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Physical decline is common as we age. These exercises can help mitigate the effects | CNN

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Physical decline is common as we age. These exercises can help mitigate the effects | CNN

Editor’s note: Dana Santas, known as the “Mobility Maker,” is a certified strength and conditioning specialist and mind-body coach in professional sports, and is the author of the book “Practical Solutions for Back Pain Relief.”



CNN
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As you age, your body undergoes changes that can significantly affect your ability to move. Among the most impactful are muscle loss, joint deterioration and decreased bone density — issues that can lead to reduced mobility, chronic pain and an increased risk of fractures.

These challenges are particularly pronounced in menopausal and postmenopausal women, but they also affect aging men, especially those leading sedentary lifestyles.

That’s the bad news about getting older.

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But the good news is that by incorporating specific types of exercise into a consistent workout routine, you can proactively counter these age-related declines and maintain an active lifestyle and higher quality of life well into your later years.

Sarcopenia: As you get older, your muscles naturally begin to lose mass and strength in a process known as sarcopenia. This decline typically starts around the age of 30 and accelerates after the age of 60. The loss of muscle mass can make daily activities more challenging and increase the risk of falls and injuries. Maintaining muscle strength is essential for mobility, balance and overall functional independence.

“After the age of 50, women lose 8% of their muscle mass yearly,” said Dr. Stephanie Faubion, coauthor of a December 2024 study published in the journal Menopause and medical director of Mayo Clinic’s Center for Women’s Health. “And because muscles burn calories, the loss of muscle contributes to weight gain as women age and don’t necessarily adjust their caloric intake or exercise regimen.”

Joint deterioration: Aging also takes a toll on our joints. Over time, the cartilage that cushions our joints can wear down, leading to pain and immobility. Maintaining joint health is crucial for preserving range of motion and preventing discomfort that can limit activity.

“Joint aches are one of the biggest complaints of menopausal women,” Faubion noted. “It seems to be related to the loss of estrogen, contributing to muscle loss.”

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Bone density loss: Bone density naturally decreases with age, increasing the risk of fractures and osteoporosis, especially in women after menopause due to the drop in estrogen levels. Osteoporosis, a condition characterized by weak and brittle bones, becomes a significant concern for both women and men, particularly those leading sedentary lifestyles.

A common misconception is that bone density preservation is only tied to lifting weights, according to Faubion. She pointed to how astronauts lost bone density due to the loss of gravity, saying, “it’s weight-bearing exercises, not weight-lifting exercises, that are most effective at building bone density.”

To maintain physical fitness, aging adults need to meet the US Centers for Disease Control and Prevention guidelines of 150 minutes of moderate-intensity aerobic activity weekly and two days per week of muscle-strengthening activities of moderate intensity that involve all of the major muscle groups. To counteract age-related changes effectively, those minutes need to include a variety of exercises that build strength, enhance mobility, improve balance and increase cardiovascular health.

Incorporate these types of exercise into your routine:

1. Resistance training: Resistance training is the key to combating muscle loss. It can include weight lifting, resistance band exercises and body-weight exercises such as push-ups and squats. Include strength training exercises at least two to three times a week, focusing on all major muscle groups. Start with less resistance and gradually increase as you build strength.

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2. Mobility work: Maintaining muscle health is essential for preventing stiffness, supporting functional range of motion in your joints and reducing soft-tissue injury risk. Aim to take your body through its full range of primary movements in all planes of motion during every workout. Incorporating mobility-focused forms of exercise such as yoga and Pilates into your weekly routine can also help keep your muscles and joints healthy and mobile.

3. Balance exercises: “Falls are of big concern and the largest cause of morbidity as we age,” Faubion said. “This is why balance training is an important consideration.” In addition to traditional single-leg balance training, exercises that rely on an unstable surface, such as a stability ball or even a paper plate sliding on the floor to create instability, can help improve your balance, core strength and coordination. Integrating these exercises into your routine can significantly reduce the risk of falls and help you stay steady on your feet.

4. Cardiovascular fitness: Cardiovascular exercises are vital for maintaining heart health, improving circulation, increasing caloric burn and boosting overall endurance. Lower-impact activities such as walking, swimming or indoor cycling are good choices for older adults. In addition to the heart-health benefits, Faubion said: “Walking is a great weight-bearing exercise for building bone density as we age.”

