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  3. Why You Should Try To Build Muscle | Episode 11

Why You Should Try To Build Muscle | Episode 11

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Building muscle isn’t just about aesthetics — it’s about survival. 💪

In this episode of The Dr. Layne Norton Podcast, I break down why muscle is the most underrated organ of health. You’ll hear how it lowers your risk of cardiovascular disease, cancer, infections, Alzheimer’s, and depression — while also protecting against falls, fractures, and the effects of aging.

We’ll dive into:

  • How muscle acts like an endocrine organ, releasing myokines that fight disease and slow tumor growth.
  • Why more muscle means longer life, better quality of life, and faster recovery if you get sick.
  • The myth that you “can’t build muscle after a certain age” — and why it’s total BS.
  • How just 50 minutes of resistance training a week can change your health trajectory.

If you want to live longer, feel stronger, and age on your own terms, this is the episode you don’t want to skip.


Muscle building – The Perception
  • My journey into lifting
  • Perception of men – meathead; brainless, non-thinking, jock
  • Perception of women – don’t get too bulky, just lift light weights to get ‘toned’, you don’t want to get ‘bulky’
  • Muscle building was perceived almost exclusively through the lens of vanity
Muscle building – the turn
  • Building muscle through weight lifting also increased bone density which was viewed positively 1
  • Sarcopenia – lifting could be good for the health and functionality of older people 2
  • It might help with long term fat loss & body composition by preventing the loss of lean mass which may help prevent fat regain 3 4
  • Also established that increased muscle mass improves insulin sensitivity 5 6
The last 10 years – Muscle as the organ of health
  • Increased lean mass isn’t just for vanity, it extends your life
    • Reduced risk of mortality, particularly in the elderly 7 8 9
      • Reduces risk of falls and fractures in the elderly 10
    • Reduced risk of cardiovascular disease (CVD) mortality 11 12
      • Better body composition 11
      • Improved insulin sensitivity 5 6
      • Reduced inflammation 13
      • Improved blood lipids 14 15
    • Reduced risk of cancer mortality
      • Low lean mass is strongly associated with cancer mortality with a 70% increased risk overall for all cancer types and over 300% increased risk of death in colorectal cancer. 16 17 18
      • Increasing lean mass has a dose dependant reduction on the risk of dying from cancer. 19
      • Increased muscle mass decreases the risk of cancer reoccurance. 20
      • Increased muscle mass makes allows cancer patients to tolerate chemotherapy better & lowers the risk of toxicity. 21
      • Muscle mass reduces the risk of postoperative complications and mortality. 22
      • Increased muscle improves immune function through secretion of compounds like myokines. 23
    • Muscle mass reduces risk of dying in ICU. 24 25
    • Reduced risk of dying from infection/sepsis. 26 27
      • Muscle can be a source of amino acids & nutrients when the body is under stress or in wasting conditions
  • Increased muscle mass reduces your risk of disease
    • Reduced risk of CVD & CVD events 28 29
      • Skeletal muscle improves insulin sensitivity & metabolic health  30
      • Muscle reduces arterial stiffness 31
      • Reduces inflammation & oxidative stress 12 32
      • Muscle releases myokines like IL-10, irisin, & FSTL1 that may be cardio protective. 33
    • Reduced risk of some cancers like bladder and kidney cancer
      • Skeletal muscle may secrete anti-tumor molecules (myokines) which may create an unfavorable environment for tumor growth. 34 35 36
      • Increased skeletal muscle mass may improve immune function. 37 38 39
    • Reduced risk of cognitive decline and diseases like dementia & alzheimer’s (AD)
      • Sarcopenia increases the risk of cognitive impairment & developing dementia & AD by ~200% & 68% respectively. 40
      • More muscle mass is associated with a reduction in symptoms of depression. 41
    • Reduced risk of hospitalization from infections
      • COVID 42 43
      • Bacterial 26
      • Increased muscle density decreases risk of infection after abdominal trauma 44
  • Building muscle improves your quality of life
    • Better mobility 45
    • Less pain 46 47
      • “When you are old you will have pain no matter what. You can be weak and have pain or you can be strong and have pain. The choice is yours”
    • Lower risk of falls and fractures in elderly 10
    • Better mental health
      • Sarcopenia increases risk of Bi-Polar Disorder and resistance training may reduce Bi-Polar symptoms 48 49 50
      • Low muscle mass associated with greater risk of anxiety. 51
      • Low muscle mass increases risk of Schizophrenia and resistance training may reduce symptoms of schizophrenia. 50 52
      • Low muscle mass is associated with an increase in symptoms of depression, and resistance training DRASTICALLY reduces symptoms of depression. 53 54 55 56
    • Improves symptoms of muscle wasting disorders
      • Multiple sclerosis 57 58
      • Muscular dystrophy 59 60
      • ALS 61 62
      • HIV 63
    • Elderly with low muscle mass & reduced muscle function are at over 1200% increased risk of losing physical independence vs. those with more muscle mass & function 64

