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What's The Association For VO2Max With Life Expectancy? (Podcast Clip With Unaging.com) 

Conquer Aging Or Die Trying!
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Paper referenced in the video:
Cardiorespiratory Fitness and Mortality Risk Across the Spectra of Age, Race, and Sex pubmed.ncbi.nlm.nih.gov/35926...
Criss' website, X account: @unaging.com, @crissman
Full Episode: • Marathon Training, VO2...

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30 апр 2024

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Комментарии : 84   
@jonathonmills3563
@jonathonmills3563 2 месяца назад
For me the most important differential, was life expectancy comparison between fit, and extremely fit was only one year. The difference in lifestyle would benefit fit given the minor difference
@CrissmanLoomis
@CrissmanLoomis 2 месяца назад
Great clip!
@lostpianist
@lostpianist 2 месяца назад
I'm 39 and got my VO2 max up to 54 yesterday. My HRV is around 95ms. I need to do everything I can to prevent dementias otherwise my future may be very long and very sad.
@monnoo8221
@monnoo8221 2 месяца назад
dementia is not prevented by VO2max, which reflects only the muscle tissue. There could be a slight carry over effect to other tissues, yet only to a lesser degree. Given that energy production is more or less ok, dementia is mainly prevented by caring about the flexibility of the cell membranes (RBC, platelets), flexibility of the endothelium, perfusion of connective tissue, and keeping inflammation (whole range of contributors and defenses) low, besides sufficient hydration throughout your life, especially when passing 60y+. Those factors are all almost independent of VO2max
@wildcsgotactics
@wildcsgotactics 2 месяца назад
Can I ask how much you train in a week? Personally I think I could achieve similar numbers but my HRV and RHR get messed up by workouts.
@StarHarvestOfficial
@StarHarvestOfficial 2 месяца назад
​@@monnoo8221 I appreciate the skepticism but there's literally no way you have any idea of a high VO2 Max does or doesn't affect dementia. But it's quite likely it does given what we know about cardiovascular health and dementia.
@monnoo8221
@monnoo8221 2 месяца назад
@@StarHarvestOfficial why so aggressive bro? I may know way more about the dynamics behind alzheimer's and dementia that you could imagine. Point is, with a good VO2max there comes exercise behind it. exercise itself has a direct effect on the health of vessels, via various mechanisms, which then directly helps to avoid getting inflammatory processes in the capillaries of the brain. in other words, VO2max is a heavily confounded variable, which can not be used to describe the root mechanisms. For the rest, see the first answer
@lostpianist
@lostpianist 2 месяца назад
@@wildcsgotactics I am lucky with genetics, my grandfathers lived to their 90s. Specifically I am a tennis player who also likes to run swim and cycle - I was lucky again to get involved in those things. I prioritise sleep rest and recovery. Like 9-10 hours per night and always have. I do about 12-20 hours per week of all the things listed, occasionally weights and physio bits. Intensity spread evenly between easy, moderate and intense. I do less in winter months. And more in the summer months. I almost never drink alcohol. Try to limit caffeine to very low or none (don't always succeed). Try to avoid sugary and processed foods (but again, don't always succeed). Hope that is useful :)
@jamesgilmore8192
@jamesgilmore8192 2 месяца назад
A discussion of at rest biomarkers and functional biomarkers, and how they relate to aging could be a good topic.
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Thanks James, that video is on the video to-do list, but as a small part of the larger approach
@paulfiedler6820
@paulfiedler6820 2 месяца назад
The people who seemingly lived comfortably to a 100+ years old Dan Buettner’s book Blue Zones, weren’t pumping iron 90 minutes a day 0r micromanaging their diets. Stuff like just eating a mostly plant based diet, employing modest calorie restriction, having some sort of physical movement-usually just walking-most days-and prioritizing a stress free life, seems to work as well or better than this over the top stress inducing maxed out effort to be in the high percentile of VO2 Max. Another factor in Blue Zones longevity seems to be eating your heaviest meal at breakfast and then a much lighter meal in the afternoon and then nothing after that. I started doing this when I heard Mike say he stopped eating early in the afternoon to prevent having to get up and pee several times during his sleep period but my sleep is so much better now when going to bed after not eating for 5-6-7 hours it’s amazing. All this stress involved in maxing out our physical fitness might be having a negative effect.
