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The Longevity & Brain Benefits of Vigorous Exercise | Dr. Rhonda Patrick
The Longevity & Brain Benefits of Vigorous Exercise | Dr. Rhonda Patrick

The Longevity & Brain Benefits of Vigorous Exercise | Dr. Rhonda Patrick

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Rhonda Patrick
·
29 Clips
·
Dec 5, 2023
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Episode Transcript
0:00
Welcome everyone to a truly special episode of the
0:02
podcast today. We're venturing into a
0:05
topic. That's both fundamental and transformative the imperative role of vigorous aerobic
0:10
exercise in our fitness routines.
0:12
This episode challenges common
0:14
perceptions about exercise delving deep into the benefits of vigorous exercise on not just physical health, but brain function aging and even cancer prevention, it tackles fundamental questions, like what genetic and
0:27
metabolic adaptations occur with vigorous.
0:30
Exercise and how it can contribute to combating the hearts age-related changes. We also unpack how these rigorous exercises affect glucose transport mitochondrial health and brain health at an intricate level and we're not just talking Theory here. We're diving into practicality. I'll be introducing you to the Norwegian 4x4 interval training protocol discussing the unique benefits of exercise snacks and offering insights on easy ways to incorporate vigorous exercise into your daily life.
1:00
Or we dive deeper. It's crucial to acknowledge a fundamental truth about aerobic exercise in general. The bottom line is any form of aerobic activity is beneficial the key lies in consistency and habit formation the type of exercise that resonates with you, whether it's lower intensity or higher intensity that you can integrate into your routine and stick with that's the exercise. You should be focusing on it's about finding what works for you personally and making it as a
1:29
stainable part of your life Central to our discussion of the brain benefits of vigorous exercise described in today's episode is Amaya kind known as brain derived neurotrophic factor or bdnf a pivotal factor in enhancing neuroplasticity and fostering neurogenesis the growth of new brain cells as a companion to today's episode. I've created a free evidence-based blueprint that you can download in this guide, which you can find at bdnf protocols.com. You will find protocols.
2:00
Sign to improve cognitive function and delay brain aging this guide explores modifiable lifestyle factors, the tactics strategies and things you can do particularly when it comes to exercise nutrition and even supplementation to significantly improve cognition and enhanced neuroprotection many of which are at least partially mediated through increases in brain derived neurotrophic Factor levels in this guide. You will also find a section entitled Rhonda's protocols. These Protocols are either practices. I actively engage in
2:29
Nor strategies, I'm currently exploring curated specifically for their promising potential for beneficial cognitive and neuroprotective impact. These Protocols are detailed and specific everything you look for in a blueprint. So if you're looking to dive deeper into these insights and start applying them head over to bdnf protocols.com to get your free guide It's a valuable tool for anyone committed to optimizing their brain Health and Longevity. Once again, that's bdnf protocols.com.
3:00
Now on to the podcast during vigorous exercise our muscles essentially become many biochemical lab synthesizing compounds like lactate in myokines. These aren't just muscle-bound. They get into circulation. They travel too far up tissues and they signal to them and they have a variety of benefits including the synthesis of elements like brain-derived neurotrophic Factor bdnf crucial for brain health in neuronal health. They also potentially initiate anti-cancer mechanisms.
3:29
Don't let your muscles little chemical producing factories, but they also act like sponges to soak up compounds that can be harmful to the brain improving mental health and reducing neurodegenerative disease risk. We're going to dive deep into the realm of VO2 max optimization VO2 max is not just about a measure of cardiorespiratory Fitness. It's directly linked to longevity essentially the higher your VO2 max the longer you're likely to live and there doesn't seem to be an upper limit to the life.
3:59
Ending benefits of enhanced cardiorespiratory Fitness at least within your genetic potential will get into the details of how to calibrate high-intensity efforts with Zone to training methodologies for improving vo2max with the spotlight on the Norwegian 4x4 protocol and even touch on some straightforward tactics, like assessing vo2max. So the pragmatic test which is the 12-minute run tests equally important will navigate through the processes of my top Aegean mitochondrial biogenesis. These are cornerstones for cellular rejuvenation.
4:29
Nation essentially reversing the aging process on a cellular level there's a lot of questions to answer. What is vigorous exercise. What is high intensity exercise? What about Zone to training? So let's start by covering what is not vigorous exercise Zone to training is also sometimes known as aerobic base training it primarily targets aerobic Energy Systems and can be sustained for longer durations. We're talking an hour and more some experts to find this type of training to
4:59
A around 70 to 80 percent of maximum heart rate possibly lower for people that are unfit. It's also defined by the talk test. So you should be able to talk comfortably comfortably but not sing. So you should be a little breathy when you're talking but still able to talk comfortably.
5:18
72 training involves exercising at a moderate intensity. It's a steady state type of lactate threshold training lactate threshold refers to the point at which the body begins to produce lactate at a faster rate than it can clear it away. So keep in mind there's a lot of individual variation in determining the lactate threshold because people can have different Baseline lactate levels for one which is typically around 0.92 1 millimolar generally speaking people also have
5:47
Different rates of lactate production and clearance and even at the same relative exercise intensity. So for example trained athletes might have a higher lactate threshold in terms of both exercise intensity and lactate concentration compared to untrained individuals genetics also play a role. There are many great podcast out there covering Zone to training including Peter AT&T as the drive with guest. Dr. Inigo Saint million.
6:16
Now let's talk about vigorous exercise. So generally speaking vigorous exercise represents a level of exertion where exercise goes beyond the lactate threshold which means lactate begins to accumulate in the muscles more rapidly. There are various intensities within vigorous exercise. So a level intensity referred to as the maximal steady-state threshold, sometimes called Zone 3 is above the lactate threshold and it's challenging to hold a conversation.
6:45
Asian and it's difficult to maintain this level of exercise for longer than 20 to 30 minutes. This level of intensity is somewhere between 80 to 85 percent max heart rate. However, vigorous exercise also includes exercising at intensities higher than this so a higher intensity training where there's significant amount of lactate accumulation and you're close to your what's called anaerobic threshold. This is a level of intensity usually around 85 to 95 percent.
7:15
His heart rate and it's difficult to maintain for longer than a few minutes. Sometimes this type of training intensity is called zone for training. Then there's the All Out near maximum intensity and this is sometimes called zone 5 training. These are shorter intervals and it's generally hard to maintain this level level of intensity for longer than one minute. So when we're talking about high intensity interval training, it involves alternating between periods of high intensity.
