The BIGGEST MISTAKE We Make When It Comes To Health & Longevity | Dr. Peter Attia

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Dr Peter Attia is a medical doctor, a longevity expert and author of the brand new book Outlive: The Science and Art of Longevity. He gained his medical degree at Stanford University, trained in general surgery at Johns Hopkins Hospital, and was a surgical oncology fellow at the US National Cancer Institute. He’s also on the editorial board for the journal Aging and host of The Drive podcast, which covers health, medicine, and longevity.
Watch the full length conversation:
The 4 Causes of DECREASED LIFESPAN & How To Prevent Them For LONGEVITY | Peter Attia
• Longevity Doctor: Fix ...
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[@brianbachmeier34]

“Medical science is making such remarkable progress that soon none of us will be well.” - Aldous Huxley

[@14caz68]

Never a truer word uttered.

[@vicpso1]

Great job!!!

[@eatmeatandliftweights5754]

100%

[@frankgradus9474]

I've just read "Brave New World" by the man.

[@FASIGMAN]

Quality statement friend.

[@suhailmahedavi2204]

Doctors are trained to find medical problems. I went to an orthopaedic doc with knee pain. He did a uric acid test and the readings came out to be close to the upper limit. Then he prescribed me pills and a list of things to not eat (which excluded all protein from my diet). I followed the advice for three months with no improvement. Then I went to another doc. He asked me about physical activity. I told him I run a couple of times every week. He just recommended some stretches. The pain was gone in two weeks.

[@davedsilva]

Or Doctors are trained to addict you to drugs for their pharmaceutical masters to avoid losing their medical license. Notice how doctors never talk about vitamins and eating well.

[@micker9830]

You are right, that is their job pretty much. Once you start going to the Dr, it's all down hill for most people. They will get you on all kinds of pills, get you worried and anxious. Better off not going unless you NEED to go. There really isn't much preventative medicine, just medicine to treat issues.

[@normanbell-br7nf]

@@micker9830 all the wrong way round isn't it ?

[@jonpaul3868]

They are mechanic for human basically

[@michaelrowe8115]

Dude where I live doctors aren’t trained at all.

[@stephenelkington4971]

A massive omission in the doctor's analysis of how life expectancy increased so rapidly - the building of the sewage system and the invention and installation of the water closet were absolutely key in ending the regular pandemics that killed so many people.

[@johnc.8298]

Ssome have looked at sanitation and noticed that as sanitation was improved from late nineteenth century onward that it correlates with the decrease in disease and death. So much so that some have questioned to what degree the advent of vaccinations impacted this correlation. Neither one or other alone but possibly both combined were better than either individually.

[@29aaronjones]

​@johnc.8298 vaccines helped. A million Americans died from covid .please, Read better sources

[@channel1_channel]

Exactly. Modern plumbing and cleaner water supplies.

[@stephenelkington4971]

@@campbellpaul In the US the standard diet - high sugar , high refined carbs and processed food is a huge factor. Unfortunately the UK is going the same way. This diet is massively implicated in rates of obesity, Type 2 diabetes, high blood pressure , strokes ,heart attacks and cancer. The food industry should be put in the dock for what it's doing to people.

[@anthonykoleszar1779]

When 100,000+ people, mostly under 50 die of drug overdoses each year; it has an effect on the numbers.

[@appoNo1]

I’m sorry but personal responsibility will only take us so far. If 2/3 of people in the UK are overweight or obese, this is a systemic issue. It’s crazy to me that intelligent people fail to mention the elephant in the room, poverty. Not just in the sense that people are walking in ragged clothes and are starving, the problem is that people are working too much, it is that simple. They don’t have the time, mental energy or tenacity left for their own health . How is it possible for people to work a 60 hour week, look after their family, cook, clean, shop, find some time for rest and then put the real time into their health that they need. It is a privilege to have the space in your life to allow for this. So let’s start changing the way we work to allow people to genuinely thrive.

[@tonyc2570]

Downsize downsize downsize. Rent/mortgage is most peoples largest bill. Quit trying to keep up with the Joneses.

[@appoNo1]

@@tonyc2570extremely reductive. I don’t think people are ready to have this conversation. Systemic means it’s affecting a critical mass of people, should everyone “downsize”, is that even possible?

[@tonyc2570]

@appono1 no for sure not everybody can downsize. But probably more can do it then they realize. Another thing I suggest is I have never bought a new car. I paid $1000 for a used Taurus that had 60,000 miles on it. Ended up getting 326,000 miles on it. My next vehicle was a 2005 Dodge grand Caravan with 60 something thousand miles on it. Just made five years with it and I’m at 162,000. I paid 1,700 for that. So between 2003 and today I paid a total of $2700 for 2 very good running vehicles. I’m not trying to brag I’m trying to give advice. Don’t buy new people. So in 20 years I paid a total of what many many people pay in four months for car payments.

[@simoncbr900rr]

The amount of people's homes i visit where they have a £50,000 Merc outside on a pcp and they are obese with a kitchen full of sugar/carbs is shocking. They will be driving round saying look at my me when their body is a full on MOT failure. Poverty is mostly brought on by people living well beyond their means. Having kids they cannot afford/buying houses more expensive they can afford/ buying cars to pose. BTW my average income over the past 20 years has been £25,000....in that time i had 1 child and live in a 2 bed house,with a ten year old car and worked 6 days a week. I now work 4 days a week because i took control of my life......the majority of people who are in poverty in the UK is mainly down to life choices. Don't give me any other bullshit,i came from Hyson Green in Nottingham which when i was growing up was the number 1 crime/murder area in the country. There are a certain very small portion who are disabled which i sympathise with. Apart from that it's all down to you,so if you are in poverty it will be down to your life choices....that' the reality

[@appoNo1]

@@simoncbr900rr to be honest mate working 6 days a week for £25 grand sounds like a dire situation. Why is that something to be proud of? Or indeed, why is something that you’d wish on other people?