References

  1. The Effect of Resistance Training on Bone Mineral Density in Older Adults: A Systematic Review and Meta-Analysis
  2. Exercise for sarcopenia in older people: A systematic review and network meta-analysis
  3. Resistance training effectiveness on body composition and body weight outcomes in individuals with overweight and obesity across the lifespan: A systematic review and meta-analysis
  4. Collateral fattening in body composition autoregulation: its determinants and significance for obesity predisposition
  5. Association between muscle mass and insulin sensitivity independent of detrimental adipose depots in young adults with overweight/obesity
  6. Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey
  7. Low skeletal muscle mass index and all-cause mortality risk in adults: A systematic review and meta-analysis of prospective cohort studies
  8. Associations of Muscle Mass and Strength with All-Cause Mortality among US Older Adults
  9. Muscle mass, BMI, and mortality among adults in the United States: A population-based cohort study
  10. Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta‐analysis
  11. Relation of Muscle Mass and Fat Mass to Cardiovascular Disease Mortality
  12. Total and Regional Fat/Muscle Mass Ratio and Risks of Incident Cardiovascular Disease and Mortality
  13. Markers of inflammation and their association with muscle strength and mass: A systematic review and meta-analysis
  14. Skeletal muscle area and density are associated with lipid and lipoprotein cholesterol levels: The Multi-Ethnic Study of Atherosclerosis
  15. Relationship between muscle mass index and LDL cholesterol target levels: Analysis of two studies of the Korean population
  16. Low muscle mass is associated with a higher risk of all-cause and cardiovascular disease-specific mortality in cancer survivors
  17. Associations of Total Body Fat Mass and Skeletal Muscle Index with All-Cause and Cancer-Specific Mortality in Cancer Survivors
  18.  Impact of body composition and muscle health phenotypes on survival outcomes in colorectal cancer: a multicenter cohort
  19. Predicted lean body mass trajectories, and cancer risk and cancer-specific and all-cause mortality: A prospective cohort study
  20. Association between Loss of Skeletal Muscle Mass and Mortality and Tumor Recurrence in Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis
  21. Effect of muscle mass on toxicity and survival in patients with colon cancer undergoing adjuvant chemotherapy
  22. The Predictive Value of Low Muscle Mass as Measured on CT Scans for Postoperative Complications and Mortality in Gastric Cancer Patients: A Systematic Review and Meta-Analysis
  23. Pathophysiological mechanisms explaining poor clinical outcome of older cancer patients with low skeletal muscle mass
  24. Lean mass as a risk factor for intensive care unit admission: an observational study
  25. ICU Admission Muscle and Fat Mass, Survival, and Disability at Discharge
  26. Impact of Muscle Mass on Survival in Patients with Sepsis: A Systematic Review and Meta-Analysis
  27. Acute skeletal muscle loss in SARS‐CoV‐2 infection contributes to poor clinical outcomes in COVID‐19 patients
  28. Skeletal muscle mass in relation to 10 year cardiovascular disease incidence among middle aged and older adults: the ATTICA study
  29. Prognostic Impact of Low Skeletal Muscle Mass on Major Adverse Cardiovascular Events in Coronary Artery Disease: A Propensity Score-Matched Analysis of a Single Center All-Comer Cohort
  30. The role of skeletal muscle mass on cardiovascular disease risk: an emerging role on modulating lipid profile
  31. Muscle mass decline, arterial stiffness, white matter hyperintensity, and cognitive impairment: Japan Shimanami Health Promoting Program study
