Can you exercise too much? [AMA 38 sneak peek] | Peter Attia, M.D.

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  • เผยแพร่เมื่อ 24 พ.ย. 2024

ความคิดเห็น • 110

  • @MarkRollag
    @MarkRollag 2 ปีที่แล้ว +27

    This TH-cam channel saved my life! No joke! Thank you Dr Peter Attia. Thank you for having Dr James OKeefe on who became my PREVENTATIVE Cardiologist!!! Spend the time to help your health! Spend the money to help your health!!! NOBODY is coming to save you! You need to take responsiblity to learn and take action!
    This is about prevention! Healthcare in general is 99% about intervention. Most doctors dont do anything until you have a symptom!
    SPEND THE MONEY! SPEND THE TIME!

    • @wmp3346
      @wmp3346 2 ปีที่แล้ว

      US should change the name to sickcare.

  • @waynerichardson414
    @waynerichardson414 ปีที่แล้ว +8

    With due respect, I would suggest that ordinary people want to know how much exercise per week, what kind of exercises to perform would give the best results, and if there is one period of the day that would be best to exercise. That would answer most questions.

  • @brianfradet3529
    @brianfradet3529 2 ปีที่แล้ว +7

    The jargon makes this discussion incomprehensible to most people

  • @OttoHunt
    @OttoHunt 2 ปีที่แล้ว +43

    The question in the title was not answered: "how much exercise is too much?"

    • @longshanks5531
      @longshanks5531 2 ปีที่แล้ว +8

      I’ve noticed the small videos he does that they never answer the question so it always leaves you with more questions

    • @PetraFisherMovement
      @PetraFisherMovement 5 หลายเดือนก่อน

      @@longshanks5531 Because he's trying to sell stuff not give you information :)

    • @jeromevolckerpowell5080
      @jeromevolckerpowell5080 5 หลายเดือนก่อน +2

      AHA recommends 150-300minutes of moderate or 75-150minutes of vigorous exercise per week. Even if you exceed the recommendations tenfold you can still see some marginal benefits. There is still no upper limit defined when it comes to the benefits of exercise on heart health.
      BUT dont overdo it. If you dont recover properly some strucural changes in and around your heart may happen that could bite you in the ass eventually

    • @lal3061
      @lal3061 หลายเดือนก่อน

      How much water per day is too much? As everything with physiology, it depends. How you recover, your joint health, the exercise distribution, underlying health conditions

  • @richardmiddleton7770
    @richardmiddleton7770 2 ปีที่แล้ว +8

    You have to first define exercise. Any full body movement is exercise, walking for instance is exercise. Then you have to determine how much exercise above a certain heart rate for X amount of continuous time is too much. Then you have to look at the physiological stress of said amount of exercise and whether, being a stressor, the body can adapt over time so it is no longer 'too much' for that individual.

    • @mikepedersen6590
      @mikepedersen6590 ปีที่แล้ว +1

      Ok, let's be real. Walking is a life function. Not exercise. That is one of the issues I have with this type of discussion. You need to get your hrs up to 85-92% 2 to 3 days a week. This is part of problem with obesity and disease in the US. I'm 67yo and train 5 days a week or more. If people can't or won't invest 2-6 hours per week, are in big trouble. But big pharma will love you.

    • @mortenvinther8940
      @mortenvinther8940 ปีที่แล้ว

      Walking is not exercise - Exercise is when you hit Z2-Z5 and strength training.

  • @mattarndt4452
    @mattarndt4452 ปีที่แล้ว +1

    A lot of variables in play. It depends on the INTENSITY of the exercise. If it’s light to moderate, you can do that every day. Hard or intense requires more time to recovery, especially the older you are. I’m 51 and I work out with weights or resistance 4 times per week. Walk around 8000 to 12000 steps almost daily. Your body needs both type of stimulation, strength training and cardio for optimal health.

  • @Nilsosmar
    @Nilsosmar ปีที่แล้ว +3

    Short answer: of course. We need to get to know our bodies, aiming to do enough exercise but not overdo it.

  • @GregKingston
    @GregKingston 2 ปีที่แล้ว +16

    Minimum amount of exercise for health benefits is 150 min per week at moderate intensity or 75 min at vigorous intensity. Once you get past 300 minutes per week, the health benefits will level off. People are capable of exercising above that level without negative effects to a certain degree, but won't experience any additional decrease in disease, mortality, etc. So the question is what are you training for? Training for health and training for a specific task are 2 different things.

