Building Muscle at 40: What Nobody Tells You

RRESPIRE
Weight Loss/NutritionAdult EducationExercise

Transcript

00:00:00If we can correct our nutrition
00:00:02and we gear it towards skeletal muscle health,
00:00:04then we can change the trajectory of aging.
00:00:06There's only two main ways
00:00:07that we can stimulate skeletal muscle,
00:00:09exercise and dietary protein.
00:00:11We talk about lifespan.
00:00:12There's also muscle span.
00:00:14Being sedentary is not the opposite of activity.
00:00:16Being sedentary is a disease state in and of itself.
00:00:19Period, end of story.
00:00:20When we increase our dietary protein,
00:00:22skeletal muscle will mount a youthful response
00:00:25because skeletal muscle requires dietary protein.
00:00:30When we think about how we design a diet,
00:00:33we have to recognize a handful of things.
00:00:35Number one, these essential amino acids,
00:00:37primarily leucine, is necessary
00:00:39to trigger muscle protein synthesis.
00:00:40Number two, that aging impairs the efficiency
00:00:44of muscle protein synthesis.
00:00:45I see. So it's a runaway train.
00:00:46If you start getting sarcopenia,
00:00:48if there's obesity and other markers of aging,
00:00:50you're losing muscle quality,
00:00:52AKA protein synthesis and other things.
00:00:53And as a consequence,
00:00:54it makes it harder to increase muscle quality.
00:00:57So you have to short circuit this pretty early.
00:00:59Yes. And I would even say
00:01:01that we talk about sarcopenia as a disease of aging,
00:01:04but I think that there is a youthful phenotype of sarcopenia.
00:01:07If we define sarcopenia as decreased muscle mass and strength,
00:01:11that can easily affect our youth.
00:01:13You know, we talk about health span.
00:01:15We talk about lifespan.
00:01:16There's also muscle span.
00:01:18And muscle span is this concept
00:01:20that is really about the skeletal muscle health as we age.
00:01:24And there's three primary components to that.
00:01:27That's understanding that skeletal muscle health
00:01:30begins very early on.
00:01:31And we're going to talk about,
00:01:33'cause I know that there's parents, I have two little kids.
00:01:35So I want to talk about the amount of protein
00:01:37necessary for children, of course.
00:01:39And then as we think about this muscle span,
00:01:42there is early on, early age,
00:01:44where you're laying down in the foundation,
00:01:46where you're hopefully training, doing exercise,
00:01:49just doing movement.
00:01:50Being sedentary is a disease state in and of itself.
00:01:53Period, end of story.
00:01:54Being sedentary is not the opposite of activity.
00:01:57Being sedentary is in and of itself,
00:01:59a disease zone of inactivity.
00:02:01Then midlife, we have to maintain the tissue.
00:02:04We get a peak muscle mass in our thirties.
00:02:07We get a peak bone mass around the same time.
00:02:10And then that later half of life,
00:02:13we have to do everything that we can to maintain that tissue
00:02:16because of this decrease in efficiency of skeletal muscle.
00:02:19So skeletal muscle as a nutrient sensing organ
00:02:22can respond like youthful tissue.
00:02:24And the way that it responds like youthful tissue
00:02:27from an amino acid perspective,
00:02:30just thinking about how we eat to maintain that,
00:02:33is that when we increase our dietary protein,
00:02:35so older individuals or individuals as they age
00:02:38require more protein to then stimulate mTOR.
00:02:41- So does that mean instead of eating 30 grams of protein
00:02:44per meal minimum, that people older than say 50, 60,
00:02:49should eat 40 or 50 grams of protein?
00:02:51- I would say that that's true.
00:02:53- Interesting.
00:02:54- And by the way,
00:02:55skeletal muscle will mount a youthful response.
00:02:58There's a, you know, this was,
00:03:00the initial work was out of Bob Wolf's lab.
00:03:03He's an icon in the industry of protein.
00:03:06He's one of the, can I say grandfathers now?
00:03:09Bob Wolf and Don Lehman and these guys, you know,
00:03:12I trained with Dr. Donald Lehman, you know,
00:03:14these initial studies that we think about
00:03:17and we take for granted dietary protein.
00:03:19We think, okay, well, the bros have always known this,
00:03:22but we have not.
00:03:25And when you are younger,
00:03:27there is a somewhat of a linear response.
00:03:30Let's say a younger individual still growing.
00:03:34We'll just call them 10, 12 years old or my children.
00:03:38I have a three and a four and a half year old.
00:03:40They will respond with five grams of dietary protein,
00:03:4310 grams of dietary protein, 15 grams of dietary protein
00:03:46versus an older individual will not respond at all to that.
00:03:50However, that response can be augmented