Women should put less emphasis on cardio and more on resistance-training exercises, according to Faubion. “Of the 150 minutes of recommended weekly exercises, at least 20 minutes two times per week should be resistance training,” she said. “For menopausal women this should be viewed as a minimum.”

Before starting any new exercise program, be sure to consult with your health care provider to ensure it’s safe and appropriate for your individual needs.

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Consistency is key when it comes to reaping the benefits of exercise as you age. That’s why Faubion said she always tells her patients that “the best exercise is the one that you will actually do!” She recommends focusing on what you like and are willing and wanting to do regularly.

Here are some other tips to help you create a safe, sustainable exercise routine:

Start slow: If you’re new to exercise or returning after a break, start with low-intensity activities and gradually increase the intensity and duration as your fitness improves.

Mix it up: Incorporate a variety of exercises to keep your routine interesting and work different muscle groups. Doing so can also help prevent overuse injuries.

Listen to your body: Pay attention to how your body feels during and after exercise. If you experience pain or discomfort, modify the exercise or take a break.

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Stay consistent: Prioritize exercising regularly, even if it’s just a short session. Consistency over time is more important than length or intensity.

Recover properly: Don’t skip recovery. Cool down after workouts, take adequate breaks between training sessions and get enough sleep.

Consult a professional: Consider working with a personal trainer or physical therapist to create a tailored exercise plan that meets your needs and goals.

Aging is inevitable, but how you age is largely within your control. By following the guidelines above, you can take charge of the aging process to preserve your health, independence and quality of life for years to come.

Sign up for CNN’s Fitness, But Better newsletter series. Our seven-part guide will help you ease into a healthy routine, backed by experts.

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Fitness

How the 3-3-3 Rule Helped Me Stick to an Exercise Routine

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How the 3-3-3 Rule Helped Me Stick to an Exercise Routine

If you’ve ever started a new workout routine with the best intentions only to find yourself skipping sessions by week two, you’re not alone. I’m the type to get trapped in the same cycle of burnout, where I go hard for a couple of weeks, feel exhausted, feel guilty, and repeat. For me, what finally broke that cycle wasn’t a new gym membership or a fancy fitness app, but a simple scheduling hack: the “3-3-3 rule.” I’d seen this rule applied it to general productivity, and all the same principles can apply to your fitness habits, too. Here’s how you can use the 3-3-3 rules to structure your workouts and create a habit that sticks.

What is the 3-3-3 rule?

The 3-3-3 “rule” (or “method,” or “gentle suggestion”) is essentially a weekly workout framework built around three types of movement, each done three times per week:

  • Three strength training sessions. This includes lifting weights, bodyweight circuits, resistance bands, whatever builds muscle and challenges your body.

  • Three cardio sessions. This includes running, cycling, swimming, jump rope, a dance class—what counts as “cardio” is up for debate, but here, I think of it as anything that gets your heart pumping.

  • Three active recovery days. This includes light walking, yoga, stretching, foam rolling, and so on.

And yes, I realize this math adds up to nine intentional days of movement across a seven-day week. Here’s the thing: You do double duty some days, or skip workouts here and there, or adjust to a nine-day cycle, because the point isn’t rigid scheduling. The point is rhythm over a strict structure. For me, the 3-3-3 rule provides a sense of momentum that’s flexible enough to fit into real life, but consistent enough to actually stick to.

Why the 3-3-3 rule works for me

Before I get into how the 3-3-3 rule helped me specifically, let’s talk about why so many workout plans fall apart in the first place. I believe most of them make two classic mistakes. The first is doing too much, too soon. You go from zero to six days a week at the gym, you get burnt out, and the whole thing unravels. The second mistake is having no real structure at all—just vague intentions, like “I’ll work out when I can,” which never materializes into anything real for a lot of people.

For me, the 3-3-3 rule solves both of those problems. It gives me enough structure to build habit and momentum, but not so much intensity that my body and brain feel overwhelmed. I personally adore running, but I struggle to motivate myself to lift weights; the 3-3-3 rhythm here helped me find a middle ground between those two workouts. When I know I have three strength sessions to hit in a week (or nine-ish day cycle), I can look at my calendar and find three slots without too much drama or dread.

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There’s also plenty of breathing room built into the plan, which was the biggest game changer for me. I used to have the (toxic) thought that my rest days were wasted days, which is a mentality that led to either overtraining or complete inactivity with pretty much no middle ground.

Plus, there’s something psychologically satisfying about the number three. I know and love the rule of threes in photography, comedy, survival tips, and all over the place.