[@chazmuska]

12 years ago I was almost 200lbs from 185 and the Dr told me I had to take cholesterol medications or change my lifestyle. That's all he said, he didn't tell me what exactly. That was the determining factor in learning health independently and becoming NASM certified. Now I'm still not taking any Rx's, down to 170lbs, leaner than I was in HS, and haven't been to the doctors since! I think preventative health should be better taught in schools.

[@ArifAli-hg1eq]

Great. Congrats. You know why the doctor didn't tell you, because most docs don't know. Once I took my wife to ER (here in a local hospital in Northern Virginia, USA) both the doc and the nurse who came to help were obese and I was wondering who gave them a degree in health care? What good are they going to offer? Except selling some lab tests, medicine and maybe some other business promotions like medical procedures or a surgery. Great salesmanship, lol!

[@robertsmentkowski312]

See a doctor or nurse practitioner every year ❤

[@KJSvitko]

Hospitals, doctors offices and schools should be places where good nutrition is taught and provided not places that contribute to disease and obesity. It is crazy the hospitals are feeding people the very food that caused the heart disease, high blood pressure or cancer that they are treating. Every person in the hospital should receive some nutrition education before being released. Every doctor visit should be an opportunity to educate patients about how food choices impacts their health outcomes. The fact that doctors do not get nutrition training as part of their training makes no sense. Medicare and Medicaid should require nutrition education as part of patient care. Focus should be on food choices. Fasting should be investigated as a treatment for disease.

[@michaelmelamed9103]

You mean the orthopedist didn’t refer you to DrGoogle for a second opinion or lifestyle change recommendations?

[@willcook403]

@@KJSvitko We already absolutely know that fasting as treatment for disease is not only a real thing but can give you benefits far further reaching than the things that we seek to repair

[@pauljones5066]

the somewhat overweight cashier lady in supermarket told me chattily that she had been diagnosed with type 2 diabetes. When I suggested that it can be reversed via exercise and diet, she was genuinely annoyed at me

[@pcfrias1977]

11:04 - Key takeway - higher vo2, greater muscle mass, greater strength.

[@Known-unknowns]

SOME people are interested in their health, most people are not. I’ve had a big overweight guy say to me "I’m here for a good time, not a long time". This cavalier attitude evaporates when they’re on their deathbed. They grasp for every moment they can get before admitting to themselves and family that they know why they are dying and it’s their own actions that put them there. This is how many (particularly men) live. SOME people simply are not meant to be in this universe for a long time. It’s not just diet, sometimes it’s a motorbike that takes them or a mountain. Others want to be here for a good time for a long time.

[@Dave-zl2ky]

I am 73 and work full time. I expect to retire at 96. It is amazing how many professionals treat older people with the attitude of "Oh well, just getting older". I work out three times a week and pay attention to my body and the things that affect me. Medical specialists are often very good but the rest of the medical field needs to be observed and rated for on a real outcome basis.

[@sussexseaangler1858]

Good that you still work but what do you do exactly? I doubt its work like building, engineering, roofing or gardening. These are heavy physical jobs and you would not need to work out. I've always done physical work ans still do at 70. My body demands exercise! But now i have to cut down to safe levels. I am probably the healthiest person I know. The body has to be pushed at all ages not the slightest doubt of that!

[@effewe2]

How about stop working and give some young person a job?

[@campbellpaul]

@@effewe2 There are more job opportunities out there right now than there have been in the last 25 years and with decent pay. Stop blaming others for your own lack of confidence and initiative, because it's now your turn to SHINE.

[@effewe2]

@@campbellpaul Hey asshhooll...I am retired ok! Retired at 60, because I was smart enough to know how to live in America and work hard. I am 62 now and living just fine and do not need you tell me how to live. You sir can work yourself to death ok! Good luck and enjoy your miserable life of Judging people without knowing anything about them. Your parents must be proud.

[@effewe2]

@@campbellpaul and to the two people who liked your comments.....Get a life!

[@janejohnstone5795]

Looking after yourself properly....eating the right foods..no stress ....walking..meaningful life..should be encouraged..for a life of at least 100..years..to reach.

[@sylvainhyais8166]

Exercice is absolutely crucial. My Vo2 max is much better at 57 than at 22. My fitness is so much better ,it just doesn't compare. And of course I eat very healthily and never take any pill. Decision to exercise everyday at 28 is my best one

[@stevegeek]

Agree. I’m 55 and fitter than I’ve ever been. I jog for 20 - 30 minutes after breakfast each week day and cycle for at least 2 - 3 hours weekends. It’s not easy, especially when the weather is rubbish, but it’s definitely worth the effort. I see so many people who never exercise then wonder why they are sick all the time.

[@stevep4131]

Wait until your prostate gets you.

[@stevegeek]

@@stevep4131 That’s always possible! A friend had an accident on his bike…fit as a flea, now paralysed chest down! I got skin cancer 5 years ago and needed surgery… you never know what’s around the corner.

[@miaash3870]

Very smart , indeed!

[@musicman5075]

My Brother has recently retired (age 63) as a medical General Practitioner in the UK. He says that at the start of his career it would be commonplace to tell a patient they needed to loose weight and to suggest a combination of exercise and nutrition. There was even the ability (within the National Health Service) to refer a patient, if they wanted, to a dietician for a consultation (the dieticians advice might be based on the somewhat dubious food pyramid model but that's another issue). Now it is actively discouraged for GPs to raise the issue of weight or exercise. Unless a patient comes in and says "Doc, I'm too fat ,what can I do?" you are not supposed to bring it up.

[@PhilWhitton]

Does not surprise me at all back then we didn’t have this ridiculous woke culture where nobody is allowed to say anything which may “offend” someone else and there was no junk food culture, so no wonder the levels of diabetes are out of control now

[@effewe2]

Your NHS is a nightmare....thank God I do not have that system here in America.

