loader from loading.io

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

The Peter Attia Drive

Release Date: 05/19/2025

Lower back pain: causes, treatment, and prevention of lower back injuries and pain | Stuart McGill, Ph.D. (#287 rebroadcast) show art Lower back pain: causes, treatment, and prevention of lower back injuries and pain | Stuart McGill, Ph.D. (#287 rebroadcast)

The Peter Attia Drive

Stuart McGill is a distinguished professor emeritus at the University of Waterloo and the chief scientific officer at Backfitpro where he specializes in evaluating complex cases of lower back pain from across the globe. In this episode, Stuart engages in a deep exploration of lower back pain, starting with the anatomy of the lower back, the workings of the spine, the pathophysiology of back pain, and areas of vulnerability. He challenges the concept of nonspecific back pain, emphasizing the importance of finding a causal relationship between injury and pain. Stuart highlights compelling...

info_outline
#362 ‒ Understanding anxiety: defining, assessing, and treating health anxiety, OCD, and the spectrum of anxiety disorders | Josh Spitalnick, Ph.D., A.B.P.P. show art #362 ‒ Understanding anxiety: defining, assessing, and treating health anxiety, OCD, and the spectrum of anxiety disorders | Josh Spitalnick, Ph.D., A.B.P.P.

The Peter Attia Drive

Josh Spitalnick is a clinical and research psychologist with expertise in treating a variety of anxiety conditions with cognitive-behavioral therapy (CBT) and other evidence-based approaches. In this episode, Josh unpacks the four layers of anxiety—psychological, emotional, cognitive, and behavioral—highlighting why avoidance is the key feature that transforms ordinary worry into disorder. He explains why he continues to treat OCD and PTSD as anxiety conditions despite their DSM-5 reclassification, and he draws important distinctions between worries versus worrying and thoughts versus...

info_outline
#361 - AMA #74: Sugar and sugar substitutes: weight control, metabolic effects, and health trade-offs show art #361 - AMA #74: Sugar and sugar substitutes: weight control, metabolic effects, and health trade-offs

The Peter Attia Drive

In this “Ask Me Anything” (AMA) episode, Peter explains how to evaluate sugar and its substitutes in the context of health. Peter explores the role of sweeteners in three common use-cases – beverages, protein supplements, and sweet treats – and breaks down how our evolutionary craving for sweetness now clashes with today’s food environment. He examines whether sugar is uniquely fattening, the hormonal effects of sugar consumption, and the significance of timing in sugar intake. The episode compares natural versus refined sugars, sugar in beverages versus in solid foods, and the...

info_outline
#360 ‒ How to change your habits: why they form and how to build or break them | Charles Duhigg, M.B.A show art #360 ‒ How to change your habits: why they form and how to build or break them | Charles Duhigg, M.B.A

The Peter Attia Drive

Charles Duhigg is a Pulitzer Prize-winning journalist and best-selling author known for distilling complex neuroscience and psychology into practical strategies for behavior change, performance, and decision-making. In this episode, Charles explores the neuroscience behind habit formation, including how cue-routine-reward loops drive nearly half of our daily actions and why positive reinforcement is far more effective than punishment. He explains how institutions like the military and Alcoholics Anonymous engineer environments to change behavior at scale, as well as discussing the limits of...

info_outline
#359 ‒ How metabolic and immune system dysfunction drive the aging process, the role of NAD, promising interventions, aging clocks, and more | Eric Verdin, M.D. show art #359 ‒ How metabolic and immune system dysfunction drive the aging process, the role of NAD, promising interventions, aging clocks, and more | Eric Verdin, M.D.