00:03:55by increasing the dietary protein at that meal.
00:03:58So an older individual will respond like a younger individual
00:04:03by 30 grams of protein, 30 to 50.
00:04:07- Later, we're going to talk about supplements,
00:04:09but I'm very curious.
00:04:10Is there a place for supplementing leucine
00:04:13and other branched chain amino acids specifically?
00:04:15You know, I always assume that supplementing
00:04:18with branched chain amino acids
00:04:19was kind of the unique domain of people post-exercise
00:04:23trying to build more muscle.
00:04:24But as you're telling me all this,
00:04:25it seems that adding leucine in powder form to a meal
00:04:30seems like it would be great for muscle health.
00:04:33Is that true?
00:04:33- I would say that we do not add leucine alone
00:04:36because leucine, isoleucine and valine go hand in hand.
00:04:41It would not be advisable to add a single amino acid.
00:04:45The amino acid levels are maintained in the blood.
00:04:48By adding more of one would have effects on the other.
00:04:52The way in which I would think about
00:04:54supplementing essential amino acids and or branched chains
00:04:58would be if an individual is choosing
00:05:00to have a lower protein meal.
00:05:02I remember when I was in residency,
00:05:04the food choices were not very good.
00:05:06And maybe I had two ounces of fish,
00:05:08which wasn't enough to bring me up to a threshold.
00:05:10That would be a place that I would add
00:05:12in branched chain amino acids or essential amino acids.
00:05:15That would bring someone's amino acid threshold up.
00:05:19But we have to understand everything that we're doing,
00:05:22we should be doing with a purpose.
00:05:23The idea of just sipping on branched chain amino acids
00:05:27or just adding amino acids would be the equivalent
00:05:30of putting a key into a car and trying to turn the car on,
00:05:35but not having any additional substrate.
00:05:38So you need the full spectrum of all the amino acids
00:05:42to affect skeletal muscle health.
00:05:44- Well, that's reassuring to hear
00:05:46because I love the taste of scrambled eggs and steaks
00:05:49and I also like tuna and I also like chicken
00:05:51and I love all those things.
00:05:54And I have to imagine that as you mentioned before,
00:05:55there are other things in these quality animal proteins,
00:05:59like you mentioned selenium,
00:06:01you mentioned other perhaps essential fatty acids
00:06:04and other vitamins that perhaps have something to do
00:06:08with what the animal ingested during its life
00:06:11that also benefit muscle.
00:06:13Is that true?
00:06:13- It is and the big standout to me is creatine.
00:06:16We know that creatine at five grams of creatine
00:06:20will affect skeletal muscle,
00:06:22but 12 grams of creatine affects brain health.
00:06:25And there's a lot of interesting research coming out
00:06:27on creatine and brain health.
00:06:30- Can you remind me the rough amounts of creatine and say,
00:06:35you mentioned, let's just, I mean,
00:06:37I must say a four and a half ounce steak
00:06:39feels rather paltry to me.
00:06:41That's probably the size of it, yeah.
00:06:43- Which is a huge meal to me.
00:06:44- Right, so let's say a six ounce, let's be generous,
00:06:46a six ounce steak or four scrambled eggs.
00:06:49I mean, how much creatine are we talking?
00:06:51Eggs don't have much creatine, right?
00:06:52- Not much and I was just recently looking at this,
00:06:56the amount of creatine in a pound of steak
00:06:59you're gonna cringe is something like two grams.
00:07:02- So it's not very much.
00:07:03- It's not very much.
00:07:04But when we think about eating foods as in a food matrix,
00:07:08what you're saying is absolutely true there.
00:07:10It's interesting, we don't eat single nutrients.
00:07:13While we think about dietary protein as a single nutrient
00:07:16and we think about carbohydrates,
00:07:17but what we really do is we eat mixed meals.
00:07:19When we think about that,
00:07:21the quality of the protein matters.
00:07:23From a protein perspective,
00:07:25could you get plant-based proteins and animal-based proteins
00:07:28and could it be equal?
00:07:29Yes, it could.
00:07:29So I wanna be very clear to say
00:07:31and have a very balanced perspective
00:07:33that we could get all of our dietary protein from plants,
00:07:38from plant-based sources.
00:07:39A few caveats there is that that RDA that I gave you earlier
00:07:43is based only on high quality proteins
00:07:45and that being the minimum to prevent a deficiency.
00:07:48If an individual was plant-based,
00:07:49they would require closer to 1.6 grams per kg,
00:07:53a higher amount of total protein if it's coming from plants.
00:07:56That becomes important to understand.
00:07:57(upbeat music)