[@musicman5075]

@@effewe2 Well NHS is not perfect but I would far rather that than the American system. Of course NHS cannot match the American system for obesity I have to agree

[@effewe2]

@@musicman5075 Dude, have you lived in the UK? Tell me if your folks are not as fat or even fatter than Americans. Look in the mirror. Also, we do not have to wait 5 months for a specialist. Our doctors are not limited to 10 minutes with each patient, and they can discuss anything with their doctors. So, give me the expensive American system anytime. That is why the Canadians come to America for complex medical issues ok!

[@pauljones5066]

the somewhat overweight cashier lady in Lidl told me chattily that she had been diagnosed with type 2 diabetes. When I suggested that it can be reversed via exercise and diet, she was genuinely annoyed at me

[@chilatelover]

Get after it people. Dont give up on yourselves. Let's move!

[@drmitofit2673]

I practiced medicine for 34 years and was frustrated with the backwards thinking about health, disease prevention, and exercise. Modern medicine is basically attempting to prevent with drugs (with side effects) and ways to repair after train wrecks. During my career I wrote a mitochondrial-based book "The Science of Fitness" with champion cyclist Greg LeMond, highlighting the importance of exercise, VO2max, and muscle mass in health and longevity. If you do everything to boost and support your mitochondria, you will be a better athlete, live longer, age slower, and be much more functional in old age. I practice what I preach and can do 50 pull ups in a row at age 60. Dr. Attia should talk more about mitochondria, because it is the umbrella theory of biology that explains everything he is passionate about. If he read our book, it would blow his mind!

[@brianbachmeier34]

“Medical science is making such remarkable progress that soon none of us will be well.” - Aldous Huxley

[@jogb9515]

Kindle edition: $37.58 fk me

[@abrin5508]

50 in a row pullups is insane (top 0.01%) and you know it - you must be ultra lightweight/athlete. You'll still be fine if you can do half a dozen at 60. Most people can't do 1 - lets not set unrealistic expectations.

[@drmitofit2673]

@@abrin5508 (1) I am not a gifted athlete and fairly average physically, although I probably have more mental drive than your average Joe. (2) When I retired a year ago at age 59 I was out of shape and out of training and could only do 3 pull ups. (3) There is more involved including complementary exercises such as push ups and rows (3) I also train very intense cardio (single speed hill repeat bicycling) that most gym goers can't touch. (4) the world record for continuous pull ups is 651, so my puny numbers wouldn't even be that dude's warm up. (5) I built up gradually over an entire year, which I mainly attribute to training to complete failure, which many don't do due to discomfort. Gains were faster at first, steady gains for a long time, and now plateauing somewhat after a year of exercising everyday. (6) I have never taken anabolic steroids or androgens. I take some natural pro-mitochondrial vitamin-like supplements. Beet chews seem to add a couple more reps, the biochemical reason (nitric oxide vasodilitation was a Nobel Prize winning discovery) (6) I seem to have plateaued at 52-53 reps as I was pushing to get to 60 to match my age, but have not made any progress for the last 6 weeks or so and thus I may be at my limits. A gifted athlete could go much further. The fight now will be to maintain for as long as possible. (7) over the year I dropped my BMI from 25 to 22.8, though creeping up a bit now from more muscle. I probably lost about 18 lbs of fat which really helps pull ups.

[@drmitofit2673]

@@jogb9515 $16.17 Kindle version US dollars.

[@andywilliams7323]

Save yourself 12 minutes. The key to increasing life longevity. Don't get type 2 diabetes, cardiovascular disease, kidney disease. Do the right type of exercise. At no point does he actually tell you what the right type of exercise is or how to find out.

[@bobbyrayofthefamilysmith24]

It's obvious he most likley means any type of aerobic exercise to maintain a healthy VO2 max or weights to maintain a healthy lean mass to fat ratio and in turn a healthy hormone profile.

[@jlm4836]

Motivation in Anticipation of anything rewarding. Exercising= gain Eating healthy= zest Sleeping well= alert God given ability, a gift, to overcome any shortfall through neuro-molecules to every cell in your body. Dopamine 🥳

[@troybingham6426]

Wow that was a real eye opener.

[@regaldonneys876]

Good insight.

[@micker9830]

Max VO2 might be lower on people, because they are already sick and obviously won't live as long. You have to compare healthy people with different VO2 max output and follow them to check longevity. Healthy people will of course be in better shape, but are they healthy because they are in shape or in better shape, because they are healthy and able to do more?

[@ricardobahia]

This is true up to 80-90 y. After that genetics is more important to dictate longevity.

[@studfinderball]

Enjoy life. Work less. Smile more. Better to burn out than rust out.

[@lolajacomino6574]

Love Dr Attila’s explanation. I just got his book and it’s hard to put it down. Very good info ❤

[@pickles9440]

I guess thats why no one ever complains in our current hospital system.

[@ballintogher]

Is the book very heavy?

[@lhlclub]

Bad health, diseases, fast aging, and life expectancy all depend on your lifestyle. Your lifestyle will determine your health and quality of life.

[@531c]

That both lifespan and healthspan are dropping in the western world seems glareingly obvious to me. Obesity, overeating and drinking sugary drinks. FYI, i hail from Hertfordshire, England, a relatively wealthy part of the UK. Wherever one looks there are hugely overweight people, in fact to see a relatively normal weight person over 40 years of age is unusual. Much is said about education re. diet and exercise but something else is going on. I say that because i know personally some very well educated people that are at least 6 stone overweight. Im 62, 12 stone 12lb and 6'1" and daft as it seems im an outlier. Thanks for your videos, most insiteful.

