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#076 Building Muscle with Resistance Exercise and Reassessing Protein Intake | Stuart Phillips, PhD

FoundMyFitness with Dr. Stuart Phillips 2022-06-29

Summary

Muscle mass is one of the strongest predictors of how long you'll live. The current protein RDA is too low—optimal intake is 1.2-1.6g/kg, and older adults need even more per meal due to anabolic resistance. Covers protein timing, creatine, and why it's never too late to start lifting.

Key Points

  • Muscle mass and strength are strong predictors of mortality and functional independence in aging
  • Current protein RDA (0.8g/kg) is likely too low; optimal intake is 1.2-1.6g/kg for most adults
  • Age-related anabolic resistance means older adults need more protein per meal to stimulate muscle synthesis
  • Protein timing and distribution across meals matters for maximizing muscle protein synthesis
  • Creatine, vitamin D, and omega-3 fatty acids support muscle maintenance alongside resistance training
  • Heat stress and sauna use have anti-catabolic effects that may help preserve muscle
  • Exercise benefits compound over a lifetime and it is never too late to start resistance training

Key Moments

Sarcopenia accelerates during disuse events - older adults lose muscle faster and recover slower

Muscle loss from disuse is far worse in older adults who can't bounce back like younger people. Resistance training builds a buffer.

"And I definitely want to get into all that stuff, you know, how we can counter sarcopenia and loss of muscle mass. Building up of the muscle reserves, not like that's something I've heard you talk about, or, you know, it's something that's common knowledge to some degree."

Two mTOR complexes: one responds to nutrients, the other to exercise

mTOR has two complexes: one responds to nutrients, the other to exercise. Exercise-driven mTOR uniquely drives protein synthesis.

"The downstream signals after you've stimulated mTOR are to turn on protein synthesis and all of the regenerative processes."

Some inflammation is needed for muscle growth - chronic suppression with NSAIDs may backfire

Some acute inflammation is needed for muscle growth. Chronically suppressing it with NSAIDs may impair muscle adaptation in older adults.

"So if you keep chronically suppressing inflammatory responses in younger people even, I don't think you get a full adaptation. So some inflammation, good and necessary."

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