7:45
Chris exercise in periods of lower intensity rest depending on the the high intensity interval training or hit for short protocol. These can include intervals ranging from zone 32 zone five followed by recovery periods. The idea that high intensity interval training is only anaerobic is a misconception while high intensity interval training exercise does rely more heavily on anaerobic Energy Systems. It still requires significant aerobic metabolism.
8:15
So hit can improve both aerobic and anaerobic Fitness and it's my opinion that getting your heart rate to at least eighty percent max heart rate. So that that being at least 80% is a really good place to be if you are targeting brain benefits and we'll dive a lot into that in a minute, but I want to start by talking about cardiorespiratory fitness health span and Longevity. So VO2 max is a measure of maximal oxygen uptake.
8:45
Which reflects an individual's ability to utilize oxygen during exercise. It's considered one of the best indicators of cardiorespiratory Fitness and its associated with improved Health span and increase lifespan higher cardiorespiratory levels as measured by vo2max have been consistently linked to reduced risk of mortality and longer life span. So in the podcast when I use the term vo2max just keep in mind that it's a measurement of cardiorespiratory Fitness the greatest longevity benefit that comes
9:15
comes from improving your VO2 max is from people starting from a below-average vo2max and moving anywhere above average. So even going from below normal vo2max for your age group in gender to a low normal is associated with a two point one year increase in life expectancy bumping that up going from below below normal to high normal VO2 max is associated with a
9:45
Year increase in life expectancy and going even further to the upper limit of normal is associated with four point nine years almost five year increase in life expectancy on
9:56
average each unit increase in VO2 max. So that's
10:01
1 ml per kilogram per minute is associated with a 45-day increase in life
10:07
expectancy in another study involving
10:11
only men for every 10 unit increase in VO2 max.
10:15
So this would be then 10 mils per kilogram per minute.
10:19
There was a 70 17 percent lower risk of death from cancer and a 11% lower all-cause
10:26
mortality. So dying from many different non accidental causes
10:31
of death another study published in Jama in 2018 found that there was no
10:37
apparent upper limit to the benefit of cardiorespiratory
10:39
Fitness on
10:40
mortality within normal ranges of human life expectancy, of course.
10:45
In fact, the study reported
10:47
that Elite performers. These are people that performed in the top two point three percent on the fitness
10:53
test had
10:54
an 80% reduction in mortality risk compared to the lowest performers. So they performed in the bottom 25% on the fitness
11:02
test and if you compare the elite performers to the high performers,
11:06
so these folks did really well, but they were just under the elite they were they were between the top 25 percent and the top two point three percent the elite performers.
11:15
Had a twenty percent mortality risk decline compared to even those High performers
11:21
but going back to what I said earlier about just moving out of that low fitness group will
11:26
give huge advantages to on life expectancy. So people on the low fitness group had a
11:31
five fold higher risk of death than the elite performers, but what is also
11:37
interesting is that the risk of dying due
11:39
to low Fitness was
11:41
similar or even bigger than risks associated with having heart disease.
11:45
He's smoking or diabetes. So being fitter is really good for your health at every level of fitness and there's always room for improvement. So the question is well, how can
11:58
we improve our vo2max lots of different training protocols Zone to training for example, high intensity interval training, you know vigorous intensity exercise all improved cardiorespiratory Fitness and can increase
12:11
vo2max hit has been shown to significantly improve.
12:15
Go to Max even
12:16
with shorter training durations. This is because hit recruits both aerobic and anaerobic Energy Systems and increases the intensity of the workout resulting in greater greater cardiovascular stress and then adaptations, but this is
12:31
important there are
12:32
individuals who engage in more moderate intensity, you know steady-state Zone to training that do not experience significant improvements in VO2 max. In fact research has shown that
12:45
Approximately 40% of people do not see a measurable increase in their VO2 max, even after engaging in guideline-based moderate-intensity exercise, which is about 2.5 hours of of this type of exercise per week for several months.
13:02
But when these what are called non
13:04
responders Incorporated more vigorous intensity exercise such as high intensity interval training, they do start to see improvements in VO2
13:12
max. So this suggests that adding higher
13:15
or intensity exercise to an exercise routine can
13:19
help eliminate that non-response and also can lead to Greater benefits in cardiorespiratory Fitness. The reason for non-response
13:27
to moderate intensity exercise. It's not completely understood but
13:32
the addition of vigorous intensity exercise is important for overall improvements in VO2 max and engaging in more vigorous exercise seems to provide a stronger stimulus
13:42
for physiological.
13:45
Genes that lead to increased cardiorespiratory Fitness.
13:48
So again, I think these findings do really sort of highlight
13:52
the importance of incorporating vigorous intensity exercise particularly incorporating maybe high intensity interval training into a training routine
14:01
and obviously
14:03
for individuals who are time
14:04
pressed and can't dedicate several hours per week
14:06
to doing a more type of Zone to type of training including shorter sessions of higher intensity exercise can still have significant improvements in VO2.
14:15
Max and overall
14:16
health so you might be wondering
14:19
you know, how much time do I dedicate to my more vigorous type of exercise versus a more moderate intensity Zone to type of training
14:28
and I really think that answer depends on a lot of
14:30
factors your individual goals what you enjoy doing most what you're going to do the most I mean all those things are important because at the end of the day
14:40
establishing a
14:40
habit having an exercise routine that you're going to consistently do.
14:45
Is what is most important for endurance athletes? I mean the answer is easy, right? You're already dedicating several hours a week to doing more Zone to training
14:55
and about 20%
14:56
of that training is dedicated to Shorter higher intensity workouts more vigorous intensity workouts. And this is commonly known as the 80/20 rule. But remember this is this is people that are doing extensive amounts of training anywhere between 10 to 30 hours a week.
15:13
It's I think it's a common misconception.
15:15
To apply that
15:16
80/20 rule to like any committed exerciser and any casual exerciser who are doing well under less than 10 hours a week as you think about
15:25
someone who is a committed
15:26
exerciser. Maybe you work out three to five days a week.
15:30
How much of that time
15:32
should be spent doing vigorous intensity exercise.