How to make a 3-3-3 workout schedule work for you

The 3-3-3 rule has a ton of wiggle room for customization. Here are some ideas for how you can approach it:


What do you think so far?

For strength days, pick a format you actually enjoy. That might be a full-body circuit, a push/pull/legs split, or a class at your gym. (Boxing, anyone?) Your focus on these days should be a progressive challenge—push yourself, yes, but don’t obliterate yourself.

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For cardio days, variety helps. Mix a longer, easier effort with a shorter, more intense session (like a 20-minute interval run). I know I’m biased, but cardio really shouldn’t feel like punishment.

For recovery days, resist the urge to “make them count” by sneaking in extra work. The whole point is to let your body consolidate the gains from your harder days. Walk, stretch, breathe, and trust the process.

Another practical tip: Pick a night to map out your 3-3-3 week ahead of time. You’ll probably find that the week arranges itself pretty naturally once you’re looking for those nine windows.

The bottom line

As always, consistency should always be your priority in fitness. If you’ve been struggling to find a rhythm, if your past workout plans have always fizzled out around week three, give the 3-3-3 rule an honest four-week try. Maybe start with a 1-1-1 month! After all, the 3-3-3 rule isn’t a hack to totally transform your physique, but I do think it can provide something way more valuable. Finding a routine that works for you—like the 3-3-3 rule works for me—is the first step to make exercise a reliable, sustainable part of your life.

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I’m a running coach — I’ve just tested shoes actually designed for women’s feet, and they’re a total game changer

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I’m a running coach — I’ve just tested shoes actually designed for women’s feet, and they’re a total game changer

Why you can trust TechRadar


We spend hours testing every product or service we review, so you can be sure you’re buying the best. Find out more about how we test.

QLVR ENDVR: Two minute review

Most running shoes feel familiar for a reason: the formula has barely changed in millennia. We have archaeological evidence of shoes being fastened with “shoelaces” as far back as around 3,500 BC, yet the basic lace-up running trainer remains the default.

QLVR (pronounced “clever”) set out to challenge that. Its debut shoe, the ENDVR, is a laceless “running slipper” built around a women-specific mechanical structure, with a slip-on Wing Fit system inspired by the way a bird’s wing opens and closes around movement.

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Mere minutes of daily vigorous exercise can cut your risk of 8 diseases | CNN

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Mere minutes of daily vigorous exercise can cut your risk of 8 diseases | CNN

Move more. Sit less. For many years, that’s been accepted guidance for people wanting to get healthier.

Now that message is getting refined, with a growing body of research suggesting that certain types of movements may be more beneficial than others when it comes to health benefits.

The intensity of your exercise may matter as well. A new study published in the European Heart Journal found that a small amount of vigorous activity may be linked to lower risk of eight different chronic diseases.

The findings raise questions about why intensity matters and how people can incorporate more intense exercise routines into everyday life. To better understand the study’s implications, I spoke with CNN wellness expert Dr. Leana Wen, an emergency physician and clinical associate professor at George Washington University. She previously served as Baltimore’s health commissioner.

Before beginning any new exercise program, consult your doctor. Stop immediately if you experience pain.

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CNN: What did this study examine about exercise and its relationship to chronic disease?

Dr. Leana Wen: This investigation looked at how the intensity of physical activity is related to the risk of developing a range of chronic diseases. Researchers analyzed data from two very large groups in the UK Biobank, which is a long-term health study in the United Kingdom that tracks medical and lifestyle information from hundreds of thousands of participants. One group included about 96,000 people who wore wrist activity trackers that objectively measured their movement, and the other included more than 375,000 people who self-reported their activity.

The researchers followed participants over an average of about nine years and examined the development of eight conditions: major cardiovascular events, atrial fibrillation, type 2 diabetes, immune-related inflammatory diseases, fatty liver disease, chronic respiratory disease, chronic kidney disease and dementia, as well as overall mortality.

The key finding was that the proportion of activity done at vigorous intensity mattered. People who had more than about 4% of their total activity classified as vigorous had substantially lower risks of developing these conditions compared with people who had no vigorous activity at all. The numbers were stunning, with the participants having the following results:


  • 63% lower risk of dementia,

  • 60% lower risk of type 2 diabetes,

  • 48% lower risk of fatty liver disease,

  • 44% lower risk of chronic respiratory disease,

  • 41% lower risk of chronic kidney disease,

  • 39% lower risk of immune-mediated inflammatory diseases,

  • 31% lower risk of major cardiovascular events,

  • 29% lower risk of atrial fibrillation, and

  • 46% lower risk of death from any cause.

