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The Peter Attia Drive

#176 - AMA #27: The importance of muscle mass, strength, and cardiorespiratory fitness for longevity

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 20 September 2021

⏱️ 19 minutes

🧾️ Download transcript

Summary

In this “Ask Me Anything” (AMA) episode, Peter and Bob discuss the longevity benefits from greater cardiorespiratory fitness (CRF) and greater muscle mass and strength. Conversely, they dive deep into the literature showing a rapid increase in morbidity and mortality risk as fitness levels decline with age. They also try to tease out the relative contributions of CRF, muscle mass, and strength. Additionally, they discuss the impact of fasting on muscle mass, the potential tradeoffs to consider, and finish by discussing why it’s critical to maximize your fitness level.

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 #27 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • VO2 max and its association with cardiorespiratory fitness [2:45];
  • Changing mortality risk based on VO2 max and cardiorespiratory fitness [7:45];
  • The profound impact of improving cardiorespiratory fitness [15:15];
  • Muscle mass, function, and loss with aging: how it’s defined, measured, and the cutoff points for sarcopenia [25:00];
  • Increasing mortality risk associated with declining muscle mass and strength [40:00];
  • Muscle size vs. strength—which has the bigger impact on mortality risk? [58:00];
  • Evaluating the cumulative impact of cardiorespiratory fitness and muscular strength on mortality risk when put together [1:03:30];
  • Investigating the rising incidence in deaths from falls, and what role Alzheimer’s disease might play [1:09:00];
  • The impact of fasting on muscle mass and the potential tradeoffs to consider [1:14:30];
  • The critical importance of working to maintain muscle mass and strength as we age [1:20:30]; and
  • More.

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Show notes page for this episode: https://peterattiamd.com/ama27/

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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 Ask Me Anything Episode number 27.

0:43.4

I'm once again joined by Bob Kaplan.

0:45.8

In today's episode, we discuss all things related to basically the outputs of exercise

0:51.8

and morbidity and mortality.

0:53.6

So specifically, we go into great detail around the benefits that one gets from a high degree

1:02.2

of cardio-respiratory fitness and the benefits that one will derive from a high amount of muscle

1:08.3

mass and muscle strength.

1:09.7

And conversely, what happens when you don't have those things?

1:12.5

We also tease apart as best we can the relative contributions of each of those things.

1:18.3

So is it more about muscle mass?

1:20.5

Is it more about muscle strength?

1:22.8

If you are optimizing to get the best health benefit in the least amount of effort, not

1:28.8

something I recommend, where do you get the most bang for your buck?

1:32.0

Is it strength?

1:33.2

Is it cardio-respiratory fitness, etc.

1:35.6

So anyway, this one is a really fun episode.

...

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