>>> WELL, OUR NEXT GUEST SAYS THAT HE HAS THE SECRET FOR LIVING A LONG, HEALTHY, AND HAPPY LIFE.
DR. PETER ATTICA'S NEW BOOK LAYS OUT A HOW TO GUIDE FOR LONGEVITY FOCUSING ON PREVENTATIVE APPROACHES RATHER THAN TREATMENT.
HE IS JOINING HARI SREENIVASAN TO DISCUSS THE BEST HABITS FOR A HEALTHIER LIFE.
>> THANKS.
PETER ATTICA, THANK YOU FOR JOINING US.
IN YOUR NEW BOOK, "OUTLIVE: THE SCIENCE AND ART OF LONGEVITY," YOU ARE NOT JUST TRYING TO HELP US LIVE LONGER, BUT YOU ARE TRYING TO GET US TO BE HEALTHY AS WELL.
I MEAN, YOU HAVE -- YOU KIND OF MAKE A DISTINCTION BETWEEN LIFE SPAN AND HEALTH SPAN.
SPELL THAT OUT.
>> YEAH, LIFE SPAN IS PROBABLY THE EASIER OF THOSE TWO THINGS TO EXPLAIN, WHICH IS, OBVIOUSLY, HOW LONG YOU LIVE.
IN THAT SENSE, ALL OR NONE.
YOU ARE ALIVE OR NOT ALIVE.
UNFORTUNATELY, I THINK OUR MEDICAL SYSTEM MOSTLY FIX EIGHTS ON THAT METRIC.
AND, OBVIOUSLY, WHAT GETS MEASURED GETS MANAGED AS THE OLD SAYING GOES.
WHAT I THINK WE ARE NOT PAYING NEARLY ENOUGH ATTENTION TO IS THE QUALITY OF LIFE.
AND THAT'S WHAT'S CAPTURED IN HEALTH SPAN.
SO THERE IS A COGNITIVE COMPONENT TO THAT.
THERE IS, OBVIOUSLY, A VERY PHYSICAL COMPONENT TO THAT.
THERE IS AN EMOTIONAL COMPONENT TO THAT.
IF YOU DON'T DEFINE METRICS AROUND THOSE THINGS, IT PROBABLY IS NOT SURPRISING WE ARE NOT MANAGING THOSE THINGS AND, THEREFORE, MOST OF THE RESOURCES AND ATTENTION GO TO SIMPLY PROLONGING LIFE EVEN THE EXPENSE OF QUALITY.
>> SO WHEN A PATIENT APPROACHES YOU IN YOUR PRACTICE, WHAT ARE THE QUESTIONS THAT YOU ARE ASKING THEM SO THAT YOU ARE KIND OF ON THE SAME PATH TOGETHER?
>> WELL, OBVIOUSLY, WE WANT TO TALK ABOUT ALL OF THE MEDICAL THINGS AND ALL OF THE THINGS THAT DEAL WITH PROLONGING LIFE AS WELL.
WE CERTAINLY WANT TO UNDERSTAND ALL THE RISKS COMING IN WITH RESPECT TO, YOU KNOW, WHAT WE TALK ABOUT AS THE FOUR HORSEMEN OF DEATH, CARDIOVASCULAR DISEASE, CANCER, ET CETERA.
ON THE HEALTH SPAN SIDE WE SPEND TIME AND ENERGY THINKING ABOUT, FOR EXAMPLE, WHAT DO YOU WANT TO BE ABLE TO DO IN LAST DECADE OF YOUR LIFE?
THIS BECOMES A VERY IMPORTANT FRAMING QUESTION.
AND THE MORE DETAIL THAT A PERSON PROVIDE, SOMETIMES WITH OUR PRODDING, AS TO WHAT THEY ACTUALLY WANT TO BE ABLE TO DO, RIGHT, DO YOU WANT TO BE ABLE TO DO YOU WANT TO BE ABLE TO TRAVEL?
