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#151 - Alex Hutchinson, Ph.D.: Translating the science of endurance and extreme human performance

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Alex Hutchinson is a sports science journalist, author of the book Endure—which explores the science of endurance and the real limits of human performance—and former competitive runner for the Canadian national team. In this episode, Alex tells the story of his “aha moment” during a meaningless track meet that catapulted his running career and seeded his interest in the power of the mind. He then explains the science behind VO2 max, the difference between maximum aerobic capacity and efficiency, and extracts insights from examples of extreme human performance, such as the recent attempts to break the 2-hour mark in the marathon. Finally, he brings it back to what this all means for the everyday person: optimal exercise volume for maintaining health, how to avoid acute and chronic injuries, how to diversify your exercise portfolio, HIIT protocols, and much more.

We discuss:

00:00:00 - Intro
00:00:10 - Alex’s background and passion for running
00:07:15 - The power of the mind: Alex’s “aha moment” that catapulted his running career
00:18:30 - Pursuing a Ph.D. in physics while prioritizing his running career, and doing the hardest thing possible
00:26:30 - Career transition to journalism, tips for improving your writing, and insights from the best writers
00:41:00 - Breaking down VO2 max: Definition, history, why it plateaus, and whether it really matters
00:53:40 - The case study of Oskar Svensson: Why a higher VO2 Max isn’t always better, and the difference between maximum aerobic capacity and efficiency
01:07:00 - The sub 2-hour marathon: The amazing feat by Kipchoge, and what will it take to “officially” run a 2-hour marathon
01:23:10 - Comparing the greatest mile runners from the 1950s to today
01:29:30 - How the brain influences the limits of endurance
01:33:30 - Relationship between exercise volume and health: Minimum dose, optimal dose, and whether too much exercise can shorten lifespan
01:53:45 - Age-associated decline in aerobic capacity and muscle mass, and the quick decline with extreme inactivity
02:00:50 - Strength or muscle mass—which is more important?
02:03:00 - Avoiding acute and chronic injuries from exercise
02:10:00 - High intensity interval training: Evolution of the Tabata protocol, pros and cons of HIIT training, and how it fits into a healthy exercise program
02:20:15 - The importance of understanding why you are engaging in exercise
02:22:40 - How we can encourage better science journalism and reduce the number of sensationalized headlines

Show notes page: https://peterattiamd.com/alexhutchinson/

About:
The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 25 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.

Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).

Learn more: https://peterattiamd.com/​​
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