These results are amazing. Imagine if someone invented a medication that could reduce the risks of all these diseases at once — it would be very popular! Crucially, even people who exercised a lot still benefited if the proportion of time they spent doing vigorous physical activity was increased. Conversely, people who were relatively inactive also benefited from adding just a little bit of higher-intensity exercise to their daily routines.

CNN: What counts as “vigorous” physical activity?

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Wen: Vigorous activity is generally defined as exercise that substantially raises your heart rate and breathing. A simple way to gauge it is the “talk test.” If you can speak comfortably in full sentences while exercising, you are likely in the low to moderate range. If you are so out of breath that you can only say a few words at a time, that is vigorous.

Running, cycling, lap swimming or climbing stairs quickly could count. But this also depends on people’s baseline fitness. For some individuals, taking longer strides with walking can be vigorous exercise. Others who are already fairly fit would need to do more. It’s also important to remember that vigorous activity doesn’t have to be in the context of a structured exercise plan. Short bursts of effort in daily life, such as rushing to catch a bus or carrying heavy groceries upstairs, can also qualify if they raise your heart rate and make you breathless.

CNN: Why might higher intensity exercise provide additional health benefits?

Wen: Higher intensity activity places greater demands on the body in a shorter period. This type of movement can improve cardiovascular fitness, increase insulin sensitivity and support metabolic health more efficiently than lower-intensity activity alone. Some studies have also linked vigorous activity with cognitive benefits.

Greater intensity may have distinct benefits across different organ systems. The researchers found that some conditions, such as immune-mediated inflammatory diseases, appeared to be more strongly linked to the intensity of activity than to the total amount. On the other hand, type 2 diabetes and kidney disease were influenced by both how much activity people did and how intense it was. Why this is the case is not yet known, but intensity appears to have a significant impact across diseases affecting multiple organs.

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CNN: How much vigorous activity do people need?

Wen: The threshold for people seeing a benefit appears to be relatively low. The researchers found that once people reached more than about 4% of their total activity as vigorous, their risk of developing chronic diseases dropped substantially.

To put that into practical terms, we are not talking about professional athletes dedicating their lives to hours of high-intensity training. Everyday people may see benefits from just doing a few minutes of vigorous effort daily.

CNN: How can people realistically incorporate vigorous activity into their daily routines?

Wen: One helpful way to think practically is that vigorous activity does not have to happen all at once. It can be accumulated in short bursts throughout the day.

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People can take the stairs instead of the elevator and do so at a faster pace than usual. When they are heading to work, they can add some speed walking. They can park farther away when grocery shopping and walk briskly while carrying groceries.

Structured exercise also can incorporate intervals where people alternate between moderate and more intense effort. If you’re swimming laps, you can warm up at a more leisurely pace, then do a few laps at a faster pace, then again at a leisurely pace and repeat. This suggestion applies to any other aerobic exercise: Aim for multiple intervals of at least 30 seconds to a minute each where your body is working hard enough that you feel noticeably out of breath.

CNN: What about someone who is older or has mobility issues?

Wen: Not everyone can or should engage in high-intensity activity in the same way. Vigorous activity is relative to that person’s baseline. For someone who is not used to exercise, even a short period of slightly faster walking or standing up repeatedly from a chair could be considered high intensity. And not everyone may be able to walk. In that case, some exercises from the chair can have aerobic benefits.

Individuals who have specific medical conditions should consult with their primary care clinicians before embarking on a new exercise routine. People with mobility issues also may benefit from working with a physical therapist who can help to tailor exercises appropriate to their specific situation.

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CNN: What is the key takeaway for people trying to improve their health?

Wen: To me, the main takeaway from this study is that it’s not only how much total exercise you get but also how hard you push yourself that matters. And you don’t have to have a lot of high-intensity exercise: Adding just a little has substantial health benefits across a wide range of chronic health conditions.

At the same time, exercise needs be practical. People should look for opportunities to safely increase intensity in ways that fit their daily lives. The most effective approach to physical activity is a balanced one: Exercise regularly, incorporate more challenging activities when you can and build habits that are sustainable over time.

Get inspired by a weekly roundup on living well, made simple. Sign up for CNN’s Life, But Better newsletter for information and tools designed to improve your well-being.

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