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว

      That does not work for everyone.

    • @jasonwaters382
      @jasonwaters382 2 ปีที่แล้ว +3

      When you look into the studies that support those guidelines, you quickly see that the exercise measured really is of the lowest caliber. There is no accounting for the diversity of physical training out there. Studies tend to look at cardio respiratory fitness as measured on a stationary bike or leg extensions or grip strength, for example. These are very gross measures that do not reflect all the various sports, training zones, regimens and routines, methods of cardio and strength training, etc etc out there. You would find vast differences between 75 minutes of "vigorous intensity" on a spin bike vs MMA vs crossfit and 95% efforts done at an elite level vs old person who never worked out level for example. Completely different modalities, as it were. Assuming they all impact the body similarly, all affect various disease risks the same way, and all affect the various systems of the body vis a vis aging in the same way is absurd. Research is still in the stone age on this topic.

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว +1

      @@jasonwaters382 But you can talk about the commonalities. Raising the heart rate and increasing blood supply, and pressure will have common consequences. Some people that have no time, or inclination for exercise can get great results for very short time high intensity all body exercise which can be done 3 or 4 times a week and have the same benefits on blood work that long training regimes can have.

    • @GregKingston
      @GregKingston 2 ปีที่แล้ว

      @@chazwyman8951 There is some data showing what you mentioned regarding HIIT training. I'm not sure we know yet how that will translate into longevity. Blood work is a positive sign, but I have doubts that some of these HIIT protocols have the same overall long term health benefits. I would incorporate them into a training program that also includes some longer duration exercise.

    • @GregKingston
      @GregKingston 2 ปีที่แล้ว

      @@jasonwaters382 If you use intensity measures such as HR, HRMAX, HR Reserve, METS, etc. , you can standardized exercise intensity across modalities. When looking at strictly health benefits, I doubt there is much difference in outcome between various exercise modalities. If you do 75 min of MMA training at a high enough HR, will that really be more helpful for your health than 75 min of spinning at a similar workload? I doubt it. The biggest factor is the exercise itself, no matter the actual exercise being done.

  • @markmraven
    @markmraven ปีที่แล้ว +2

    He didn't answer the question (big surprise Peter), but his ideals are: elite VO2 max of someone ten years younger than you, and (maybe) reach strength potential and maintain it indefinitely

  • @jeromevolckerpowell5080
    @jeromevolckerpowell5080 5 หลายเดือนก่อน +1

    Came with the hope of some practical application and left with a spreadsheet of MET

  • @pedro.almeida
    @pedro.almeida ปีที่แล้ว +1

    If you use Apple Health you can check the average METs for the activity. So that way you can measure the amount of exercise you doing, regardless of the type of exercise. You just need to be careful when averaging them up (eg. 30 minutes at 7 MET, plus 10m at 3 MET, etc)

  • @maximus5687
    @maximus5687 2 ปีที่แล้ว +7

    These sneak peeks do the trick in making me want to subscribe, shame I'm too broke 😭 😂

    • @wmfbmp5743
      @wmfbmp5743 2 ปีที่แล้ว +10

      the annoying part is when the sneak peek doesnt even answer the question in the title of the video

    • @Livingwithadog
      @Livingwithadog 2 ปีที่แล้ว

      @@wmfbmp5743 exactly

  • @samelder7530
    @samelder7530 2 ปีที่แล้ว +18

    Never addresses question in the title.

  • @Thedudeabides803
    @Thedudeabides803 2 ปีที่แล้ว +5

    Too much weight training and injured my ac joint. Worst injury I’ve had. Tried to keep working out and only made it worse. Took 8 months to finally heal and I’ll never train again the way I used to.

    • @MotoguyX5
      @MotoguyX5 2 ปีที่แล้ว +2

      I think joints are one of the limiting factors with resistance training, if you are going hard. I find higher rep lower weights to be easier on the joints as long as the frequency isn’t too high

    • @peterblanchard4109
      @peterblanchard4109 2 ปีที่แล้ว +1

      You can lift around ac joint injuries. Certain movements cause more problems than others. Grade 5 ac joint separation surgery here. Among other injuries.

