Enhancing Metabolic Health Through Exercise: Complete Guide for Beginners

Exercise 0:00 0
“until I was uh in the early 50s uh I was obese I was hypertensive I used to smoke uh I had a very poor lifestyle I didn't exercise a lot and one day I started to write and bike and think about life and things like that and ever since then this was an individual the early 50s uh sedentary very poor healthy lifestyle and then you know 30 years later at 81 years old his metabolic Health was some of that of someone in their 30s who's healthy that's unbelievable hard to believe in and this is how that that person obviously 81 year old that's an example of what exercise can do for your longevity right that person was not on any medication”

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Metabolic health 0:44 0
“metabolic Health was some of that of someone in their 30s who's healthy”

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Exercise 7:18 0
“Elite athletes are the perfect machines, they're Perfection and they're the Ferraris or the Lamborghinis.”

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Exercise 7:57 0
“the application of different interventions like exercise especially and also even nutrition”

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Nutrition 9:33 0
“about 80 percent of all carbohydrates are burned or metabolized in skeletal muscle”

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Metabolic health 10:27 0
“if you have a dysfunctional mitochondria or a mitochondrial that is impaired, you're going to have a metabolic challenge because you're going to have to burn that glucose”

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Metabolic health 14:17 0
“about 80 percent of people with diabetes also have cardiovascular disease and vice versa, and this is what's been now termed more like a cardiometabolic disease because it's the combination of both diseases.”

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Metabolic health 15:26 0
“if you cannot metabolize it correctly to energy, you are going to pose a metabolic challenge to that cell and because it's not going to be able to convert it to energy efficiently.”

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Metabolic health 17:12 0
“Alzheimer's has been historically only been focusing on the amyloid plaque, which is there of course and is highly related to the progression of the disease but the whole thing is that every single drug against the amyloid plaque has failed.”

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Metabolic health 17:41 0
“insulin resistance in mitochondrial dysfunction in Alzheimer's which is a hallmark before it was daring to even mention that right the connection between Alzheimer's and diabetes or called type 3 diabetes but it's now highly widely recognized as a hallmark of diabetes.”

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Exercise 22:39 0
“the only thing that we know that exists to improve mitochondrial function is exercise”

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Exercise 22:32 0
“physical activity is the main mechanism in the same manner that we know that the only thing that we know that exists to improve mitochondrial function is exercise”

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Metabolic health 23:20 0
“if you have a poor mitochondrial function and you add more glucose or carbohydrates, you're just adding gasoline to the fire”

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Exercise 28:06 0
“as intensity is increasing, so the listener can appreciate what changes are happening with regards to the substrates that are being used to produce energy where that energy is being produced”

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Exercise 30:22 0
“at a slow intensity we deploy a lot of the fat and then we use a little bit of glucose right it's very low intensity and we deploy we recruit the slow twitch muscle fibers”

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Exercise 30:53 0
“as exercise intensity increases then the muscle contraction gets faster and stronger so it needs a higher metabolic demand to produce ATP”

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Metabolic health 35:32 0
“the endocrine function of lactate is that when accumulates in the cell and cannot be metabolized in mitochondria it goes to the blood and it inhibits lipolysis which is the breakdown of fatty acids from adipose tissue so when inhibits lipolysis you're not going to be able in the first place to to bring the fatty acids to to the muscles to be burned right”

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Metabolic health 36:00 0
“lactate as an autocrine function it also inhibits the fatty acid transporter so in in in the muscles fatty acids they they have a door which are the cpt-1 and cpt2 in my in mitochondria outside and inside mitochondria the transport fatty acids right so lactate inhibits both doors”

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Exercise 36:27 0
“when you have a high glycolytic flux and you use a lot of glucose the fat disappears for several reasons first because of necessity to produce ATP right at a faster rate in second because the actions of lactate on both adipose tissue and also on on the Transporters for fat so it's a way to to a feed forward mechanism right to to kind of get fat out of the way and say Hey fat you're done your job is done now we go into glucose”

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Nutrition 42:18 0
“carbohydrates are like gold right that the body can only store about 500 grams of carbohydrates whereas the skinniest individual can store more than 10,000 calories from fat right because fat is everywhere right.”

