Metabolism, energy balance, and aging: How diet, calorie restriction, and macronutrients influence longevity and metabolic health | Eric Ravussin, Ph.D.

Peter Attia

Nov 4, 2024

Episode description

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Eric Ravussin is a world-renowned expert on obesity, metabolism, and aging whose pioneering research has shaped much of what we understand today about energy balance and caloric restriction. In this episode, Eric shares insights from his cutting-edge work on energy expenditure—a critical factor in understanding how our bodies regulate weight and appetite. He discusses methods for measuring energy output, energy balance, food intake, and appetite regulation, and explores key studies on macronutrient manipulation. Eric then delves into the CALERIE study on caloric restriction, highlighting insights related to biomarkers of both primary and secondary aging. The conversation also covers the potential of GLP-1 agonists to replicate these effects and looks ahead to how AI and technology could transform metabolic research in the coming years.

We discuss:

  • Eric’s background and current work metabolism and measuring energy expenditure [3:00];

  • The science behind metabolic chambers for measuring energy expenditure, and the complexities of indirect and direct calorimetry [8:00];

  • The body's regulatory systems for maintaining energy balance and the primary influence of energy intake on body weight [18:30];

  • The epidemic of obesity and a discussion of resting metabolic rate [24:45];

  • The impact of exercise, appetite, gut hormones, and eating patterns on weight regulation [28:45];

  • Experiments looking at how macronutrient composition affects energy expenditure [38:45];

  • The challenges of studying diet in real-life settings, the potential of personalized nutrition, and how public health policy could play a role in guiding nutritional habits [51:00];

  • The importance of protein in the diet, the limitations of dietary data collection, and how AI could potentially transform nutrition science [1:08:15];

  • How Eric’s interest in caloric restriction (CR) began with Biosphere 2, metabolic efficiency's role in aging, and goals of the CALERIE study [1:15:15];

  • The CALERIE study: exploring the real-world impact of caloric restriction [1:28:00];

  • Notable findings from the CALERIE study after two years: sustained weight loss, participant retention, and more [1:40:00];

Episode description

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

Eric Ravussin is a world-renowned expert on obesity, metabolism, and aging whose pioneering research has shaped much of what we understand today about energy balance and caloric restriction. In this episode, Eric shares insights from his cutting-edge work on energy expenditure—a critical factor in understanding how our bodies regulate weight and appetite. He discusses methods for measuring energy output, energy balance, food intake, and appetite regulation, and explores key studies on macronutrient manipulation. Eric then delves into the CALERIE study on caloric restriction, highlighting insights related to biomarkers of both primary and secondary aging. The conversation also covers the potential of GLP-1 agonists to replicate these effects and looks ahead to how AI and technology could transform metabolic research in the coming years.

We discuss:

  • Eric’s background and current work metabolism and measuring energy expenditure [3:00];

  • The science behind metabolic chambers for measuring energy expenditure, and the complexities of indirect and direct calorimetry [8:00];

  • The body's regulatory systems for maintaining energy balance and the primary influence of energy intake on body weight [18:30];

  • The epidemic of obesity and a discussion of resting metabolic rate [24:45];

  • The impact of exercise, appetite, gut hormones, and eating patterns on weight regulation [28:45];

  • Experiments looking at how macronutrient composition affects energy expenditure [38:45];

  • The challenges of studying diet in real-life settings, the potential of personalized nutrition, and how public health policy could play a role in guiding nutritional habits [51:00];

  • The importance of protein in the diet, the limitations of dietary data collection, and how AI could potentially transform nutrition science [1:08:15];

  • How Eric’s interest in caloric restriction (CR) began with Biosphere 2, metabolic efficiency's role in aging, and goals of the CALERIE study [1:15:15];

  • The CALERIE study: exploring the real-world impact of caloric restriction [1:28:00];

  • Notable findings from the CALERIE study after two years: sustained weight loss, participant retention, and more [1:40:00];

Mindsip insights from this episode:

Leverage lactate to suppress appetite post-exercise

The appetite suppression experienced after intense exercise may be partially driven by lactate, a metabolic byproduct that is not present with low-intensity exercise.

Investigate signals from fat-free mass for weight regulation

Despite the discovery of leptin, we are still missing key signals that regulate body weight, which may originate from our fat-free mass like muscles and organs.

Foster creativity in research through NIH intramural programs

Intramural NIH research allows for more creativity because scientists are judged on their results after the fact, rather than having to secure grants with preliminary data beforehand.

Leverage AI image recognition to transform nutrition research

The biggest hurdle in nutrition research is accurately tracking food intake, and AI-powered image recognition is seen as the key technology that will finally solve this problem.

Implement caloric restriction to rejuvenate immune system

A spectacular finding from the CALERIE study was that caloric restriction in healthy adults led to a reduction of fat in the thymus gland, a key organ for immune function.

Implement caloric restriction to enhance mitochondrial biogenesis

The CALERIE study showed that caloric restriction in humans increases mitochondrial biogenesis, the creation of new and more efficient mitochondria.

Learn from Biosphere 2 study to explore caloric restriction benefits

The landmark CALERIE study on caloric restriction was inspired by the unplanned food shortage and subsequent weight loss experienced by the crew of the Biosphere 2 experiment.

Prioritize protein to prevent calorie overconsumption

The 'protein leverage theory' proposes that we subconsciously eat until we reach a protein target, potentially causing overconsumption of calories on a low-protein-density diet.

Rethink exercise's role in weight loss strategy

Exercise alone is a 'B-minus at best' for losing weight because people tend to compensate by eating more or moving less at other times, though it is key for weight loss maintenance.

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