    • @abejaamarilla4961
      @abejaamarilla4961 2 ปีที่แล้ว +2

      Do it again, with less weight to maintain your muscle system!

    • @RyonBeachner
      @RyonBeachner 2 ปีที่แล้ว +2

      I had my AC joint basically destroyed and put back together. You absolutely can continue training after the fact, but it takes quite a while to get back to normal. It took me over a year to be able to lift every day items above my head or at a distance. Find a good physical therapist, and keep at it. It isn’t a life sentence.

    • @wbeckmann6965
      @wbeckmann6965 2 ปีที่แล้ว +1

      Also had various joint issues with heavy lifting. Built my own simple basement gym and use light weight flexible bamboo bars with the weights hanging by rubber bands (mainly overhead presses and bench press). This results in much less load on joints and all the stabilizer muscles activated. No more joint issues. Bought the bars from Rogue.

  • @jamesedward9306
    @jamesedward9306 ปีที่แล้ว +1

    I think Peter is the gold standard for those seeking advice on how to optimize their behavior for wellness/longevity. That said, this is the worst "bait and switch" video I've seen in a while. The title says "Can you exercise too much?" They proceed to discuss metrics like METs and Watts etc. Then, just when you expect them to get to the point where they talk about the optimal targets for those metrics, the video stops and Peter basically says if you want the answer, sign up for my paid podcast.
    I realize the guy has a right to make money from his knowledge but, cmon.
    I hope this saves somebody the fifteen minutes.

  • @bennguyen1313
    @bennguyen1313 2 ปีที่แล้ว

    Regarding the 10m mark, on how the cycle's power meter shows the instantaneous power output (1kw.. or 1000 joules per second).. and that you multiply it by time (seconds) to get the total energy exerted during that time (joules)..
    instead of defining the intensity, duration, and frequency of exercises to do, perhaps it would be useful to test just how much one should be capable of doing, normalized by age as a minimum for optimal-health? For example, number of push-ups, sit-ups, number of curls of xx pounds, peak heartrate (220-age).. as well as blood markers..
    ApoB < 60 or the ratio (ApoB/ApoA1 < .7)?
    Trig/HDL < 1

  • @AnnTsungMD
    @AnnTsungMD 2 ปีที่แล้ว +1

    Very insightful. Great episode. Thanks Dr. Peter. ❤

  • @BB-gj8ck
    @BB-gj8ck ปีที่แล้ว

    I bet in 5 years Peter will support the Body By science workout. It’s great

  • @rozy2cool
    @rozy2cool 2 ปีที่แล้ว

    Curious about relationships between calorie burn/heart rate and METs?

  • @sudwivedi1
    @sudwivedi1 2 ปีที่แล้ว +1

    Not sure who the source is, but I recently read “movement is medicine, motion is lotion…”

    • @anilbans
      @anilbans 2 ปีที่แล้ว

      Perhaps
      Graham Tuttle, AKA the Barefoot Sprinter

  • @DoctorJammer
    @DoctorJammer 2 ปีที่แล้ว +45

    Long distance runners and body builders/power lifters (non competitive) have shorter lifespans than average. Long distance runners damage their heart because their body starts breaking down heart muscle for energy. Also issues like cardiac fibrosis. And those who lift extreme weight suffer from cardiac strain from the intense blood pressure necessary to lift so much weight. There is definitely a limit to exercise, but it is so rarely reached it shouldn't be a societal concern.

    • @erikvanderveken1408
      @erikvanderveken1408 2 ปีที่แล้ว +27

      I doubt bodybuilders shorten their lifespan by their training. (Large amounts of) steroids, hgh, insulin, t3/t4 and stimulants like clen are more likely to blame. (Unfortunately a cocktail of all of the above is what's required nowadays to even compete at nationals level).

    • @DoctorJammer
      @DoctorJammer 2 ปีที่แล้ว +11

      @@erikvanderveken1408 Higher caloric intake (which body builders require) is associated with shorter life-spans in every species studied so far. More calories = increased ROS production and other negative consequences. Doesn't matter if you burn the calories because it is the burning of calories that causes the aging. Unfortunately we have yet to study ourselves, mostly because it would be extremely difficult to have such a long and controlled study. There is anecdotal evidence from blue zone regions that support this.

