Treating aging as a disease may extend health longer

Easier with a 9 to 5 job than trying to make a go of it in Silicon Valley.

The Captain

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Not half so easy as coming up with excuses

It was my 45th wedding anniversary this past Saturday (spent the weekend in Vail struggling with exercise at nearly 9000’…but getting it done anyway). We actually met and started dating in 1975…at the time when dh was still a junior hospital doctor and his work week was about 120 hrs or more. He managed to stay in shape well enough to continue to play rugby in the winter and cricket and tennis in the summer… schedule permitting. Additionally, didn’t eat/drink in such a way that packed on the pounds/predisposed him to metabolic syndrome etc etc. Ditto myself…although demands on my time weren’t quite the same, my work week was a long way from regular 9-5 hrs.

As they say, if someone’s doing it … it’s doable

Easier in Silicon Valley … the gym is right on your work campus and is free! Also there are 4 different restaurants, each with high quality and healthful selections. Also free, or close to free.

My work campus was a townhouse I rented, no gym. :wink:

The Captain

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So…zero travel time, no colleagues/campus chefs laying on free tasty food, stairs (presumably) a few heavy objects to lift and carry. All the ingredients for an active enough lifestyle without the inconvenience of stepping through the front door. The “way”…just lacking the “will”

Peter Attia has a concept of The Centenarian Decathlon…a revised title from The Centenarian Olympics. Per one of his podcasts, he did the switcheroo because it appeared that too many folk assumed…without reading…that he meant doing Olympic style running and jumping etc at age 100 and beyond. He does not. Rather he focuses on the activities of daily living that an individual would want to do in their “marginal decade”…the last 10 years before they die. Maybe those of us with a good few years on Attia might want to be planning for the last 5.

As Wendy mentioned upstream, he advocates this sort of future proofing beginning at least in the 40s-50s but he started his specific cardiovascular disease prevention in his 30s. Recognising a strong family history…his father and uncles all suffered heart attacks at an early age (only his dad survived) … he pushed for a Coronary Artery Calcium scan. He had a score of 6. On first blush … at least, for those of us with scores well into triple digits…this doesn’t look too bad. Except this was at age 35 or so and, since calcification is a relatively late stage event in the disease process, it demonstrated an early start on a progressive disease process.

He started an aggressive lipid lowering regimen…tweaks to his lifestyle and statins…and a recent CAC scan plus CT angio showed zero progression on that disease. He’s added PCSK9 inhibitors for further LDL-C reduction.

Along with a couple of cardiology related websites, I credit Attia’s podcasts for alerting me to the fact that my “mildly elevated” LDL-C (120-130 isn’t actually considered mildly elevated any longer) wasn’t the innocuous bystander my primary care physicians over the last 15 years or so suggested, that my high HDL and low triglycerides (both toggled around high 70s/low 80s) don’t have the health halo it was once believed and my longstanding healthy diet and exercise didn’t actually prevent the disease process … but I’m pretty sure has kept me above ground given the genetic hand I’ve been dealt.

As Attia oftentimes observes WRT the Four Horsemen of preventable, premature death, ASCVD is the most well understood with the knowledge base, diagnostic testing and therapeutic armamentarium to knock that disease right off the podium of the world’s leading killer/cause of morbidity (arguably worse?)