Key Takeaway

To reverse age-related muscle breakdown and maintain 'muscle span,' individuals must prioritize high-quality protein intake and resistance exercise to overcome the decreasing efficiency of protein synthesis that begins after age forty.

Highlights

Muscle health can be stimulated through only two primary mechanisms: exercise and dietary protein.

Aging causes a decrease in the efficiency of muscle protein synthesis, requiring older adults to consume more protein to achieve the same 'youthful' response.

The amino acid leucine is the critical trigger for initiating muscle protein synthesis, though it must be part of a complete amino acid profile.

Being sedentary is described not just as lack of activity, but as a specific 'disease state' that accelerates aging and muscle loss.

Creatine is highlighted for its dual benefits, supporting skeletal muscle at lower doses and brain health at higher doses.

Plant-based diets require a higher total protein intake (around 1.6g per kg) compared to animal-based diets to meet essential amino acid thresholds.

Timeline

The Fundamentals of Muscle Span and Aging

The speaker introduces the concept of 'muscle span' as a critical component of overall lifespan and health span. She emphasizes that skeletal muscle health can change the trajectory of aging if nutrition and exercise are optimized. A major focus is placed on the two primary triggers for muscle growth: resistance exercise and dietary protein intake. The discussion highlights that being sedentary should be viewed as a distinct disease state rather than just a lack of movement. Additionally, the speaker notes that aging naturally impairs the efficiency of muscle protein synthesis, creating a 'runaway train' effect of muscle loss if not addressed early.

Sarcopenia and the Lifecycle of Muscle Health

This section explores the progression of muscle health from youth through midlife and into old age. The speaker explains that muscle mass and bone density typically peak in a person's thirties, making the early years vital for laying a strong physical foundation. She argues that sarcopenia, often seen as an elderly condition, actually has a youthful phenotype characterized by low strength and mass in younger populations. To maintain tissue in later life, individuals must combat the physiological decrease in muscle efficiency. The core message is that proactive maintenance is easier than attempting to regain lost muscle quality later.

Protein Thresholds and the mTOR Trigger

The conversation shifts to the specific nutritional requirements needed to trigger mTOR and muscle protein synthesis. While younger individuals might see a muscle response from as little as five to fifteen grams of protein, older individuals require significantly more to see any benefit. The speaker recommends that those over fifty or sixty increase their protein per meal to a range of 30 to 50 grams to mount a 'youthful' physiological response. This insight is based on pioneering research from experts like Dr. Donald Layman and Bob Wolfe. Essentially, the threshold for stimulation rises as we age, necessitating a more aggressive approach to dietary protein.

Supplements: Leucine, BCAAs, and Essential Amino Acids

The speakers discuss the role of amino acid supplements, specifically focusing on leucine and branched-chain amino acids (BCAAs). The expert advises against taking leucine in isolation, as amino acids like leucine, isoleucine, and valine work synergistically and must be balanced in the blood. Supplementation is most useful when a meal is low in protein, acting as a 'key' to start the muscle-building engine. However, the speaker stresses that a full spectrum of essential amino acids is required to provide the actual substrate for tissue growth. She emphasizes that while the 'bros' in the gym have long advocated for this, clinical science now backs the necessity of these specific nutrient thresholds.

The Food Matrix: Creatine and Plant-Based Protein

The final segment explores the benefits of whole foods and the differences between animal and plant-based protein sources. Creatine is identified as a standout nutrient, with five grams supporting muscle and twelve grams potentially benefiting brain health. The speaker points out that while a pound of steak only contains about two grams of creatine, the 'food matrix' provides other essential vitamins and minerals. Regarding plant-based diets, she clarifies that while it is possible to get enough protein from plants, the total amount consumed must be higher. Plant-based individuals should aim for approximately 1.6 grams of protein per kilogram of body weight to compensate for lower concentrations of essential amino acids.

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