The Peter Attia Drive

Eric Verdin is a physician-scientist and the CEO of the Buck Institute for Research on Aging whose career has centered on understanding how epigenetics, metabolism, and the immune system influence the aging process. In this episode, Eric traces his scientific journey from studying viruses and histone deacetylases (HDACs) to leading aging research at the Buck Institute, offering insights into how aging impairs immune and nervous system function—including thymic shrinkage, chronic inflammation, and reduced vaccine response—and how these changes impact lifespan. He explores the metabolic...

info_outline
#358 ‒ Peter’s takeaways on navigating HRT, rejuvenating the face, understanding the biology of aging, optimizing fertility, and learning to live well from the dying | Quarterly Podcast Summary #6 show art #358 ‒ Peter’s takeaways on navigating HRT, rejuvenating the face, understanding the biology of aging, optimizing fertility, and learning to live well from the dying | Quarterly Podcast Summary #6

The Peter Attia Drive

In this quarterly podcast summary (QPS) episode, Peter summarizes his biggest takeaways from the last three months of guest interviews on the podcast. Peter shares key insights from his discussions with Paul Turek and Paula Amato on male and female fertility; Rachel Rubin on menopause and hormone replacement therapy; Brian Kennedy on the biology of aging; Tanuj Nakra and Suzan Obagi on facial aging and skin rejuvenation; and BJ Miller and Bridget Sumser on lessons we can learn from the dying about how to live. Peter highlights the most important insights from each episode and any behavioral...

info_outline
#357 ‒ A new era of longevity science: models of aging, human trials of rapamycin, biological clocks, promising compounds, and lifestyle interventions | Brian Kennedy, Ph.D. show art #357 ‒ A new era of longevity science: models of aging, human trials of rapamycin, biological clocks, promising compounds, and lifestyle interventions | Brian Kennedy, Ph.D.

The Peter Attia Drive

Brian Kennedy is a renowned biologist, leader in aging research, and director of the Center for Healthy Longevity at the National University of Singapore. In this episode, Brian shares insights from ongoing human aging studies, including clinical trials of rapamycin and how dosing strategies, timing, and exercise may influence outcomes. He presents two key models of aging—one as a linear accumulation of biological decline and the other as an exponential rise in mortality risk—and explains why traditional models of aging fall short. He also explains why most current aging biomarkers lack...

info_outline
#356 - AMA #73: Preserving brain health, optimizing exercise programming, improving body composition, and more show art #356 - AMA #73: Preserving brain health, optimizing exercise programming, improving body composition, and more

The Peter Attia Drive

In this “Ask Me Anything” (AMA) episode, Peter addresses frequently requested topics, including brain health, exercise programming, and body composition. He explores the factors that influence dementia risk—including metabolic health, fitness, sleep, hearing, cholesterol levels, and more. He explains how to implement zone 2 training and VO₂ max intervals for cardiovascular fitness and also covers how to combine cardio modalities, how to stay in zone 2, and special considerations for women. Peter highlights the benefits of light movement after meals and offers strength training tips...

info_outline
Navigating bone health: early life influences and advanced strategies for improvement and injury prevention (#214 rebroadcast) show art Navigating bone health: early life influences and advanced strategies for improvement and injury prevention (#214 rebroadcast)

The Peter Attia Drive

In this episode from July 2022, Peter dives deep into the topic of bone health and explains why this is an important topic for everyone, from children to the elderly. He begins with an overview of bone mineral density, how it’s measured, how it changes over the course of life, and the variability between sexes largely due to changes in estrogen levels. From there he provides insights into ways that one can improve bone health, from exercise to nutrition supplements to drugs. Additionally, Peter discusses what happens when one may be forced to be sedentary (e.g., bedrest) and how you can...

info_outline
#355 – Skincare strategies, the science of facial aging, and cosmetic-intervention guidance | Tanuj Nakra, M.D. & Suzan Obagi, M.D. show art #355 – Skincare strategies, the science of facial aging, and cosmetic-intervention guidance | Tanuj Nakra, M.D. & Suzan Obagi, M.D.