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
I agree with almost everything that you said, @paulfiedler6820, with one small exception. I too eat the majority of my daily intake early in the day (before 1PM), with the last meal (100-300 calories) by 3PM at the latest.
@paulfiedler6820
@paulfiedler6820 2 месяца назад
@@conqueragingordietrying1797 I very much enjoy your channel and I employ a majority of your eating strategies but I’ve been eating super healthy since 2013 when I had health problems. A big factor for me has been stoping alcohol intake completely. The worthless calories and strain on my liver were dragging my health down way more than I thought. I’m a NYC guy with no car and I walk miles a day just managing my life plus I jog/sprint in a nice city part near my apartment. I gotta tell ya that Peter Attia stresses me out with his fitness goals. When I first encountered his podcast I was like, “Oh my God I’m gonna day at 70 if I don’t start pumping iron like Hulk Hogan and swimming from L.A. to Catalina like Peter does. But, that stuff is way over the top for me and I think most people. I hate lifting weights but I do it five days a week because I like feeling strong (stronger) and the muscle helps me burn calories while I sleep. But, I can’t envision a time I’ll ever lift weights 90 minutes a day. I don’t have it in me and I’m not going to kill myself psychologically for not keeping up with you and Attia. I’ve got 94 years old plus grandparent DNA and they did nothing over the top to live that long. My goal is to just maybe eat a little healthier than they did, get more exercise, but also be goal oriented and continuously adding to my knowledge while keeping my brain sharp. I’m planning on having my own RU-vid channel that focuses on the outrageous abuses of the food industry by putting gross profits at the peak of their interests and filling our grocery store shelves with toxic garbage.
@monnoo8221
@monnoo8221 2 месяца назад
Blue zones are a myth solely created by Buettner for the purpose of self-marketing. It is paradigmatic bad science. Another point I strongly disagree is that walking is just good enough. It is not. Muscles contribute as a regulatory endocrine organ only if they are trained for strength, not in an absolute manner, but relative to the given body. It is certainly not about "maxing out our physical fitness". A friend of mine practiced walking 5..8km every other day, t least, since he was 55y, he is now 67y, unfortunately I could not convince him to take weights... now he is suffering from severe sarcopenia except in his thighs. Even running is not sufficient in this regard. Once you have the toxic fat deposition in the muscles, and his BMi is 20, he is not fat at all, it is almost impossible to get the muscles back.
@manalopalongo
@manalopalongo 2 месяца назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-assAa1bXhqU.htmlsi=UqFhLHwhu2I1-jVH
@imhassane
@imhassane 2 месяца назад
@@monnoo8221 runners are always advise to lift weights, he should do it
@monnoo8221
@monnoo8221 18 часов назад
addon/refeerence: I just found this presentation on YT: Age-related Decline In VO2max: When Activities of Daily Living Become Athletic Events, he has some nice charts and references in it, and a practicable way to measure VO2max by sustainable workload
@andrewtaylor9799
@andrewtaylor9799 2 месяца назад
Interesting discussion. I find Attia too focused on endurance training; it can be overdone. Long distance runners, as I used to be, end up with some damage to the heart due to scarring. The referenced paper discusses that their data does not handle this well, quoting "detection of exercise-related adverse outcomes may be obscured... Future studies that combine objective assessments of exercise capacity and PA status may be better suited to address this issue." Also, there is likely a significant element of reverse causation in the data Attia is using. Sick people don't have elite levels of VO2 max. My VO2 max has gone down recently due to illness, so it my health that is determining VO2Max, not the opposite. Evolutionary theory points to a wide variety of activities: some aerobic regularly practiced, some resistance training regularly practiced, lots of walking, regular doses of sunshine without burning, time in nature, whole foods, avoidance of industrial food products, plenty of sleep, the support of family and friends.
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Definitely @andrewtaylor9799, great points!