15:35
I would say for
15:35
vo2max and other adaptations. We're going to discuss including the brain
15:40
about half of that
15:41
exercise training time. I think should be spent in vigorous, too.
15:45
Vigorous exercise. So again, you want to be 80 at least 80% of your max heart rate or more. Obviously, there's resistance training to incorporate as well into any training program.
15:57
There's casual
15:59
exercisers. So people that work out maybe two to three times a week.
16:02
They should probably spend more than half of their time doing more vigorous
16:06
intensity exercise. I think this this ensures you're pushing your limits and you know, making sure that you're getting adaptations Fitness gains in a shorter period
16:15
Period of
16:15
time there are a variety
16:19
of VO2 max training protocols. So for people that are looking for that more vigorous exercise using, you know, using high-intensity interval training to improve their VO2 max. The key here is longer intervals. So incorporating longer intervals such as two three four, maybe even five minutes at the highest workload, you can sustain for that time and then performing for intervals.
16:45
Rest and Recovery in between each of those. So this protocol may require maybe a 20-minute time commitment, but it can lead to significant improvements in VO2 max.
16:57
There's a few examples of
17:00
VO2 max training. Dr. Martin Kabbalah who was a recent podcast guest gave a variety of examples of this. So there's three to five-minute repeats at the highest sustainable intensity. We talked about and doing those three to five-minute intervals.
17:15
So that you can maintain and then you rest and recover and repeat those intervals for a total of
17:21
20 minutes. I think a popular variation of this is
17:25
called the Norwegian 4x4 interval training protocol. So the
17:29
intervals are four
17:31
minutes long and you're aiming for about 85 to 95 percent of your max heart rate or the maximum level of intensity. You can maintain for the entire four minutes
17:42
these internal these intervals can be
17:44
brutal. So the
17:45
Every period is three minutes long and the intensity is
17:49
significantly lower like light
17:52
light exercise more like a Zone 1 training exercise. You want to allow yourself recovery time the clearance of lactate you want your heart rate to come down significantly so that you can prepare for the next four minute interval.
18:06
So these four minute intervals are repeated
18:09
four times and again in between each intervals a three-minute recovery. So that's
18:15
the the Norwegian 4x4
18:17
interval training. There's another type of VO2 max training protocol. It's the one minute on one minute off protocol. This is where you perform one minute of intervals at the highest intensity you can do
18:29
for one minute and then it's followed by a one minute recovery period and then you repeat this interval pattern 10, or maybe five times for about 25 minutes or so, and this protocol also is effective at improving.
18:45
To Max and it does provide a lot of flexibility in terms of time commitment. It's also not as you know grueling in terms of like doing a four minute interval versus a one minute interval one minute intervals are a little bit, you know less intense and less painful.
19:03
Obviously, it's important that you know, these Protocols are
19:07
sort of templates. They vary a lot based on individual
19:10
fitness goals, you know, there's
19:13
other protocols out there that can improve vo2max the key is like a longer interval longer than like a Tabata like a 20 second interval. And so, you know probably about at least one minute at the highest sustainable intensity that you can do. I think the Norwegian 4x4 protocols probably one of the best out there one of the best hit protocols out there.
19:33
Improving VO2 max.
19:35
So how do you measure VO2 max without
19:39
equipment found in exercise physiology physiology lab, it's obviously challenging
19:45
their several sort of tests that have been developed
19:48
and verified for
19:51
getting an
19:53
estimate of your VO2 max. So they
19:54
don't directly measure maximum oxygen uptake, but they
19:59
predict your VO2 max based on the relationship between your exercise and
20:03
Density and your oxygen consumption, they're sort of useful in determining whether or not you're improving VO2 max. If you're testing a type of training protocol
20:14
so that there's a couple of really like I said validated tests that have been validated and scientific literature that can that can sort of be done. Probably one of the best
20:23
ones is the 12-minute run or sometimes called walk test depending on your level of Fitness. It's often also referred to as the Cooper
20:32
test.
20:33
And it involves
20:34
having the participant run or jog as far as possible in 12 minutes. So you're
20:41
supposed to pace yourself. Evenly. You don't want to start too fast. And the test should be conducted on a flat surface. So like a
20:47
track feel this is the best you don't want to have Hills and stuff
20:50
because it's about, you know,
20:52
the maximum amount of distance you can cover in 12 minutes and if you have Hills and stuff that's going to lessen that it's going to be more challenging and you know, the distance won't be quite as
21:02
far so.
21:03
You'll need a fitness device something
21:05
that we can record your distance an Apple Watch or you know Fitbit or something and
21:11
depending on your Fitness level you can
21:13
walk or you can run or a combination. So the distance covered within that 12-minute period serves as the primary metric for evaluating vo2max, which is then estimated using a formula. So it's distance in meters - 504 point nine and then divided by forty four point seven three and you can look this formula up.
21:33
Look up the Cooper test to find the formulas
21:36
online.
21:38
Again, you know, there's there's a some other validated test, but I think
21:42
that's probably the one of the best better ones out there. You'll
21:45
need a device like an Apple Watch or
21:48
some sort of other device that can measure your distance.
21:51
But there's also some of these devices and wearables do
21:55
estimate VO2 max during exercise using heart rate and your motion data, you know for best results. You have to make sure all your personal information is in there like your age and your weight and gender and you know, that's tough but
22:08
That's another you know possibility. I would say the 12-minute run or walk test is a more it's a better way to do it particularly. If you're trying to do something like the 4x4 Norwegian Norwegian hit protocol to measure vo2max improvements. You want to see if what you're doing is improving your your estimated vo2max. So I think the 12-minute run test is a good way to do
22:31
that. I want to sort of change gears for a minute and talk
22:35
about you know,
22:37
no
22:38
something that I also think is pivotal and it's a unique role for vigorous exercise in playing a role in enhancing Health span, and it has to do with changes in heart structure. So as we age the
22:51
heart undergoes specific inevitable changes right related to the aging process, so it tends to get smaller it gets
22:59
stiffer and this can impact the heart sufficiency
23:04
potentially reducing our Exercise capacity elevating our risk for
23:08
Yak issues but there can be
23:10
exercise interventions like consistent aerobic exercise
23:15
with a high proportion of it being vigorous intensity that can actually combat some of these effects. So there was a landmark study
23:22
published from been Levine's group
23:25
and it was an intervention study and it showed that two years of vigorous
23:29
exercise in 50 year olds
23:32
was able to reverse the aging of their hearts by as much as 20 years.
