Section 1: Core Concepts
1. How does the 2023 Hallmarks of Aging update frame mitochondrial dysfunction?
2. Which statement best defines Zone 2 as exercise physiologists use it?
3. Which statement about lactate is best supported by modern exercise biochemistry?
4. What is 'metabolic flexibility,' and why does the lecture treat it as a healthspan marker?
5. Which molecular pathway is the master regulator of mitochondrial biogenesis targeted by both Zone 2 and higher-intensity training?
6. What is the most honest framing of the 'VO2 max is the ultimate mortality metric' claim as taught in Month 8?
7. Which pair best describes the 'dual engine' framing of aerobic fitness?
Section 2: Zone 2, Intensity & Adaptation
8. What is the 'grey zone' trap in endurance training as described in the lecture?
9. The lactate shuttle explains why trained individuals often show lower blood lactate at a given workload. What is the mechanism?
10. The Norwegian 4×4 interval protocol is cited as a clinical gold standard for lifting the central engine. What does it consist of?
11. Why does the lecture insist on heavy resistance training alongside Zone 2 for aging adults?
12. Which field cue is a validated, no-lab way to identify the top of Zone 2?
13. What is FatMax, and how does it relate to Zone 2 in practice?
Section 3: Fitness, Fuel & Longevity Evidence
14. What did the 2024 BJSM umbrella review (26 systematic reviews, ~20.9M observations) establish about cardiorespiratory fitness (CRF)?
15. In the 2024 BJSM CRF-and-BMI analysis (~398,716 observations), which finding best reframes the 'thin is protective' assumption?
16. What is the honest, evidence-graded position on dietary nitrates (leafy greens, beets) as a plant-based synergist for mitochondrial performance?
17. Which biomarker is discussed as a validated, if imperfect, circulating signal of mitochondrial stress — best used together rather than alone?
18. Which max-HR estimator is a better default than the classic '220 − age' formula, per the lecture?
Section 4: Myth vs Fact
19. Myth or fact: 'Lactic acid causes the muscle burn during hard exercise.'
20. Myth or fact: 'If you just do enough Zone 2, you don't need high-intensity intervals or heavy lifting.'
21. Myth or fact: 'The Organic Acids Test (OAT) is a validated way to assess an individual's mitochondrial function.'
Section 5: Application and Integration
22. A 58-year-old member does 5 hours per week of steady, moderate-intensity spin (RPE 6–7 the whole session) and no resistance training. Her VO2 max has plateaued and grip strength is declining. Which change best fits Month 8's framework?
23. A newly diagnosed pre-diabetic member (BMI 24, low CRF) asks whether she should focus on weight loss or on fitness. Using the 2024 BJSM CRF-and-BMI evidence, what is the most defensible framing?
24. A 72-year-old plant-based member wants to protect independence for the next decade. He does daily walks but no strength or interval work. Which weekly prescription best integrates the Month 8 evidence?
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Evidence strength key
- 🟢Meta-analysis — pooled human RCT evidence
- 🔵Randomized controlled trial in humans
- 🟡Observational cohort or large-scale human study
- 🟣Expert review or consensus statement
- ⚪Mechanistic / preclinical evidence