@imariong981
@imariong981 2 месяца назад
dont think there's reverse causality; i think they excluded people with diabetes, HTN etc
@andrewtaylor9799
@andrewtaylor9799 2 месяца назад
@@imariong981 Yes, those measures likely reduced reverse causation , but it's really hard to completely remove it. I'm not saying a high VO2max is bad for you, just that taking the results of this study as showing VO2max CAUSES the level of life extension it is associated with is incorrect. Associated is not causation.
@visaholopainen6434
@visaholopainen6434 2 месяца назад
The reverse causation most likely comes from genetic variability, which affects vo2max as well.
@arihaviv8510
@arihaviv8510 2 месяца назад
Train like an elite athlete... don't compete like one
@CrissmanLoomis
@CrissmanLoomis 2 месяца назад
Not sure I got around to answering Mike's question about balancing RHR with HRV with exercise for VO2max. By keeping total weekly aerobic/HIIT exercise at about an hour, over time that both develops my VO2max but still gives me enough recovery time that RHR and HRV scores are youthful.
@monnoo8221
@monnoo8221 Месяц назад
and your age is?
@CrissmanLoomis
@CrissmanLoomis Месяц назад
@@monnoo8221 53 ✌
@CrissmanLoomis
@CrissmanLoomis Месяц назад
@@monnoo8221 53!
@dpstrial
@dpstrial 2 месяца назад
On my 61st birthday, according to Garmin, based on my power meter and my HRM, my estimated V02 Max was 72. Since then, after having caught Covid and being diagnosed with Coeliac disease, my (estimated) V02 Max fell to 48 before recovering to 60 18 months later.
@m1ar1vin
@m1ar1vin 2 месяца назад
Congrats on working back up to it!!👍🏻
@monnoo8221
@monnoo8221 Месяц назад
recommended. search for "VO2 max Calculator climbopedia" The webste has a vo2max calculator, and the way to appropriately measure it. A watch can not know about the watts/t produced. The estimation of power by means of the heart rate is guesswork at best. For instance, It assumes an average peripheral vascular resistance. Over/underestmation of up to 10% can be expected. Even young professional top athletes are rarely above 70. So i would conclude, that the assessment shoul be done more scientifcally, less based on a myriad of assumptions
@sooooooooDark
@sooooooooDark 2 месяца назад
ive no clue of context or if it was mentioned somewhere but something of note: there might be some reversed causation going on: who has higher vo2maxes? ppl who work out - and who works out?: ppl that r healthy (if u r sick u hardly even can exercise) so this could by proxy possibly be a(n almost) "the healthier u r the healthier u r" correlation, which obviously is nearing a perfect correlation of 1,0 😛
@andrewtaylor9799
@andrewtaylor9799 2 месяца назад
It does seem very unlikely that sick people would have elite levels of VO2 max. So good health seems like a prerequisite to a high VO2 max. That's reverse causation.
@GluteMaxer
@GluteMaxer 2 месяца назад
What Peter stresses is that life expectancy is relatively meaningless unless health span is taken into account. 7 years of increased life expectancy due to good training regimes and nutrition could possibly mean 20 years of living without hindrance in your older years. The Marginal Decade is a vastly different experience depending on life style factors. Besides, I think many researchers would agree that BMI 25-30, especially the lower end of that range, is healthy for many and other factors have a larger impact on your health than BMI at that point. Being 25 BMI instead of 28 will not add 10 years to your life expectancy.
@jamesgilmore8192
@jamesgilmore8192 2 месяца назад
That's Peters stance as I understand it also. Gaining the extra health span through targeted exercise is fairly easy, and we already know what to do. The fact that is seems to slow aging is a bonus.
@CrissmanLoomis
@CrissmanLoomis 2 месяца назад
Actually, of those two levers--Cardiorespiratory Fitness and BMI--BMI is the more important for healthspan. The Harvard 5 longevity factors study showed
@jamesgilmore8192
@jamesgilmore8192 2 месяца назад
​@@CrissmanLoomis Hopefully the good people at harvard corrected for both depending on weight. Untangling the collinearities and adjustments in all the studies is tricky though. Focussing on the lower level factors of body composition and vo2 over specific intervals rather han bmi and vo2max seems sensible to me.
