
Peter Attia's Centenarian Decathlon: A Plan For Living Better, Longer
Longevity is measured in years lived. But what truly matters is healthspan—how long we maintain strength, mobility, and independence. That's the foundation of physician, author and popular podcaster Dr. Peter Attia's Centenarian Decathlon, a deliberate approach to fitness that trains for the future, ensuring we not only live longer but better.
A centenarian is 100 years old or more. A decathlon is a track and field event consisting of ten separate events. The Centenarian Decathlon is a structured plan to train for the ten key actions or activities a person wants to be able to do at that age. Rather than simply hoping to stay active, the Centenarian Decathlon asks: What do you want to be able to do when you're 100?
Whether it's lifting a suitcase into an overhead bin or hiking a steep trail, the idea is to train today for abilities you'll need decades from now.
Attia, a longevity expert, explores this concept in his bestseller Outlive and on his podcast. Drawing from scientific research and personal experience, Attia outlines four pillars of longevity-focused exercise: aerobic efficiency (Zone 2 training), peak aerobic output (VO2 max), strength, and stability. Training deliberately within these categories may just redefine aging.
For most, aging is synonymous with decline—loss of mobility, frailty, and withdrawal from daily activities. The final decade of life, which Attia calls the marginal decade, is often marked by severe physical deterioration. But this decline isn't just due to genetics, it's the result of decades of poor preparation for old age.
Exercise is often seen as a short-term pursuit—for weight loss, athletic performance, or general fitness. Attia's approach suggests training for longevity requires a different mindset: reverse-engineering what you want to be able to do in your 80s and 90s and systematically building those abilities today.
The Centenarian Decathlon is a tactical approach to aging that involves a personalized set of physical tasks typically falling into two categories:
For every patient, the ten activities may be different. In Outlive, Attia describes meeting with patients to determine their personal list and developing a strategic, long-term training plan focused on four domains:
Zone 2 training is low-intensity endurance exercise, such as brisk walking, cycling, or swimming at a pace where you can still hold a conversation but feel slightly challenged. This type of training improves mitochondrial function and metabolic efficiency, which are critical for long-term health. It can also help with sleep which is critical to brain health.
Centenarian Decathlon Goal: Maintain the ability to walk three miles comfortably and sustain low-intensity movement for extended periods without exhaustion.
VO2 max, a measure of maximal oxygen consumption, is one of the strongest predictors of longevity. Training VO2 max requires high-intensity interval training (HIIT), pushing the cardiovascular system to its limits.
Your VO2 max is measured in several ways:
Importantly, according to the American College of Sports Medicine, older individuals (men ≥45, women ≥55) and those at higher risk should be cleared by a doctor before engaging in vigorous activity like HIIT.
Centenarian Decathlon Goal: Maintain a VO2 max above 30 mL/kg/min in later life, allowing for activities like hiking uphill, jogging, or carrying groceries without fatigue.
Strength is also one of the most predictive markers of longevity. As people age, they naturally lose muscle. This contributes to frailty, falls, and loss of independence. This decline accelerates in the 50s, 60s, and beyond, making resistance training one of the most effective interventions to preserve function and mobility.
Attia recommends compound movements like squats, deadlifts, and lunges to build full-body strength and improve balance. In addition, explosive exercises like sprinting and skipping help retain fast-twitch muscle fibers, crucial for power and reaction time.
Centenarian Decathlon Goal: Maintain the ability to lift and carry a 30-pound suitcase or to be able to get up off the ground without assistance.
Falls are one of the leading causes of disability in older adults, often resulting in fractures, hospitalizations, and loss of independence. To mitigate this risk, balance and stability training should be a core component of any longevity-focused fitness routine.
Exercises like single-leg stands, walking backward, and functional core movements improve coordination, balance, and postural control. Additionally, mobility work (e.g. the 'world's greatest stretch" and dynamic movement drills (e.g. leg swings), keeps joints supple and prevents stiffness.
Centenarian Decathlon Goal: Balance on one leg for at least 30 seconds or move freely without stiffness.
A common question: How much exercise is really needed? Attia recommends a minimum recommended weekly exercise regimen for longevity:
For those short on time, something is always better than nothing. Even just three hours per week can significantly reduce the risk of chronic disease and the mobility decline that occurs with old age. Additionally, exercising more than this minimum can achieve better results, up to a point.