THESE THINGS REQUIRE VERY DELIBERATE PLANNING AND MOST PEOPLE CAN'T DO THESE THINGS IN THE LAST DECADE OF THEIR LIFE UNLESS THEY TRAIN FOR IT.
>> SO YOU TOOK A LOOK AND STUDIED PEOPLE WHO WERE 100 YEARS OLD.
WAS THERE SOMETHING THAT THEY HAD IN COMMON THAT WE CAN APPLY IN OUR LIVES?
>> THE ONE THING THAT IS COMMON TO ALL CENTENARIANS IS THAT FROM THE STANDPOINT OF CHRONIC DISEASE, THEY ARE ABOUT 20 TO 25 YEARS YOUNGER THAN THEIR BIRTH CERTIFICATE AGE SAYS.
>> WOW.
>> IN OTHER WORDS, THEIR FIRST BRUSH WITH CANCER, THEIR FIRST BRUSH WITH HEART DISEASE, THEIR FIRST BRUSH WITH ANY SORT OF CHRONIC AILMENT IS ABOUT 20 TO 30 YEARS AFTER YOU WOULD EXPECT.
BASED ON THEIR, YOU KNOW, BIRTH CERTIFICATE AGE.
SO THEY HAVE A SUPERPOWER AND THE SUPERPOWER IS THEY DELAY THE ONSET OF CHRONIC DISEASE.
NOW, THE QUESTION, OF COURSE, THE MILLION-DOLLAR QUESTION IS, ARE THEY DOING SOMETHING IN ORDER TO GET THAT SUPERPOWER?
RIGHT?
IS IT, YOU KNOW, IS THERE SOME MAGIC DIET OR SOMETHING LIKE THAT?
AND, UNFORTUNATELY, I SAY UNFORTUNATELY FOR THE REST OF US WHO DON'T HAVE THOSE GENES, THE ANSWER IS NO.
AND IT'S ACTUALLY MORE LIKELY YOUR OBSERVATION, WHICH IS ON AVERAGE, BELIEVE IT OR NOT, CENTENARIANS ARE MORE LIKELY TO SMOKE, TO DRINK, LESS LIKELY TO EXERCISE AND EAT WELL.
AND YET DESPITE THOSE THINGS, THEY HAVE THIS SUPERNATURAL LIFE SPAN.
BUT THAT DOESN'T MEAN WE CAN'T LEARN FROM THEM.
WHAT WE LEARN IS WE HAVE TO APPLY TO OURSELVES OTHER TOOLS TO GET THEIR BENEFITS.
IN OTHER WORDS, WE HAVE TO USE NUTRITION, EXERCISE, SLEEP, STRESS, ALL THOSE OTHER THINGS AS TOOLS TO GET WHAT THEY GET FOR FREE GENETICALLY.
WE HAVE TO CREATE A PHASE SHIFT OF TIME IN THE ONSET OF CHRONIC DISEASE.
>> LET'S FIRST TALK ABOUT JUST EXERCISE.
I MEAN, YOU WRITE A TREMENDOUS AMOUNT THAT THAT IS ONE OF THE MOST BENEFICIAL THINGS THAT WE COULD BE DOING EARLIER IN OUR LIVES TO PREVENT A LOT OF AILMENTS.
>> EXERCISE IS HANDS DOWN THE MOST POTENT TOOL/INTERVENTION THAT WE HAVE TO EFFECT BOTH OF THE METRICS WE CARE ABOUT.
LIFE SPAN AND HEALTH SPAN.
SO ON THE LIFE SPAN SIDE OF THE EQUATION, HAVING A VERY HIGH DEGREE OF CARDIO RESPIRATORY FITNESS, HAVING HIGH MUSCLE MASS AND HIGH STRENGTH RELATIVE TO YOUR SEX AND AGE IS A BETTER PREDICTOR OF LONGER LIFE, MEANING A GREATER REDUCTION OF ALL CAUSE OF MORTALITY, DEATH FROM ANY CAUSES, THAN ANYTHING ELSE WE HAVE, POSITIVE OR NEGATIVE.
