Outlive: The Science and Art of Longevity
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Average rating4.3
#1 NEW YORK TIMES BESTSELLER • OVER ONE MILLION COPIES SOLD • A groundbreaking manifesto on living better and longer that challenges the conventional medical thinking on aging and reveals a new approach to preventing chronic disease and extending long-term health, from a visionary physician and leading longevity expert “One of the most important books you’ll ever read.”—Steven D. Levitt, New York Times bestselling author of Freakonomics AN ECONOMIST AND BLOOMBERG BEST BOOK OF THE YEAR Wouldn’t you like to live longer? And better? In this operating manual for longevity, Dr. Peter Attia draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health. For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimer’s disease, and type 2 diabetes. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting. This is not “biohacking,” it’s science: a well-founded strategic and tactical approach to extending lifespan while also improving our physical, cognitive, and emotional health. Dr. Attia’s aim is less to tell you what to do and more to help you learn how to think about long-term health, in order to create the best plan for you as an individual. In Outlive, readers will discover: • Why the cholesterol test at your annual physical doesn’t tell you enough about your actual risk of dying from a heart attack. • That you may already suffer from an extremely common yet underdiagnosed liver condition that could be a precursor to the chronic diseases of aging. • Why exercise is the most potent pro-longevity “drug”—and how to begin training for the “Centenarian Decathlon.” • Why you should forget about diets, and focus instead on nutritional biochemistry, using technology and data to personalize your eating pattern. • Why striving for physical health and longevity, but ignoring emotional health, could be the ultimate curse of all. Aging and longevity are far more malleable than we think; our fate is not set in stone. With the right roadmap, you can plot a different path for your life, one that lets you outlive your genes to make each decade better than the one before.
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Inspired me to add some weight training workouts more focused specifically on adding muscle mass. If I live to see a healthy and active 100 years, I'll upgrade my review to five stars.
About 2-3x longer than it should have been. Great perspective on aging in terms of what gets in the way of “health span” & what we can do to avoid that. But he goes into far too much detail about the underlying biochemistry which gets boring & tedious.
The author bills the science presented as Medicine 3.0, but at every turn my intuition screamed that what was being presented was at best Medicine 2.1. Not bad if Medicine 3.0 wasn't actually out there, but I feel that it is. You should still read “Outlive”. You should read all such books, popular health or popular medicine, I guess we call it, popular as much for an ability to speak with accessibility to the general populous as having any actual popularity.
We are in an age of embarrassing riches, no more so than with the feast of high quality, well-researched, well-meaning, thoughtful, and nuanced texts presented by such highly qualified individuals. It is to our detriment that we ignore even the scantest evidence where our greatest resource, our health, is concerned. For Peter Attia, I would say that although you can take the doctor out of the training, it's much more difficult to take the training out of the doctor. You really must read it to decide for yourself as I only have my gut instincts to go on. The science is infinitely complex and there is little agreement among the professionals about what it all means. At a certain point we have to trust the deeper parts of our intelligence to take over, synthesizing mountains of data and the various interpretations of those data. Intuition gets short shrift in our society.
Peter Attia seems in the throws of the paradigms he's struggling against, still very much attuned to a mid- to a late 2oth century mindset, a practice still bounded by old understandings despite an ostensibly cheery prognosis overall.
I'm hesitant to give specifics and argue against professional training, but the areas that pinged my radar the highest were his advice on exercise, his reliance on numbers and extreme testing, and his underestimation of the power of fasting. It all seems a bit out of balance to me.
Compare and contrast (for yourself) this book against books like Richard Johnson's “Nature Wants Us to Be Fat” (2022), Daniel Lieberman's “Exercised: Why Something We Never Evolved to Do Is Healthy and Rewarding” (2021), and Steve Hendricks “The Oldest Cure in the World: Adventures in the Art and Science of Fasting” (2022). There are many areas where these books are in agreement with Attia's advice, but worrying in the ways they disagree, sometime sharply. This list of books of course is in no way exhaustive, with new science coming at us every day. We are foolish if we don't at least try to make sense of it all. The stakes are ridiculously high. The price too precious.