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Metabolic health 44:00 0
“we are born our Evolution we're born to burn fat as glucose but to be able to store a lot of fat but our Evolution has told us that a Key Energy not just for high intensity exercise when we have to run away from a bear or from a lion right or when we have to get engaged into very high stressful situations but also for the brain right we need your glucose and so that's why it's the storage is very small and that's gold for the body so the body is going to try to defend as much as possible the glucose or the glycogen storages by then try to be more efficient at burning fat.”

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Exercise 47:00 0
“that's the intensity when I started using it and by no meantime I'm saying I invent it it's on two because that you know who knows who started I just say that my zone 2 the way I see it I started using it 30 years ago and this is what I what I first I saw looking at lactate clearance capacity that that intensity it was the one that improved the most lactate clearance capacity in in performance.”

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Metabolic health 49:15 0
“correlations whether you were like an elite athlete an active a moderately active individual or a person with a metabolic disease met a metabolic syndrome uh the correlation was was incredibly high so that's why we know that they both can be very good surrogates for mitochondrial function”

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Exercise 49:34 0
“this is why at first was a trial and error right I was saying okay which intensity of the ones I Define in my dictionary which intensities to improve mitochondrial function the most I see two ones one two three four five right so with thousands of tests that I've done all right this is what I saw constantly constantly that this was intensity that improved uh mitochondrial function the most and also I saw that this was intensity the improved performance the most”

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Metabolic health 51:20 0
“so when you looked at people with metabolic syndrome what you saw compared to sort of average people and Elite athletes was that for a given sort of intensity they were producing much more lactate and so that was telling you that their mitochondria was not as healthy and not functioning as well as the others who've at that same intensity were producing much less lactate”

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Disease prevention 56:11 0
“when it comes to disease uh it's lactate um it's it's highly related to disease you know when it's not when it accumulates chronically because during exercise lactate even in in a person who is not fit lactate is going to accumulate fast but when the exercise ceases uh lactate levels don't accumulate return back to Baseline but in diseases like cancer or when there's a significant mitochondrial dysfunctioning people with type 2 diabetes that lactate accumulates chronically.”

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Disease prevention 56:54 0
“lactate acts as an oncometabolite that is it regulates the expression of the genetic expression of the the extra version of the main are the most important genes involved in in cancer.”

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Disease prevention 57:44 0
“we are um with genetic engineering we're knocking out knocking Downs or the the enzyme that produces lactate which is ldha and then in breast cancer cells we see that when we knock out that enzyme uh no lactate is produced and uh no gen no there's no protein expression of those dysregulated proteins uh coming from these regulated genes in cancer.”

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Metabolic health 1:00:01 0
“the world of cancer research and and treatment might be headed from a metabolic Health point of view.”

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Exercise 1:03:18 0
“lactate clearance can be improved or is a product of our ability to get lactate out of these fast twitch muscle fibers which are going to be activated and utilized at higher intensities I'm thinking sprinting or resistance training for example”

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Exercise 1:03:56 0
“the lower intensity work so zone two which is mostly stimulating the slow twitch slow to fatigue muscle fibers muscle cells is acting in a way to increase the mct-1 transporter in those cells”

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Exercise 1:05:23 0
“different intensities of exercise are going to elicit different adaptations and different responses so therefore different adaptations”

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Exercise 1:07:04 0
“that zone 2 is the one that improves mitochondrial function the most”

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Exercise 1:10:07 0
“as an athlete increases performance let's say at 350 Watts which for more models it's almost impossible even to turn the pedals uh 350 Watts uh an athlete today might have a lactate of of 8mm calls and maybe one year specifically working to improve uh lactic cleaning's capacity that lactate from eight millimoles is going to go to uh four millimoles maybe 350 Watts or that that athlete can sustain that intensity that before was only sustainable for three minutes or so now that athlete can sustain the intensity for 40 minutes for example”