THE BENEFIT BESTOWED ON AN INDIVIDUAL FROM BEING VERY HIGH IN THOSE CATEGORIES IS GREATER THAN THE HARM THAT COMES FROM SMOKING, HAVING HIGH BLOOD PRESSURE, HAVING TYPE 2 DIABETES, EVEN HAVING KIDNEY DISEASE, WHICH WOULD BE THE STEP RIGHT BEFORE NEEDING A TRANSPLANT.
SO AS MUCH AS WE UNDERSTAND HOW HARMFUL THOSE THINGS ARE, IT'S EVEN MORE BENEFICIAL TO THE INCREDIBLY FIT AND STRONG.
SO IF YOU'RE JUST THINKING ABOUT HOW DO I LIVE LONGER, THAT'S THE TICKET.
ON THE OTHER SIDE OF THE LEDGER WHEN WE THINK ABOUT THE QUALITY OF LIFE, THERE SIMPLY IS NO GREATER TOOL TO FOSTER NEURO PROTECTION AND WARD OFF NEURODEGENERATION THAN EXERCISE.
EXERCISE IS THE MOST IMPORTANT PIECE IN MAINTAINING YOUR PHYSICAL BODY AS YOU AGE SO YOU CAN DO ALL THOSE THINGS YOU WANT TO DO IN THE LAST DECADE OF LIFE.
>> IS THERE A COMBINATION OF THINGS THAT WILL HELP YOUR BODY PREPARE FOR AGING BETTER THAN ANYTHING ELSE?
>> YOU KNOW, IF THERE IS ONE DRAW BACK TO EXERCISE, IT'S THAT IT TAKES MORE TIME THAN ALL OF THE OTHER THINGS THAT WE MIGHT THINK OF AS BEING BENEFICIAL.
FEW THINGS TAKE AS MUCH TIME TO REAP THE FULL BENEFIT FROM AS EXERCISE.
YOU NEED TO BE DOING STRENGTH TRAINING, CARDIO RESPIRATORY TRAINING, AND THAT CARDIO TRAINING NEEDS TO BE AT DIFFERENT LEVELS OF INTENSITY.
8 # TO% AT RELATIVELY LOW INTENSITY.
THE LEVEL OF INTENSITY YOU COULD CARRY OUT A CONVERSATION, ALL BE A STRAINED ONE.
20% OF IT NEEDS TO BE AT A HIGHER LEVEL OF INTENSITY WHERE YOU COULDN'T CARRY ON A CONVERSATION.
THINK FOR THE INDIVIDUAL WHO SAYS, PETER, I AM NOT WILLING TO SPEND MORE THAN 90 MINUTES A WEEK EXERCISING, YES, I WOULD RATHER HAVE THEM, YOU KNOW, FOCUS ON WHAT'S NOT NECESSARILY WHAT I THINK THE BEST APPROACH TO EXERCISE IS, BUT DOING WHATEVER THEY CAN TO GET SOME BENEFITS.
BUT THE WAY I ASK MY PATIENTS IS VERY DIFFERENT.
I START IN REVERSE.
I SAY TELL ME HOW MANY HOURS A WEEK YOU ARE WILLING TO PUT IN THIS.
I HAVE HE CAN PLAND AND SHOWN THEM THE DATA THAT EXPLAINED WHY THIS WILL HAVE A GREATER IMPACT ON THE LENGTH AND QUALITY OF THEIR LIFE THAN ANYTHING THEY WILL EVER DO.
>> LET'S TALK ABOUT NUTRITION.
YOU FOR A TIME BEING WERE A BIG FAN OF KETO DIETS AND IN THE BOOK YOU KIND OF WALK THROUGH WHY AND HOW YOU CHANGED YOUR MIND ABOUT THAT.
EXPLAIN TO OUR AUDIENCE HOW SHOULD WE BE THINKING ABOUT NUTRITION IN THE CONTEXT OF AGING?
