Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
SPEAKER_01 (00:00):
Today we're doing a
deep dive into something I think
is on everyone's mind (00:03):
proactive
aging and uh really maximizing
our health span.
Yeah.
We've gone through a ton ofmaterial from a leading
physician for high performers,and the goal is to get beyond
just living longer.
The real focus is on livingbetter for a longer.
SPEAKER_00 (00:21):
That's exactly it.
The whole mission here is tosort of redefine what we think
of as decline.
SPEAKER_01 (00:26):
Okay.
SPEAKER_00 (00:27):
We all have this
idea that, you know, physical
and mental breakdown is justinevitable.
It just happens at 75.
Right.
SPEAKER_01 (00:31):
It's a fixed date on
the calendar.
SPEAKER_00 (00:33):
Aaron Powell
Exactly.
But the source material is umit's so clear on this.
The rate of decline is actuallyhighly controllable.
But, and this is the key, thatcontrol requires preparation.
SPEAKER_01 (00:45):
Aaron Powell And
starting much earlier than
people think.
SPEAKER_00 (00:47):
Much earlier.
If you wait until your 50s or60s when you're already feeling
it, you've missed out on all thebiggest compounding games.
SPEAKER_01 (00:53):
Aaron Powell And the
framework that really anchors
this whole idea is a conceptthat's well, it's a bit
sobering.
It's called the marginal decade.
SPEAKER_00 (01:00):
It's basically the
last decade of your life.
And statistically, this is wherephysical capacity can just drop
off a cliff.
SPEAKER_01 (01:07):
Aaron Powell And
that completely changes your
quality of life.
SPEAKER_00 (01:09):
Aaron Powell It's
everything.
The whole idea really clickedfor this physician at a friend's
parent's funeral, which i i i itjust brings home the emotional
core of this.
Oh so well he realized theparent had been you know
technically alive, but justmiserable.
They were alive, but theyweren't really living.
SPEAKER_01 (01:27):
Aaron Ross Powell
Because of physical limitations.
SPEAKER_00 (01:29):
Yes.
The aches, old injuries, thelack of strength.
It stopped them from doing thethings they loved.
Simple things, like playing around of golf or even just
tending their garden.
And when those pleasures go,they just they retreated from
life.
SPEAKER_01 (01:43):
Aaron Ross Powell
That's such a powerful image to
hold on to.
We're not talking about somesci-fi immortality.
We're talking about being ableto enjoy the time you actually
have left.
SPEAKER_00 (01:51):
Aaron Powell
Precisely.
The goal isn't a number, it'sabout quality of life right to
the very end.
It's what the sources callhealth span, not just lifespan.
SPEAKER_01 (01:59):
So this really flips
the question back to you
listening right now.
What do you actually want to beable to do in your marginal
decade?
SPEAKER_00 (02:06):
Aaron Ross Powell
And you have to be specific.
It's not enough to say, I wantto be active.
Define active.
SPEAKER_01 (02:12):
Like the Bali Stairs
analogy they use.
SPEAKER_00 (02:14):
Exactly.
If you've ever hiked thosesteep, uneven trails, you know
that walking down is acompletely different challenge
from walking up.
SPEAKER_01 (02:21):
Oh yeah.
My quads are burning justthinking about it.
Trevor Burrus, Jr.
SPEAKER_00 (02:24):
Right.
Walking down takes massiveeccentric strength in your quads
just to slow yourself down.
But walking up is all concentricstrength and pure cardio.
If you haven't trained both, youmight lose the ability to have
that experience at all.
SPEAKER_01 (02:39):
Okay, so if we're
gonna train for this, we need
metrics.
What did the sources point to asthe single biggest predictor of
how long someone will live?
SPEAKER_00 (02:47):
Without a doubt, the
best metric we have for
predicting all-cause mortalityis Vichomax.
SPEAKER_01 (02:53):
Vichomax, right.
We hear that term thrown aroundall the time.
What is the clinical definition?
What's it actually measuring?
SPEAKER_00 (02:58):
Aaron Powell So
Vichomax is the maximum volume
of oxygen your body can take inand actually use.
SPEAKER_01 (03:04):
And how do they
measure that?
SPEAKER_00 (03:05):
Clinically, they put
you on a treadmill or a bike
with a mask and just push you toa maximum gut busting effort.
They're precisely measuring theoxygen you breathe in versus the
CO2 you breathe out.
It's the ultimate proxy for yourbody's energy capacity.
SPEAKER_01 (03:21):
And the correlation
here, it's not small, is it?
