Mitochondria and aging. How to keep mitochondria healthy? Listen to your mother! 6

Mitochondria and aging. How to keep mitochondria healthy? Listen to your mother! 6

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Leading expert in aging and mitochondrial biology, Dr. Steven Austad, MD, explains how mitochondrial damage is a fundamental cause of aging. He discusses the critical role of mitochondria as the body's primary energy producers. Dr. Steven Austad, MD, highlights that maintaining mitochondrial health through lifestyle choices can add a decade of healthy life. He emphasizes the importance of diet, exercise, and avoiding harmful habits while awaiting future medical advancements.

Mitochondrial Health and Aging: The Foundation of Longevity

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Mitochondria and the Aging Process

Dr. Steven Austad, MD, identifies mitochondrial dysfunction as one of the nine hallmarks of aging. He considers mitochondrial damage to be the original lesion and fundamental problem in the aging process. Dr. Anton Titov, MD explores this critical connection during their discussion about cellular aging mechanisms.

Energy Production and Cellular Health

Mitochondria serve as the main energy producers for the entire human body. This energy is essential not just for basic metabolism but for all cellular repair processes. Dr. Steven Austad, MD, emphasizes that mitochondrial energy powers DNA repair and maintains protein homeostasis throughout the body.

Mitochondrial Damage and Regeneration

Mitochondria experience constant damage but also undergo continuous regeneration within our cells. Dr. Steven Austad, MD, suggests that increasing mitochondrial turnover could be key to understanding aging at its most fundamental level. Generating healthy new mitochondria might represent a crucial strategy for combating age-related decline.

Lifestyle Factors for Mitochondrial Health

Dr. Steven Austad, MD, acknowledges that while perfect solutions don't yet exist, several lifestyle factors support mitochondrial health. These include consuming a diet rich in fruits and vegetables while avoiding excessive alcohol consumption and smoking. Regular physical activity also contributes significantly to maintaining mitochondrial function.

Diet and Exercise Impact on Longevity

Research shows substantial differences in health outcomes based on lifestyle choices. Dr. Steven Austad, MD, reveals that proper diet and exercise management can create a ten-year difference in healthy lifespan. This represents a significant extension of healthspan that anyone can achieve through conscious lifestyle decisions.

Future Medications for Aging

While current lifestyle recommendations provide substantial benefits, Dr. Steven Austad, MD, looks forward to future pharmaceutical developments. He anticipates medications that might surpass the effectiveness of current healthy practices. Until those advancements arrive, he strongly recommends following the basic health advice that mothers have given for generations.

Full Transcript

Dr. Anton Titov, MD: You've done some very interesting work on the function of mitochondria and the rate of aging. Mitochondria are fascinating organisms, sort of the cells within the cells. Could you please comment on the role that you discovered mitochondria play in the aging process at the fundamental metabolic basis?

Dr. Steven Austad, MD: Yes, you're right. I think if I had to choose one thing—we know there are nine different processes that people have called the hallmarks of aging, one of which is mitochondrial dysfunction. If I had to pick one of these that I thought was the basis of aging, that was the original lesion, the original problem of aging, it would be mitochondrial damage.

That's because if you think about it, mitochondria are the main energy producers of our body. We require energy for all of the other things that keep us alive. It's not just for our metabolism. We need it for repairing our DNA, for keeping our proteome sound. All of these things require energy, and the energy ultimately comes from the mitochondria.

So the more we understand about how to keep mitochondria healthy, the better it is. Mitochondria are being damaged all the time, and they're being regenerated inside ourselves. That process might give us a hint: if we could increase the turnover and keep generating healthy new mitochondria, that might be a key to understanding aging at its most fundamental level.

Dr. Anton Titov, MD: It's an unusual question, but how does one keep their mitochondria healthy?

Dr. Steven Austad, MD: Well, if I could answer that question, then I would be fabulously wealthy. We don't yet know. We know a lot of lifestyle factors that keep us healthy. We hope to have medications that do better than that in the future.

But right now, we know that eating a healthy diet—meaning lots of fruit and vegetables—not drinking excessively, obviously not smoking, getting plenty of physical activity is helpful. All things that yours and my mothers told us to keep us healthy.

In fact, we know now from studying different groups of people who do those things and who don't, there is going to be a ten-year difference in healthy life just from the way we manage our diet and our physical activity.

Dr. Anton Titov, MD: Well, that's very important to know, because ten years of healthspan is a long time. And that's very precious for every person.

Dr. Steven Austad, MD: That's right. That's right. And so I think, while we're waiting for the drugs to be developed and approved, the best thing that we can do is the things that your mother told you when you were a child.