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Metabolic health 1:11:02 0
“this is a window into mitochondrial function which which speaks to their metabolic health and risk of cardio metabolic disease”

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Exercise 1:12:01 0
“a lot of people speak about an 80 20 split 80 of time in zone two twenty percent of time at zone four five high intensity work and and that's commonly something said I guess within the endurance Community is that is that a kind of rule or protocol that you also recommend both for an athlete and also for the everyday person just looking to improve their metabolic function”

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Exercise 1:16:27 0
“VO2 max is not um it doesn't discriminate right so it gets to a point that is so well expressed uh that uh it doesn't make the difference and this is what we see all the time you you see two athletes with the same VO2 Max right so therefore um um yeah they're they supposedly are as good um and then one athlete is much better than the other right and then you go at the cellular level right um and then you see that yes that that that athlete at 350 Watts has eight millimoles of lactate and the other one has three or four right despite of the same VO2 max.”

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Exercise 1:18:27 0
“we improve both the number and the function uh of mitochondria.”

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Exercise 1:19:09 0
“they triple the number of mitochondria so in the same way that you reduce the number by being sedentary you can increase the number of mitochondria in the size the triple the number and the size of mitochondria and and the function also will significantly improved so all things come together.”

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Disease prevention 1:24:16 0
“there's a key transporter that is significantly downregulated that can be 10 years 15 years ahead of type 2 diabetes that is already a signature and could be a Hallmark of this population who are sedentary”

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Exercise 1:24:56 0
“the current Human Genome requires and expects us to be physically active for normal functioning”

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Nutrition 1:29:11 0
“the diet in these people is somewhere between 65 and 70 percent in carbohydrates, which is about 34 33 30 to 35 percent higher than the US in carbohydrates and they have about 15 25 protein and only about 10 14 fat”

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Nutrition 1:30:25 0
“if you have carbohydrates that's bad, that's adding gas to the fire that's going to make your condition worse because you need to metabolize it and therefore yes for someone with a poor mitochondrial function maybe a more protein based diet and carbohydrate reducing it it's needed.”

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Exercise 1:30:55 0
“these populations that I described right they do in one day what is the recommended for in our civilization for one week which by the way very few individuals get to meet the 150 minutes required per week.”

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Metabolic health 1:31:44 0
“metabolic health or metabolic disease and dysfunction is more of a spectrum would you agree so it's not as though you go from being metabolically healthy to the next moment being diagnosed with type 2 diabetes.”

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Exercise 1:34:13 0
“the higher the subject's cardio respiratory Fitness in that paper and that paper was looking at I believe over 700 000 U.S veterans but the higher their Fitness level was all the way up to Elite the lower their risk of death during that follow-up period.”

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Exercise 1:38:30 0
“if you'd like to stay connected and reinforce the valuable insights from this show so let's connect on Instagram you can find me at Simon Hill that's at Simon Hill I look forward to seeing you there alright let's dive back into the episode”

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Exercise 1:38:47 0
“I think it would be a good point now for us to sort of double click on on zone two and explain to people how they can set this up in their own life how they can know that they're in zone two and how much zone two training they should be sort of targeting or working towards on a weekly basis in order to provide enough stimulus to get these adaptations happening that we've been talking about and then reap the benefits from improved metabolic health”

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Exercise 1:39:42 0
“zone two Inigo let's let's define it I know we probably have earlier in the conversation but simple definition what does zone two actually mean so again they're they're probably different definitions some some of them are closer other ones are a little bit more separate I I just have my own definition right um that I've been using for 30 years and and for me that that's yeah that's the exercise intensity where um uh someone can improve uh mitochondrial function the most not the only one not the only Zone because other zones are going to always be beneficial any Zone will be beneficial but uh from what I've seen is uh looking at fat oxidation in the laboratory in lactate cleans capacity as mitochondrial surrogates and Asthma mitochondrial sisters and therefore surrogates for function that's what I see”

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Exercise 1:43:59 0
“zone three would be an exercise intensity where it's very difficult to maintain a conversation.”

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Exercise 1:45:19 0
“trying to remove barriers to just get people moving is a great thing and what you've just described there is really accessible to people.”