23:38
Effectively making their hearts look
23:39
more like a thirty-year-old
23:42
which in my opinion is simply astonishing you're taking a fifty-year-old heart and making it look like a 30 year old heart. Now the exercise protocol used in this this particular study. It was a protocol that that
23:55
gradually increase the exercise intensity and also frequency.
23:59
So the again I mentioned it was a two-year
24:01
intervention by the end of six the first
24:03
six months participants were exercising about five to six
24:08
Hours a week with a large portion of training being in that maximal steady-state
24:15
intensity exercise, I which I referred to earlier in the podcast. It's often sometimes called Zone 3. It is a type of vigorous
24:23
intensity exercise. They also were incorporating more higher higher intensity exercise. So they
24:32
also did the Norwegian 4x4 VO2 training vo2max training protocol just referred to
24:37
to
24:38
and they did that once a week and I just think it's like I said, I simply
24:42
astonishing that you know, you take these 50 rolls and after two years of a
24:47
more vigorous intensity exercise
24:50
training protocol is essentially reversed
24:53
the effects of Aging in the heart. Okay. So let's shift gears yet again and talk a little bit about metabolic
25:01
adaptations. And again, this is where I think vigorous exercise really shines.
25:08
Particularly high intensity interval training, it improves glucose control insulin sensitivity more and more efficiently and more potently than even continuous, you know moderate intensity workouts. And you know, I do think that of course both exercise type, you know, training protocols can enhance muscle adaptations and glucose regulation hit really seems to to do it quicker and again more robustly.
25:37
The whereas moderate intensity exercise kind of Demands longer sessions for comparable outcomes. So research has found that high intensity interval training can enhance the muscles ability to take up glucose and improve glucose transport capacity. So during high intensity interval training and during vigorous exercise. There's a demand a rapid, you know, a
26:00
demand for Rapid energy production and so the body relies both on aerobic so
26:05
oxygen using and anaerobic
26:08
Non oxygen using metabolic pathways to generate this energy the
26:13
anaerobic pathway can lead to the production of
26:15
lactate, especially when the intensity of exercise
26:18
surpasses the point at which
26:21
the oxygen intake can keep up with the energy demand. And so this is sometimes often referred to as the lactate threshold as we
26:28
talked about for a long time lactate was
26:32
considered primarily as a waste product contributing to muscle fatigue and you know,
26:37
Oh, this is of course been completely reverse Recent research has come, you know, totally change this understanding lactate generated in muscle tissue is transported not only
26:48
back in a muscle and into
26:50
mitochondria to be used as an energy source,
26:53
but it also
26:54
when it starts to accumulate at higher levels travels systemically into circulation and gets transported to other tissues like the heart the liver the brain where it's used for energy. It's also used as a signaling.
27:08
I kill so this is known as
27:09
the lactate shuttle and was pioneered by dr. George Brooks who is really
27:14
changed the field and he also happened to be my second podcast guest ever on this podcast
27:21
anyways lactate, you know it I mentioned it acts as a signaling molecule in those tissues as well and you can think of a signaling molecule as a chemical messenger that is sending a message to other cells. One of those messages is the up regulation.
27:37
Ation of glucose glucose transport capacity so vigorous intensity exercise high intensity interval training, when one that lactate production accumulates, it stimulates the expression and activity of
27:51
glucose Transporters known on the muscle known as glute for and this is on the muscle cell membrane.
27:58
And so that lactate acts as a
28:00
signaling molecule to increase the transport of glucose Transporters on the muscle cells and this
28:07
Then allows for more efficient uptake of glucose into the from the bloodstream into the muscle even at rest. And so consequently, then insulin sensitivity is also improved and blood glucose levels are better regulated. There's been several studies that have demonstrated that hit can
28:27
improve glucose uptake enhance insulin
28:29
sensitivity and
28:30
decrease the risk of developing type 2
28:32
diabetes. This may be due to the intense metabolic stress created during
28:37
hit.
28:37
Which leads to Greater activation of glucose transport great glucose Transporters and improve glucose
28:45
clearance. So as I mentioned both high intensity interval training continuous moderate intensity exercise can also be effective at improving glucose
28:55
transport capacity in the muscles hit promotes
28:59
rapid increases in glucose Transporters allowing for that efficient glucose uptake and utilization. Whereas continuous moderate-intensity exercise.
29:08
Although it's less intense still
29:09
does also enhance glucose transport capacity. It improves the
29:13
overall Fitness of muscles as well.
29:15
So, you know again, it's just a longer duration of exercise time to get there
29:20
and
29:22
with with the
29:22
lactate generation that happens with, you know, high intensity high intensity exercise, you're getting that
29:29
immediate signal from lactate to increase the glucose glute for Transporters. And so it's a very rapid and robust adaptation that
29:37
happen.
29:37
ins
29:38
There's at our other metabolic adaptation. So just just
29:43
kind of talking about
29:44
mitochondria mitochondria
29:46
are very important and they
29:48
play a lot of roles in the body. But one of the most
29:51
important ones is the production of energy in the form of ATP. This is obviously very important for muscles, but also hugely important for the brain the heart the liver pretty much every organ
30:03
athletes are very interested in mitochondrial
30:05
health because they want their muscles to
30:08
gently and effectively produce energy when they're training
30:11
but mitochondria are also very
30:12
important the context of Aging as
30:15
we age our mitochondria
30:16
become less efficient at producing energy
30:18
and this poses a problem for physical activity, but
30:22
also just for normal functioning of our organs
30:25
now that problem of mitochondria not producing enough energy can actually be overcome by increasing the mitochondrial volume or what's called mitochondrial biogenesis and exercise.
30:38
Particularly vigorous exercise is one of the best ways to do that. So one of the most powerful indicators of healthy mitochondria is
30:49
the ability to generate new healthy young mitochondria called mitochondrial
30:54
biogenesis vigorous intensity exercise, like high intensity high intensity interval training. I mentioned it's one of the most powerful
31:03
stimulators of mitochondrial biogenesis. This has to
31:07
do with the metabolic
31:08
like
31:08
stress that is induced from vigorous intensity exercise.