  32. Low Muscle Mass Is Associated with Poorer Glycemic Control and Higher Oxidative Stress in Older Patients with Type 2 Diabetes
  33. Cardiovascular System is Influenced by Skeletal Muscle-derived Extracellular Vesicles, Myokines and MicroRNAs Based on Interorgan Communication: A Systematic Review
  34. Mechanisms Underlying the Rarity of Skeletal Muscle Cancers
  35. The role of myokines in cancer: crosstalk between skeletal muscle and tumor
  36. Muscle-Derived Cytokines Reduce Growth, Viability and Migratory Activity of Pancreatic Cancer Cells
  37. Strength Training Session Induces Important Changes on Physiological, Immunological, and Inflammatory Biomarkers
  38. Physical Activity and Nutritional Influence on Immune Function: An Important Strategy to Improve Immunity and Health Status
  39. Skeletal muscle antagonizes antiviral CD8+ T cell exhaustion
  40. Meta‐analysis on the interrelationship between sarcopenia and mild cognitive impairment, Alzheimer’s disease and other forms of dementia
  41. Both muscle mass and muscle strength are inversely associated with depressive symptoms in an elderly Chinese population
  42. Muscle Strength Explains the Protective Effect of Physical Activity against COVID-19 Hospitalization among Adults aged 50 Years and Older
  43. Reduced muscle mass as predictor of intensive care unit hospitalization in COVID-19 patients
  44. Skeletal muscle density as a new predictor of abdominal infection in abdominal trauma patients
  45. Resistance Training Induces Improvements in Range of Motion: A Systematic Review and Meta-Analysis
  46. Skeletal Muscle and Fat Mass Reflect Chronic Pain in Older Adult
  47. Muscle function, quality, and relative mass are associated with knee pain trajectory over 10.7 years
  48. The Prevalence of Sarcopenia in Bipolar Disorder
  49. Structured physical exercise for bipolar depression: an open-label, proof-of concept study
  50. High velocity circuit resistance training improves cognition, psychiatric symptoms and neuromuscular performance in overweight outpatients with severe mental illness
  51. Exploring the Association between Elevated Anxiety Symptoms and Low Skeletal Muscle Mass among Asymptomatic Adults: A Population-Based Study in Republic of Korea
  52. Body composition in patients with schizophrenia: Comparison with healthy controls
  53. The Association Between Low Muscle Mass and the Risk of Depressive Symptoms: A Cross‐Sectional Study Based on the Chinese Longitudinal Health Longevity Survey (CLHLS)
  54. Both muscle mass and muscle strength are inversely associated with depressive symptoms in an elderly Chinese population
  55. Effects of resistance exercise training on depressive symptoms among young adults: A randomized controlled trial
  56. Resistance training and combined resistance and aerobic training as a treatment of depression and anxiety symptoms in young people: A systematic review and meta-analysis
  57. Effects of resistance training in multiple sclerosis
  58. Resistance training improves muscle strength and functional capacity in multiple sclerosis
  59. The Effects of Resistance Exercise Training on Strength and Functional Tasks in Adults With Limb-Girdle, Becker, and Facioscapulohumeral Dystrophies
  60. Resistance training in patients with limb-girdle and becker muscular dystrophies
  61. Effects of combined endurance and resistance training in Amyotrophic Lateral Sclerosis: A pilot, randomized, controlled study
  62. Weight and Muscle Mass Loss Associated with Acute Disease Can Be Reversed with Appropriate Nutrition Therapy and Exercise in a Patient with Amyotrophic Lateral Sclerosis
  63. Decreased limb muscle and increased central adiposity are associated with 5-year all-cause mortality in HIV infection
  64. Sarcopenia and physical independence in older adults: the independent and synergic role of muscle mass and muscle function