@maximlevytsky
@maximlevytsky 2 месяца назад
In my opinion, a normal 12 minute run and a person's distance covered is the most accurate measure of VO2MAX. This is called Cooper's test. The calculation table according to a person's age is available on the Internet.
@DavidPodolsky
@DavidPodolsky 2 месяца назад
Hi Mike, excellent video, thank you again. A lot of people are following the view that they need to achieve a Vo2 max of "50 at 50" to maximize longevity based on the perspectives of popular podcasters. How can it be that the hazard ratio of having a super fit VO2 max is considerably lower (as related to low fitness and also as related to good fitness) but the added number of years of life expectancy is relatively low, at 2-3 years? How can the math work?
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Hi David, and thanks. I'm not sure why the life expectancy association is relatively short, but it suggests that VO2 max > 50 is not protective against all of the things that can end life. That's a major reason why I'm hyper-focused on optimizing biomarkers of as many organ systems as possible, while also maintaining relatively high fitness.
@monnoo8221
@monnoo8221 Месяц назад
the relation between life and death is a complicated one. In fact by far too complicaetd than to be reducible to a single numerical alue. IMO, ACM as an endpoint is misleading. It is an invalid proxy for chronic diseases. one would have to accurately look for and match the actual causes of death. such data are not available. Hence it is mere guessing that high VO2max could prolong individual life. Sure, oxygen provision to tissues is important. but training to achieve an externally set number may create a lot of metabolic stress.
@magnusdanielsson2749
@magnusdanielsson2749 Месяц назад
The fact that weight is a factor in vo2max makes it interesting. I mean you could have two persons with the same vo2max while differing 30 kg in weight. Knowing that less bodyweight is correlated with better health one have to wonder what is giving the difference. Ideally youd want to compare people of equal weight with different v2max to know the effect of work capacity. For many untrained people a pretty important way to improve vo2max is probably to loose weight.
@mikebennett4829
@mikebennett4829 12 дней назад
Bull you do need to be healthy eat well and keep moving
@hisairness28
@hisairness28 2 месяца назад
Hi Michael, what are your thoughts on c15 fatty acid, better then omega 3s?
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Hi @hisairness28, there is some promising data for C15, but also a lot of hype. The gut microbiome can also produce it, which is an underrated part of the story...
@abdelilahbenahmed4350
@abdelilahbenahmed4350 2 месяца назад
Thx Prof LUSTGARTEN for this great interview that focused on the " less is more" approach as far as exercise is concerned.According to Chris is it enough , for older people for instance ، to just do every day a half an hour of brisk walking and 3 Short sprints (8-16 seconds each) and one hour resistance training once a week in the context of otherwise healthy lifestyle?
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Thanks Abdelilah. I wouldn't extrapolate Criss' data to others, as he has decades of consistent training. The key is to find the exercise dose that optimizes VO2max while not having over-trained biomarkers (HRV, RHR as good measures of that)...
@abdelilahbenahmed4350
@abdelilahbenahmed4350 2 месяца назад
@@conqueragingordietrying1797 Actually this optimal exercise dose is maybe easy to find: Provided you exercise regularly, low dose training seems to be always cost effective.As emphasized in this interview, consistency is key.We just have to keep moving.
@andrewtaylor9799
@andrewtaylor9799 2 месяца назад
I take a similar approach, but eventually found the sprints were too damaging and replaced them with other activities that had a similar cardiovascular effect (kettlebell swings).
@jamesgilmore8192
@jamesgilmore8192 2 месяца назад
@@conqueragingordietrying1797 I think weighing the pros and cons of ones current situation, especially considering the HRV and RHR hazard ratios aren't as strong as the VO2max hazard ratios would be prudent.
@CrissmanLoomis
@CrissmanLoomis 2 месяца назад
Actually, walking is the one physical activity where the health benefits continue to scale with daily time. I recommend 1.5 - 2.0 hours daily for max benefit. (I use a walking desk.) Three sprints 8-16 seconds probably two short. One weekly HIIT workout (2 min dash, 3 min jog, repeated three times) plus a 20-30 minute jog weekly is fine for aerobic/HIIT workout.