31:12
The lactate itself. Again lactate is a
31:15
signaling molecule when you're producing greater amounts of
31:18
lactate that actually
31:20
activates one of the major Pathways that regulates mitochondrial biogenesis. It's called
31:27
P GC 1 Alpha and again lactates acting as a signal
31:33
to produce more of that PGC one
31:35
alpha. So when we
31:38
Vigorous intensity exercise such as hit that lactate generated from the muscles. It's shuttled into the mitochondria
31:46
because exercise increases the number of mitochondria Purcell again, mitochondrial biogenesis and the more lactate that's able then to be used as energy or to produce energy. And this is
31:59
important to know if you're wanting to understand the
32:01
bigger picture of where metabolism and lactate utilization fit into you know, human performance.
32:08
but it's also important to realize that athletes put around anywhere between like I said, 10 20 30 hours of training in a
32:15
week if their endurance athletes and usually about 80% of that training is in you know, the the moderate intensity Zone 2 training world with the remaining 20% being vigorous intensity exercise like hit
32:29
if they're if they're putting in 20 hours
32:31
a week of you know the of moderate intensity training
32:35
then they're doing anywhere but you know, they're doing
32:37
you know for
32:38
We're between
32:38
four to six hours a week of vigorous exercise like
32:42
hit. So just the portion of their vigorous exercise alone. They are doing is more than what committed exercisers are doing. So the question is, what's the best training protocol for a
32:52
non-athlete someone that's perhaps a committed exerciser
32:56
who is interested in Health and Longevity again, both high intensity interval training Zone to training also modern
33:04
intensity training can increase mitochondrial biogenesis in skeletal muscle.
33:08
Hit does it more
33:09
rapidly? It's a more potent stimulus again with lactate being a signaling molecule on the other hand Zone to training, you know for which is, you know, doing a more moderate intensity exercise that sustained for a longer duration does lead to an increase in mitochondrial
33:28
content. I think the key here is the total volume of training so higher intensity higher intensity exercise is a smaller volume.
33:38
Can result in more rapid larger increases in mitochondrial content while doing a more moderate intensity Zone to training
33:47
also does the same thing
33:49
but it just requires larger exercise volume or
33:52
duration your muscles ability to use fat as a fuel is also closely
33:59
tied to how many active mitochondria you have.
34:02
So in other words increasing mitochondrial
34:05
content
34:06
Also determines the ability of muscles to be able to oxidize
34:10
fat both high intensity able training. So vigorous
34:13
exercise Endzone to
34:15
training increase
34:17
the capacity for fat oxidation by increasing mitochondrial content
34:22
Now by enhancing the growth of new mitochondria, you're increasing the activity of key enzymes involved in fat metabolism.
34:31
So one of those is the carnitine
34:33
palmitoyl
34:34
transferase enzyme or the
34:36
ET enzyme
34:37
both types of exercise
34:39
training moderate and also vigorous intensity exercise do increase the CPT enzyme
34:47
capacity as well. And you know, obviously that
34:50
is directly related to the utilization of fat as a fuel source.
34:54
So I think the bottom line here is that, you know, mitochondrial
34:57
biogenesis increasing mitochondrial volume is key for mitochondrial Health. It's key for
35:06
Improving fat oxidation as well and both high intensity interval training and a more moderate Zone to type of training will get you increases in mitochondrial volume.
35:18
So another way that exercise improves mitochondrial health is through a process known as my table G
35:25
or my toe FEI jie as some people call it.
35:27
So my top Edge e is a type of a
35:31
toffee G which involves the selective removal of damaged or
35:36
Mitochondria from the cell or within the cell
35:40
this process really helps maintain mitochondrial Quality quality control and overall cellular health. So when you put stress on mitochondria through
35:50
exercise the body triggers, you know, the elimination of damaged mitochondria and the replacement of those mitochondria with new healthy ones through mitochondrial biogenesis.
36:02
There's not a lot of
36:04
direct human.
36:06
Search on the effects of different training
36:08
types of exercise of different training types of different exercise training on my table G. But I know
36:15
of at least one human study that is found particularly vigorous-intensity aerobic exercise
36:22
enhances markers of my table G. It's likely that both both vigorous
36:28
exercise high intensity interval training and more moderate exercise training can stimulate
36:34
this process with hit
36:36
just
36:36
You faster and you know the moderate intensity Zone to requiring a larger training
36:40
volume, but overall, you know, both hit Zone to can promote
36:45
skeletal muscle adaptations including mitochondrial biogenesis fat oxidation my table G. This is a repeating theme of this
36:52
podcast and also on the one that I did with
36:55
dr. Martin Kabbalah on high intensity interval training. I think the choice between the two really depends again on individual goals preferences the amount of time available for training and just what you love to do.
37:06
Hit offers that time efficiency it potentially
37:10
has the ability to have rapid improvements and adaptations and mitochondrial content while moderate intensity Zone 2 training can yield similar adaptations with a larger volume of moderate intensity exercise, you know sustained for a longer duration,
37:27
but I do think that it's important to probably try to incorporate both types of exercise training
37:32
for a more well-rounded way to kind of cover all your bases.
37:36
And for those that are committed exercisers if you're putting in let's say anywhere between two to five hours of training a week.
37:43
It's my opinion that you know, you should probably be doing a lot of a lot of that training or half of that
37:52
training should be vigorous intensity
37:54
exercise. Not only because the vo2max improvements
37:58
we spoke about earlier, but also because of brain benefits, so let's talk about the brain
38:04
exercise intensity.
38:06
Contents the interval training has been shown to have unique benefits for brain health.
38:12
Obviously all types of exercise are
38:14
beneficial for the brain
38:17
but high-intensity exercise may
38:19
have additional neuroprotective and cognitive
38:22
benefits and one of the mechanisms that's thought to underlie.
38:25
This is you know, that the unique
38:28
effects of you know, vigorous intensity exercise or hit on the brain because of the lactate production so during
38:36
In high intensity exercise lactate is
38:38
produced in large amounts as we've talked about largely as a byproduct of the metabolic stress, you're kind of pushing that anaerobic threshold
38:47
and when you produce lactate it's getting into circulation and it can cross the
38:53
blood-brain barrier. There are lactate Transporters MCT Transporters on the blood-brain barrier and it can you know, cross the blood-brain barrier and get into the brain where then acts as a signal and it triggers a
39:05
variety.
