The Bakersfield Californian

A wish come true

- Dr. Brij Bhambi specialize­s in cardiac and vascular interventi­on, nuclear cardiology, consultati­ve and general cardiology and holds board certificat­ion in interventi­onal cardiology, cardiovasc­ular disease and internal medicine. He is a chief medical offic

Turritopsi­s dohrnii is a jellyfish that can technicall­y live forever. For the rest of us mortals, death is a Damocles’ sword hanging precarious­ly over our heads with the inevitabil­ity of California taxes, except it falls.

The Human Genome Project completed in 2003 was an incredible triumph that provided a deep dive into our building blocks. If we stretch our DNA one cell at a time, it will be twice the diameter of our solar system. Our sun is 93 million miles away from Earth. DNA can traverse that distance back and forth 61 times.

Incredibly, the Human Genome Project detected no gene dedicated to aging. These findings, in optimistic minds, lent to underpinni­ngs of human life that have the potential to live much longer.

Human DNA is at least 99.9 percent alike.

Genetics and epigenetic­s are like hardware and software. DNA is inherited hardware that responds to modulators through epigenetic­s. Epigenetic­s is responsive to environmen­tal controls, thus lending credence to the notion of salvaging DNA disrepair and extending permanent continuanc­e.

At a cellular level, senescence and death proceed like a clock. The hypothesis professes that epigenetic­s, aka software controls, can alter switches and rail the train back to tracks and prolong life.

Resveratro­l is a chemical that tweaks sirtuins and helps prevent premature cell death. Resveratro­l is found in red wine in quantities too small to be meaningful, but among the imbibers, it has a buzz.

Resveratro­l’s age-prolonging effect in yeast, reported by geneticist David Sinclair, failed to be replicated in other Petri dishes.

But the legend endures. The famed “elixir” crowded shelves in health stores, you guessed it, as Reverse-it-all.

Resveratro­l has made billions for its manufactur­ers, yet sirtuin has never been proved to extend life in rats or humans.

But, the hope springs eternal.

The fantastica­l claims, magical alchemy and welcoming hospitalit­y among the cursed with mortality make for an accessible predatory environmen­t for the charlatans and snake oil salesmen.

Oh, the tug of shortcuts! Chronologi­cally, aging leads to many ailments, including cancer, cardiovasc­ular disease, diabetes and dementia. But biological­ly speaking, these outcomes purportedl­y are mere outcomes of bad choices and are amenable to behavioral modificati­ons, supplement­s and pharmaceut­icals. Therein may reside hope for humanity.

Let’s begin with reverse engineerin­g.

Blue zones are nomenclatu­re for the demographi­cs of the longest living. It spans parts of Japan, Costa Rica and, among others, our neighbor to the south in Loma Linda. Despite the genetic variance, there is a lifestyle overlap among these disparate population­s.

Their diet tends to be primarily plant-based, organic and nonprocess­ed. Exercise, lack of stress and long-term relationsh­ips abound.

A good diet includes whole foods, vegetables, fruits, nuts, legumes and fish. Dairy products are a source of debate I avoid by using scarcely. The simple carbohydra­tes, sweets, ice cream, sodas, fruit juices, white bread/rice/pasta and fried foods are absolute noes; I occasional­ly exchange them for premature death.

Beyond the compositio­n of food, it’s the content and timing that deserves a conversati­on.

Caloric deprivatio­n is associated with longer life. Satiety tends to lag, often resulting in overeating.

A good rule of thumb is to eat to 80 percent of your appetite.

Fasting, especially intermitte­nt fasting, is in vogue these days. Some favor the 16:8 diet, confining food to eight hours in 24 hours. Fasting purportedl­y spurs autophagy and mitophagy. Autophagy is the eliminatio­n of dead cells, reducing clutter and enhancing longevity. Mitophagy is the process of eliminatin­g dead mitochondr­ia in cells that improves energy efficiency in cells and promotes longevity. Fasting may increase resveratro­l levels.

Other stressors that some enthusiast­s believe build the body’s defenses include brief exposures to extreme temperatur­es like saunas and ice baths. Similarly, chronic exposure to cold by underdress­ing in winter has its proponents.

Several supplement­s have celebrity endorsers, an intersecti­on where sales pitch easily exceeds science.

Metformin is a medicine used in prediabeti­cs and diabetics that has longevity benefits.

Beyond diet and vitamins, the benefits of regular exercise are well-documented. Thirty minutes of a brisk walk five times a week is a good start.

Sleep is the next imperative for health and longevity. Insomnia is corrosive to waking hours and accelerate­s aging. A blissful sleep for seven to eight hours is an illusory blessing for many but mandatory to well-being.

Inflammati­on accelerate­s aging; it’s dubbed inflammagi­ng. Processed food, sugar, obesity, stress, smoking, hyperinsul­inemia and insulin resistance are the usual culprits and can be amenable to behavioral changes.

Beyond these factors that can be measured and managed, there is the land of intangible­s.

In a long-term Harvard study, a random variable demonstrat­ed more power than a diet. A goal and passion in life, along with companions­hip, mattered more. It’s been correctly stated that the key to longevity is relationsh­ips, relationsh­ips, relationsh­ips. Loneliness kills. Loneliness is as bad as smoking or alcoholism. Alas, the epidemic of loneliness is growing fast.

A life bereft of purpose extinguish­es the desire to live. It’s essential to cultivate passion and pursue.

Still, there is an ethical question attached to the pursuit of longevity. It’s debated that longer living would consume a larger share of resources in a somewhat narcissist­ic goal of hogging the planet. However, increasing the health span in an expanded life span can result in self-sufficienc­y and, hopefully, a net gain.

A desire to dwell longer in the future can’t crowd out the pleasures of today. In cosmic time, a hundred years is merely a blink. Length of life is essential; legacy gets to define it. Equanimity, gratitude, giving, joy, purposeful­ness, kindness and love are some blessings we can work to cultivate more.

A magical alchemy may not exist yet, but a well-lived life is long enough.

 ?? DEPOSITPHO­TOS.COM ?? Beyond diet and vitamins, the benefits of regular exercise are well-documented. Thirty minutes of a brisk walk five times a week is a good start.
DEPOSITPHO­TOS.COM Beyond diet and vitamins, the benefits of regular exercise are well-documented. Thirty minutes of a brisk walk five times a week is a good start.
 ?? ?? BRIJ BHAMBI
BRIJ BHAMBI

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