Ken's Reviews > Outlive: The Science & Art of Longevity

Outlive by Peter Attia
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bookshelves: nonfiction, medical, finished-in-2023

Under the gimmicky name of "Medicine 3.o" (vs. present-day 2.0), Dr. Attia advocates for a much more proactive approach toward what he calls "The Four Horsemen":

* Cardiovascular and cerebrovascular disease
* Cancer
* Alzheimer's disease and related neurodegenerative conditions
* Type 2 diabetes and related metabolic dysfunction

Probably one of the horsemen is coming for you already and has begun its advance work (you just don't know it), so his idea is to use tools and strategies available sooner than your regular doctor would recommend (2.0 being more reactive than proactive when it comes to the We-Mean-Business Horsemen, you see).

In addition to tips on what tests to get and how to live longer than you are presently destined to, Attia also dives into familiar territory like exercise, diet, sleep, and so forth. Especially exercise, though. Work, people! If you want to be able to open a jar as an elderly person, keep your balance and not fall, get up out of chairs, walk from A to B without tumbling into C, and so on.

Yes, he has a website with some how-to videos but only a few. Like most writers concerned about your health or your pain or your short and anguished life, he wants to make some money off you too, so here you can...wait for it!...SUBSCRIBE to get more videos!

Introducing the Fifth Horseman: Ka-ching the Kapitalist.

As for the diet and the sleep stuff, I was mostly familiar with it already. Especially sleep. I read a lot about sleep, but there are no sure-fire answers to insomnia, just helpful things you can do, like not go on Goodreads the hour before bedtime and certainly by not taking your phone or other blue-lit screens to your bedroom. (Come on, amateurs!) And keep the bedroom temp at 65 degrees Fahrenheit, why don't you! Easy in winter, but rather brutal in the air-conditioned summer when setting the thermostat THAT low would make you look like a selfish climate-change apologist (who sleeps well and the devil take the hindmost --- read: the rest of the tornado, hurricane, flooding, burning, heating-up world).

The worst part of the book was Attia's personal story. I guess it was meant to humanize him, but it all came across as a bit narcissistic, given how he turned around his life (while turning around the Horsemen, too, including that Fifth One which is doing wonders for his mid-life crisis summer home, sports car, and yacht -- you'd want to live longer, too!).

Anyway, in the end, I have greater faith in the ART than in the SCIENCE. It's the liberal arts major in me, I guess. As for you? If you want to hang around a bit longer, you, like me, might put on your farmer hat and separate the wheat from the chaff here. It's smoothly written (thank you, visible ghost writer Bill Gifford) so goes down easily enough.
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Reading Progress

July 12, 2023 – Started Reading
July 19, 2023 – Shelved
July 19, 2023 – Shelved as: nonfiction
July 19, 2023 – Shelved as: medical
July 19, 2023 – Shelved as: finished-in-2023
July 19, 2023 – Finished Reading

Comments Showing 1-26 of 26 (26 new)

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message 1: by Nick (new)

Nick Grammos I think it's funny - no tragic - that all that health advice going to longevity ignores the idea that it may be better to live well using healthy lifestyle. Anyway, nowhere do I hear reading good literature to extend one's life. Maybe I'm for it already.


message 2: by Ulysse (new)

Ulysse Everybody knows a reader dies having lived thousands of lives. I mean, duh.


message 3: by Nick (new)

Nick Grammos Ulysse wrote: "Everybody knows a reader dies having lived thousands of lives. I mean, duh."

We're no cowards!


message 4: by Ulysse (new)

Ulysse Nick wrote: "We're no cowards! "

We can't be, look at the books we read!


message 5: by Ken (new) - added it

Ken Attia DOES say that reading passes muster as a before-bed activity because it is screen less, even though it provides a screen into the past, the future, the made-up, etc, all without the trouble of popcorn kernels on your bed mattress.


Jennifer Welsh I’ll still read this, but really appreciate the warnings, Ken! Funny and thorough review :D


message 7: by Ken (new) - added it

Ken Jennifer wrote: "I’ll still read this, but really appreciate the warnings, Ken! Funny and thorough review :D"

I wish you long life, Jennifer! And thank you!


Lisa Isn't everything better with good sleep, real food, plenty of movement, and positive relationships?


message 9: by Fionnuala (new)

Fionnuala Ulysse wrote: "Everybody knows a reader dies having lived thousands of lives. I mean, duh."

And their walls of books could be a great defense against the four horseman—as well as a means of attack. Have at them with a three-volume-novel, I say!


message 10: by Ken (new) - added it

Ken Lisa wrote: "Isn't everything better with good sleep, real food, plenty of movement, and positive relationships?"

As our grandmothers could have told us!


message 11: by Ken (new) - added it

Ken Fionnuala wrote: "Ulysse wrote: "Everybody knows a reader dies having lived thousands of lives. I mean, duh."

And their walls of books could be a great defense against the four horseman—as well as a means of attack..."


