Exercise is probably the single best way to extend lifespan. You need to exercise like your life depends on it. Because it does. Here's why. 👇🧵./1.

RT @Paddy_Barrett: Life is about Lifting Heavy Loads. Doing ANY Resistance training is associated with:.- 15% ⬇️ All-Cause Mortality.- 19%….

RT @Paddy_Barrett: How to lower cholesterol without medications.

Life is about Lifting Heavy Loads. Doing ANY Resistance training is associated with:.- 15% ⬇️ All-Cause Mortality.- 19% ⬇️ Cardiovascular Mortality.- 14% ⬇️ Cancer Mortality. Doing More Than 60 mins Weekly:.- 27% ⬇️ All-Cause Mortality. Lift Heavy Things.

RT @Paddy_Barrett: It's amazing how much your cardiovascular risk plummets when you simply:. Don't Smoke.Maintain Normal Blood Pressure.Kee….

RT @Paddy_Barrett: What my 42-year-old cardiologist self would tell my 22-year-old student self.

It's amazing how much your cardiovascular risk plummets when you simply:. Don't Smoke.Maintain Normal Blood Pressure.Keep LDL Cholesterol as low as possible for as long as possible. Get those right, and you are most of the way there.

V02 max does not lie. You can tell your doctor you have been ‘active’, but your V02 max will tell the truth. A truth you cannot hide from. The higher your V02 max, the greater the likelihood you will live a longer life.

Low fat. Low carb. Intermittent fasting. Paleo. Carnivore. Mediterranean. They're all just different ways of doing the same thing:.Calorie deficit + adequate protein.

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Think your boss will remember you worked late?. They probably won't. But your kids will.

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Average your figures out and see what you get. If it’s not in the low 120s systolic range . Think about what that might mean for you and what you need to do to get there. The difference could mean several extra years of your life. /15.

For most of my patients, I aim for the low 120 systolic range. For some of my older patients, I am less stringent. But in general, lower is better in my books. For your next doctor's visit, I suggest you measure your blood pressure consistently over a 10-day period. /14.

At 8 years the average blood pressure of these groups converged . With each having an average systolic blood pressure of 140mmHg at ten years out. After the trial, the strict group's blood pressure was less well controlled. And routinely >120 mmHg. /13

Recent follow data on the SPRINT trial had some interesting findings. At 8 years there were no difference in cardiovascular mortality between the two groups. Does this change my stance?. No. It only reinforces it. And here's why. /12.

Yes. For some older patients, I will not aim for this lower target . But for my younger patients, I make every effort to get them to this lower-bound target. /11.

In each of these three trials, the average systolic blood pressure achieved was about 120mmHg. This is my target systolic blood pressure for most of my patients. /10.

ESPRIT Trial. Once again, adults over 50 with high blood pressure were randomised into . Strict blood pressure control with a target systolic blood pressure of less than 120mmHg versus less than 140mmHg. 11% ⬇️ Major Cardiovascular Events.39% ⬇️ Cardiovascular Death. /9

STEP Trial . The STEP trial examined a cohort of patients similar to the SPRINT trial . But this time, set blood pressure targets to a range of: .110-130mmHg or 130-150mmHg. After three years, the 110-130mmHg group had 26% fewer major cardiovascular events. /8