 all of a sudden they just won't

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care about how they feel uh ask

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7-year-olds if they care about how they

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feel I promise you they do care trying

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to build and maintain more lean mass and

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strength is going to be beneficial for

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not just your longevity but also your

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quality of life my take-home is protein

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good for healthy aging animal protein

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appears to have a neutral slightly

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positive effect on that Dairy protein

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neutral or positive effect and plant

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protein positive effect get a wide

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variety of protein sources include plant

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protein as part of that you can include

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animal protein as part of that if you

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choose to I wouldn't really be worried

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about protein literally almost all the

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research showing protein to be bad is me

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me istic in nature in animal models

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often times in knockout models that are

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genetically altered or it's connecting

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random dots through epidemiology and

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torturing data apart now you could say

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Well Lane this is epidemiology it is but

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I got to tell you they did a pretty darn

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good job controlling for a lot of

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variables here it was a long followup

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and it was a lot of people so I do give

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this study uh more way again if protein

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even animal protein was so bad why do

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people who have less risk of having

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lower quality of life as they get older

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and being at risk for these diseases why

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are they better off just slightly

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consuming more animal protein for the

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hypothesis that protein is uniquely bad

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to be true for Health it is hard to

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reconcile with the results of this study

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and again it's just one study but again

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couple this with the data we have on

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people who eat high protein diets in

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terms of the randomized control trials

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really not seeing any detrimental effect

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on health I think there is good evidence

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to suggest that you don't need to really

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worry about protein too much uh if

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you're eating a higher protein diet now

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again they didn't examine intakes of you

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know 150 200 grams a day or some of

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these high intakes that people like me

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have but again I just look at the

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randomized control trials which have

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showed even up to like two grams per

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pound of body weight for a year really

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didn't show any delerious effects on any

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measurable Health markers in human

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randomized control trials all right guys

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if you like the video like the video

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subscribe to the channel and I will

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catch you guys next week

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Etiquetas Relacionadas
Protein IntakeHealthy AgingNutrition StudyDisease PreventionDietary GuidelinesPlant ProteinAnimal ProteinDairy ProteinHealth BenefitsNutrition Advice
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