[@deborahschumann8286]

Doctors are just pill pushers now. They do not tell their patients how to change their lifestyle to fix their metabolic disorders…just push more pills…then more pills to deal with the side effects of the pills they already pushed. None of them know about tons of information on diet and the crap the food industry is allow to sell …. Just push those pills. I would guess ther get a healthy kick back from big pharma

[@paulnicolas172]

I think a lot of people over 40 are normal weight . Am 54 and bmi 23 - I see a lot of people even much older very slim people where I live and I live in a less affluent area in the north . In fact mostly when I see a person over 60 they mostly look slim or very to me?

[@ronnie9187]

Excellent material. I am 56 years old and trying to improve my life quality and longevity. I walk much more, my weight as going down with 15% during the last 5 years having a BMI of 26. I am still leaving not perfectly but this is what I do. First I plan to quit 58 with work, less stress, better sleep patterns and more freedom and self-determination. I am eating healthier. More organic vegetables, nuts, berries daily, yogurt with line oil. Baking with olive oil instead of butter. Much less cheese, no dairy products except yogurt. Less large portions of meat and practically only chicken meat roughly three times a week and fish twice. One to two days a week I do fasting. On weekends I watch my eating plan less and those are then my "enjoyment days." but I am more carefull and don't overdue. I thought that eating well and walking regularly ( 7000-12000 steps a day, parts of them at a high pace ) would have by far the biggest impact and I am doing the right thing. So now I hear that I need to look much more at exercise, type of training and lung capacity. The question for me, how do I figure out what the best load is. A fitness coach does not have this knowledge. How do I put together a good program that is good for my particular body and age if the main idea is health and longevity.

[@janejohnstone5795]

Great ...ro read ..this...

[@janejohnstone5795]

You..can make your own personal plan..as you sound very sensible.

[@janejohnstone5795]

You..can make your own personal plan..as you sound very sensible.

[@orioles1971]

I thought that the one big thing in medicine starting in the 1880s was hygiene in medicine. Sterilizing instruments and washing hands ect.

[@calebwester1105]

Hence why he sums that up by explaining a decline in infection and an understanding that “the gods” didn’t cause illness but rather microorganisms. 😊

[@funfacts-ph9lu]

First in 1400. Hundreds AC Washing hands and to be hygienic was introduced by Islamic religion. Muslims pray 5 times a day. For that they have to do 5 times ablution. When Western doctors went to Muslim Countries Including India. They were introduced to Muslim doctors who taught them how to wash hands and be hygienic internally. Western Medicines learned it through Islamic religion. Doesn’t matter what authors said it to make money and to have importance.

[@subbiraju]

In the book he explains about antiseptic. He might have just skipped it because of paucity of time.

[@tysonbrown1277]

Kidding yourself if you think vaccines saved us, check out the graphs read, books

[@wildbillharding]

My mum, my mum-in-law and her best friend all lived to their mid-90s. Not one of them moved out of their chairs for 60 years. They did NO exercise other than walking to the kitchen. My own doctor's mother, who was in a Russian prison camp in the forties, didn't move from her bed for 17 years. She also lived to her mid-90s. The young people in my family who enter charity 10 k runs all have worsening joint problems, especially in their ankles.

[@NatsFan18]

So what are you trying to say, don’t exercise and just sit on a chair doing nothing for 95 years?

[@user-vd6jq9kd9x]

NO! I'm trying to balance the debate with first-hand experience that demonstrates the alternative to exercising. I'm addicted to cycling, weight lifting and move constantly. I'm 73 and my friends of the same age who never exercise appear to be in better shape than I am. By the way - you haven't read my post carefully. I said these ladies didn't move for 60 years, not 95.@@NatsFan18

[@carolmcleod6785]

That's like saying well my nan smoked 2 packs a day and lived until she was 96 while millions of people die from lung cancer, come on get real

[@wildbillharding]

Oh, dear, Carol. I'm sorry if I dared challenge some of your preconceptions. What's wrong with putting a contra-argument? @@carolmcleod6785

[@carolmcleod6785]

@@wildbillharding science is science you can't argue with the facts, has nothing to do with my "personal opinion"

[@Mobev1]

My grandad and grandmom eat well and are in their 90s and have never exercised more than just walks and working around the house.

[@ThisisFred-dt4mq]

Excellent case study of 2

[@viking933]

I love this commemts, my grandparents,my Uncle, my Girlfriends Cousin 3 degree. Blablabla. Then you know what to do. Dont exercise, will Help you for Sure 😅

[@Mobev1]

I played all the high school sports including wrestling. I surf, ski, run triathlons, played 4.5 tennis, now pickleball and lift. Pretty sure I don’t have an advantage over someone who just eats good and relaxes and takes walks.

[@Mobev1]

So many people on you tube over 100 saying they never did any formal excercise. I love the black guy that smoked cigars all day, drank whiskey, ate ice cream, and drank Dr Pepper. There is another that swears Diet Coke kept her alive and she is probably right,

[@123prestolee]

Keep the doctor away - nature, quality food stuffs and movement. Regimented exercise is unnecessary nonsense.

[@martywilsonlife]

5:12... super important markers that will assist one with living longer with more robust health.

[@bvsuber1]

I agree with him for the most part but there are issues that most be emphasized, money and corruption 8:21 to be specific. There is an over emphasis on drugs and vaccines. The question is why doctors aren't trained to includes the points he emphasizes. To many people are getting paid to change. Get fat, eat what you want and take a pill.

[@tomdebevoise]

Walking around the mall 3x a week is clearly inadequate. If you are older and retired/semi-retired strive for 2 sessions each day. Take progressive yoga and Pilates classes, and ride a bike. Go to a climbing gym.

[@fredboudreaux9663]

Dr. Peter is legit

[@dan2304]

The engineering of clean water, sewerage and waste measurement have had a much bigger impact than medical on advancement of life expectancy.

[@hjander]

My understanding is that under the UK National Health Service, participating doctors are remunerated based upon their results - i.e., healing a patient instead of billing him/her as much as possible. In short, finding a cure trumps endlessly treating the symptoms. It's all about incentives!