>> I GO TO GREAT LENGTHS IN THE BOOK TO DETACH FROM DIETS AND REALLY JUST TALK ABOUT NUTRITION AS A BIOCHEMISTRY PHENOMENON.
LET'S TALK ABOUT IT THROUGH BIOCHEMISTRY AND MOLECULES.
THE MOST IMPORTANT COMPONENT OF YOUR NUTRITION IS BASICALLY THE ENERGY BALANCE IT CREATES IN YOUR BODY.
IN OTHER WORDS, IS A PERSON OVERNOURISHED OR UNDERNOURISHED?
FOR MOST OF OUR EXISTENCE WE HAVE BEEN UNDERNOURISHED.
IF YOU THINK ABOUT 1,000 YEARS AGO, 500 YEARS AGO, 200 YEARS AGO, MOST OF US WERE BARELY GETTING ENOUGH ENERGY, RIGHT.
AND OUR BODIES, OF COURSE, EVOLVED REMARKABLE WAYS TO STORE AND HOLD ON TO ENERGY.
THIS IS WHAT BASICALLY ALLOWED US TO LEAPFROG AHEAD OF ALL OTHER SPECIES IN TERMS OF OUR REMARKABLE BRAINS BECAUSE OUR BRAINS ARE SO ENERGY HUNGRY.
WELL, THAT WORKED REALLY WELL UNTIL OUR, YOU KNOW, MODERN ENVIRONMENT WHICH BASICALLY CREATED SUCH AN ABUNDANCE OF FOOD MOST OF US ARE ON THE OTHER SIDE OF THAT.
WE ARE OVERNOURISHED.
STRAT NUMBER ONE, YOU HAVE TO REDUCE ENERGY INTAKE.
THERE ARE BASICALLY THREE APPROACHES TO THAT.
EACH OF WHICH CAN WORK, EACH OF WHICH HAS ADVANTAGES, AND EACH OF WHICH HAS DISADVANTAGES.
BROADLY SPEAKING THEY ARE DIRECT CAL ORRICK RESTRICTION, DIETARY RESTRICTION AND TIME RESTRICTION.
TO SAY A BIT MORE ABOUT THEM, DIRECT CALORIC RESTRICTION MEANS YOU JUST DELIBERATELY GO ABOUT EATING LESS WHILE PAYING ATTENTION TO HOW MUCH YOU ARE EATING.
NOT NECESSARILY PAYING ATTENTION TO WHEN YOU ARE EATING OR WHAT YOU ARE EATING, BUT REDUCING THE TOTAL CALORIC BURDEN.
DIETARY RESTRICTION OF WHICH YOU MENTION AN EXAMPLE, KETOGENICS DIET, BUT SO ARE MOST, QUOTE, UNQUOTE, DIET.
YOU JUST RESTRICT CERTAIN ELEMENTS WITHIN THE DIET AND WHAT THAT RESULTS IN IS LESS OVERALL CONSUMPTION.
IT'S AN INDIRECT WAY TO GO ABOUT CALORIE RESTRICTION.
FINALLY, TIME RESTRICTION IS ALSO AN INDIRECT WAY TO GO ABOUT CALORIE RESTRICTING BY CREATING A NARROWER AND NARROWER WINDOW IN WHICH YOU EAT.
IF YOU CREATE A NARROW ENOUGH WINDOW, YOU WILL END UP REDUCING INTAKE.
WE DON'T HAVE TO GO INTO THE DETAILS HOW EACH HAS A BENEFIT AND EACH OF THESE HAS A RISK, BUT NONE OF THESE ARE THINGS THAT YOU SHOULD DO MINDLESSLY.
EACH ARE THINGS YOU HAVE TO BE PIT FAULTS AND WORK AROUND THEM.
>> YOU SPENT A FAIR AMOUNT OF TIME TALKING ABOUT SLEEP.
