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Peter Attia MDPeter Attia MD

206 - Exercising for longevity: strength, stability, zone 2, zone 5, and more | Peter Attia, M.D.

View show notes for this episode here: https://bit.ly/38iExPU Subscribe to receive exclusive subscriber-only content: https://bit.ly/3kSIqOd Sign up to receive Peter's email newsletter: https://bit.ly/4c602k2 In this special episode of The Drive, we have pulled together a variety of clips from previous podcasts about exercise to help listeners understand this topic more deeply, as well as to identify previous episodes which may be of interest. In this episode, Peter discusses his framework for exercise, what he’s really optimizing for, and how to train today to be prepared for a good life at age 100. He describes the importance of strength and stability, and why deadlifting is an important tool to consider for longevity. Additionally, he details why training in zone 2 and zone 5 is important, gives a primer on VO2 max, and describes the most effective ways to engage in those types of exercise. Finally, Peter reveals his current exercise routine. We discuss: 0:00:00 - Intro 0:03:00 - What is Peter optimizing for with his exercise? 0:06:10 - Preparing for a good life at age 100: Training for the “Centenarian Olympics” 0:21:48 - The importance of preserving strength and muscle mass as we age 0:27:39 - The value of deadlifts for stability and longevity when done properly 0:35:44 - The importance of zone 2 aerobic training 0:40:00 - The most effective ways to engage in zone 2 exercise 0:44:21 - Zone 5 training and VO2 max 0:51:58 - A primer on VO2 max 1:03:09 - Stability—the cornerstone upon which all exercise and movement relies 1:07:55 - Peter’s current exercise routine -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 40 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://bit.ly/38WPqHf Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle

Peter Attiahost
May 9, 20221h 14mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Peter Attia's Exercise Framework for Longevity: Stability, Strength, Zone 2, Zone 5

  1. Peter Attia explains that he trains for longevity rather than peak performance, working backward from the physical tasks he wants to do at 100, which he calls the Centenarian Decathlon or Olympics.
  2. His framework has four components: stability, strength, aerobic performance (zone 2), and anaerobic output (zone 5), with stability described as the foundation for the rest.
  3. On strength, he cites studies showing muscle and strength decline with age and links lower leg and grip strength to higher mortality, and he describes using carefully performed, lighter deadlifts as an audit of movement quality.
  4. He explains how to do zone 2 with wattage-based cycling or incline walking, and describes his weekly zone 5 intervals, while a VO2 max primer covers what the measure means and why its limits are debated.
  5. He closes with the macro structure of his week: cardio on four days and lifting on four days, with lifting done after cardio and lifts never skipped.

IDEAS WORTH REMEMBERING

5 ideas

Train for the life you want at 100, not for race results

Attia uses backcasting from tasks like getting up off the floor with one arm and lifting 30 pounds overhead, then works backward to what he must do at 80, 60, and today.

Peak performance goals can conflict with longevity

He says elite goals such as a fast marathon or heavy deadlifts are generally not collinear with longevity and can be orthogonal to it, since they push past the point of optimal longevity returns.

Being average at 50 is not enough

He cites declines of roughly 1 to 2 percent per year in muscle mass and larger declines in strength, and says that compounding means you can't afford to be average at 50 if you want to be strong at 85.

Strength and stability are linked to mortality and daily function

A study he discusses found that lower quad and grip strength, normalized for muscle size, were associated with higher all-cause mortality. He describes stability as how force is transmitted safely through the body.

Zone 2 should be sustainable and measurable

He favors wattage on a bike in erg mode or brisk incline walking, since the key is holding a steady output without much mental effort, and he uses that time for podcasts and audiobooks.

WORDS WORTH SAVING

5 quotes

If you have the aspiration of kind of kicking ass when you're 85, you can't afford to be average when you're 50, and that's just the bottom line.

— Peter Attia

Stability is the cornerstone upon which you do everything. It is the cornerstone upon which your strength is delivered, your aerobic performance is delivered, and your anaerobic performance is delivered, and it's the way that you do so safely.

— Peter Attia

What we're really talking about is a completely new model, which is actually forcing your way to become a centenarian rather than just sort of gliding your way into it.

— Peter Attia

Life is zone 1, zone 2, and zone 5.

— Peter Attia

Anybody who's a centenarian today is a centenarian because of their exceptional genes. They haven't hacked their way there.

— Peter Attia

Centenarian Olympics and backcastingLongevity versus performance trade-offsStrength and muscle loss with ageDeadlifts as a movement auditZone 2 aerobic training methodsZone 5 and VO2 maxStability and dynamic neuromuscular stabilization

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