[@andywilliams7323]

No, there's no remunerated by results. In UK NHS, Doctors are simply paid a set wage, which increases through promotion and years of experience. The NHS is funded entirely from UK citizens' taxes. There's no billing of patients except for extremely low billing on dentistry, capped at a maximum of £307 ($383), and certain drugs capped at a maximum of £10 ($12) for each drug or item.

[@travelguy1564]

Muscle is the currency for Longevity!

[@Orroz44]

I read "music". Which I found quite illuminating.

[@andrestrat]

YES! in particular those that ensure your stability and avoid you to fall down. I have noticed with older people that after falling down, their overall condition has deteriorated rapidly.

[@eyoung506]

Read Peter Attia's book. It is excellent.

[@bmniac]

This is an excerpt from a longer conversation. Quite illuminating. It is a pity that there are so few viewers.

[@drlouiscardinal752]

It’s a new video, a few hrs old….viewer count will go up fast…..

[@mikevaldez7684]

@@drlouiscardinal752 Yes, clearly he was unaware of the recent release time of this clip. 😃🙋🙏

[@michaeltrumper]

Attia has been on multiple podcasts lately due to the publication of his book. I have heard all of this multiple times and normally don't check it out but had not seen this channel before so that it would give it a listen.

[@advancetotabletop5328]

Retired, so I can walk when I wake up, then walk before it gets dark. Particularly in summer, it’s stuffy in the house, so going outside is a nice break. Also keeps me away from the fridge!

[@61JZ]

Actually, the two most crucial factors in promoting longevity were in sanitation and nutrition. Suzanne Humphries has written extensively on this subject.

[@JakeRichardsong]

"Humphries is a prominent figure in anti-vaccine circles..." Lol, just nonsense.

[@61JZ]

@@JakeRichardsong ad hominem is not a cogent argument. LOL.

[@orange1666]

And the problems of sanitation and nutrition are mainly relevant to modern life , study the blue zones or any remote tribes and you will find longevity and health has never been an issue , in recent centuries life expectancy has been compromised by wars , industrial accidents , overcrowded civilisations and limited diets - modern medicine has done nothing to increase life expectancy as a potential - because the blue zones prove that you don’t need modern medicine and they are far more successful than all modern nations - today in the western world life expectancy is in decline ! , modern healthcare has only allowed unhealthy people to live and suffer longer - not a particularly smart idea - better to improve health and breed from healthy stock or you end up with offspring full of problems - it’s before our eyes on the streets !! More and more kids with problems , more and more health systems clogged up with things that could have been avoided - it’s a business , keep people stupid and unhealthy and you will make money and have power ! The elite are laughing at us as usual , health is not rocket science .

[@johnc.8298]

What's your point? A dismissive hand wave is not a counterargument. Some have observed that as sanitation was improved it correlates with the decrease in disease and death. So much so that some have queried what the impact of vaccinations was regarding this already downward trend. Neither one or other but possibly the combination were additive and better than either individually.

[@campbellpaul]

A potential reason US life expectancy has gone down is because of the microplastics and toxins in the so-called food and water we drink, which in turn is affecting our epigenetic code and making us hormonally sterile, destroying our ability to fight disease. Of course, no doctor would say that because it just might implicate modern medicine as related to the problem.

[@scotniver7180]

Thanks for the presentation and analysis. ** I giggled when he included Vaccines ** lol lol

[@teatowel11]

There are fields like exercise physiology that specifically study this, Drs don't need to. The issue is also not diagnosing or prescription but compliance to interventions. I'd argue there is more of a place for greater phycological interventions and social changes (eg. Providing safe, enjoyable infrastructure for self powered travel, limiting advertisement and availibility of junk foods in some environments, encouraging active play at schools)

[@jjuniper274]

The Mayo family really pioneered 2.0. I love Mayo, they seem to be moving into 3.0.

[@persimmontea6383]

At a health check up sponsored by the University I worked at, in my mid forties, an overweight nurse cussed me out because my body mass index was too low ... I told her I could run a six minute mile pace and hold it for a half hour ..... she looked annoyed and told me I needed to work on my body mass index.

[@michelem226]

Diet influences things like VO2 max. I think the evidence shows that diet has the biggest influence on longevity, not exercise. I remember seeing some sort of meta analysis published putting diet right at the top. Diet influences the ability to exercise as well.

[@rowandowland1391]

I get it that General Practitioners (GPs) don't have this knowledge because they weren't taught it. What I don't get is why they don't get it. This information is now so accessible, so what's the excuse GPs can use not to commit to continuous learning? Why aren't GPs reaccredited regularly only after updating their knowledge. What am I missing?

[@n2daair23]

$$$

[@criticRN]

My GP stays constantly updated- I believe many do.

[@rowandowland1391]

You're very fortunate. My GP stayed updated by reading the Pharmaceutical Company's sales leaflets. As a result I was immediately prescribed insulin and statins and never advised that I could reverse Type 2 Diabetes through diet (low carb) and lifestyle changes which I have done and not taken any meds. I've come across so many exact same cases. @@criticRN

[@DenianArcoleo]

Two things to say. Firstly, indoor plumbing has been a far greater contributary factor to longevity than has allopathic medicine. Clean running water is the key. Secondly, the reason for the 'shorter' lifespans of people in the past is simply that high rates of infant mortality brought down the overall average age. In the past, even the distant past, if you survived childhood you had a good chance of reaching 70 or 80. This is well known and anyone who says people just died young in the past doesn't really understand a great deal. Three score and ten is a very old formulation. Modern medicine is fantastic at dealing effectively with sudden trauma, and that's about it.

[@michaeltrumper]

Misses the advent of modern public health measures such as sanitation, clean water as major drivers of increasing health span.