The data is pretty staggering.
SPEAKER_00 (03:26):
It's incredible,
really.
This is where the whole argumentfor preparing early becomes
impossible to ignore.
If you take someone in the top2% of Vich O Max for their age
and compare them to someone inthe bottom 25%, the person in
that bottom quartile has a 400%higher risk, a five-fold
difference in all-causemortality over the next year.
SPEAKER_01 (03:46):
400%.
That's I mean, that's not asubtle difference.
That's the kind of gap you seebetween like smokers and
nonsmokers.
SPEAKER_00 (03:52):
Exactly.
And the reason it gets soprofound with age is that V show
max represents your physiologicreserve.
Everyone's declines over time.
But if you start high, you couldlose a lot and still be highly
functional.
SPEAKER_01 (04:03):
But if you start
low.
SPEAKER_00 (04:05):
If you start low,
that same decline pushes you
over a threshold where justdaily activities carrying
groceries, climbing stairs,start to feel like a max effort.
SPEAKER_01 (04:17):
Aaron Powell Which
brings us to this idea of
physiologic headroom.
The source material had a greatanalogy for this.
The glider.
SPEAKER_00 (04:25):
Yes, the glider
analogy.
Think of your health span as aglider ride.
The glider has to come downeventually.
Decline is inevitable.
But if you launch that gliderfrom a much higher cliff,
meaning you maximize your VGUmax and strength now, and you
work to make the descentshallower, your glider just
stays in the air for much, muchlonger before it hits that
(04:45):
disability threshold.
SPEAKER_01 (04:46):
Aaron Powell So it's
not about stopping the decline.
It's about starting higher andcoming down slower.
SPEAKER_00 (04:50):
Aaron Ross Powell
That's the entire game.
SPEAKER_01 (04:51):
Aaron Powell So if V
U max is the metric, how do we
train?
It's not just about becoming amarathon runner, is it?
SPEAKER_00 (04:58):
Trevor Burrus, No.
And that's the philosophy of thecentenarian decathlon.
SPEAKER_01 (05:00):
Decathlon.
Okay.
So a generalist.
SPEAKER_00 (05:02):
Aaron Powell
Exactly.
You want to train like awell-rounded athlete who needs a
huge breadth of skills, notjust, you know, pure speed or
pure size.
You're training for the physicaldemands of an active final
decade.
SPEAKER_01 (05:12):
Aaron Powell I have
to admit, when I read that they
broke down desired activities,like lifting a suitcase or
playing with grandkids intoabout 27 necessary physical
requirements, I felt a littleoverwhelmed.
SPEAKER_00 (05:24):
It sounds like a
lot, but the point isn't to
track 27 things every day.
It's about recognizing thatlongevity demands broad
athleticism.
You need mobility, stability,strength, and endurance.
SPEAKER_01 (05:36):
And the core
principle is simple.
SPEAKER_00 (05:37):
So simple.
No one in their last 10 yearsever said, gosh, I wish I were
weaker, or I wish I had lessstamina.
SPEAKER_01 (05:44):
Let's drill down
into that strength component.
Muscle mass is obviously key forstrength, but the sources really
emphasized its metabolic role.
SPEAKER_00 (05:51):
Oh, it's huge.
Muscle is your body's primarysink for disposing of glucose.
It's like a giant glucosebuffer.
SPEAKER_01 (05:58):
Okay.
SPEAKER_00 (05:59):
Having big
insulin-sensitive muscles helps
you regulate blood sugarincredibly well, which directly
fights off the biggest metabolicrisks of aging, like type 2
diabetes.
SPEAKER_01 (06:08):
And while you can do
all sorts of complex tests, the
sources also point to reallysimple proxies like grip
strength.
SPEAKER_00 (06:15):
Absolutely.
Grip strength is one of the mostpowerful predictors of
longevity.
You can measure with adynamometer or even just a time
dead hang from a bar.
SPEAKER_01 (06:23):
Why the grip,
though?
It seems so specific.
SPEAKER_00 (06:26):
Because a strong
grip isn't just about your hand.
It requires stability all theway up the chain, your forearm,
your shoulder, your scapula.
It's a fantastic proxy foroverall functional strength and
your ability to prevent a fall.
If you can hang from a bar for90 seconds, you are systemically
strong.
SPEAKER_01 (06:43):
Speaking of falls,
they are so dangerous for older
adults.
You mentioned a 15 to 30%mortality risk within a year of
a hip fracture.
