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Peter Attia MDPeter Attia MD

261 ‒ Training for The Centenarian Decathlon: zone 2, VO2 max, stability, and strength

Watch the full episode and view show notes here: https://bit.ly/3O29ZUB Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ In this special episode filmed live in front of readers of Outlive, Peter answers questions revolving around his concept of the centenarian decathlon. He starts by defining the “marginal decade” and how that shapes his training for the events and activities that make up his personal centenarian decathlon. Peter explains how he coaches patients through the challenges of customizing their own list and building out a training plan, including how to set fitness goals early in life in preparation for the marginal decade. From there, he dives into training within the four pillars (zone 2, VO2 max, stability, and strength), including the minimum effective dose, how to split your time, his personal protocols, and other considerations. Additionally, he touches on bone mineral density, female-specific considerations, working through injuries, and the profound impact training can have on the overall quality of life. We discuss: 0:00:00 - Intro 0:02:10 - The best interventions for longevity 0:03:45 - The marginal decade and the centenarian decathlon 0:07:14 - Peter’s personal list of events for his “centenarian decathlon” and how he helps patients create their own list 0:15:00 - Determining your fitness goals early in life in preparation for the marginal decade, metrics to track, and more 0:25:27 - How does playing sports like tennis, basketball, or golf fit into training for the centenarian decathlon? 0:29:15 - Training within the four pillars: minimum effect dose, how to split your time, and other considerations 0:35:57 - Advice for the older person and why it’s never too late to start 0:39:08 - Bone mineral density and other female-specific concerns and considerations 0:42:24 - Training advice for those with minimal access to a gym or equipment 0:44:14 - Injuries: prevention and working through existing conditions 0:48:07 - Cardiorespiratory training: how to split time between zone 2 and VO2 max training, and different modalities for a true zone 2 workout 0:54:33 - VO2 max training: modalities, Peter’s protocol, and how to monitor progress 1:04:28 - The profound impact training can have on the overall quality of life -------- About: The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 60 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more. Peter Attia 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. 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. For a full list of our registered and unregistered trademarks, trade names, and service marks, please review our Terms of Use: https://peterattiamd.com/terms-of-use/

Peter Attiahost
Jul 10, 20231h 11mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Peter Attia Explains How to Train for the Centenarian Decathlon

  1. Attia defines the marginal decade as the last decade of life and the centenarian decathlon as a personal set of physical feats, chosen by back-casting, that you train for specifically.
  2. He shares his own list, such as a 30-pound child pickup, a farmer walk and a VO2 max above 30, and says his patients now choose 10 items from a list of about 50.
  3. He recommends tracking progress with VO2 max, farmer carry, dead hang, zone 2 output and DEXA-derived muscle mass (ALMI), and says strength beats muscle mass as a predictor of lifespan.
  4. For someone with only three hours a week, he suggests about an hour each of zone 2 and strength, 20-30 minutes of VO2 max work, and daily 10-minute stability sessions, then progressive overload and filling in personal deficits.
  5. He splits cardio roughly 80/20 between zone 2 and VO2 max, shares his own weekly schedule and four-minute-interval protocol, and says it is never too late to start.

IDEAS WORTH REMEMBERING

5 ideas

Train for specific goals, not just general exercise

Attia says he trained for goals from age 13 to about 42, then realized most people just exercise. He back-casts from the marginal decade to specific feats so his training has direction.

Choose a limited set of meaningful tasks

His practice found that asking patients to pick 10 from about 50 options worked better than open-ended lists. Prioritizing forces people to ask what strength and stability each task requires.

Young people need a higher bar today

Because strength and VO2 max decline with age, someone 20 years younger than Attia has even longer to hold fitness. They therefore have to start from a higher level.

Three hours a week can deliver big gains for beginners

Attia's example split is about one hour of zone 2, one hour of strength, 20-30 minutes of VO2 max work and 10 minutes a day of stability. He says stability is better done daily in short sessions than in one long block.

Cardio should follow roughly an 80/20 split

He describes aerobic fitness as maximizing a triangle, with zone 2 as the base and VO2 max as the peak. He says even elite athletes such as Tadej Pogačar do roughly 80-90% of training in zone 2.

WORDS WORTH SAVING

5 quotes

If I knew that all this training I was doing, everything I'm doing, if I knew that it was gonna shorten my life by a year, I would still do it purely for the improvement in quality of life between now and the end of my life.

— Peter Attia

If you really want to be proficient at 50 yards with a bow and arrow, practice at 100, and you'll be amazed at how simple 50 becomes, and 60, and 70, and 80.

— Peter Attia

I would never want anybody to come away from this thinking I'm too old to do anything about it. I, I think as long as you're breathing, you have a chance to do something about it.

— Peter Attia

So I never exercised. I trained, right? I trained for boxing, I trained for cycling, I trained for swimming.

— Peter Attia

It's not so much the muscle mass, I think, that is the most important thing. It's what you had to do to get said muscle mass and what that muscle mass will then do vis-a-vis, um, metabolic function.

— Peter Attia

Marginal decade and back-castingCentenarian decathlon personal listMetrics: VO2 max, ALMI, farmer carry, dead hangMinimum effective dose for trainingZone 2 versus VO2 max (80/20)Bone density and strength training for womenInjury, equipment and starting later in life

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