WHY IS IT AS IMPORTANT -- I MEAN, I AM SOMEBODY WHO DOESN'T GET ENOUGH SLEEP AND I FEEL LIKE IT'S UNDERRATED.
BUT YOUNGER POINTS IN MY LIFE, I DIDN'T REALLY THINK ABOUT HOW MUCH I WAS GETTING.
MAYBE BECAUSE I WAS, OBVIOUSLY, YOUNGER AND I WAS FITTER AND ABLE TO REBOUND FASTER.
BUT NOW IF I DON'T GET A GOOD NIGHT'S REST, IT'S REALLY DIFFICULT TO PERFORM AT THE SAME LEVEL EVERY DAY.
>> IN THE BOOK I TALKED ABOUT A THOUGHT EXPERIMENT WHICH IS EFFECTIVELY LIKE EVOLUTION DIDN'T MUCK AROUND, RIGHT?
EVOLUTION -- EVERYTHING ABOUT EVOLUTION IS REALLY LASER FOCUSED.
AND IF YOU THINK ABOUT IT, NO ONE DISPUTES THAT WE ARE OPTIMIZED TO FORAGE FOR FOOD, TO REPRODUCE, TO FEND FOR OURSELVES.
I MEAN, THESE ARE THE CHARACTERISTICS EVOLUTION HONED.
WHY WOULD EVOLUTION HAVE KEPT AROUND THIS BEHAVIOR THAT RENDERS US UNCONSCIOUS FOR EIGHT HOURS A DAY?
IT DOESN'T MAKE ANY SENSE.
AND THE ONLY WAY YOU COULD REALLY JUSTIFY THIS IS IF THAT EIGHT HOURS, ONE-THIRD OF OUR LIFE THAT IS SPENT IN UNCONSCIOUSNESS, MUST BE DOING SOMETHING SO IMPORTANT WE HAVE NEVER FIGURED OUT A WAY TO OUT-EVOLVE IT.
NEVER FIGURED OUT A WAY TO TREE REDUCE IT BY HALF.
IT'S STUCK THERE AT SEVEN OR EIGHT HOURS.
I TALK ABOUT IN THE BOOK, WHAT ARE THE FEATURES OF SLEEP?
WHY IS THAT IMPORTANT TO BRAIN HEALTH, TO MEMORY CONSOLIDATION, WHY DOES THAT PLAY IN A PROFOUND ROLE IN METABOLISM?
SO MANY OF THE PROBLEMS WITH OBESITY, METABOLIC HEALTH, INSULIN RESISTANCE TYPE 2 DIABETES CAN BE ATTRIBUTED SLEEP AS MUCH AS DIET.
>> A LOT OF THE BOOK TAKES A CRITICAL LOOK AT OUR EXISTING HEALTHCARE SYSTEM.
YOU WRITE THAT, QUOTE, HEALTH INSURANCE COMPANIES WON'T PAY A DOCTOR VERY MUCH TO TELL A PATIENT TO CHANGE THE WAY HE EATS OR TO MONITOR HE HAD F HIS BLOOD GLUE DOSE LEVELS TO PREVENT HIM FROM DEVELOPING TYPE 2 DIABETES, YET INSURANCE WILL PAY FOR THIS SAME PATIENT'S VERY EXPENSIVE INSULIN AFTER HE HAS BEEN DIAGNOSED.
IS THERE A WAY TO TURN WHAT SEEMS LIKE THE LARGEST INDUSTRY IN THE COUNTRY AROUND TO THINK KIND OF PROACTIVELY INSTEAD OF REACTIVELY?
>> MINE, THERE CLEARLY IS FROM A CONCEPTUAL STANDPOINT.
FROM A STRUCTURAL STANDPOINT I DON'T WANT TO BE NAIVE AND SUGGEST IT WILL BE EASY.
THAT QUOTE I THINK ILLUSTRATES THE POINT, RIGHT.
EVERYTHING FOLLOWS THE DOLLAR.
AND I DON'T SAY THAT AS A SKEPTICAL GUY.