    • @nancyj795
      @nancyj795 2 ปีที่แล้ว +2

      In the latter case, do you think the massive amounts of hormones and drugs they take are the cause or lifting weights?

    • @DoctorJammer
      @DoctorJammer 2 ปีที่แล้ว +2

      @@nancyj795 Yeah those are significant factors. I guess I meant power lifters and non professional body builder. The extremely intense lifting and high muscle mass is hard on the heart. I'm talking about those that are exceptionally huge but necessarily professional body builders.

    • @lelandmassaro4086
      @lelandmassaro4086 2 ปีที่แล้ว +1

      @@DoctorJammer so what about combined long distance runners and bodybuilders ( but without the drugs just TRT) 220-225 lbs around 8/9% BF 39 RHR, about 6:30 mile split. 60-85 miles /week

  • @TumbleSensei
    @TumbleSensei 2 ปีที่แล้ว +6

    Absolutely you can. And people do it all the time. Not a good idea to 1. Limit the amount of glycogen in your diet and 2. Run off of stress hormones like cortisol, glucagon and adrenaline

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว

      No one eats glycogen in their diet.

    • @TumbleSensei
      @TumbleSensei 2 ปีที่แล้ว

      @@chazwyman8951 yes I understand the terminology. What I meant is foods that contribute into glycogen stores in the muscle and liver.

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว +1

      @@TumbleSensei That's fats, protein and carbs, all have pathways that lead to glycogen.

    • @TumbleSensei
      @TumbleSensei 2 ปีที่แล้ว

      @@chazwyman8951 carbohydrates have the shortest pathways with the least amount of drawbacks. Fats and proteins require stress hormones like cortisol and glucagon to be used.

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว

      @@TumbleSensei If you are losing weight as I am then slower processes are better, as eating carbs tend to increase hunger. And being fat adapted obviates the need for loads of glycogen.

  • @RobustArid379
    @RobustArid379 3 หลายเดือนก่อน

    Yes, you can exercise too much in your zone. You will know when your body is exhausted

  • @JoeCiliberto
    @JoeCiliberto 2 ปีที่แล้ว +1

    "Rowing at 100W.... Not much that of a killer effort". I will jump off the building as my life is worthless. But seriously, rowing at 100W for 1 hour, for 10K or better, is that a different MET calculus than a 2K or a 4K? And that 100W pulling the greatest drag versus pulling half the max. I'm thinking if different kinds of power (watts), relative, total, reactive, etc. Just a question.

    • @aaronsinspirationdaily4896
      @aaronsinspirationdaily4896 5 หลายเดือนก่อน

      Agreed. My Erg reports me around 62 watts average over an hour. I’m pretty fit.
      100W for an hour? I’d have to train exclusively Z2 and Z5 4x4 on the Erg very hard over a couple of years to adapt specifically to that. Even then I might not get there.

    • @JoeCiliberto
      @JoeCiliberto 5 หลายเดือนก่อน +1

      @@aaronsinspirationdaily4896 It's been a year since my post and am reading your reply. I had some disk in the CV5-7 and hadn't rowed much since then. I occasionally rowed 10Ks that were abysmal per the usual metrics. Then, I went on a strength training regimen that included a variety of rows, landmine, cable, dumbbell, sand bag, henny. I retuned to rowing and did a 5K. BLUF - increased rowing power + concentration on form -particularly the leg push, and the final pull, got me to a regular 85+ in power without killing me. My gym has a Matrix magnetic rower. Good luck, stay healthy.

  • @bryceherring946
    @bryceherring946 ปีที่แล้ว +1

    You can absolutely excercise too much.

  • @sabrinathomas9065
    @sabrinathomas9065 ปีที่แล้ว

    Does it matter if I break my hour a day up say 30 mins first thing in the morning and 30 minutes at night walking?

  • @brokengames9020
    @brokengames9020 2 ปีที่แล้ว +4

    Like limiting healthcare behind artificial paywalls?

  • @Buzz_Kill71
    @Buzz_Kill71 ปีที่แล้ว

    Tracking "met hours" IS down to the gnats ass 😂😂😂

  • @valman008
    @valman008 2 ปีที่แล้ว +2

    Gotta worry about Afib when pushing exercise limits.