39:06
Of beneficial adaptations. So let's talk about some of those first, you know lactate can be used by neurons as a preferential energy source. So it's actually energetically favorable. It takes less energy for
39:23
mitochondria's to mitochondria to use lactate versus glucose.
39:30
So in fact neurons are used to using lactate because
39:36
Astrocytes in the brain which are supporting self or neurons
39:40
are mostly glycolytic. That means they're
39:42
mostly using glucose as energy. They're not using mitochondria and they're producing lactate as a
39:47
by-product. So astrocytes are turning out tons of lactate in the brain and that
39:54
lactate is being taken up, you know by neurons through the MCT
39:59
Transporters and used as energy. So there's actually even been studies showing that the brain
40:06
Is working harder during
40:08
exercise much like the
40:10
muscles are working harder your hearts working harder and it's
40:14
been shown that lactate actually fuels the brain during exercise. So that that lactate that's being translated because being transferred into circulation is being just soaked up by the brain and it's fueling the brain brain activity during exercise. Now another benefit of of neurons in the brain using lactate as an energy source instead of
40:36
glucose is it's spares glucose. It's freeing up
40:41
glucose to be used
40:42
by another biochemical pathway known as the pentose phosphate pathway and this pathway uses glucose to make precursors called nadph that's needed for the production of one of the most powerful antioxidants systems in the brain called glutathione. So the less glucose is being taken up by neurons to
41:06
Use this energy
41:07
the more I can be spared to be used in this pentose phosphate Pathway to make glutathione
41:13
and this has really important relevance. Not only for just you know normal brain aging right? I mean if you're if you're able to use more of the lactate as energy and spare glucose and make more glutathione in the brain generally speaking that's going to be more beneficial for just normal brain aging but it has special relevance also for traumatic brain injury TBI because you know that
41:36
When there's that, you know bolus of damage that's been done that that traumatic
41:42
brain injury,
41:44
then glutathione is needed the most but you're also needing you know glucose for neurons as well. And so and it's and it's all so awful because you know astrocytes which are
41:56
usually making lactate for the neurons
41:58
also become damaged during a TBI and so there's a lactate
42:02
shortage for neurons and
42:04
there's been a few studies showing that a
42:05
few.
42:06
And when
42:08
there's TBI patients with TBI that get
42:11
infused with sodium lactate
42:14
this actually improves
42:16
TBI outcomes and this is you know measured by the the Glascow scores.
42:20
So, you know, generally speaking. I think that this glucose sparing effect. Also, you know, there's some evidence again obviously direct evidence with TBI
42:29
outcomes that's been shown to have any improvements in TBI TBI outcomes. I'm proposing a mechanism here with glucose pairing.
42:36
And with respect to the with respect
42:38
to lactate lactate again also stimulates mitochondrial biogenesis animal Studies have shown this in the brain and neurons
42:45
as well. We don't have direct human
42:48
evidence of that but
42:49
there's no reason to think that wouldn't be a conserved mechanism.
42:52
So I think you know, we covered the importance of brain lactate
42:58
energetically speaking. It's energetically favorable right neuron neurons preferentially. They
43:04
prefer to use it
43:05
we talked about
43:06
The glucose pairing
43:07
but let's go back to the signaling
43:09
molecule aspect as we talked about earlier in the muscles. We talked about it increasing glute for Transporters. It's also a signaling molecule in the brain, you know, it's acting as a messenger. It's a way for the muscles to communicate with the brain directly and when neurons in the brain are using
43:28
more lactate
43:30
there, they're releasing
43:32
a variety of
43:33
neurotransmitters. They release more norepinephrine.
43:36
For example, so to help the brain working better to have more focus and attention.
43:42
It also
43:43
signals to the brain to make more brain derived neurotrophic factor bdnf.
43:49
And I mean, this is a very
43:51
powerful neurotrophic Factor it promotes the survival the growth and the function of neurons.
43:58
It plays a crucial
43:59
role in neuroplasticity. So this is the ability of the brain to adapt form new.
44:06
Next sessions higher levels of bdnf have been linked to improved cognitive function enhanced memory protection against
44:13
neurodegenerative diseases, like Alzheimer's disease
44:17
if you want to put this into a sensational words to explain
44:21
it b d and f is the youth
44:24
Elixir for the brain
44:26
and exercising muscles produce lactate to help you bathe your brain in
44:30
it. So that's a little sort of simplistic and more Sensational way of
44:36
Think
44:36
about it, but essentially that's what's happening when the
44:39
lactates increasing bdnf in the
44:41
brain lactate is also a messenger not only in the brain, but at the
44:46
blood-brain barrier, you
44:49
know, this is made up of tiny
44:50
blood vessels. We covered this in a podcast with dr. Axle montaigne.
44:55
So lactate signals to increase
44:57
another growth factor at the blood brain barrier called vegf and this is vascular endothelial growth factor.
45:06
This helps grow new tiny
45:09
bus vessels. It's called This is called angiogenesis the growth of new tiny blood vessels.
45:14
It helps them grow at the blood-brain barrier. It also helps repair damaged blood vessels. I mean these are these are these are things that are, you know
45:23
important for preventing the breakdown of the blood-brain barrier.
45:27
So essentially veg, f
45:29
is increasing the vascular density and
45:33
breakdown of the blood-brain barrier is a major
45:35
cause of
45:36
Blood of brain aging it's a major cause of neuroinflammation. It contributes to the Vicious
45:42
Cycle of neuron filmation. And there's also emerging evidence that now suggests breakdown of the
45:48
blood-brain barrier is one of the earliest signs of
45:51
dementia.
45:53
So again another reason why vigorous intensity exercise through that just generation of a lot of lactate then getting to the brain get into the blood-brain barrier
46:05
has unique benefits on overall brain
46:10
health. It's important to know I guess this is you know, there are benefits to high intensity exercise on the brain that are not just exclusive to lactate, right?
46:22
So there's increased blood flow.
46:25
There's the improved cardiovascular fitness the release
46:27
of
46:28
neurotransmitters the release of endorphins,
46:31
you know, all of these things contribute to the positive effects of physical activity on the brain, but vigorous intensity exercise. I do think
46:40
has some unique and very robust effects on brain health
46:44
because of that lactate and so I
46:46
really wanted to kind of dive deep into that so that you guys understand that, you know, your muscles are being pushed to work extra hard.
46:52
Heard and this is then now causing adaptations in the brain that are pretty
46:56
substantial.