DOLLARS ARE IMPORTANT.
I AM A CAN'T LIST.
IT'S ALL ABOUT, YOU KNOW, YOU HAVE TO SET THE RIGHT ECONOMIC INCENTIVES.
RIGHT NOW THE ECONOMIC INCENTIVES IN MEDICINE ARE DIAGNOSIS AND PHARMACOLOGIC TREATMENT.
I AM NOT HERE TO SAY THAT PHARMACOLOGIC TREATMENTS DON'T MATTER.
THEY ARE IMPORTANT AND WE RELY ON THEM.
BUT THE POINT IS WE WERE ONLY EDUCATED ALONG ONE PARAMETER OF INTERVENTION, WHICH IS PROCEDURAL AND PHARMACOLOGIC.
IF THE ENTIRE SYSTEM OF REIMBURSEMENT IS BASED ON CREATING A DIAGNOSIS AND DEVELOPING A TREATMENT PLAN ALONG THOSE METRICS, AND BY THE WAY GO BACK TO WHAT I SAID AT THE OUTSET, THE ONLY METRIC OF INTEREST IS LENGTH OF LIFE, YOU WILL CREATE THE MACHINE WE HAVE CALLED MET SIN 2.0.
BY THE WAY, IT WAS VERY SUCCESSFUL AT TREATING SOME THINGS.
NAMELY, INFECTIOUS DISEASES AND ACUTE PROBLEMS SUCH AS TRAUMA.
THIS IS WHAT HAS EFFECTIVELY DOUBLED THE LIFE SPAN OF HUMANS IN THE LAST 150 YEARS.
IT'S THE SUCCESS OF THAT MODEL, MEDICINE 2.0 APPLIED IN THAT WAY, WAIT UNTIL THE PROBLEM HAPPENS, TREAT IT WITH PHARMACOLOGIC OR PROCEDURAL INTERVENTION.
WE ARE SEEING THAT PLAYBOOK IS NOT WORKING WITH CHRONIC DISEASES.
NOT EVEN CLOSE.
THE ONLY WAY YOU TREAT CHRONIC DISEASES IS MOVING ON TO AN APPROACH WHERE YOU TREAT -- WHERE YOU REALLY ENACT PREVENTION AND IF YOU WANT TO INCENTIVIZE PHYSICIANS TO DO THAT, THEY HAVE TO BE EDUCATED IN THIS WAY AND YOU HAVE TO BE ABLE TO REIMBURSE FOR THESE TOOLS.
YOU HAVE TO BE ABLE TO REIMBURSE PHYSICIANS AND YOU HAVE TO BE ABLE TO INCENTIVIZE PATIENTS TO TAKE CARE OF THEMSELVES 30 YEARS BEFORE THEY HAVE THAT HEART ATTACK.
>> IF YOU WERE TO ADVISE A PATIENT HEADING TO THEIR DOCTOR, WHAT ARE THE KINDS OF THINGS THAT YOU WOULD TELL THEM TO PERK THEIR EARS UP ON OR LISTEN CLOSE TO THIS NUMBER THAT ARE GOOD GUIDES FOR HEALTHFULNESS?
>> I WANT PATIENTS TO UNDERSTAND THERE ARE SOME THINGS THAT LABS ARE REALLY GOOD AT.
THERE ARE A LOT OF THINGS THEY ARE NOT GOOD AT.
EVERYBODY SHOULD KNOW THEIR APOB MEASURES THE TOTAL CONCENTRATION OF THE CHOLESTEROL-CARRYING PARTICLES IN THE BLOOD THAT DRIVE ATHROSCLEROSIS, WHICH IS THE DOMINANT FORCE DRIVING HEART DISEASE.
AGAIN CAN'T SAY IT ENOUGH.
HEART DISEASE IS THE LEADING KILLER GLOBALLY.