[@calebwester1105]

That’s clearly encompassed by him pointing out the realization that “the gods” didn’t cause disease, but rather microorganisms. 😮

[@keesdevos4816]

Why do women live longer while not scoring at proposed exercises?

[@themsmloveswar3985]

Men are designed for power output, and burn more calories. This is more destructive of health.

[@bcoldwell1]

Is there an organization or group in the states that supports 3.0 or to which practicing physicians can subscribe? I'd like to find a primary care doc who can help guide me.

[@pinkiepinkster8395]

Im following the Bryan Johnson Blueprint diet and workout and supplement routine and feel better. Just eat fresh fruits and veggies and nuts and seeds and berries and melons and lentils and heal yourself.

[@somnorila9913]

Our healthcare systems and healthcare training overall are tuned towards treatment instead of prevention. It's easier to support financially i think because it's way more clear and straightforward from the State's perspective as well from the beneficiary's perspective too, and also much more easier to monetize. In a way it seems similar to comparisons between energy production using coal plants vs nuclear plants. Where coal seems to win because of the financial reasoning for businesses, the political reasoning for whatever career politician intention and desire thus because of our general view on expense and benefit. We as a species still have serious issues in regards of long time planning, i mean, biologically speaking we have short lives and each of us sees the world from a personal perspective. So if it doesn't affect me now, when i need or ever, then it doesn't exist and doesn't get my attention or support. Whomever does is stealing or wasting resources that i could use. And this is in many other parts, aspects or systems too. So in order to change the approach we would need to change society as a whole. Which is not so easy even if we would have the resources for that. It is an evolutionary component to it. We can't change some stuff because it makes no sense from a survival standpoint. Like some jobs or approaches are still required even if they hurt us. And a bigger bonus to your income for working in some dangerous situations doesn't give you a more time alive to alleviate the cases when you mess things up and get hurt, develop some type of specific illness or die because of your work. So focusing on treatment and palliative care makes some sense.

[@wmp3346]

Exercise is awesome 👏

[@dfinma]

2:52 It's interesting -- some technology resulted in a dramatic decrease in traumat and infection deaths but more technology is making things worse. Chemical agriculture, the built environment, environmental toxins, corrupt institutions, modern conveniences, less physical activity, more screen time. The underlying mechanism is, as smart as we are there are downsides. One downside is we're aware of all sorts of scary things, like death, and we're happy to be influenced by things associated with it. This is a flaw in cognition that can be exploited.

[@pedroperolini949]

I like very much that the host puts an emphasis on personal responsibility. The Soviet State where everything is taking care of by government really did not work. People died. Same for the other countries that have socialized health care in various degrees. Only personal responsibility works.

[@KJSvitko]

Every adult and child should own a bicycle and ride it daily. Ride to work, school or for fun. Children should be cycling to school and not be driven in a car. Healthy exercise habits start when you are young.

[@grantchanin2878]

Hi KJS, I love your comment. So very true.

[@marianhunt8899]

There are not enough safe cycle lanes. I had 2 friends who died cycling to work. Both involved in fatal collisions with articulated lorries. The safe infrastructure is simply not present and I want my children and loved ones to stay alive. If I lived in the Netherlands I would cycle everywhere because they have designated safe lanes to do so, which don't end abruptly.

[@KJSvitko]

Speak up for safe, protected bike lanes in your community. Talk to your local elected officials and transportation planners and ask that they update their plans to include bike lanes. @@marianhunt8899

[@claytonmurray5004]

@@marianhunt8899yes, you need to do a risk assessment before cycling. Is the route congested? Is it a main thoroughfare? Is there a lot of trucks? If the answer is yes, then make a smart decision not to cycle or to take alternative routes or extra care.

[@georgefelegy8607]

YES........Fix me doc. vs. I take primary responsibility for my health.

[@gabymalembe]

I wonder if the extraordinary hazard ratio of exercise takes into account that people who have exercised for years usually have lots of other healthy habits, too.

[@mikevaldez7684]

@gabymalembe, Yes, Peter has specifically discussed that as well, and states that people who exercise typically exercise portion control, eat better, maintain a healthier weight & sleep better as well....🙋🙏

[@jasonbeedon9867]

Positive reinforcement loop!

[@janejohnstone5795]

Believe in natural healing for the mind and soul...with out modern medicines...self healing...should be encouraged..more...

[@saliksayyar9793]

Physicians know whst you say, they are not stupid, but don’t have time and behavior modification is the most difficult thing.instead of licensing non physicians to practice medicine. PAs and APNs should be working with physicians to closely work with patients in behavior modification based on what physicians recommend.

[@FASIGMAN]

First of all sir"s/Doctor's thank you guys 2 of the people I have been listening to for a while now thank you for your help you will never know how much help you have given me thanks again. I would say any 1.0, 2.0, 40.0 it makes no odds what it's called if our lives ar run by the food and pharmaceutical giants for profit.

[@susymay7831]

Timestamps would help your nice videos ❤❤❤

[@Governemntistheproblem]

There should be doctors who treat illnesses. And doctors who promote wellness. These should be versed in stretching, in gut bacteria, in neurotransmittors, in diets, in exercice.... The hero doctors who treat cancer and heart disease should be one path and the ones who do preventive wellness should follow another path.

[@geralds361]

Ah - but if the doctors who promote wellness were successful, there would be no need for doctors who treat illnesses. It is all a question of incentives. Doctors should be paid in proportion to the numbers of patients they DON'T have to treat.

[@24bellers20]

My doctor argued that there is no such thing as insulin resistance and metabolic syndrome. How the hell do we win that argument. He now says I’m hypertensive remissive. That’s UK doctor training. I pointed him to Ben Bikman. Argue with Ben not me.🤣How many of the hypertensives are overweight, don’t exercise, smoke and have diabetes. The figures are too loosely interpreted.