46:57
In addition to lactate exercise intensity also
47:02
affects the muscles ability to produce other compounds known as myokines. So these
47:08
are molecules released from muscle cells that signal to non muscle tissues that the body is physically active,
47:17
you know. So again, it's similar to what we've been talking about with lactate
47:21
myokines have anti-inflammatory. They have anti-cancer effects. They also participate in
47:27
Metabolic pathways involved in fat oxidation of glucose uptake
47:33
they play a role in you know in again cancer biology as
47:37
well. So generally speaking
47:39
the greater
47:41
the intensity of exercise
47:43
the greater the myo kind release again, it's one of those you're
47:47
putting stress on the muscles and the muscles are then forced to adapt and one of the adaptations is releasing myokines.
47:57
Again duration also matter so the harder and the
48:01
longer the muscles work the greater the myo kind release
48:05
some myokines are a little more sensitive to exercise intensity. So il-6 was is one probably one of the most
48:14
well-known myokines. It was initially thought to be a pro-inflammatory cytokine. So aside a kind that plays a role in instigate instigating inflammation when it is produced from
48:27
Muscle it acts as a myopic. I'm so it does play a role in inflammation, but when
48:33
it's produced from muscle during
48:35
exercise, it's not it's
48:38
signaling to other tissues to have an anti inflammatory response.
48:43
And so you'll often find an
48:46
even larger production of anti-inflammatory cytokines such as il-10 in response to il-6 produced during
48:55
exercise.
48:57
Iris in is another myo, Kine it's involved in cancer protection. It's involved in bone health metabolism and more.
49:06
And then there's also another well-known mile kind known as oncostatin M and that my oh kind
49:13
sort of plays a little more prominent role in you know, anti-cancer
49:18
effects. The key here is I think that exercise exercise intensity and or
49:24
duration are really what increase my oh kind levels. So you're going for a two or three mile
49:31
run probably crank it up a little more
49:34
intense right you want to be
49:36
You know at least 85% your max heart rate, so you're not going to be really talking during that run. Are you going on an eight mile run maybe duration is on your side, right and intensity can go down a notch
49:48
since we were just talking about cancer. Keep in mind that any level of physical activity is better than none. So a study investigating physical
49:56
activity in breast cancer and colorectal cancer found women who were more physically active before being diagnosed with breast cancer had about a
50:04
23 percent reduced.
50:05
Risk of dying from any cause and
50:07
a 23 percent reduced risk of dying from breast cancer compared to those who were less active those who were more active before being diagnosed with colorectal
50:16
cancer had a 26
50:17
percent reduced risk of dying from any cause and about a 25 percent reduced risk of dying from colorectal cancer.
50:24
So being active after diagnosis had
50:27
even stronger benefits for both cancer types. So these women had a 48 percent reduced risk of dying from any cause and a
50:35
e eight percent reduced risk of dying from breast cancer compared to those that were less
50:40
active after diagnosis and the individuals with colorectal
50:44
cancer had a 42 percent reduced risk of dying from any cause and a 39 percent reduced risk of dying from colorectal cancer again, after being diagnosed with with the cancer,
50:57
so I do want to talk a little bit about you know, there's a lot of mechanisms by which
51:02
exercise can you know dampen can
51:05
Sir, metastasis can improve cancer
51:08
outcomes but there's one specific mechanism that involves tumor cells escaping
51:15
from the original tumor site and then traveling into circulation to other locations other organs and you know other tissues they sort of take Camp there they grow and divide and they form a secondary tumor
51:27
those cancer cells are called circulating tumor cells and that process I just described is often
51:34
called cancer metastasis, right?
51:35
Right
51:37
those circulating tumor cells are in circulation for a period of time and these
51:43
circulating tumor cells are very sensitive to the shearing forces of blood flow.
51:50
So when you exercise and blood flow increases those circulating tumor cells, they actually they actually die and this happens in a dose-dependent manner. So the more intensity exercise
52:06
The more sensitive they are to to
52:09
cell death durations also a key. Right? So I mean you're talking about increasing
52:13
the shear forces both intensity and duration or key here. And so it's really just a
52:18
matter of getting that blood flow up intensity
52:23
duration and that has been shown to kill circulating tumor cells. And again, this is associated with more positive outcomes with respect to cancer.
52:35
oil
52:38
Not only are we talked a lot about you know muscles being little
52:42
chemical producing factories are producing chemicals like lactate they're producing
52:46
myokines, but they also act like sponges to
52:50
soak up compounds that could be harmful to the brain.
52:54
So skeletal muscle has the ability to take
52:56
up a compound known as kind learning and
52:59
convert it into kind
53:00
uric acid, which is a non toxic metabolites,
53:05
and it does this by
53:07
Using an enzyme on
53:09
the muscle called concerning aminotransferase.
53:12
So this essentially
53:13
reduces the amount of cayenne yearning available to then be transformed into other harmful
53:19
metabolites such as Quinn oolitic acid in the brain. So Quinn Olynyk acid is a neurotoxin that plays a role in
53:25
depression. It plays a role in schizophrenia and neurodegenerative
53:29
disease. And so this is just one other mechanism by which you know exercise
53:37
also
53:37
seems to improve mental
53:38
health. It's also, you know another way that again exercise intensity is important here that is what is increasing that you know, that enzyme that
53:48
can your kind yearning Amino transferase on the muscle cells to then transport kind urinating into the muscle. So that is not converted into
53:57
the clinic acid. So again, just another another mechanism that I kind of wanted to point to point out because again
54:06
intensity
54:07
Is a role here with those Amino transferase Transporters soaking up more of that kind of learning. I
54:13
want to shift gears and talk about short bursts
54:15
of high-intensity interval training.
54:17
So this is sometimes called exercise snacks exercise snacks are short bursts
54:22
of vigorous intensity exercise
54:24
that are Incorporated throughout the day and they it can have numerous benefits on metabolism overall health these exercise snacks can be as simple as
54:34
doing some vigorous jumping jacks or vigorous are
54:36
squats or high knees or burpees and they can be done in just a few minutes.