What makes the Centenarian Decathlon different from a traditional approach to fitness is its long-term perspective. Instead of training for aesthetics or short-term performance, people can think of every workout as an investment in their future. Ultimately, the Centenarian Decathlon isn't just a fitness program—it's a blueprint for aging with strength, independence, and vitality.

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New York Times
9 hours ago
- New York Times
The Protein Bar Arms Race
In late August 2024, the physician and longevity guru Peter Attia posted a new reel for his 1.3 million Instagram followers, featuring a close-up of a stack of golden boxes, each about the size of a hardcover book, piled up on a marble countertop. The image stood out; Mr. Attia's grid consists mostly of snippets from his popular podcast, The Drive, and straight-to-camera clips of him sharing advice on topics like zone 2 cardio training or the importance of getting regular colonoscopies. 'Pretty awesome day in the Attia household,' he said from behind the camera. 'Just received, yesterday, the first official shipment of the new David bar.' These protein bars would become available to the public in a few weeks, Mr. Attia explained, and the teenagers in his home — a demographic not known to be obsessed with optimal nutrition — had been devouring his supply. 'I think these are just awesome, and I am really excited for people to start trying these things,' he said. The David bar, created by the RXBar co-founder Peter Rahal and a Keto cookie entrepreneur named Zach Ranen, was diving into a marketplace already up to its eyeballs in protein. In recent years, protein supplementation has crossed the species barrier from fitness-coded products like bars into everyday foods. Today's supermarkets offer high-protein frozen waffles, breakfast cereals, popcorn, pastas, ice cream — even protein-enhanced soda and candy. According to the market research firm Mintel, the number of food and beverage products coming to market with a high protein claim quadrupled between 2013 and 2024. The protein maximizer can now begin her day with a Legendary Foods Brown Sugar Cinnamon Breakfast Pastry (20 grams of protein), move on to Immi's pea protein-based instant ramen for lunch (24 grams), snack on Wilde chips made from chicken and egg white (10 grams), and microwave a Vital Pursuit high-protein frozen pepperoni pizza (22 grams) for dinner — all, to borrow Michael Pollan's aphorism, without eating anything her great-grandmother would have recognized as food. But for the protein-obsessed, the bar still reigns supreme. The category-leading protein bar, Quest, tops out at 21 grams of protein for 180 calories: almost as much protein as a McDonald's Big Mac, for less than half the calories. 'We knew we could do more,' Mr. Rahal said recently, during a visit to the brand's offices in Manhattan. 'The question is, what's the upper limit?' Want all of The Times? Subscribe.


Forbes
16-07-2025
- Forbes
The Hottest New Fitness Craze Is One Of The Oldest—Because It Works
Rucking, or walking with a weighted pack, can be done in the city, the country or the woods, and the ... More simplicity is one of the reasons it is suddenly so popular. With over two million copies sold to date, the health blockbuster Outlive by Peter Attia, MD is currently Number Eight on the New York Times Non-fiction Bestseller List. But the impressive number is not eight, it's 107. That is how many weeks the book has been on the list, having already reached the Number One spot and remained a bestseller for more than two years since. Among many other things, Outline helped drive the hottest new fitness craze. The Hottest 'New' Fitness Craze Many readers of Outlive, including me, made systemic lifestyle changes, from the medical tests they get to what they eat to how much they exercise. But in particular Dr. Attia helped re-popularize one specific form of exercise, 'rucking,' or walking around with a weighted pack. Of course, he was not alone in making one of the oldest forms of exercise hot again. In a single 2-day span last month both the Times and rival Wall Street Journal ran long articles with nearly identical titles on why 'weighted vests' are suddenly hot. They both kind of got it wrong as the articles really described rucking, and weighted vests are largely a different thing in the fitness world, but they were both right about it being a hot trend. You don't have to enlist or join special forces to benefit from rucking, but there is a reason why ... More every major armed force in the world uses this as a primary form of fitness. Another NY Times bestselling author and former Men's Health magazine editor, Michael Easter, champions rucking in his book The Comfort Crisis, going so far as to practice the activity, normally associated with hiking or walking, while vacuuming his home and on a treadmill. Easter has been rucking regularly for well over a decade and while the pursuit is suddenly hot, he was an early adopter. He told me, 'As a health and wellness journalist I always took an evolutionary look at what we do. When you look at modern fitness, a lot of people run, which is something humans evolved to do. But very few people carry, which we also evolved to do, and in my opinion is even more important. So, I started throwing on a backpack with weight, it's so simple. You burn anywhere from 20-30% more calories than just walking, it's uniquely good for burning fat and building muscle, and it's a full-body exercise. When you run you just get cardio but not necessarily strength, with rucking you get both, building muscle while losing weight. And I feel very confident saying it has a much lower injury rate than running, it's closer to walking.' 