#136 - AMA #17: Body composition methods tour de force, insulin resistance, and Topo Chico

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.7 • 7.3K Ratings

🗓️ 9 November 2020

⏱️ 18 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this “Ask Me Anything” (AMA) episode, Peter and Bob discuss different methods to evaluate body composition. They explore ways of measuring body fat, delineating between subcutaneous and visceral fat, and go over best strategies for improving body composition and optimizing health. They also discuss insulin resistance using a patient case study that highlights interventions capable of reversing the condition. Finally, Peter addresses his level of concern about a recent Consumer Report finding that Topo Chico had the highest levels of a class of synthetic chemicals (PFAS) of all the carbonated bottled waters tested. Peter concludes by sharing if the finding will change his consumption habits. If you’re not a subscriber and listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #17 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

Body mass index (BMI) vs. body fat percentage (BF%) (1:45);
Methods of assessing body fat—Magnetic Resonance Imaging (MRI) (6:25);
The different types of body fat (9:00);
Methods of assessing body fat—Computed Tomography (CT Scan) (12:00);
Methods of assessing body fat—Dual-Energy X-ray Absorptiometry (DEXA) (14:30);
Methods of assessing body fat—Hydrostatic/Underwater Weighing (19:25);
Methods of assessing body fat—Air Displacement (Bod Pod) (22:25);
Methods of assessing body fat—Skinfold measurement (23:55);
Methods of assessing body fat—Total Body Water (27:15);
Methods of assessing body fat—Bioelectrical Impedance (BIA) (28:45);
The optimal body fat percentage, muscle mass, and the best strategy to improve body composition (31:30);
Defining insulin resistance and the steps to reverse it (40:15);
Patient case study: Reversing insulin resistance (49:00);
Addressing the recent finding of high levels of PFOA in Topo Chico (58:25); and
More.

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Transcript

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0:00.0	Hey everyone, welcome to a sneak peek, ask me anything, or AMA episode of the Drive Podcast.
0:16.5	I'm your host, Peter Atia.
0:18.3	At the end of this short episode, I'll explain how you can access the AMA episodes in full,
0:22.9	along with a ton of other membership benefits we've created.
0:25.9	Before you can learn more now by going to peteratia-md.com forward slash subscribe.
0:31.5	So without further delay, here's today's sneak peek of the Ask Me Anything episode.
0:36.5	Welcome to another Ask Me Anything episode.
0:42.5	This is AMA number 17.
0:44.7	I'm once again joined by Bob Kaplan and he goes by a little alias on this episode.
0:51.8	In this episode, we dive pretty deep into body composition.
0:55.6	The question actually stemmed from, hey, what's the best way to measure body composition?
0:59.6	But it digressed into what I think is a very comprehensive discussion of all the different
1:04.2	ways that you can measure body fat, and there are more than you probably realize, along
1:08.4	with what it means, what's the difference between subcutaneous fat, visceral fat, what's
1:11.6	the optimal body fat, what are the strategies around improving your health?
1:16.6	Is it better to do it through a gain in muscle mass versus a loss in body fat, etc?
1:20.7	That takes up a heck of a lot of time.
1:23.1	And it really only leaves time for one other major topic, which is one around insulin resistance.
1:28.5	The question basically being, hey, insulin resistance reversible, which of course becomes
1:33.0	a very long discussion, and an opportunity, frankly, to showcase a cool little case study,
1:38.0	which I do.
1:39.1	We close this one out with a little bit of a discussion on Topo Chico.
	...

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