@captnmaico6776
@captnmaico6776 18 дней назад
I think 6 years is still crazy good and probably the 6 years are high in terms of quality of life.
@conqueragingordietrying1797
@conqueragingordietrying1797 18 дней назад
I don't disagree, but the notion being pushed online is that VO2 max = longevity, and while 80y is better than 74y, it's not 123y, which = longevity to me.
@mightbeanybody
@mightbeanybody 2 месяца назад
VO2max of 60 no way at 60. So how about at 72? Lab tested (it did drop to 57 a while later) and my RE lab tested at age 66 was 185. I was injured for 6 months last year so it did drop toan estimated 50 at age 76. PS For perspective I set one national and one world age record last year.
@CrissmanLoomis
@CrissmanLoomis 2 месяца назад
🫡 Awesome!
@johnbarron4713
@johnbarron4713 7 дней назад
The narrator simply does not hang out with overachievers. Know an Ironman podium wannabe with VO2MAX of 59 at age 70. As for me, I am a real slacker at 68 with VO2max of 54.
@whatthefunction9140
@whatthefunction9140 2 месяца назад
The issue with vo2 max correlation with mortality risk is that vo2max is heavily influenced by body weight and that itself correlates with mortality
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Ah, these models included adjustment for BMI...
@mkvalor
@mkvalor 2 месяца назад
Dang, Michael -- if you're going to bother to bring in an expert guest, put a few pauses into your soliloquies so that the person can get a word in edgewise! 😂
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Hi @mkvalor, this is a clip from a longer video: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-A9VsI4JDawg.html With the full context, how did I do in terms of listening?
@kenhnsy
@kenhnsy 2 месяца назад
Michael, do you plan at some point to publish your own data alongside the ten or so others who are working with you? I am curious of the likelihood that someone eating your identical diet will get the same results.
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Hi @kenhnsy, my client info is private, unless they want their data posted. While a few eat similarly to me, others do not, there is a range of intake The goal is not for everyone to replicate my diet, but instead the approach, i.e. using objective data to drive prescriptions for diet, supplements, exercise, sleep...
@jamesgilmore8192
@jamesgilmore8192 2 месяца назад
There are case examples where people have followed Blueprint, but it hasn't resulted in the improved biomarkers of BJ. It seems individualisation is the key, and assessing biomarker weaknesses is the first step.
@ATT935
@ATT935 2 месяца назад
you look kinda thinner... is weight good?
@conqueragingordietrying1797
@conqueragingordietrying1797 2 месяца назад
Currently at ~139 lbs, but biomarkers and fitness metrics are getting harder to optimize ~140-142lbs may be my ideal body weight, for now...
@andrewtaylor9799
@andrewtaylor9799 2 месяца назад
@@conqueragingordietrying1797 Take care, I found that getting too lean becomes dangerous if there is an infection or other disturbance that makes one nauseous. I'm 5'10.5" and slipped down to 129 lb during an extended illness. Now back up to 142 lb.
@colscoco6616
@colscoco6616 2 месяца назад
Noooo.... 🤦‍♂🤦‍♂ at 6:13, when you're comparing extremely fit to highly fit at 50-59 you make a math error that changes the implication. While the absolute difference is 0.28 - 0.22 = 0.06pp, the relative increase in risk of dying of a highly fit compare to a extremely fit is 0.06 / 0.22 = 27% !!! If you told me "if you do X you're chance of dying this year will be 27% higher" (and you'll have less energy, higher chance of being ill etc), that would be meaningful. And that's only the adjacent groups. For example, if extremely fit had a 0.00 chance of dying (ie they were immortal), the approach you used in the video would say they only have a 28% lower chance of dying (0.28 - 0.00 = 0.28pp). Which is understating their benefit a bit.
@DrIanRubenstein
@DrIanRubenstein Месяц назад
So if you are an elite athlete with a high BMI it’s probably down to increased muscle mass. BMI isn’t a great measurement when dealing with athletes. Plus, perhaps the aim isn’t just lifespan but healthspan as well. So, an extra six healthy years versus a shorter lifetime of poor health. No real contest there.
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