u/hundredhealth

Dad just died of a heart attack at 60. Heart Attacks took every man on his side. What can I do? 36M
▲ 64 r/Cholesterol+1 crossposts

Dad just died of a heart attack at 60. Heart Attacks took every man on his side. What can I do? 36M

I was always pretty healthy, studied exercise science and nutrition in college and was very active in the gym. I never was much for going to the doctors (literally 10 year gap). I'm 36, 2 babies and nowhere near as clean of a diet that I used to have nor time for the gym, and my dad's sudden death did lead to some increased drinking for the pain, I've been better at limiting the drinking as of late.

My dad (my best friend) recently dying out of nowhere at 60 was a huge wake up call. I thought since I was in shape heart disease wouldn't be an issue for me like it was my dad, grandpa, uncle and great grandpa but now I'm actually worried.

Almost all my biomarkers came back healthy... except my heart, go figure.

What do I do now to clean up my heart?

Thanks in advance for any suggestions.

u/hundredhealth — 2 days ago
▲ 21 r/PeterAttia+1 crossposts

The cheapest test for how fast you're aging might be your own hand

A 2023 study followed 1,275 older adults for 8 years and compared their grip strength to three DNA-methylation aging clocks (tests that estimate your biological age from chemical markers on your DNA instead of your birthday).

Weaker grip lined up with faster aging on all three. And baseline grip predicted it years later, not just same day.

The methylation panels run $300–$500. A grip dynamometer is $30, a pickle jar in your pantry is basically free. They all point to the same thing.

How I interpret the results:

- Association, not causation. Grip doesn't cause aging. It reflects muscle, activity, inflammation, metabolic and neuro function. Grip is the readout, not the lever.

- Older cohort (avg ~70). Strongest evidence in that group.

- The mechanism is still unclear.

It's like the ApoB principle. One number that costs almost nothing and tells you where to dig. Not a diagnosis but a starting point.

That being said, how's everyone's grip holding up? Struggling to open the pickle jar?

(Peterson et al., J Cachexia Sarcopenia Muscle, 2023)

u/hundredhealth — 2 days ago

manpo-meter

Did you know the 10,000 steps rule was basically a pedometer ad?

The number traces back to a Japanese pedometer from the 1960s called manpo-kei, which basically means “10,000 step meter.” Yamasa marketed it around 1965, around the Tokyo Olympics era.

The number wasn’t originally some magic threshold from exercise physiology. It was a clean, memorable number that sold pedometers.

Here's what the data says - 2,110 middle-aged adults, average age around 45, accelerometer-measured steps, and about 10.8 years of follow-up.

The main finding - People getting at least 7,000 steps/day had about 50-70% lower all-cause mortality risk compared with people under 7,000.

What's interesting was that the benefit seemed to flatten around 10,000.

So going from low steps to 7,000 looked like a big deal.

Going from 7,000 to 10,000 looked smaller.

Above 10,000, there wasn’t much extra anything.

Kinda crazy that fast walking vs slower walking mattered less than total steps.    

Long story short:

If you’re at 3-4k steps, getting to 7k is probably worth caring about.

If you’re around 7-8k, you’re probably not “failing” because you didn’t hit 10k.

If you’re at 12-15k, cool, but the extra time might be better spent on strength training, sleep, etc.

 Here's my source:

Paluch AE et al. Steps per Day and All-Cause Mortality in Middle-aged Adults in the CARDIA Study. JAMA Network Open. 2021;4(9):e2124516. PMID: 34477847.

u/hundredhealth — 4 days ago
▲ 29 r/sleep

Largest meta-analysis on short sleep & mortality (5.1M people, 153 studies) — the threshold isn't 6 hours, it's under 6

Came across this paper while researching baseline recommendations for sleep duration and figured it was worth sharing, because the dose-response finding is sharper than the headlines that typically come out of sleep research.

Itani et al. (2017), published in Sleep Medicine, ran a systematic review + meta-analysis + meta-regression on every prospective cohort study they could find on short sleep duration and health outcomes. They ended up with a cumulative 5,172,710 participants across 153 studies, all with follow-ups of at least one year, all using adjusted data.

The headline findings (risk ratios, 95% CIs):

  • All-cause mortality: 1.12 (1.08–1.16)
  • Diabetes mellitus: 1.37 (1.22–1.53)
  • Hypertension: 1.17 (1.09–1.26)
  • Cardiovascular disease: 1.16 (1.10–1.23)
  • Coronary heart disease: 1.26 (1.15–1.38)
  • Obesity: 1.38 (1.25–1.53)

All statistically significant. Insufficient evidence for depression and dyslipidemia in this particular analysis.

The piece that doesn't get reported much is in the meta-regression: they found a linear association between mortality and sleep duration below six hours. Not a threshold effect, a slope. Below six, every additional hour lost was associated with statistically significant additional mortality risk.

That's a different framing than the usual "get 7–9 hours" advice. It's saying that under six is a continuum of cost, not a binary state. The person sleeping 5 hours isn't just "in the same bucket as someone sleeping 5.9" — they're measurably worse off.

A few honest caveats worth flagging:

  • Self-reported sleep data, which is notorious for overestimation (people sleeping "6" are often actually clocking 5:20 by polysomnography)
  • All observational cohorts, no RCTs in the analysis
  • Association, not causation
  • Heterogeneity across 153 studies is real and worth eyeballing the forest plots

What I find clinically interesting is the metabolic clustering. The diabetes (+37%), obesity (+38%), and CHD (+26%) numbers all clock in higher than the all-cause mortality number itself. That pattern suggests short sleep may be acting upstream of cardiometabolic disease rather than as an independent killer — which is consistent with the well-characterized mechanistic literature on cortisol/insulin/leptin dysregulation in chronic sleep restriction.

Citation: Itani O, Jike M, Watanabe N, Kaneita Y. Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression. Sleep Med. 2017;32:246-256. PMID: 27743803.

Curious whether anyone here has access to a long enough wearable dataset (Oura, Whoop, Apple Watch HealthKit) to see the under-6 vs. exactly-6 distinction reflected in their own downstream markers. The meta-regression hints there should be a measurable individual-level signal but I haven't seen clean longitudinal data on it published anywhere yet.

reddit.com
u/hundredhealth — 5 days ago