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Peter Attia MDPeter Attia MD

239 ‒ The science of strength, muscle, and training for longevity | Andy Galpin, Ph.D. (PART I)

Watch the full episode and view show notes here: http://bit.ly/3D2WluG Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ Andy Galpin is a Professor of Kinesiology at California State University at Fullerton, where he studies muscle adaptation and applies his research to work with professional athletes. In this episode, Andy sets the foundation for the conversation by discussing the anatomy, microanatomy, and physiology of the muscle, including explaining what it actually means to undergo hypertrophy of the muscle. He then explains the difference between power, strength, speed, and hypertrophy and how those differences relate to what's happening at the cellular level and the functional unit level. Additionally, he discusses energy sources for muscles, the importance of protein for muscle synthesis, the various types of muscle fibers, and the factors that determine one’s makeup of muscle fibers. Finally, Andy wraps the conversation with how he would design a program for an untrained person committed to adding muscle and functional strength for longevity. We discuss: 0:00:00 - Intro 0:00:08 - Andy’s path to expertise in exercise 0:07:09 - Contrasting strength, power, and force production and how they inform us about training for longevity 0:16:03 - Muscle energetics: Fuels that provide energy to muscles, and the importance of protein 0:29:34 - The structure and microanatomy of muscle, muscle fibers, and more 0:41:40 - Energy demands of skeletal muscle compared to other tissues in the body 0:51:37 - How a muscle contraction works and why it requires ATP 0:57:18 - Muscle fibers: modulation between fiber types with movement and changes in fibers with training and aging 1:07:56 - Andy’s study of twins demonstrating the difference in muscle fibers between a trained and untrained individual 1:18:36 - Microanatomy of fast-twitch and slow-twitch muscle fibers 1:31:15 - Factors that determine one’s makeup of muscle fibers and how adaptable they are with training 1:40:49 - Hypertrophy and what happens at the cellular level when a muscle grows 1:49:59 - How athletes quickly cut water weight and the rehydration process 2:01:48 - Different types of athletes 2:04:21 - Training advice for a hypothetical client who’s untrained and wants to add muscle and functional strength for longevity 2:09:10 - Changes in muscle and muscular function that occur with aging 2:15:51 - Training plan for the hypothetical client 2:30:51 - What drives muscle hypertrophy? 2:38:27 - How to properly incorporate isometric exercises into a workout 2:46:38 - Additional training tips: movement patterns, how to finish a workout, and more 2:50:13 - Ways to incorporate high heart rate exercise into a workout plan -------- 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 45 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://peterattiamd.com 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 Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies.

Peter AttiahostAndy Galpinguest
Jan 23, 20232h 55mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Galpin Explains Muscle Physiology and Strength Training Built for Longevity

  1. Galpin contrasts powerlifting, Olympic weightlifting, strongman, bodybuilding, CrossFit and track as different expressions of strength, power, endurance, size and speed, and argues these categories explain how to train.
  2. He walks through muscle structure and energetics, including multinucleated fibers, the fuel hierarchy from phosphocreatine to fat, protein's role, motor units and Henneman's size principle, and the actin-myosin contraction cycle.
  3. A twin study he describes compared an Ironman-style endurance twin with a sedentary twin: near-identical lean mass, but the endurance twin had about 95% slow-twitch fibers, no hybrids, and no strength advantage, showing fiber type is highly plastic.
  4. Galpin says aging mainly shrinks fast-twitch fibers, which need deliberate high-force training, so a longevity program for a beginner should build movement patterns first, then add power work, full-body strength sessions, isometrics and a high-heart-rate finisher.
  5. The conversation also covers fight-week water cutting and rehydration, and open questions such as sarcoplasmic hypertrophy.

IDEAS WORTH REMEMBERING

5 ideas

Sport names don't match the qualities they test

Galpin says powerlifting is a pure strength test rather than a power test, Olympic lifting adds speed and coordination, and strongman tests high strength over multiple reps.

Fast-twitch fibers are the aging problem and require intention

Galpin says slow-twitch fibers are preserved with almost any activity, while fast-twitch fibers atrophy with age unless trained with high force, because you can't accidentally get them.

Fiber type is highly plastic at any age

In the twin study the endurance-trained twin had about 95% slow-twitch fibers versus a textbook mix in his sedentary brother, and Galpin says training studies in 70-year-olds show fiber-type changes within weeks.

Muscle contraction is all-or-none per fiber, and force is graded by recruitment

Under Henneman's size principle, the body recruits low-threshold motor units first and adds high-threshold ones only as more force is needed, which is efficient and avoids overshooting force.

Beginners should start low-volume and build movement patterns

For the first six months Galpin would use one to three working sets of about four compound exercises, focusing on technique and avoiding soreness and eccentric-heavy work.

WORDS WORTH SAVING

5 quotes

You can't accidentally get those.

— Andy Galpin

It's sort of like what we say in fighting is like you can sometimes accidentally knock somebody out. There are fluke punches. There are no accidental submissions though. Like, there's no fluke arm bars.

— Andy Galpin

The atrophy of fast twitch fibers is the almost exclusively the problem with aging and muscle.

— Andy Galpin

Do you know what puts people in assisted living home? Falling and breaking a hip.

— Andy Galpin

The myth of accidental muscle has been fully debunked.

— Peter Attia

Powerlifting vs weightlifting vs strongmanMuscle energetics and proteinMultinucleated muscle fibersFast-twitch vs slow-twitch fibersIdentical twin studyHypertrophy and sarcoplasmic debateWater cutting and rehydration

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