So how do we train to getstronger without getting
injured?
SPEAKER_00 (06:55):
Right.
That's the balance.
The sources outlined threezones: pure strength, which is
like one to five reps, very highinjury risk, muscular endurance,
15 plus reps, and then the sweetspot, hypertrophy, which is
about seven to twelve reps.
SPEAKER_01 (07:08):
And that's the
recommendation.
SPEAKER_00 (07:09):
That's a sweet spot
for longevity.
Training in that eight to twelverep range, but always leaving
one to two reps in the tank.
You want intensity, but pushingto total failure is where the
injury risk skyrockets.
SPEAKER_01 (07:19):
And what about
warming up?
The sources were pretty againstgeneric cardio warmups.
They mentioned this term, DNS.
Sounds very technical.
SPEAKER_00 (07:28):
It does.
The name is terrible.
Dynamic neuromuscularstabilization.
SPEAKER_01 (07:33):
What is that in
plain English?
SPEAKER_00 (07:34):
It's basically a
very specific warm-up.
SPEAKER_01 (07:37):
Yeah.
SPEAKER_00 (07:37):
It uses movement
patterns from like how babies
learn to move to make sure yourdeep core stabilizers are firing
before you lift heavy.
It's about making sure thechassis is ready for the engine.
It's way more effective thanjogging on a treadmill.
SPEAKER_01 (07:50):
That makes sense.
And that attention to detailseems crucial when we talk about
falls.
You said earlier a fall isn'tjust a balance problem, it's a
power deficit.
Why is that distinction socritical?
SPEAKER_00 (08:00):
Because you don't
get hurt when you trip.
You get hurt when you can'tcatch yourself.
That quick explosive reaction tocatch your balance that comes
through your type 2B musclefibers.
They're your fast twitchexplosive fibers.
And what's really scary isthey're the very first fiber
type we lose as we age.
We lose power decades before welose strength.
SPEAKER_01 (08:20):
Wow.
So if that power fiber is thefirst to go, how do we train it?
I'm not about to become acompetitive high jumper.
SPEAKER_00 (08:27):
You don't have to
be.
But you have to intentionallyinclude explosive movements,
things like jump rope, boxjumps, even just simple vertical
jumps, anything that forces youto recruit those fibers quickly.
You have to train the muscle tobe fast, not just strong.
SPEAKER_01 (08:42):
Okay, let's put this
all together with the case study
from the sources.
Jack, the young productionrunner.
Outwardly, he was super fit,great runner, incredible V2SC's
max.
But under the hood.
SPEAKER_00 (08:52):
A classic case of
performance masking poor health.
His engine was amazing, but hischassis was weak.
The real shocker was his bonedensity.
SPEAKER_01 (09:00):
He was young, he was
active.
How could it be low?
SPEAKER_00 (09:02):
His lumbar spine was
two standard deviations below
the mean for his age.
Bottom tenth percentile.
He was at high risk for afracture just playing pickup
basketball.
SPEAKER_01 (09:11):
But why?
Doesn't running build bone?
SPEAKER_00 (09:14):
Not in the right
way.
Bones need heavy load anddeformation to get stronger.
Running is low amplitude stress.
You need heavy resistancetraining or activities with odd
loading patterns like grapplingor martial arts.
SPEAKER_01 (09:26):
And it's not just
mechanical stress, right?
There are chemical signalsinvolved.
SPEAKER_00 (09:29):
For sure.
You check vitamin D, you checkcalcium, but the sources were
adamant.
You have to check estrogenlevels.
SPEAKER_01 (09:35):
Even in men.
SPEAKER_00 (09:36):
Especially in men.
Estrogen is the critical signalthat tells your bone-building
cells to get to work.
If that signal's low, your boneswill weaken no matter what you
eat.
SPEAKER_01 (09:46):
Jack was also
diagnosed as being under-muscled
and overnourished, which seemslike a contradiction.
SPEAKER_00 (09:52):
It does.
But his appendicular lean massindex, basically the muscle in
his limbs, was low.
And his body was storing energyin the worst place as visceral
fat around his organs.
SPEAKER_01 (10:05):
Why would an active
person store fat there?
SPEAKER_00 (10:07):
It's a fuel
partitioning issue.
If you don't have enough muscle,which is your best place to
store glucose as glycogen, theexcess energy has to go
somewhere else.
And it ends up as that dangerousvisceral fat.
SPEAKER_01 (10:18):
So the prescription
for him was a complete overhaul.