ABOUT 19 MILLION PEOPLE PER YEAR DIE DIE OF ATHROSOLAROTIC CARDIOVASCULAR DISEASE WHICH DWARVES THE NUMBER TWO KILLER, CANCER, BY 12 TO 13 MILLION.
YOU HAVE TO KNOW THIS CONCENTRATION.
EVERYBODY NEEDS TO HAVE THEIR LPa MEASURED.
THAT'S GENETICALLY DETERMINED.
ONCE YOU MEASURE IT, YOU DON'T NEED TO RECHECK IT.
AND WE THINK EVERYBODY NEEDS TO KNOW THEIR APO-E GENOTYPE.
THIS PLAYS AN IMPORTANT ROLE IN ALZHEIMER'S DISEASE AND ALSO IN CARDIOVASCULAR DISEASE.
KNOWING THAT CAN HELP YOU UNDERSTAND HOW AGGRESSIVE YOU MIGHT NEED TO BE IN PREVENTION.
THOSE ARE A HANDFUL OF THINGS WE THINK ARE IMPORTANT FOR EVERYBODY TO KNOW.
>> YOU ARE WRITE IN THE BOOK ABOUT EMOTIONAL HEALTH AND WHY IT'S SO IMPORTANT.
AND, YOU KNOW, THERE IS A LINE FROM YOUR THERAPIST, WAY THE TO SAY, THAT SUMS UP THE WHOLE BOOK.
WHY DO YOU WANT TO LIVE LONGER IF YOU ARE SO UNHAPPY?
PRETTY SIMPLE QUESTION, BUT PRETTY PROFOUND.
>> YEAH.
THIS IS ANOTHER ONE OF THOSE THINGS THAT DOESN'T SHOW UP ANYWHERE IN THE STANDARD DIAGNOSTIC LIST OF CRITERIA, AND IT'S ONE OF THOSE THINGS THAT PROBABLY MATTERS MORE THAN ANYTHING ELSE BECAUSE IF YOU DON'T HAVE IT, NOTHING ELSE MATTERS, RIGHT.
SO IF YOUR LIFE SUCKS, LIVING LONGER IS ACTUALLY A CURSE, NOT A BLESSING, REGARDLESS OF THE STATE OF YOUR PHYSICAL HEALTH.
SO I DO THINK THAT EVEN THOUGH IT'S PROBABLY NOT SOMETHING AS A PROFESSION WE SPEND ENOUGH TIME TALKING ABOUT, WE DO REALLY WANT TO UNDERSTAND WHAT A PERSON'S SENSE OF PURPOSE IS, HOW STRONG THEIR RELATIONSHIPS ARE.
I DO THINK THAT GENERALLY PEOPLE UNDERSTAND THAT THERE IS A REASONABLE CORRELATION BETWEEN THE STRENGTH OF YOUR RELATIONSHIPS AND YOUR HAPPINESS AND THERE IS A REASONABLE CORRELATION BETWEEN HAPPINESS AND LENGTH OF LIFE.
AND THINK THERE IS SOME CAUSALITY THERE, TOO.
I THINK THE REAL QUESTION BECOMES WHAT CAN YOU DO ABOUT IT, RIGHT.
AT THE INDIVIDUAL, IF YOU ARE SITTING WHERE I WAS SITTING SIX YEARS AGO, WHICH WAS TO SAY, YOU KNOW, PHYSICALLY HEALTHY, BUT NOT EMOTIONALLY HEALTHY, CAN YOU BEND THE ARC OF THAT CURVE IN THE SAME WAY THAT YOU CAN BEND THE ARC OF THE CURVE OF YOUR FITNESS, MUSCLE MASS, STRENGTH, LIPID NUMBERS, YOUR INSULIN RESISTANCE NUMBERS.
THE ANSWER IS UNEQUIVOCALLY YES.
>> DR. PETER ATTICA, AUTHOR OF "OUTLIVE: THE SCIENCE AND ART OF LONGEVITY," THANK YOU FOR JOINING US.
>> THANK YOU FOR HAVING ME.
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