'Everyone has tried running, and it works for some people, but others get hurt or just don't lie it. Rucking is just more approachable and easier.' Comfort Crisis author Michael Easter and his dog getting ready to ruck. Easter cites the work of expert Harvard professor Daniel Lieberman, a widely acclaimed evolutionary biologist known for his research on running and walking in humans. It was Lieberman who coined the term 'born to run' about barefoot running cultures, later borrowed as the title of yet another big fitness bestseller. In his own fascinating book Exercised, Why Something We Never Evolved To Do is Healthy and Rewarding, Lieberman praised these evolutionary roots of rucking, explaining that the ability to carry weighted loads over long distances voluntarily (without having them strapped to us like a donkey) differentiates humans from every other creature on the planet and is a huge part of our species success and of being human. Rucking is the act of walking or hiking (or for the devout using a treadmill at the gym) while wearing a weighted pack. It has been the primary fitness exercise of choice for most of the world's military forces for centuries (or longer), and the term comes from the name from a widely used military backpack, a rucksack. 'Rucking is very much a military term,' says Easter, 'and some people hear military jargon and think 'that's not for me,' but humans have been carrying weights for thousands of years, and it has always been good for us.'Michael Easter out on a training ruck. It differs from backpacking mainly in that it is intentional exercise, not something you have to do to carry the gear needed to camp in the wilderness. People strap on a weighted pack and walk their dogs or stroll around the neighborhood or go on hikes, in order to accomplish two fitness goals: burning more calories in the same duration of walking, and building muscle strength, while in turn improving bone density while becoming generally fitter. There is also a difference from backpacking in the packs and how you bear the weight, but what predominantly makes it rucking is intent, and that intent is to become healthier and stronger. But the best thing about it is that it is simple, and thus arguably the easiest new exercise routine to incorporate into your life, something many people struggle to do with all sorts of workouts. If you want to start a new fitness regimen tomorrow, I can't think of many things that are effective that are easier to do than adding rucking to your life, and ease of adoption is incredibly important in the success of any new plan. This is especially true if you already walk at all. I've always praised the health benefits of owning dogs, which need to be walked every day, and mine don't care if it's hot or cold or raining or snowing, they get my wife and I out for an hour or more each day, including many days when we would blow off the walk in bad weather if we didn't have dogs. After reading Outlive about a year ago, I started rucking almost every day when I walk my dogs, and I was doing that anyway, so I needed to add exactly zero extra time to get a better workout. Rucking is not just good for you, it's also an incredibly efficient way to exercise. Easter also rucks when he walks his dog. Pack manufacturer GoRuck has helped develop hundreds of local Ruck Clubs around the country so ... More people can work out in social groups. Many people, even those without dogs, already do some sort of fitness walking, and rucking is a natural addition to this. Of course, if you don't walk already, you have to add it to ruck, but you should be adding walking anyway (unless you run instead, and most experts do not recommend ruck-running). I also ruck when I hike, within reason, usually on hikes of 90-minutes or less. On longer hikes I am wearing a pack with gear and water anyway. It's lighter, but still added weight. Rucking has been an extremely popular form of exercise used by the military, and is currently employed by just about every armed force on earth. The reason it has lasted so long and continues to be so widely used is because the military sees the results, thousands of times each year, and knows it works. Special Operations Forces Prep Coach is a coaching programmed designed to help those trying out for U.S. special forces units (Navy Seals, Delta Force, Green Berets, etc.) make the cut in the highly selective, competitive and rigorous physical training programs required for admission. On its site, the coaches ask 'How important is rucking? There are three studies in the past three decades on SFAS [Special Forces Assessment and Selection] and each of them found that rucking performance was the greatest predictor of getting selected, more than any other