    • @PhiyackYuh
      @PhiyackYuh 2 ปีที่แล้ว +3

      Majority of people do not move enough on a daily basis. Most average punters do not push themselves like athlete pros do.

  • @angelsandocean2853
    @angelsandocean2853 2 ปีที่แล้ว +1

    1 hour walk per day

  • @austinmartin9099
    @austinmartin9099 2 ปีที่แล้ว +2

    Dang, I got second comment. 😕 🎰. Big fan of the podcast, Dr. Attia!

    • @AnnTsungMD
      @AnnTsungMD 2 ปีที่แล้ว

      He really is amazing. Always an insightful podcast!

  • @miasorry
    @miasorry 2 ปีที่แล้ว +2

    Too much rambling!

  • @newscienceofphysicalhealth2934
    @newscienceofphysicalhealth2934 10 หลายเดือนก่อน

    I found this lesson to be not very good at all…far too complicated…and using exercise physiology lingo that the average person (the very type of person we want to have start exercising - because most people do not do any) ..this lesson did not clarify anything to me…tue correct dose of physical activity is best explained by Professor Ulrik Wisloff and his team from Norway. He is a PhD in exercise physiology and has been Alen over 25 years of his t research and simplified it into a health impact software. I interviewed Wisloff, brilliant simplicity and immutable research volume and peer reviewed publications

  • @chazwyman8951
    @chazwyman8951 2 ปีที่แล้ว +2

    Too much jargon. WTF is VOC max (did he say?) Bad mitten? J curve? What a load of bollocks. ACVD? There are some conditions where ANY exercise reduces mobility. So there is no slam dunk here

    • @wbeckmann6965
      @wbeckmann6965 2 ปีที่แล้ว

      You not understanding the content doesn't necessarily make it untrue.

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว +2

      @@wbeckmann6965 My objection to the jargon is not related to my objection to their interpretation. As you ought to have seen, they undermine their interpretation with their own words, should you have listened.

    • @quantumdecoherence1289
      @quantumdecoherence1289 2 ปีที่แล้ว +1

      Why don't you educate yourself? VOC? VO2/VO2 max. In what conditions , pray tell, does exercise "reduce" mobility? None of your rambling makes any sense in trying to get any relevant point across.

    • @chazwyman8951
      @chazwyman8951 2 ปีที่แล้ว +2

      @@quantumdecoherence1289 Why not educate myself? I have a life to live and far more interesting things to learn about.

    • @wbeckmann6965
      @wbeckmann6965 2 ปีที่แล้ว

      @@chazwyman8951
      You're killing me 🤣

  • @wmp3346
    @wmp3346 2 ปีที่แล้ว +2

    To much minutia

    • @GregKingston
      @GregKingston 2 ปีที่แล้ว +2

      Peter has the ability to start to explain a topic really well and then go so far into the weeds with the details that you end up more confused than when he started.

  • @tomportman814
    @tomportman814 5 หลายเดือนก่อน

    I think the answer to this question that is not answered is rhetorical, as it has been answered many times before.
    There is no such thing as too much exercise! We are still hunter gatherers that went days tracking prey without food.

  • @angelsandocean2853
    @angelsandocean2853 2 ปีที่แล้ว +1

    1 glass of red wine is better than any exercise 😀

  • @mszymusiak
    @mszymusiak 2 ปีที่แล้ว +7

    I wish you had paid ads🥲. You are in the top 2 doctors I study. I turned my health around since 2019. There are too many subscriptions now (Netflix, Hulu, Amazon, ESPN+, cable TV, TH-cam, NFL Network+, etc). Everyone wants a monthly subscription today, but the consumer can only pay so much$$$. Look what happened to CNN+👎. Right now, I am not able to continue to add your subscription🥲. Therefore, your AMA’s are very deceptive since I watch to learn the optimal amount of exercise and never get the content🙄.

    • @laurihanstin4464
      @laurihanstin4464 2 ปีที่แล้ว

      Who is the 2nd doctor, please ?

    • @ajg5519
      @ajg5519 2 ปีที่แล้ว

      @@laurihanstin4464 Nick Stenson I believe. Don’t think he’s a doctor

    • @mszymusiak
      @mszymusiak 2 ปีที่แล้ว

      Dr. Mark Hyman🌞