Category

Exercise and Performance

10 evidence-based articles

Exercise has some of the strongest evidence of any habit linked to longer life. In a pooled analysis of 661,137 adults, people who did one to two times the recommended minimum of leisure-time activity had a 31% lower risk of death than inactive people. The benefit levelled off at three to five times the minimum (39% lower), with no sign of harm at ten times or more.1

Fitness and strength matter too. Among 122,007 adults who had treadmill tests, lower cardiorespiratory fitness was linked to higher long-term mortality with no observed upper limit of benefit.2 In 139,691 people across 17 countries, each 5 kg of lower grip strength was linked to a 16% higher risk of death, and grip strength predicted all-cause and cardiovascular mortality better than systolic blood pressure.3 In a meta-analysis of cohort studies, muscle-strengthening activity was associated with a 10–17% lower risk of death, cardiovascular disease, cancer and diabetes, with the largest reductions in death, heart disease and cancer at about 30 to 60 minutes a week.4

These are observational findings; whether building strength itself lowers mortality is still being tested.3 The articles below turn the evidence into a weekly routine and test the common myths.

Reading path

Read in this order: the essentials first, then the detail, then the reviews that test popular claims.

Sources

  1. 1Arem H, et al. "Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship." JAMA Intern Med. 2015;175(6):959-67. PubMed · DOI
  2. 2Mandsager K, et al. "Association of Cardiorespiratory Fitness With Long-term Mortality Among Adults Undergoing Exercise Treadmill Testing." JAMA Netw Open. 2018;1(6):e183605. PubMed · DOI
  3. 3Leong DP, et al. "Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study." Lancet. 2015;386(9990):266-73. PubMed · DOI
  4. 4Momma H, et al. "Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies." Br J Sports Med. 2022;56(13):755-763. PubMed · DOI
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