[@marianhunt8899]

How can people really, truly look after themselves when they're working very long hours to just keep food on the table and a roof over your head? Poverty and financial worries are growing and along with it anxiety and sleep distance caused by the economic anxiety. Why are economic factors nearly always excluded from the discussions?

[@appoNo1]

Thank you! I wrote a very similar comment on this video. I’ll post it below

[@appoNo1]

“I’m sorry but personal responsibility will only take us so far. If 2/3 of people in the UK are overweight or obese, this is a systemic issue. It’s crazy to me that intelligent people fail to mention the elephant in the room, poverty. Not just in the sense that people are walking in ragged clothes and are starving, the problem is that people are working too much, it is that simple. They don’t have the time, mental energy or tenacity left for their own health . How is it possible for people to work a 60 hour week, look after their family, cook, clean, shop, find some time for rest and then put the real time into their health that they need. It is a privilege to have the space in your life to allow for this. So let’s start changing the way we work to allow people to genuinely thrive. “

[@marianhunt8899]

@@appoNo1 well said.

[@hannastocksick7395]

Is there a doctor specialty that can guide us in exercising like you are saying? Good Personal trainers are very hard to find. The health insurance companies should cover this type of help.

[@okantichrist]

Just start doing it.

[@briancase6180]

It's hidden dietary mistakes. People will tell even themselves lies about the quality of their diets. They can be eating absolutely destructive foods and not allow themselves too acknowledge that fact. "That bag of potato chips isn't really hurting me...." People can be drinking a lot of a certain kind of tea and not realize the way it's produced delivers to them a big daily dose of something hazardous to them. Etc. Tea is made from a lot of different stuff processed on a lot of different ways, for example. There's tons of different kind of tea on the market, and most is marketed as "healthy."

[@ds6914]

How much is this correlation v causation?

[@samhitabhattacharya3608]

No matter u exercise ,eat well ,lead healthy life style majority will not be able to remain heathy beyond 70 because of stress which they gather from their work life .

[@johnb7337]

In general all of this seems right, even relatively obvious. The last statement maybe not, that the only way to improve general health through those sorts of fitness parameters and markers is exercise. It's really about physical activity, and the form we are familiar with is exercise. It might seem like I'm splitting hairs here, because we could easily interpret someone chopping firewood, shoveling snow, or planting rice in a rice field as exercise, but it's not that, it's a different category of activity. Hanging out laundry or cooking dinner for an hour wouldn't improve your VO2 max but I believe it would improve physical mobility, if someone leads a sedentary lifestyle, or to an extent even if they don't. Raking leaves could support exercise recovery. Poor diet and inactivity are impacting many people's health, not only a lack of exercise. This guy cannot imagine hanging clothes on a clothesline, shoveling snow, or walking for transportation, so those things don't get factored in.

[@richardmiddleton7770]

Peter does a great AI robot impression! I guess he'd call it AI 2.0! 😅

[@all2031]

The main reason life expectancy is decreasing in the "democracies" is due to the concentration of wealth/power, increase in homelessness, disease, poverty, etc.

[@KJSvitko]

Health care costs are out of control. Going WFPB vegan can save money, pain and suffering from disease. Lower your chance of high blood pressure, heart disease and cancer by going vegan. Hospitals, doctors offices and schools should be places where good nutrition is taught and provided not places that contribute to disease and obesity. It is crazy the hospitals are feeding people the very food that caused the heart disease, high blood pressure or cancer that they are treating. Every person in the hospital should receive some nutrition education before being released. Every doctor visit should be an opportunity to educate patients about how food choices impacts their health outcomes. The fact that doctors do not get nutrition training as part of their training makes no sense. Medicare and Medicaid should require nutrition education as part of patient care. Focus should be on food choices.

[@hokeywolf3416]

Not eliminating bad foods and reducing the amount you eat as you age are the two biggest problems, I believe.

[@pamphletier]

The problem with these conclusions of Peter Attia is that he builds them on correlation, not causation. That is, yes, people with great VO2 max do have a much better life expectancy, but VO2 max only correlates with life expectancy and doesn't actively alter it. Thus, most people will not be able to increase lifespan by increasing V02 max. In most cases, low V02 max values result from physical disabilities or chronic diseases, both of which cause lower life expectancy but won't change by altering VO2 max.

[@surrealistidealist]

5:47 It'd be cool to have a doctor who can write your grocery list as a prescription. Lol

[@anthonykoleszar1779]

Stating the obvious but so many people are oblivious or just shrug it off. I’m inundated with offers for free junk food at work all the time; very frustrating.

[@lucylane7397]

I don’t think life expectancy was that low 200 years ago

[@gregorysagegreene]

Of course, nothing mentioned about declining 'civilizational' backdrop leading to dramatic exposures to adverse economic outcomes and indeed precarities.

[@chrisclassical7]

the biggest mistake you can make with your health is going to the doctor. they are fully paid up employees of the drug manufacturers.

[@jfk9996]

A life expectancy of 40 years 150 years ago isn't strictly true. This is based on the average age of death and not the median. Averages are skewed by outliers like a very few long lives or in this instance, infant mortality. Factor these out and the median is a lot higher than 40. Johann Sebastian Bach for example lived to 65 and died in 1750.

[@stephtraveler7378]

One of the benefits of Obamacare was the mandate for free annual physical... As a result, and lack of reimbursement to the provider, my annual physical which used to be a thorough exam and stress test is NOW a 2 minute visit from my PCP.... Yes, Obamacare mandates are DIRECTLY leading to an increase in preventable deaths!

[@davidleonard37]

We tend to treat people when their sick and not before that when lifestyle changes could stop them getting sick. That's not really up to your Dr to educate you but their needs to be a system so as people understand better the consequences of poor lifestyle choices. Society is the main driver of this so a serious shift needs to happen in how we work and how we eat etc and also how more people can get access to proper food. Fast food is cheaper and more accessible and that's wrong.