SPEAKER_00 (10:20):
Yep.
Fewer calories overall to burnthe visceral fat, a huge
increase in protein, like onegram per pound of body weight,
and a lot more resistancetraining to build that muscle
mass to act as a better glucosesink.
SPEAKER_01 (10:32):
Let's connect one
last piece here, which is that
cycle between testosterone,metabolism, and sleep.
T levels declining is a realthing.
SPEAKER_00 (10:41):
It is.
It's unavoidable.
SPEAKER_01 (10:42):
Right.
SPEAKER_00 (10:42):
But the rate is
controllable.
And two of the biggest driversof that decline are increased
body fat, which convertstestosterone to estrogen, and
critically poor quality sleep.
SPEAKER_01 (10:53):
Why sleep?
SPEAKER_00 (10:54):
Because sleep is
when your body releases the
hormones that drive testosteroneproduction.
You don't sleep, you blunt thatentire process.
SPEAKER_01 (11:01):
And the data on
sleep loss and metabolic health
is pretty scary.
SPEAKER_00 (11:06):
Terrifying.
There was a study where theytook healthy people and just
restricted their sleep to fourhours a night for about two
weeks.
Their insulin resistance gotworse by 50%.
Five zero.
Bad sleep makes you insulinresistant.
That makes it harder to accessstored fat for fuel, which then
drives cravings and weight gain.
Sleep and stress, they are themost upstream factors of all.
SPEAKER_01 (11:27):
Okay, before we wrap
this up, we have to touch on the
one topic that comes up in everylongevity discussion.
Alcohol.
What was the final word onmoderate drinking?
SPEAKER_00 (11:34):
The scientific
consensus, based on the data, is
pretty unambiguous.
The molecule of ethanol itselfis not healthy at any dose.
There's no compelling evidenceof a direct physiological health
benefit.
SPEAKER_01 (11:47):
Aaron Powell But
what about the social connection
aspect, you know, quality oflife.
SPEAKER_00 (11:51):
And that's the
nuance.
For very low doses, we'retalking less than one standard
drink a day, the toxicity isminimal.
And for some people, thepro-social benefits of sharing a
glass of wine with friends mightoutweigh that minimal toxicity.
It's a trade-off.
SPEAKER_01 (12:06):
But only at very low
doses.
SPEAKER_00 (12:08):
Exactly.
The second you start going overtwo drinks a day, the sources
are clear.
There's no social benefit thatcan possibly offset the systemic
toxicity.
It's a calculated risk, not ahealth strategy.
SPEAKER_01 (12:20):
That's a really
important distinction.
Finally, with all thisinformation, it's easy to get
overwhelmed.
What was the caution for peopletrying to navigate this
landscape?
SPEAKER_00 (12:28):
The big caution was
to avoid looking for a single
boogeyman or a single magicbullet.
The idea that one food additiveor one supplement is the cause
or the cure for everything.
SPEAKER_01 (12:37):
The peak of
stupidity.
SPEAKER_00 (12:38):
That's what they
called it, yeah.
Where a little knowledge leadsto way too much confidence.
Longevity is complex and it'snuanced.
You have to look for experts whoembrace that complexity, not
ones who give you simple blackand white answers.
SPEAKER_01 (12:52):
A great principle to
follow.
So what does this all mean foryou, the person listening right
now?
The key takeaway from this deepdive is that longevity is about
preserving your physiologicheadroom.
It's about maximizing yourstrength, your VO Euros, and
your muscle mass now to slowthat inevitable rate of decline
later.
SPEAKER_00 (13:11):
And the most
important action is to start
today.
Like investing for retirement,the compounding gains are
maximized the sooner you start.
You're training for yourcentenarian decathlon every
single day.
SPEAKER_01 (13:23):
And we'll leave you
with a final provocative thought
that ties back to our talk aboutmovement.
When you feel a limitation liketightness or inflexibility, that
feeling often isn't dictated bythe actual length of your
muscle.
SPEAKER_00 (13:35):
Right.
It's often your central nervoussystem just telling your body
that a certain position isn'tsafe to explore.
SPEAKER_01 (13:40):
So the question for
you to mull over is what small
daily practice could you adopt?
Maybe some of those DNSmovements, or even just some
intentional breathing toreassure your nervous system.
SPEAKER_00 (13:51):
And maybe unlock a
bit of physical capacity that
you didn't even know you had.
SPEAKER_01 (13:55):
Yeah.
SPEAKER_00 (13:55):
Something to think
about until our next deep dive.