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The Peter Attia Drive

#262 - AMA #49: Heart rate recovery, strength training, rucking, kidney function, and brain health

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 17 July 2023

⏱️ 20 minutes

🧾️ Download transcript

Summary

View the Show Notes Page for This Episode

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In this "Ask Me Anything" (AMA) episode, Peter goes into depth on the topic of brain health, starting with how Alzheimer's disease is diagnosed, the significance of blood-based biomarkers in diagnosis, and what the various APOE gene variants mean in terms of a person's risk of developing Alzheimer's disease. Next, Peter discusses the various strategies for preventing Alzheimer's disease and neurodegeneration. He touches briefly on exercise as a potent tool, but focuses more on lesser-known factors that could impact brain health, such as nutrition supplementation, lipid management, brain games, sauna, oral health, hearing loss, and more.

If you’re not a subscriber and are 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 our website at the AMA #49 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Topics: exercise, kidneys, and brain health [1:30];
  • Rucking: advice for beginners, proper load, packs, and shoes [4:30];
  • Rucking for women, bone health, using a treadmill, zone 2, and more [11:45];
  • Building vs. maintaining: when and how to transition from the goal of building muscle and strength to focusing on maintenance [16:00];
  • Should you lift weights before or after a cardio session? [24:00];
  • Heart rate recovery: defining heart rate recovery and how it relates to cardiovascular fitness [28:45];
  • How to measure heart rate recovery, and what is considered a "good" heart rate recovery [33:15];
  • How kidney health and function typically measured [42:30];
  • Differentiating between creatine and creatinine [48:15];
  • The cystatin C blood test as a practical way to assess kidney health [52:45];
  • How kidney function impacts lifespan and the five stages of kidney disease [59:15];
  • Slowing the decline of kidney function [1:08:15];
  • The main drivers of kidney disease [1:11:15];
  • The importance of managing homocysteine levels for brain health [1:14:00];
  • The relationship between alcohol consumption and brain health [1:21:30]; 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.

0:26.0

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.

0:39.7

Welcome to Ask Me Anything Episode 49.

0:42.8

I'm once again joined by Nick Stenson.

0:45.6

In today's episode, we discuss a few different topics.

0:48.5

We start by answering some follow-up questions we've raised around some exercise content,

0:53.4

including questions for people who are interested in starting to rock,

0:57.4

questions around how one may think about building muscle versus maintaining it,

1:01.8

should you lift before or after cardio, and finally, some questions around heart rate recovery.

1:07.3

From there we dive into all things related to the kidney.

1:10.7

This is something I've spoken about before, and quite recently,

1:13.8

and we've gathered a lot of questions around what blood tests are the best to measure kidney function

1:19.0

and what levels you would want to be at.

1:21.3

How does this decline with age and why is it so important for anyone who cares about lifespan

1:26.3

to have the highest possible glimereular filtration rate and make sure that the rate of decline

1:31.8

as we age is kept to a minimum.

1:34.4

We end the conversation with some follow-up topics from our latest Brain AMA,

1:39.3

including those specifically around Homoostine and alcohol.

...

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