Thousands of Americans are younger today than they were six years ago. How is that possible? By following the specific recommendations that reverse aging in Dr. Roizen's bestselling book RealAge: Are You As Young As You Can Be?, people who were previously much older than their chronological age have now taken ten, fifteen, up to twenty-four years off of their biological age. It's been called the RealAge revolution. Now, Dr. Roizen is back with a unique fitness plan that compliments and incorporates aspects of his previous work and helps further slow down the rate of aging. The RealAge Workout is a step-by-step program that begins with small lifestyle changes and gradually works its way up to a complete training regimen designed to keep you healthier and younger. From walking thirty minutes a day at first, readers will eventually employ a comprehensive cardiovascular and strength-training program. Additionally, The RealAge Workout dismisses common myths, addresses important questions pertaining to age and health, and includes motivational sections to spur on readers. Most importantly, The RealAge Workout gives you the big picture, so you know exactly how your body works and why RealAge concepts and exercise are essential to a healthy lifestyle.

Michael F. Roizen, M.D., is currently Chief Wellness Officer and Chair of the Wellness Institute at the Cleveland Clinic

The RealAge(R) Workout
Maximum Health, Minimum Work

Chapter One

The RealAge® Promise

Lazy? No, Just Time-Challenged

"Tell me the truth, Mike. What's the MINIMUM amount of physical activity I must do to produce the MAXIMUM health benefit?" This is a great question I'm often asked by my patients who -- busy with careers or family, with little free time to spare -- still want to safeguard their health and their futures. Perhaps you have wondered this, too. Well, the answer is now in your hands. Whether you want to regain the vigorous health of your youth, stay feeling as good as you do today in the years to come, or get into even better shape than ever while slowing your rate of aging, The RealAge® Workout will show you how.

What is the program based on? The RealAge Scientific Advisory Board has reviewed over 35,000 scientific studies on aging, over 5,000 alone on the effects of exercise on health, and has culled the wheat from the chaff. The kernels have been tested and proven (and reproven time and time again) on my patients, and now I'm going to give them to you. I will help you create a goal of how young you want to be, and design a concrete plan that will help you to achieve your goal.

The wonderful truth is that aging is a process that you can control. There are literally hundreds of steps you can take -- things you can do -- that will enable you to play golf, relish conversations or crossword puzzles, travel to faraway places, dance the night away, and even climb mountains until near the day you die. That, in a nutshell, is what the RealAge concept is all about.

The RealAge system:

• Allows you to know how old you really are -- in biological, not chronological, terms. (To determine your RealAge, take the test at www.realage.com.)
• Enables and motivates you to change your RealAge and develop the health profile of someone who is chronologically many years younger. (Today, a 75-year-old man can make his RealAge 27 years younger than his calendar age and a 75-year-old woman can make her RealAge 29 years younger than her calendar age.)
• Views health not as the prevention of disease but as the prevention of aging.
• Is based on scientific data that you can slow the pace of aging and actually reverse it. You can control which of your genes are turned on or off -- all genes do is make proteins or regulate other genes, and which of your genes are turned on is in your control.

Research has demonstrated that lifestyle choices and behavior have a far greater impact on longevity and health than heredity. And choosing to be physically active is one of the most important lifestyle choices. Unfortunately, many people think they don't have enough time to devote to exercise to really make a difference. Luckily, they're wrong. I wrote this book because I want you to benefit from what the hundreds of RealAge–Partnership Medicine patients and the millions of RealAge members taught me about the minimum exercise we need to achieve the maximum health benefit. And the good news is small amounts of time can make a huge difference to your health, your well-being, and your RealAge.

Sounds too good to be true, doesn't it? I thought so, too, until I saw the amazing transformations of patients -- and some strangers -- who followed the RealAge Workout plan, some for only 10 minutes at a time. (Most of the strangers became friends.)

So what is the RealAge Workout, exactly? It's simple -- a program broken into four 30-day phases that build one upon the other, slowly getting you to the physical activity that will ensure the optimal level of health for you (with the minimum necessary time commitment). Once you've completed the four 30-day phases, you will be at your best possible level of health facilitated by exercise. You'll feel great and have the energy to do all the things you love and the peace of mind to know you're taking great care of your health. Best of all, the plan is easy and fun.

Overview of the Plan

Phase 1 (Days 1–30): Walk 30 minutes every day -- either all at once or 10 minutes or more at a time.

• Phase 2 (Days 31–60): Increase your level of activity by adding 7–10 minutes of strength training of your foundation muscles every other day.
• Phase 3 (Days 61–90): Increase your level of activity by adding 8–10 minutes of strength training of your non-foundation muscles* every other day.
• Phase 4 (Days 91 Onward): Increase your level of activity with 21† minutes of stamina or aerobic exercises, 3 times a week.

Sound simple? It is. But don't let the simplicity of the plan fool you into thinking you can jump a phase, or shorten a phase to 15 days instead of 30. For important scientific and medical reasons, success is more likely if you follow the gradual buildup, order, and time frame of the plan.

For example, even if you're excited to get started and feel you could do more, don't skip Phase 1 to start strength-building exercises right away. Your muscles must undergo two specific changes to regain youth and strength. As your muscle ages, it loses the contractile proteins (that give a muscle strength) and the proteins that make the energy factory of your cells (mitochondrial -- these give your muscle stamina). To regain strength, you need to rebuild (or build) contractile proteins; to regain stamina, you need to recondition your mitochondrial functions.

By simply walking, you start doing both. If you walk 30 minutes a day for 30 days, you rebuild enough of the energy factories in your muscles to progress to safely building strength proteins. And you have to rebuild enough strength proteins so your first attempt at resistance exercise will not rip a joint or muscle apart. Therefore, Phase 1 is a necessary step. Best of all, by simply walking for 30 minutes every day, you can make your RealAge younger by 2.2 years.

The RealAge(R) Workout
Maximum Health, Minimum Work. Copyright © by Michael Roizen. Reprinted by permission of HarperCollins Publishers, Inc. All rights reserved. Available now wherever books are sold.

---

Excerpted from The RealAge Workout: Maximum Health, Minimum Work by Michael F. Roizen, Tracy Hafen
All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.