The Peter Attia Drive

Tanuj Nakra and Suzan Obagi, two leading experts in aesthetic medicine, join Peter to explore the science of facial aging and skin health as well as the responsibilities physicians face in the world of cosmetic procedures. In this episode, they examine the biological and hormonal drivers of facial aging, the evolutionary and psychological foundations of attractiveness, and the impact of modern media on beauty standards. They discuss the rise in cosmetic procedures among adolescents and the ethical responsibilities of physicians in these cases. The conversation then shifts to a practical,...

info_outline
 
More Episodes

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

In this “Ask Me Anything” (AMA) episode, Peter dives deep into the topic of muscle mass and strength, examining their essential roles in both lifespan and healthspan. Drawing from over 30 hours of prior discussions with experts including Layne Norton, Andy Galpin, and Mike Israetel, this episode distills the most important insights into one comprehensive and up-to-date conversation. Peter explores why muscle matters for longevity, metabolic health, and injury prevention, and clarifies the differences between muscle mass and strength, including which is more vital for aging well. He breaks down practical strategies for building muscle safely and effectively, including progressive overload, training intensity, rep ranges, and the importance of explosive power. Peter also covers key nutrition strategies—like protein intake, timing, and creatine supplementation—and offers practical advice for everyone from beginners to seasoned lifters on building and maintaining muscle safely and sustainably.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #71 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Peter’s humorous experience talking nutrition with a second grader [2:30];
  • Overview of topics, episode structure, and reasoning for focus on muscle mass and strength [6:00];
  • Defining key terms: muscle mass, strength, hypertrophy, power, and more [8:15];
  • The importance of muscular strength, muscle mass, and cardiorespiratory fitness for longevity [10:30];
  • Grip strength as a simple yet powerful predictor of all-cause mortality [16:45];
  • Is muscle strength causal or just a marker of health? [20:00];
  • Why VO2 max, strength, and muscle mass are powerful health markers: a reflection of long-term consistent effort [22:30];
  • How muscle mass and strength enhance healthspan by supporting metabolic health, inflammation control, recovery from illness, mobility, and fall prevention [23:45];
  • How muscle mass and strength decline with age, and why it's essential to act early to slow decline and preserve function later in life [30:30];
  • The foundational principles of building muscle strength and size through resistance training [35:30];
  • How to apply “progressive overload” for long-term strength and muscle gains [39:30];
  • The difference between concentric and eccentric muscle contractions and how each impacts strength, hypertrophy, and injury prevention [44:45];
  • The differences between muscle fiber types, and how aging disproportionately affects fast-twitch fibers responsible for power [50:15];
  • How to effectively train for power [52:00];
  • Training intensity: the benefits and safety of using the “reps in reserve” method [53:00];
  • How to balance compound and isolation exercises in a workout routine, and why compound lifts are foundational [55:45];
  • Can bodyweight exercises build muscle as effectively as weight training? [57:45];
  • How women can effectively build strength and muscle: key considerations [59:15];
  • Effective methods for tracking progress in strength [1:01:15];
  • Effective methods for tracking progress in muscle mass, and how to interpret results from a DEXA scan [1:04:30];
  • How to balance workout frequency with recovery for optimal results [1:06:45];
  • How to recognize signs of overtraining and when to consider taking rest days [1:10:15];
  • Avoiding injury: how beginners or returning lifters can start resistance training safely [1:15:15];
  • Protein: recommended intake, quality sources, timing of consumption, and more [1:17:30];
  • How fasting and calorie restriction affect muscle mass and what can be done to minimize muscle loss [1:24:15];
  • Key nutritional factors beyond protein that support muscle growth: hydration, creatine, and recovery [1:27:45];
  • The impact of hormones, sleep, stress, and consistency on muscle building and recovery [1:28:45];
  • How to structure an effective workout routine for a younger person that is new to resistance training [1:31:30];
  • How to modify beginner resistance training programs for older individuals to prioritize safety and gradual progress [1:35:30];
  • Should beginners start with machines or free weights when resistance training? [1:36:30];
  • How experienced lifters should modify their training to support healthspan and performance in later life [1:38:00]; and
  • More.

Connect With Peter on TwitterInstagramFacebook and YouTube