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Exercise 1:47:10 0
“if you cannot do a diet or an exercise for the rest of your life, it's not going to work so you need to have some sustainability both in your nutrition and both in your exercising.”

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Metabolic health 1:50:04 0
“what do you think about the devices I sent you a few on on email that you breathe into that sort of supposedly tell you what type of fuel you're using to produce ADP”

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Metabolic health 1:50:18 0
“those are a very good question out there and without a doubt it's it's it's a starting of of of a movement of trying to understand better your how your metabolism works right”

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Metabolic health 1:50:51 0
“we're using the laboratory metabolic Hearts who are like thirty thousand dollars worth very expensive very delicate and those are the state of the art and they really need to be very calibrated so they have CO2 sensors and and oxygen sensors as well”

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Metabolic health 1:51:14 0
“and they believe me they get decalibrated all the time they're very sensitive so and if they're not correctly calibrated or they get the decalibrated they're going to give you false readings which happens all the time”

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Metabolic health 1:52:07 0
“but these devices are like 200 300 400 uh sure so some of them they have CO2 sensors right in O2 sensors but how do you know uh first that they're how do you calibrate them right and therefore how do you know that the readings are right”

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Exercise 1:56:46 0
“if you exercise an hour and a half we're talking about uh uh nine kilos which is could be incredibly beneficial for your health”

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Exercise 1:57:17 0
“you could have burned 100 of those 700 calories derived from carbohydrates and zero from fat because your exercise mode or dosage was not the right one.”

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Body weight 1:57:45 0
“a lot of people who exercise regularly they cannot lose weight and uh because they say man I'm burning 700 calories or 1,000 calories every time I exercise and I can't lose weight well first you're probably overeating uh for how much you burn and second you're not burning much fat if that at all when you exercise.”

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Exercise 1:58:56 0
“if you want to lose fat, you want to burn more fat than glucose because that comes from adipose tissue.”

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Exercise 1:23:29 0
“if you're doing say 60 Minutes on a stationary bike but 45 minutes of that was zone two sporadically throughout that session you were dipping down back to Zone one and then at some points you were going into zone three”

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Exercise 2:04:53 0
“if you do one hour purely a zone two you're gonna get good benefits but if you go and go a little bit above them and Below or or even to zoom four here and there, you might want to have a longer session which is an hour and a half for example”

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Exercise 2:08:18 0
“150 minutes of zone two per week is that the minimum dose that would be required to build healthy mitochondria”

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Exercise 2:09:14 0
“I think that 150 is kind of borderline especially for people who want to delay many diseases and for longevity. 150 minutes like at the end of the day, yeah it's just if you do, I don't think it's enough.”

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Exercise 2:09:32 0
“I think that some were more in the 300 to 400 minutes a week it's ideal which is twice, yeah I think I've seen some research suggesting that there's continued benefits up to 10 hours a week and maybe it's diminishing returns after that.”

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Exercise 2:09:56 0
“You mentioned 60 Minutes in a session being perhaps ideal. I know a number of people will be thinking, okay let's say I do 300 minutes per week, can I split that up into 10 30 minute sessions, or does each session really need to be at least 60 Minutes in duration?”

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Metabolic health 2:11:46 0
“Within one year their metabolic fitness increases dramatically, their mitochondrial function, their fat burning capacity, lactogenes capacity and then you see data in people in their 60s that it resembles the metabolic data of people in their 30s.”

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Exercise 2:15:23 0
“choosing a form of exercise that they hate because it gives them the best sort of time in zone two”

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Exercise 2:16:09 0
“if you're someone who's been sedentary for 20 years, maybe just walking around the block it's going to be quite tasking.”

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Exercise 2:17:18 0
“you sort of emphasize the importance of trying to get up to 300 to 400 minutes a week ideally of zone two”

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Exercise 1:41:27 0
“are you able to stress the mitochondria more if you're doing your zone two training in a fasted state or perhaps you're following a high fat low carb diet?”

