The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
And of course, just because epidemiologic studies point to something being the way to do it doesn't mean it's wrong either.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
But basically, we just don't have as much clear causal evidence as we would like to make the type of recommendations that we're making.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
Now, I would say historically, it's not that I haven't known this.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
I've just let it slide because my view has been, what is the harm?
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
So what if the epidemiology says you should be eating whatever, 50 grams or 30 grams a day?
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
What's the downside in that?
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
But look, there's been some polarizing discussions on this topic lately, and you seem to have people accumulating on either sides of this debate.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
You've got the, you need zero fiber crowd, obviously more on the carnivore side of the diet landscape.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
And then you've got the, if you're not getting 50 grams a day, you're probably going to die.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
in the next week or so.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
Obviously, I'm being facetious, but that's basically the way the discussion is sort of shaping out.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
So I think with that said, we need to take a closer look at the data so that an individual who is in the 97% of the population who chooses not to be completely dogmatic and extreme can make a well-informed decision.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
And frankly, that starts with me.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
I actually care deeply about this topic on a personal level because I'm actually not sure how much fiber I should be eating.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
Yes.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
Apologies in advance to the veteran listener who's heard me talk about this at length.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
I think it's always worth spending a moment on this because I also realize there are people that might be new to this.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
So epidemiology, in particular nutritional epidemiology, tends to be heavily confounded by healthy user bias.
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
And that means that people who are doing one healthy thing, for example, like eating a high-fiber diet,
The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
tend to be doing many other healthy things.