The Peter Attia Drive - May 19, 2025


#349 - AMA #71: Building strength and muscle mass: how to optimize training, nutrition, and more for longevity


Episode Stats

Length

11 minutes

Words per Minute

177.02138

Word Count

2,004

Sentence Count

98


Summary

In this episode, Dr. Peter Atiyah discusses why muscle mass and strength matter, specifically exploring their role in longevity, metabolic health, and injury prevention. Dr. Atiyah also discusses the importance of power training, why explosive movements matter, and how to integrate them into a routine.


Transcript

00:00:00.000 Hey everyone, welcome to a sneak peek, ask me anything or AMA episode of the drive podcast.
00:00:15.880 I'm your host, Peter Atiyah. At the end of this short episode, I'll explain how you can access
00:00:20.320 the AMA episodes in full, along with a ton of other membership benefits we've created,
00:00:24.960 or you can learn more now by going to peteratiyahmd.com forward slash subscribe.
00:00:30.660 So without further delay, here's today's sneak peek of the ask me anything episode.
00:00:38.940 Welcome to ask me anything AMA episode 71. For today's AMA, we're focusing on a topic
00:00:45.460 that is central to both lifespan and healthspan, which is muscle mass and muscle strength.
00:00:50.300 This is one of the most frequently asked about topics I encounter, and while we've covered
00:00:55.520 aspects of it in the past on episodes with guests like Lane Norton, Andy Galpin, Mike Isretel,
00:01:01.720 this AMA is designed to bring all of that knowledge into one streamlined discussion. Again, we've got
00:01:08.500 tens of hours on this topic, probably in the ballpark of 30 hours, and we realize that for
00:01:15.900 somebody who kind of needs the TLDR, it would be helpful to have it all in one spot, and also
00:01:21.780 updated by the most recent insights and information. So in this AMA, we discuss why muscle mass
00:01:27.060 and strength matter, specifically exploring their role in longevity, metabolic health,
00:01:32.100 and injury prevention. Talk about the differences between muscle mass and strength, which one is
00:01:36.080 actually more critical for longevity, and how they each relate to overall health. We look at various
00:01:41.660 metrics such as grip strength to predict mortality and why they might be predictive. We talk about
00:01:46.660 how someone can build muscle mass and strength effectively, covering progressive overload,
00:01:51.400 rep ranges, training intensity, with a focus on maximizing results safely. We speak about the
00:01:57.140 importance of power training, why explosive movements matter, especially as we age, and how to
00:02:01.880 integrate them into a routine. We talk about the nutrition that's necessary to support muscle growth,
00:02:06.820 breaking down protein intake, timing, the role of supplements like creatine. We talk about different
00:02:12.240 training strategies for various individuals, whether you're new to lifting, someone who's older,
00:02:17.600 younger, looking to maintain strength, seasoned lifter, etc. We end the discussion talking about
00:02:23.420 balancing recovery and avoiding injury, how to train effectively while minimizing risk, managing fatigue,
00:02:29.520 and ensuring long-term consistency. If you're a subscriber and you want to watch the full video of this
00:02:33.720 podcast, you can find it on the show notes page. And if you're not a subscriber, you can watch a sneak
00:02:38.280 peek of this video on our YouTube page. So without further delay, I hope you enjoy AMA 71.
00:02:48.600 Peter, welcome to another Ask Me Anything episode with Dr. Peter Atiyah, Stanford educated physician.
00:02:57.020 How are you doing? Thank you for that incredible introduction. I'm doing well, and I appreciate
00:03:04.240 you having me back. I just wanted to make sure you knew it was your show. So I thought more of an
00:03:09.060 introduction would make it feel more like home. Before we start today's topic, how's your day going?
00:03:16.920 Learn anything new today? Have you been educated in any way? Well, you're always learning, Nick. That's
00:03:22.600 the thing. At least I think we should all try to be learning at all times. Today, I had a particularly
00:03:27.420 fun day. I went to my son's school to take him lunch. This is something that I like to do once
00:03:33.420 in a while is take lunch and eat with my kids. He wasn't really in the mood to have lunch with me
00:03:38.560 today, which happens from time to time with seven-year-olds. So I ended up just in the cafeteria
00:03:43.940 sitting at a table all by myself eating lunch, which in and of itself was pretty funny because I really
00:03:50.200 got a kick out of watching all the kids doing their thing. But eventually, a bunch of kids in
00:03:55.840 his class, I think, felt bad for me, and they came up and just sat around me. And they started asking
00:03:59.940 me a bunch of questions, which of course turned into me asking them more questions like, what are