physical factors like running, pull-ups, or A.P.F.T scores.' Rucking is so popular with elite special forces soldiers that in his New York Times bestseller Can't Hurt Me —with over 7 million copies sold—former Navy SEAL David Goggins used heavy load rucking to train for both the SEAL teams and to later become one of the top ultra-endurance race competitors in the world. Goggins remains the only soldier ever to complete the elite training programs of the SEALS, Army Rangers and Air Force Tactical Controller, and was named the 'The Fittest (Real) Man in America' by Outside Magazine. Even bestselling fictional SEALS use rucking—in Jack Carr's hugely popular series of Terminal List novels (turned into a Chris Pratt series on Prime) his ex-Navy SEAL protagonist James Reece gets back into shape by wearing a weighted pack up and down mountains. Rucking packs come in a variety of sizes depending how much you want to carry. But you do not have to be a special forces operator to benefit from rucking, and one of the great appeals is that almost anyone can do it, as you can start with small amounts of weight. 'The bearded dudes going into Afghanistan carried 120 pounds. I carry 45. My mom goes rucking with me and she uses 10 pounds,' says Jason McCarthy, a former special forces soldier who started GoRuck, the biggest company in the niche field of rucking gear, with his wife Emily (former CIA). I spoke to McCarthy over the phone while he was out rucking around his Florida neighborhood, and it's how he manages his time to stay hyper-ft and get his workouts in while running a company. 'You can train wherever you are, city rucking is just hiking in the city, and while we've been talking I just got in 3000 steps. This morning, I rucked while I walked my dog. Now I don't have to carve out time to go to the gym. It's about finding time to exercise.' 'Why does it work? It's always worked, since the beginning of time. I'm trying to create a 'new' fitness category that's actually been around forever. Nike started with running at a time when no one had heard of running, it was just for crazies and weirdos.' To that end, in addition to making rucking gear, GoRuck puts on several hundred public rucking events each year and has helped build a grassroots network of about 700 'ruck clubs' across the country to help newcomers join a community. 'People are starving for real world connections, and we have to create alternatives that make it fun and healthy to make those connections. The vibe is inviting and they are free. At first no one in the media wanted to cover it because it isn't a $2000 piece of gym gear or high-tech. The whole beauty of rucking is that it is simple and it works. If you believe walking is great, getting outside is great, getting stronger is great or having a healthier heart is great, then it is for you. Every form of human movement gets harder when you add resistance, and this adds resistance.' You can even practice rucking while traveling. This is the GR-1 backpack, the best carry-on bag I ... More have ever had and the one I have carried for the past few years. For someone who sells rucking gear, McCarthy surprisingly recommends starting by not buying any. 'When you were in college you probably walked around campus with a backpack full of books. I see people in the airport with these really heavy backpacks. A lot of people are rucking and don't even know it, because it's so natural. Don't go buy a bunch of expensive stuff. Start with what you have and for most people I recommend 20 pounds. If you put a dumbbell in a school backpack it's going to bounce off your back and you'll hate it, so maybe start with a bag of rice.' I tell my friends who are starting out to use multiple water bottles, because if the pack proves too heavy once you get out on the trail, you can just pour some out. Easter seconds this beginning approach. 'The beauty is simplicity, and unlike some other fitness and gear programs there is no paralysis by analysis. You own a backpack. You own something that weighs something. You have water bottles. Ideally you want the weight close to your back and higher up, so I tell people to put a yoga block or equivalent in the bottom of their pack and then put the weight on top of that to get it higher. If you use a dumbbell or weight plate, wrap it in a towel for cushioning. Go get started and then if you keep doing it, decide if you want to move on to more specialized gear.' I have done a lot of backpacking and hiking and gear reviews and probably have more packs than anyone should own, but I got a specific rucking pack from GoRuck, because it does make a difference. Backpacking packs are specifically and technologically designed to use a substantial hip belt and transfer weight to the lower body. That makes it more efficient and easier to carry loads long distances over uneven terrain, but the point of rucking is exercise, and to make your walk harder, not easier. The rucking pack has no waist belt, and is very low profile, so as Easter says, it holds the weight (I use metal plates and tubes of sand) close to your back and high up (Easter also uses GoRuck packs for his rucking). I was already familiar with the company because I use and write on luggage for all travel and sports, and