As the noun of the moment would have it: The "weaponization" of books!


message 12: by Ulysse (new)

Ulysse Ever been hit by a book? It hurts.


message 13: by Ken (new) - added it

Ken Ulysse wrote: "Ever been hit by a book? It hurts."

Before sleep each night, I read in bed. More than once I've fallen asleep during the act of reading, dropping the book on my face. It's in the dictionary under "rude awakening, noun."


message 14: by David (new)

David I like that fifth horseman…on second thought, no I don’t. Yikes!

Enjoyable review Ken


message 15: by Fionnuala (new)

Fionnuala Ken wrote: "As the noun of the moment would have it: The "weaponization" of books.."

So that's what that word means!


message 16: by Ken (new) - added it

Ken David wrote: "I like that fifth horseman…on second thought, no I don’t. Yikes!

Enjoyable review Ken"


Thank you, David. The best part of the review was making a horseman up.


message 17: by Ken (new) - added it

Ken Fionnuala wrote: "Ken wrote: "As the noun of the moment would have it: The "weaponization" of books.."

So that's what that word means!"


It's really only in Republican dictionaries -- none of which exist in my house.


message 18: by Vesna (new)

Vesna Ken wrote: "Fionnuala wrote: "Ken wrote: "As the noun of the moment would have it: The "weaponization" of books.."

So that's what that word means!"

It's really only in Republican dictionaries -- none of which exist in my house."


Be careful, Ken, or the "gazpacho police" may come after you and put you in a "goulash". Sorry, couldn't resist it :-) ("Goulash" thing is Jimmy Kimmel's joke courtesy...)


message 19: by Ken (new) - added it

Ken Goulash? As in The Gulag Archipelago?

Solzhenitsyn, I see.

And, as I've never tried it, I could well be arrested by the Gazpacho Police.


message 20: by Vesna (new)

Vesna Ken wrote: "Goulash? As in The Gulag Archipelago?"

Yup. Kimmel's pun. His monologue apropos the "gazpacho police" is priceless. I'm sure it's on Youtube.


Adina (way behind) Now, I am not a fan of self-help books because they take money from the reader, mostly for nothing. However, if the information is valuable and can increase the quality of the reader’s life, I do not mind paying for it. Or for the extra content. Why shouldn’t the guy build a house from my money if I am happy with what I paid for? He also does reasearch ( I think) and has a podcast so he also needs the money to finance that. This is only a different perspective. My husband reads it now and found it interesting ( and scary).


message 22: by Ken (last edited Dec 18, 2023 05:14AM) (new) - added it

Ken Adina wrote: "Now, I am not a fan of self-help books because they take money from the reader, mostly for nothing. However, if the information is valuable and can increase the quality of the reader’s life, I do n..."

Yes, your point is legitimate, Adina. Trouble is, none of us truly KNOWS whether the pain-and-mortality salesmen are helping us, so it's all perception. I'm sure as the number of people with chronic pain rises, so will the number of "experts" with a quick fix (or slow ones, if you're game) who publish books and pay-per-view websites with subscriptions and selected science and scientists whose studies back it up.

Still, legit or not, these books can bring a placebo effect bounce in the life of a reader, and the placebo effect IS a scientifically proven thing.


message 23: by Barbara (new)

Barbara I started reading this but felt an instant dislike for the author and returned it to the library. I'm not against reading books about healthy aging but this one did not appeal. I saw a random interview online with a 93 year old woman recently. She looked like she was doing well both physically and mentally. Her answers stuck with me. She said she was enjoying her life but didn't want to live to an extraordinary age because her body hurt now and she knew that it would get worse. When asked her advice for happiness, she said find what interests you and get involved in it, reach out to make connections with others but also learn to be happy with your own company. I thought those were pretty good thoughts to live by.


message 24: by Ken (new) - added it

Ken Barbara wrote: "I started reading this but felt an instant dislike for the author and returned it to the library. I'm not against reading books about healthy aging but this one did not appeal. I saw a random inter..."

All hail the common sense of that 93-year-old (and GR's notification system, when it works, which it didn't in this case... sorry).


message 25: by J (new)

J A quality of life throughout one's time is certainly desirable, but all this questing for longevity or even, God-forbid, an almost immortality, in our culture seems a little silly to me. I once had an idea for a novel of person who lived for several centuries entitled, Inevitable Misanthropy.


message 26: by Lisa (new) - rated it 4 stars

Lisa Ken, I'm circling back now that I've read this one.
I didn't find much new here, though as part of my profession I keep on top of most of this research. I do admire the sheer volume of information Attia sifted through and how he and Gifford made this a readable text. I wonder how many people are interested in reading this much science? Who is his intended audience?

I don't think Attia's total plan is realistic for most people. However, there is something to be gleaned here for anyone who is interested. Even if it gets some people to move their bodies more, I would be satisfied.

And as we agreed back in July, "Isn't everything better with good sleep, real food, plenty of movement, and positive relationships?"


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