54:42
There might be some distinct metabolic benefits to exercise
54:45
snacks particularly when timed around meals so performing these these, you know short bursts
54:52
of exercise before or so directly before or after a
54:57
meal is
54:58
particularly effective in controlling blood sugar levels. I
55:02
think, you know, this
55:03
this sort of thing can lead to a rapid uptake
55:06
of
55:07
Cows into the muscles again having to do with increasing those glute for Transporters. It helps to lower blood glucose levels more efficiently than staying sedentary post
55:17
meals. So timing exercise snacks around meals really can help the bow the body handle sugar influx better and it helps, you know, utilize glucose
55:28
more effectively and reduces the demands on the pancreas to produce insulin. So it's particularly beneficial for people with
55:37
both type 1 and type 2
55:39
diabetes in addition to the direct metabolic benefits exercise snacks can also combat
55:45
sedentary Behavior
55:47
so many individuals, even those who
55:49
engage in regular
55:50
exercise still spend
55:52
a significant portion of their day
55:55
sitting at their desk
55:56
working being sedentary Centauri
55:59
Behavior has been shown to be a modest
56:03
independent risk factor for certain types of cancer.
56:07
And it can
56:08
also increase the risk of premature
56:09
death even among
56:11
Physically Active individuals. So
56:13
by incorporating exercise snacks individuals can kind
56:16
of break up those prolonged periods of sedentary behavior and potentially further, you know, reduce their cancer risk and just
56:27
have a broad variety of bell health benefits. So exercise snacks also can enhance cognitive function. It's directly increasing blood flow to the brain.
56:36
Brain, you know again
56:38
that that can also just have an immediate mood enhancement which affects motivation. There's not a lot of direct evidence on exercise
56:46
snacks in the brain, but and of course methodologies can differ anywhere between one
56:51
minute to 10 minutes,
56:53
but they're at least is one study showing that 10 minutes of an exercise snack does improve cognitive function.
56:59
So what could be a good
57:01
protocol to implement? Let's say during your sedentary time
57:04
would be perhaps, you know,
57:07
Setting a timer and every couple of hours you get up and you do a couple of
57:10
minutes of you know, high intensity interval training on
57:15
a very similar note. There's something called vigorous intermittent lifestyle physical activity. They'll Papa it's somewhat similar to exercise snacks, but it takes advantage of everyday sort of situations to get your heart rate up high
57:31
and to do some high intensity exercise. So for example,
57:33
instead of you have to take they take the stairs every day to
57:36
work one set of walking up the stairs Sprint. You're getting your heart rate high. So these types of Philip has have been measured in large numbers of
57:47
people. So there's a variety of Publications and studies that have been done measuring, you know, people's their their Villas that they're doing and you know, just three to four minutes a day of this vigorous intermittent lifestyle physical activity has been shown to be associated with eight.
58:06
25 to 30 percent reduction in overall mortality risk when that bill pad durations increased to about nine
58:15
minutes a day. It's associated with a
58:17
50% reduction in cardiovascular rate related mortality and a 40% reduction in cancer related mortality
58:25
and these benefits extend even to individuals who identify themselves as non
58:31
exercisers. In other
58:32
words these people that are not necessarily
58:35
doing Leisure Time.
58:36
Activity, they're not going to the gym and not going on
58:38
runs, but they're still engaging in these Ville puzz. So even those people are getting
58:44
mortality reductions and you know cancer mortality cardiovascular entire Productions with built us.
58:52
So I think that you know,
58:53
that's that's also an important benefit to keep in mind.
58:57
So I hope you guys enjoyed this episode a deep dive into the science
59:01
of why vigorous exercise is important. It's important for
59:06
Are improving cardiorespiratory Fitness particularly people that don't respond to more moderate intensity exercise. It's important
59:15
for metabolic
59:16
adaptations. It's very powerful at increasing glucose intake into muscles. It's also a very potent stimulator of mitochondrial biogenesis allowing for mitochondrial adaptations improving not only mitochondrial volume,
59:31
but also fat oxidation capacity as well.
59:33
It's increasing my tapa G the
59:36
it's of damaged mitochondria from muscle tissue, and it seems to have really unique benefits for the brain
59:44
and a lot of this does
59:45
come down to lactate production the metabolic stress that's induced from vigorous intensity exercise produces more lactate. This lactate is getting into circulation going to other tissues including the brain
1:00:00
and not only is this
1:00:02
allowing the brain to use an energetically favorable energy.
1:00:06
So neurons are using lactate as energy. It's allowing the sparing of glucose to be used to make precursors for a very powerful antioxidant glutathione in the brain.
1:00:16
It's also acting as a
1:00:17
signaling molecule in the brain increasing brain derived neurotrophic Factor.
1:00:22
This is hugely important for
1:00:25
you know, staving off neurodegenerative disease and just improving cognitive function. It's increasing vegf at the blood-brain barrier, you know, staving off the break down the blood-brain barrier
1:00:36
lat
1:00:36
Tate's also increasing myokines in the
1:00:39
muscle that have all sorts of
1:00:40
benefits. So I think I think we covered a lot
1:00:43
about the importance of vigorous exercise. And also
1:00:47
these the the vigorous exercise can be done in short exercise snacks as well. And I think this is a really great way
1:00:54
for schools and workplaces to incorporate some sort of physical activity to break up this sedentary time when people are sitting in their cubicles at the computer or sitting at their desks for prolonged periods.
1:01:06
Because just those periods of being sedentary in and of itself is a risk factor for early mortality.
1:01:13
So again exercise snacks are a
1:01:16
type of
1:01:17
vigorous exercise that can be incorporated, you know into everyday life as well
1:01:22
as the the bill possess. These are things where you're you taking advantage of everyday situations like like sprinting up the stairs rather than walking up them as well.
1:01:32
So I hope you guys enjoyed this podcast and I'll talk to you soon.
1:01:36
Thank you for listening to today's episode as we wrap up. Today's
1:01:39
discussion. I want to remind you about the special guide we put together. It's a valuable resource that aligns perfectly with what we've covered in this episode focusing on lifestyle practices and scientifically backed protocols to boost cognitive function and slow down the brains aging process Central to the guide is the role of brain-derived neurotrophic factor or bdnf and enhancing neuroplasticity and promoting the growth of new brain cells. This guy delves into protocol.
1:02:05
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1:02:12
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1:02:40
dedicated to improving cognitive function and staving off brain aging. Once again, you can find that
1:02:46
at bdnf
1:02:48
protocols.com. Thanks so much for listening and I'll talk to you soon.
ms