in my many years of questing to find the perfect carry-on bag for my very frequent travel around the world, I've ended up with the GoRuck GR-1. I've had this for a few years, longer than I have been rucking, and like all their products it is overbuilt to truly last a lifetime. I put the GR-1 in my 2024 Father's Day luggage buying guide here at Forbes as the top carry-on and wrote 'The GoRuck GR-1 is simply the best carry-on bag for active travel (or any travel) I have found.' NY Times gear testing site Wirecutter also picked the GR-1 as 'The Best Buy It For Life Backpack' and wrote, 'It isn't just tough, it's nearly indestructible.' It's bigger and doesn't have a dedicated metal plate pocket, but you can definitely also use the GR-1 as a rucking pack if you want to buy just one thing. Because I keep my carry-on loaded for flights all the time, I use a separate rucking-specific pack, the GoRuck Rucker 4.0 20-liter. This way I can just leave the weights in it and not move things around daily. All their stuff is made to military grade and practically indestructible. GoRuck makes rucking-specific packs in three capacities (15, 20 and 25 liter) and several sizes for different heights. Easter says, 'I tell people to never go over a third of your body weight, and I carry about 20% of my body weight. I don't like vests where weight is on your chest because that affects your breathing, I only go on my back. If I'm training for big backcountry trip, I'll get on a treadmill with a very heavy pack, like 60 pounds, crank up the incline to a steep setting and walk slowly for 45 minutes, that's a great workout.' I've been carrying 21-24% of my body weight. You can also use the packs to add to your bodyweight exercises such as push-ups and pull-ups. Just to clarify the misleading verbiage of the recent newspaper articles, there are also weighted vests, as Easter mentions, that carry weight on the front and back. GoRuck makes these as well, as do many fitness gear companies, and these are far more widely available than rucking-specific packs, which may cause the confusion. Weighted vests have traditionally been accessories used at the gym for serious strength training, mainly to add resistance to body weight exercises such as pull-ups and push-ups. With strength training, to increase the workload you can do more repetitions, lift heavier weights or both, but body weight exercise is generally limited by your body weight. Most of us would struggle to do 10 pull-ups, but if you get to the point where you can do, say 30, you can either keep doing more or add weight, and a vest is the way to do that. For rucking, keep it on your back. But you can also use these rucking packs in the gym (or stopping for pushups on your hike) in lieu of a vest for most bodyweight exercises. The recent Wall Street Journal article said that carrying 10% of your body weight burned 8.5% more calories, while going to 20-30% jumped that to 19.7 and 32.2%. They also said carrying weight activated muscles in your back, shoulders, abs and lower body. The Journal also cited studies showing that rucking can prevent or reduce bone density loss while ageing. When you exercise regularly and eat well it is very difficult to break out the effect individual lifestyle elements have on your overall health and performance, which is why anecdotal reports are not a reliable source of training information. In addition to rucking I am also doing regular strength training with weights, hiking, cycling and doing high intensity interval training, plus myriad other activities. Nonetheless, I have been doing most of those things for a long time, and a year after I added rucking to my fitness mix I am at the leanest, fittest state of my adult life, I've had no pain or soreness or injuries related to rucking, my tangible performance at endurance events such as long distance cycling and hiking has improved, and I have to believe that my frequent rucking (60-90 minutes 4-5 times a week with 35-40 pounds) has made a difference. Just the fact that over the year I have been able to increase the weight when it gets easier seems to prove that strength and endurance are being built along the way. For most of my life, the primary focus of health-based exercise was aerobic, but in recent years studies have shown that strength training is much more important to long term health than many people thought, possibly even more important than cardio, and directly related to bone density. But for a well-rounded fitness routine you want cardio and aerobic exercise and full body strength, and most of us want to burn more calories. Rucking does all of this, in a way that is easy, efficient and time effective compared to many other kinds of exercise. But it should not take the place of strength training and other exercise but rather makes a perfect addition to those. It can also be highly social and is fun and easy to do with friends. 'I'm already going to go for a walk or walk the dog, so I might as well throw on the pack and get a lot more benefit from the walk,' says Easter. This simplicity and efficiency is a big part of the reason why rucking is the hottest new fitness craze.


Forbes
14-07-2025
- Forbes
The Longevity Revolution Is Coming — Will It Include You?
