Exercise for aging people: where to begin, and how to minimize risk while maximizing potential | Peter Attia, M.D.
Peter Attia
Jun 24, 2024
Mindsip insights from this episode:
Start exercising now to avoid intense catch-up later
It's never too late to start exercising, but the longer you wait, the more intensely you'll have to work to catch up, similar to saving for retirement.
Cultivate enjoyment in exercise to foster long-term commitment
The most important goal when starting exercise later in life is to look back in three months and feel that your appetite to exercise has grown.
Train to boost VO2 max at any age
A study showed that people averaging 80 years old improved their VO2 max by the same percentage as 24-year-olds over a six-week training program, though they lose the gains much faster.
Improve fitness to reduce mortality risk like quitting smoking
Having a below-average VO2 max for your age carries the same 41% increased risk of all-cause mortality as being a smoker.
Reduce workout intensity to prevent injury with age
To avoid injury and stay in the game long-term, you should progressively reduce the absolute intensity and pain level of your VO2 max workouts as you get older.
Begin strength training with machines for safety and stability
For older individuals starting strength training alone, it is safest to begin with machines to build strength and stability before progressing to free weights.
Engage in heavy lifting to reverse bone loss
The 'Lift More Trial' showed that postmenopausal women with low bone mass who did heavy resistance training increased their lumbar spine bone density by almost 3% in eight months.
Strengthen toe muscles to reduce fall risk in seniors
Toe strength is a major predictor of falling in people over 65, and your great toe should be able to push down with at least 10% of your body weight.
Prevent muscle loss by addressing setbacks early
At the individual level, muscle loss with age is not a smooth decline but a series of large, discrete drops caused by minor setbacks that become permanent.
More from
Peter Attia
The impact of gratitude, serving others, embracing mortality, and living intentionally | Walter Green (#288 rebroadcast)
Thyroid function and hypothyroidism: why current diagnosis and treatment fall short for many, and how new approaches are transforming care | Antonio Bianco, M.D., Ph.D.
AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
Women's sexual health: desire, arousal, and orgasms, navigating perimenopause, and enhancing satisfaction | Sally Greenwald, M.D., M.P.H.
Longevity 101: a foundational guide to Peter's frameworks for longevity, and understanding CVD, cancer, neurodegenerative disease, nutrition, exercise, sleep, and more (re-broadcast)










