Outlive: The Science and Art of Longevity

Outlive: The Science and Art of Longevity

by Peter Attia
4.37 (55K)  •  2023

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Spoiler: The author suggests that instead of “lifespan” we should think of “healthspan,” which he envisions along three dimensions: physical, cognitive, and emotional, emotional health being by far the most complicated of the three. He advises that the more aggressively we manage our blood pressure to keep it at 120/80, the better. He also says that blood pressure is almost never taken correctly in the doctor’s office because you need to be sitting still for at least five minutes before it’s taken; he also prefers manual blood pressure cuffs to automated cuffs.
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Spoiler: Dr. Attia discusses the difference between slow death and fast death. In earlier times, fast death killed us in the form of infection and trauma. Now we have doubled our lifespans and have tools to help us avoid fast death; however, we spend a much greater period of our lives in slow decline. This happens because we focus too much on “lifespan” and not enough on “healthspan.” He challenges listeners to ask themselves, “In the last decade of my life, what do I want to be able to do?”
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Spoiler: The author opens the conversation by talking about nutrition, saying one of the most important things is total protein intake, warning that we become more anabolically resistant as we get older. He says most people need to exercise more and to those who ask “Strength or cardio?” the answer is “Yes.” He also suggests that all people need between seven and nine hours of sleep per night, encouraging listeners to maintain consistency in bedtime and wake up time.
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Spoiler: In this sit-down interview, Dr. Attia emphasizes the importance of exercise, advising that most people are not overdoing it and instead should be striving to exercise more. He says that globally and in the U.S., heart disease is the number one killer among both men and women, taking out almost twice as many people as cancer. Therefore, it would be wise to do whatever we can with diet, exercise, sleep, and monitoring blood pressure with the goal of protecting our heart health.
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Spoiler: The author sits down with Today hosts to discuss “healthspan” as opposed to “lifespan.” He offers some tools for healthy longevity: everything that nutrition has to offer, everything that exercise has to offer, good sleep habits, and everything that pharmacology has to offer. Of the three aspects of health—physical, cognitive, and emotional—emotional health is the only one that does not automatically decline. He emphasizes that exercise is a must.

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Peter Attia

Peter Attia, MD, is a physician and researcher from Austin, Texas. He founded Early Medical, a practice dedicated to extending lifespan and healthspan using Medicine 3.0 principles. He also hosts The Drive, a popular podcast on health and medicine. Dr. Attia earned his medical degree from Stanford University, completed general surgery training at Johns Hopkins Hospital, where he was named Resident of the Year, and pursued a surgical oncology fellowship at the National Cancer Institute, focusing on immune-based therapies for melanoma.

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