Who wants to live forever? The answer is — just about everyone. But as people live longer, the real question is whether those extra years will be healthy, productive, and accessible to all — or a privilege for the few. When most people think about longevity, they think about fitness trackers, sleep clinics, biohacking startups, or the latest personalized supplements. But as someone who has spent the past decade building a healthcare company in Bangladesh, I can tell you: the tools for living longer have been around a very long time. What's missing are the systems to make those tools available to everyone. The evidence is clear: if everyone in the world had access to a basic health check once a year, we ... More could increase life expectancy by up to seven years across the globe. The biggest breakthroughs in life expectancy won't come from flashy technology. They will come from preventing disease altogether — from ensuring that more people can detect and manage chronic illnesses before they become life-threatening. Today, over 70% of deaths globally are caused by chronic, non-communicable diseases like heart disease, diabetes, and cancer. Modern longevity is about staying healthy, active, and free from chronic disease for as long as possible. As longevity expert Dr. Peter Attia has said, 'The goal isn't to avoid death entirely — that's impossible — but to delay the onset of the diseases that most commonly kill us.' The goal isn't to avoid death entirely — that's impossible — but to delay the onset of the diseases that most commonly kill evidence is clear: if everyone in the world had access to a basic health check once a year, we could increase life expectancy by up to seven years across the globe. And yet, many people only seek care when they are already seriously ill. In emerging markets especially, the window for prevention closes too soon — often due to cost, distance, or a lack of trust in the system. At Praava Health, we've seen how that can change. Through a combination of high-quality physical clinics and digital tools, we've served nearly a million patients in Bangladesh — and today, over 30% of our patients come to us for preventive care, not just treatment. Technology plays a critical role — not as a substitute for the doctor, but as a bridge that amplifies access and care. At Praava, digital tools allow us to reach underserved communities, automate clinical protocols, flag early signs of disease, and help patients take control of their health. If we focus only on technology, we risk leaving vast populations behind. Nearly three billion people globally still lack internet access. Over a billion live without reliable electricity. The good news is that we don't need fancy tech to improve healthspan. Even in the richest countries in the world, no technology tool or gadget can replace human connection, continuity, or care. No technology, no treatment, can substitute for the power of community. In fact, as more of us spend more and more time looking at screens rather than at each other, loneliness is one of the greatest and most underestimated health challenges of our time. We now know that social isolation doesn't just affect our mental wellbeing — it increases the risk of heart disease, dementia, and premature death as much as smoking or obesity. Longevity begins with systems: trusted, accessible, affordable care. Across the Global South, we've already seen how simple, system-level investments in prevention can dramatically improve outcomes: These stories prove what's possible, even when resources are scarce. The tools to extend life are in frontline clinics, community health programs, and policies that make prevention accessible. And the returns on longevity are not only social — they're economic. Longer, healthier lives translate into stronger labor markets, rising incomes, and growing consumer demand. In emerging markets, simple interventions can deliver outsized gains for both health and financial returns. Healthcare systems in Asia, for example, trade at 2-3x the valuations of comparable U.S. systems — driven by demand, demographic momentum, and the ability to leapfrog outdated, rigid infrastructure. These markets can build more efficient, tech-enabled health systems from the ground up. Ultimately, each of us must be the quarterback of our own health and longevity. As Dr. Richa Chaturvedi, a leading endocrinologist in India, reminds us, 'Longevity is a fascinating mix of what we inherit from our parents and the choices we make every day. While our genes do set the stage—some people are simply born with a head start—most research agrees that how we live plays a bigger part in how long and how well we live. Things like what we eat, how active we are, how we handle stress, and whether we avoid harmful habits like smoking can make a huge difference, sometimes even outweighing family history. So, even if you don't come from a long line of centenarians, there's a lot you can do to stack the odds in your favour and enjoy a longer, healthier life.' However, without systems that enable those choices, people — especially in the Global South — are left behind. Longevity is a fascinating mix of what we inherit from our parents and the choices we make every most effective healthcare systems are built on a foundation of prevention — not just flashy tech, but high-quality, accessible care that ensures everyone can benefit from something as simple and powerful as an annual health check. To truly democratize longevity, we need: ✔ Affordable, high-quality healthcare and diagnostics, centered around primary care ✔ Financing tools like microinsurance and wellness-linked savings ✔ Investments in frontline workers and community health teams ✔ Regulations that promote access to nutritious food and clean environments ✔ Policies that remove barriers — particularly for women, rural communities, and aging populations The same drivers fueling longevity businesses in the West — prevention, proactive care, system design — are even more scalable, and often more urgent, in the Global systems that empower healthier, longer lives isn't just a moral imperative — it's an economic one. And it's one of the most investable opportunities of our time. If longevity is the next frontier of human progress, it must belong to all of us — not only those of us who can afford it.