Ask Me Anything

with The Peter Attia Drive - Private Subscriber Feed

Subscribe to ask a question

Cause of death (death certificate) accuracy

When Peter talks about ASCVD as being #1 horseman of death, I wonder how often "heart disease" is listed on death certificates due to lazy or inaccurate knowledge of the actual cause. Estimates are that 33% are inaccurate. So has Peter and the research team ever questioned the accuracy of the statistics? I don't think it would change the overall objectives or strategies, but I find it troubling to know that the accuracy of death certificates is so poor and fraught with error. So it seems likely that "heart disease" is probably the "go-to" for most coroners and poorly trained MDs. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504663/ "Despite the importance of accurate death certification, errors are common. Studies at various academic institutions have found errors in cause and/or manner of death certification to occur in approximately 33% to 41% of cases, with disproportionate overrepresentation of cardiovascular causes of death." https://pubmed.ncbi.nlm.nih.gov/15464706/ https://www.nytimes.com/2022/02/14/well/death-certificate-cause.html

Glucose: How does stress keep it high?

In your recent podcast rebroadcast with Robert Sapolsky, Peter mentions a story about how he hadn’t eaten for >24hr yet his glucose was still elevated. I was wondering if you could please explain the mechanics of how this is possible? I’m not a medical professional. I would think that your glycogen stores are exhausted after a few hours so where does the glucose come from? I wanted to post this question in the comments to the podcast episode but the comments field was closed. Thank-you so much!! Understanding this really helps to think about how to manage healthy glucose levels. :)

Up-tempo weight training as a modality for Zone 2 cardio

If one was to perform whole-body weight training with supersets (squats with pull-ups, deadlifts with push-ups, jumps with abs, etc.) and maintain a heart rate throughout the workout that was equal to Zone 2 heart rate, would this provide the same cardiometabolic benefits as more classic dedicated zone 2 cardio training (cycling)? I have to think it would, which could be a wonderful tool to target strength, hypertrophy, and cardiorespiratory fitness all at the same time for someone who is time crunched. Thoughts?

Living a gym free life

How would one live their life (in broad strokes) if the goal was to win the centenarian olympics yet never set foot in a gym. For context I have been a weightlifter my entire life and am just feeling burnt out by the gym. Life has too much to offer to spend so many hours in a gym. The outside is calling. If we model our movements and lifestyles around “ancestral health” (whatever that actually means), what would it look like?

BMD score

Can I use the overall Z score on DXA as my reference point versus Femur? DXA report does also show BMD for head, arms, legs, trunk, ribs, spine and pelvis can I use one of these metrics for reference? Report also shows Total T-score. Please advise. Thanks!