Fitness Metrics for Longevity

This chapter explores the critical fitness metrics, including VO2 max and muscular strength, that predict longevity and lower mortality risk. It delves into the nuances of muscle fiber types, the principles of strength training, and the impact of specific exercises like rucking on overall health. The discussion emphasizes the importance of a balanced training approach to maintain physical performance as we age.

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Peter Attia, MD (@PeterAttiaMD), is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine.

Dr. Attia received his medical degree from the Stanford University School of Medicine and trained for five years at the Johns Hopkins Hospital in general surgery, where he was the recipient of several prestigious awards, including Resident of the Year. He spent two years at the National Institutes of Health as a surgical oncology fellow at the National Cancer Institute, where his research focused on immune-based therapies for melanoma.

His new book is Outlive: The Science and Art of Longevity (3/28).

Please enjoy!

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[07:00] How and why Peter’s muscle mass has increased significantly.

[18:48] Why the long wait for Outlive: The Science and Art of Longevity?

[23:19] Objective, strategy, and tactics.

[28:50] From Medicine 1.0 to Medicine 3.0.

[39:04] Randomized control trial results: guidelines, not gospel.

[43:21] Revisiting why and how one should increase their medical literacy.

[52:44] Avoiding scientific method misconceptions.

[55:43] Austin Bradford Hill.

[56:22] Observational study versus randomized control trial.

[1:00:09] Are sleep trackers downgrading the quality of our sleep?

[1:02:53] Under what conditions does Peter feel alcohol might be worth its downsides?

[1:06:47] Continuous glucose monitors (CGMs).