[@jonathanfisk3572]

I agree with your first assertion, but I I think you are a bit off base on the others. All of the required information is available for people to understand very well how to live a healthy lifestyle. It's free and VERY available. The problem is that the vast majority of people desire the easy solution. Living healthy is hard. Most people want a pill that will allow them to live a poor lifestyle and then just fix it with a pill, or a procedure. And as far as fast food being cheaper and more accessible, I consume a very healthy whole food plant based diet. I find that for the cost of buying fast food/highly processed food, I can buy far more healthy options in greater quantity. The drawback is that I need to spend extra time preparing it. When I speak with people who consume the standard American diet they typically counter with a passive aggressive comment like "It must be nice to have that much free time on your hands". They will typically counter that they do not have the time to prepare food. So it's really about laziness and the desire to not have to manage their lives in a healthy manner.

[@davidleonard37]

@@jonathanfisk3572 I mostly agree with what you have said there. Really good points, I just think personal responsibility comes into it but schools and parents could do better and in fairness my own Dr is a proponent of preemptive measures but again I don't go to him unless I'm sick which thankfully is rare. Your 100% right most people know how to eat better and also know the consequences of not doing it and it costs the healtcare system an absolute fortune but food and medical companies are not on our side. It's all about profit. I probably not quite as good as you with my diet but I do make a real attempt to be healthy most of the time and mostly prep my own food. It's all about priorities, if you want to live a longer healthy life you would prioritise this. As a runner I also need to make this a priority or I wouldn't be able to compete.

[@manicminer4573]

He didn't answer the question posed in the video title. If you're healthy in all regards, you will have a good VO2 max. But is it also true to say that undergoing training in order to have a good VO2 max will make you healthy in all regards? I would say not.

[@mortenvinther8940]

Im 33y and got my vo2max lab tested last month - I scored 57 which put me up in 'superior' but i wouldnt say im healthy in all regards.. i drink alcohol in weekends, use nicotine, and is a Chocolate&Pepsi max addict..

[@marcdaniels9079]

VO2 max is hugely dependent on genetics and can remain very high in otherwise unhealthy individuals.

[@gcruishank9663]

I’m a person walking down the street and I know the LAST thing I would use if I had cancer is chemotherapy. I would use fasting, stress reduction, complete reduction in sugar. And yes of course exercise.

[@stsk1061]

Is your name Steve Jobs by any chance?

[@Bbarfo]

It appears that Dr. Attia is an Aryton Senna fan.

[@yosefsugi1808]

❤❤❤❤❤❤❤

[@jimmycarney7650]

Smoking and drinking is a fast track to a early grave

[@blengi]

with gpt4's vast medical knowledge and better than average doctor reasoning it's all good. maybe in 5-10 years personal doctors will be largely redundant, unless they become cynical gate keepers ... - _"GPT 4, released yesterday, scored in the 95th percentile on the USLME - the final exam to pass med school in the US on it's first attempt"_

[@pickles9440]

The biggest mistake is when we tried to profit from it.

[@michaelmelamed9103]

Have you ever gone to a government run free multispecialty clinic?

[@OldManDave1960]

Profit drives customer oriented excellence. Government run "healthcare" combined the efficiency of the DMV with the compassion of the IRS.

[@pickles9440]

no but i used to work for a private, non profit, it was Mecca until corporate came and pee’d in the pool. But those days are gone, it will now either be government, or for profit. We’re screwed. @@michaelmelamed9103

[@pickles9440]

@@OldManDave1960 I guess thats why no one ever complains at privately owned hospitals.

[@pickles9440]

“Profit drives customer oriented excellence”, the batttle cry of the CEO’s. Trust me, fancy equipment and pretty artwork does not equal good care. @@OldManDave1960

[@scottytc]

If you want health you have to look outside the medical community, it has always been that way. They are the option for last resort or desperate need, they are not the choice for lifestyle.

[@pragmatist165]

I like what you say.. i call all this preventative medicine... and we need mega preventative medical centres where the highly qualified medical and physios and dieticians are there with their vo2 machines etc etd to deliver total quality med management.. where the gps are central there as they are now.. and the others are there to so i can do my strength and conditioning etc etc .. mo3 is a bit of bull shite .. the names must be targeted to customer.. the gps need to do more training on tbe job i. Mo3 as you call it

[@supersasquatch]

sugar, alcohol, stress

[@carolmcleod6785]

People make excuses they don't have time to workout yet spend their time of their phones or in front of the tv, you can always find 30 mins a day ridiculous

[@dennishepworth6053]

Eat organic produce, excluding meat. Stay hydrated, flexible, use weights and excersise. Limit alcohol. Stay happy.

[@claytonmurray5004]

Add relaxation

[@alanthurlow4556]

Was it not improvment in public health. Clean water and improved sewage infrastructure that was the main reason for the huge increase in life expectancy.

[@lindadavis5668]

Processed food is killing us.

[@newdata]

the latest data speaks against VO2 as vigorous excerciese lose out to moderate excercise ...

[@mikevaldez7684]

Wrong, that's one, questionable, flawed study whose results were dubious & will not be repeatable under scrutiny.....besides, how you define "rigorous" vs "moderate" matters..."moderate" is typically defined as fast walking, easy swimming, etc., rigorous would be running at least 70% of Vo2max, hard, high wattage rowing, cycling at high watt output, like attacking hills....

[@marcdaniels9079]

@@mikevaldez7684 I haven’t seen this latest so called faulty study but there are many meta analyses showing the efficacy of moderate Z2 exercise. Perhaps you haven’t seen them as they don’t confirm to your existing bias.

[@rdallas81]

Back in the Early days man was living hundreds or years.

[@joeskeptical4762]

*Health = less therapy, treatment, drugs or hospitals therefore LOWER PROFIT.* *_Follow the money._*

[@micker9830]

Medicine just focuses on treating issues, not preventing them.