00:04:04.900 they doing in PE? What are they learning in science? That kind of stuff. But the kids sitting right across
00:04:10.360 from me noticed I was drinking a diet soda. And truthfully, I don't really drink that many. I'm mostly
00:04:16.540 a Topo Chico Waterloo guy, but this was the first thing I grabbed. And he said, huh, I noticed you're
00:04:24.240 drinking whatever it was I was drinking, a Fresca, actually. You know that that has a sweetener in
00:04:29.300 it that is 500 times sweeter than sugar? And I said, oh yeah, I think that's how they get away with
00:04:34.540 making it have no calories. He goes, you know that causes cancer, right? I just decided at that moment
00:04:40.280 probably not a good time to argue the abundance of the human literature and the animal literature and
00:04:46.100 all that. I let that one go, but I appreciated the conviction and his concern for my health.
00:04:51.720 He also pointed out afterwards that it wasn't going to kill you quickly because you were only
00:04:57.460 ingesting so little of it, which I thought was a very astute comment for a seven-year-old.
00:05:02.840 But anyway, needless to say, I had a lot of fun doing second grade lunch today, and I would be
00:05:09.780 interested in going back.
00:05:10.600 I do love it, especially because you've openly talked about how when you go to parties and events
00:05:16.600 where there are adults there, you usually don't explain what you do because you don't want to
00:05:20.600 have those conversations. And I love the fact you went to the local elementary school and they roped
00:05:26.640 you into that. We were talking briefly before this, and I think Jessica on our team had a good idea
00:05:32.000 and people in the audience can let us know if they think this is good, which is maybe we do get a
00:05:36.500 panel of these seven-year-olds together and do a round table on what elementary kids think about
00:05:43.360 health, nutrition, exercise, protein, microplastics, seed oils, you name it. It sounds like your local
00:05:52.000 elementary school has a lot of insights on these topics.
00:05:55.500 Honestly, if our audience wants to hear the seven-year-old round table, I am totally game
00:06:02.140 to get a group of three or four or seven-year-olds around the table and really go deep on the health
00:06:08.260 issues that mean most to them. It's probably quite insightful.
00:06:12.360 Yeah, it is. Let us know if we should do it and we will make it happen. But for today's AMA,
00:06:18.820 we are not talking about that. We're actually going to talk about one topic, and that is all things
00:06:25.080 related to muscle mass and muscle strength. So it's something that we've talked about on a lot of
00:06:30.400 different podcasts. You openly talk about the importance of it, and we've gathered a lot of
00:06:34.220 questions that have come in. And these questions are going to deal with why is muscle mass and
00:06:39.600 strength important, the difference between muscle mass and strength, which one matters more? How can
00:06:44.120 you start to increase your muscle mass and strength, whether you're old, young, male, female, the role of
00:06:50.320 nutrition and protein, one of your favorite topics in this? And then we'll end with some different
00:06:56.300 programming options for different types of people if they want to start applying this to their life
00:07:01.440 or if they want to start going further than their current exercise programming. So with all that said,
00:07:08.460 some people may say you have a lot of information on this already in episodes with Lane Norton,
00:07:14.600 Andy Galpin, Mike Isretel, and many more. So what would you say to someone who asked,
00:07:19.920 why are we now dedicating an AMA to this?
00:07:22.760 It's a fair question and one that we internally kicked around. And I think two things put us in
00:07:28.640 the situation we're in. So one is we continue to get asked more questions about this than
00:07:32.540 almost anything. I would say it's among the three most asked about topics. But I think the second
00:07:38.220 thing is because we have so much content out there, if you want to get the TLDR on this, you're going to
00:07:46.660 be spending hours and hours and hours, 20 hours worth of digging. And so what we thought,
00:07:52.680 we could do was organize the content in a way that would make it much easier for a person in what
00:07:58.420 will undoubtedly be a much smaller aliquot of time to get everything that they need to get out of this
00:08:04.500 at the zeroth order and maybe first order level. And then really through the show notes and
00:08:09.660 supplemental material, go as deep as they want if they need more content. I think we're going to
00:08:14.660 deliver on this one. We've put a lot of work into it.
00:08:16.520 Thank you for listening to today's sneak peek AMA episode of The Drive. If you're interested
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