Freakonomics Author Steven Levitt interviews Physician Peter Attia regarding the 5 Pilar’s of longer, healthier life. The book is titled Outlook, the science and Art of Longevity.
…much has been mentioned here regarding the importance of exercise, but this expert really puts it in perspective. Aerobics combined with strength exercise significantly impacts quality of life. The difference in QOL between the bottom quartiles in both factors and even average performers is profound. And it doesn’t take much; 15 pounds of extra muscle mass will double your ability to prevent serious outcomes in your 70s. Take a listen to the whole podcast, but I focus here only on aerobic and strength, improvements and quality of life and overall health.
Podcast highlights;
podbean.com/ei/dir-y5g65-17...
Min 14:20; treatment of diabetes. Type 2 diabetes is focus. A1c is the measure of the blood glucose level in the blood in the preceding three months.
Min 14:50; type 2 diabetes starts with an A1c of 6.5 or higher.
Min 15:00; at this level, your risk for a fall, chronic diseases including cancer, increases significantly.
Min 30:55; discussion important of exercise
Min 31:15; importance of exercise, aerobics, and strength
Min 31:25; VO2 max test. The ability to exchange oxygen has a direct correlation on mortality.
Min 32:00; bottom, 25% for VO2 max compared to top 2 % have hazard ratio (HR) of 5 or five times for All Cause Mortality (ACM) in the upcoming year.
Min 32:35; bottom, 25% for VO2 max compared to the third quartile (50-75%) have a HR of 2.75 times for ACM in the upcoming year. This HR is greater than that for smoking versus non-smoking.
Min 33:18; the added positive effect of strength on hazard ratio for ACM.
Min 33:55; the risk of death in your 70s rises from 20 to 50% for those with Appendicular Lean Body Mass (ALBM) in the lower 50% vs the top 25%; double the risk. The difference is only 15 pounds of muscle mass.
Min 34:40; muscle maintains metabolic health, and is the main place in the body where glucose is disposed. This prevents A1c from increasing.