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Exercise 1:42:02 0
“it can be a double edged sword right where people can overdo it and become catabolic so they really have to manage their intensity and their frequency very well”

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Nutrition 1:42:31 0
“the truly way to improve fat oxidation is to improve mitochondrial function first rather than doing in a fasting state or restricting carbohydrates”

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Nutrition 1:44:53 0
“if I wake up in the morning and make a big bowl of Oats rich in carbohydrates and have some banana in there and some other fruit and then I go and do my zone two training session an hour after that, is that in any way going to impair that's that zone two session?”

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Substances 2:28:06 0
“I don't buy the whole idea that one supplement is going to really make a difference in mitochondrial function or it's going to alter the epigenetics.”

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Substances 2:30:34 0
“NAD for example can accelerate glycolysis because NAD is a big part of the glycolytic pathway that is utilized by cancer cells.”

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Substances 2:32:56 0
“I think that we have to be careful with some of these supplements which more and more are sophisticated and can really do biological actions more than just having like the typical vitamin C or vitamin A or even D.”

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Exercise 2:33:58 0
“Exercise is definitely a way much more powerful than any of these supplements or combos.”

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Substances 2:35:16 0
“that uh life right because it was shown that mice who were taking Resveratrol every day they would live longer and therefore this is going to be the best import or most important longevity”

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Exercise 2:35:45 0
“but exercise will continue but again that's what I was saying if we could encapsulate the benefits of exercising in a pill, yeah that would be the most uh sole drug ever in history everybody would jump on it”

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Metabolic health 2:36:01 0
“I think two of the the most important things that we've spoken about when it comes to metabolic health is firstly being good at converting chemical energy from our food into mechanical energy which requires healthy mitochondria and the best stimulus for building healthy mitochondria being this zone two training that we've spoken about and trying to get to sort of three to four hundred minutes of that per week”

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Transformative Effects of Exercise and Metabolic Health Insights

Profound Impact of Late-Life Exercise

An inspiring case emphasizes the profound effect of exercise begun in one’s 50s, showing that a previously sedentary, unhealthy individual transformed their metabolic health drastically by adopting regular physical activities like biking. By 81, this individual achieved a metabolic age comparable to a healthy person in their 30s, highlighting exercise’s potential for dramatically enhancing longevity and reducing medication dependency.

Exercise and Metabolic Enhancements

Continuous exercise is acclaimed for enhancing mitochondrial function, crucial for efficiently converting nutrients into energy. This is explicitly notable in Zone 2 exercise—a moderate intensity where glucose and fat are optimally utilized, promoting significant improvements in metabolic health. It’s a powerful intervention for increasing mitochondrial density and function, surpassing any supplements or dietary adjustments.

Interplay of Exercise Intensity and Energy Metabolism

Varying exercise intensities evoke different metabolic responses. Low-intensity exercises primarily use fat and slow-twitch muscle fibers, making them excellent for increasing fat oxidation and overall endurance. Conversely, higher intensities demand more glucose and rapidly boost lactate production, pushing the body to enhance its glycolytic flux, thereby shifting from fat to glucose utilization during intense activities.

Nutritional Implications on Metabolic Processes

Discussions extend into the nutritional domain, highlighting that a high carbohydrate intake, particularly in sedentary individuals, exacerbates metabolic dysfunction by overwhelming compromised mitochondrial function. Conversely, active lifestyles allow more efficient carbohydrate utilization, emphasizing the necessity of physical activity for maintaining metabolic equilibrium.

Exercise as a Supreme Mitochondrial Enhancer

The narrative consistently reinforces that regular physical activity, particularly at moderate intensities (Zone 2), stands as the most effective way to improve mitochondrial health. This subsequently enhances metabolic flexibility, reduces age-related metabolic decline, and improves quality of life.

Real-World Applications and Recommendations

For practical application, individuals are encouraged to engage in regular Zone 2 training, ideally accumulating 300 to 400 minutes per week, to foster optimal mitochondrial function and metabolic health. Starting with manageable intensities like walking and gradually scaling up can make this achievable and sustainable, highlighting the importance of consistency over intensity for long-term health benefits.