Aerobic exercise and resistance training help improve cognitive and executive functioning, with older populations seeing the biggest boost, according to a new meta-analysis
In the longevity game, health and wellness have evolved into more than just obtaining an ideal BMI; they’ve become tools to improve and extend mental acuity — and aerobic exercise and resistance training could be the keys to positive cognitive and executive functioning.
Aging is inevitable for all, but one systematic review and meta-analysis — described by its authors as a comprehensive “one-stop shop” — has offered new insights into exercise’s impact on cognitive function and provides a new perspective for longevity-seekers.
Exercise is commonly recommended to boost cognitive function, but researchers say few meta-analyses have truly evaluated the cognitive advantages associated with variables such as exercise frequency, intensity, duration, type, volume and progression (FITT-VP) in healthy populations.
In their review, published in Ageing Research Reviews, researchers used PubMed and Web of Science to gather 54 randomized controlled trials with 6,277 participants (aged 6 to 60) to examine each FITT-VP variable’s effects on healthy individuals’ cognitive function, including executive function, memory, attention and information processing.
The included 54 studies met the following criteria:
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The study was a randomized controlled trial with healthy participants to explore the effects of chronic exercise on cognitive function
The interventions included any type of exercise training with supervision
Control group participants received no intervention, usual care, health education, sham exercise training, or were on a waitlist for the study
Studies had to report at least one cognitive outcome, which included global cognition, executive function, memory, attention or information processing
The key takeaway? Aerobic exercise performed with moderate duration, frequency, intensity and overall length was associated with the greatest improvement in global cognition, the authors found.
When it comes to improving executive functioning, researchers suggest that resistance training is better than aerobic exercise, although both modalities offer strong benefits.
Mind-body exercise (in this case, yoga and tai chi) with moderate duration, frequency and overall length but high intensity also showed benefits to memory, although the authors caution that the results assessing attention and information processing should be interpreted cautiously due to the low number of included studies.
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Perhaps most interesting is the finding that older participants benefited the most from exercise interventions — a point complemented by recent research on the powers of daily, low-intensity physical activity.
“This study offers new insights on the dose-response relationship of chronic exercise and the use of FITT-VP exercise principles to improve cognitive abilities or prevent cognitive decline in the process of aging,” the authors concluded.
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The longevity space continues to soar, with many emerging solutions and products that proponents say can slow down the ticking clock of age or, at the very least, support health in the present. From mushroom-powered drinks and gummies to enhance focus to GLP-1 and other weight loss management solutions to assisted stretching, analysts are bullish on the wellness boom.
Courtney Rehfeldt
Courtney Rehfeldt has worked in the broadcasting media industry since 2007 and has freelanced since 2012. Her work has been featured in Age of Awareness, Times Beacon Record, The New York Times, and she has an upcoming piece in Slate. She studied yoga & meditation under Beryl Bender Birch at The Hard & The Soft Yoga Institute. She enjoys hiking, being outdoors, and is an avid reader. Courtney has a BA in Media & Communications studies.
At 34, physical therapist Will Harlow works out like someone decades older.
Their goals are very different — his clients are regaining mobility and independence, while Harlow is training to do sports and “look good in a T-shirt.”
But the same basic principles of longevity apply whether you’re 18 or 80.
In his new book, “Independence for Life,” Harlow maps out the four pillars of health that should be baked into anyone’s workout routine: strength, mobility, balance, and healthy bones and joints.
Harlow said one exercise in particular checks all the boxes for longevity and performance, whether you’re a high achiever looking to gain muscle in less time or a fitness newbie trying to build up your health.
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You don’t need a gym or much equipment to get started, so don’t wait, Harlow says — the younger you start training for longevity, the more muscle and fitness you can bank for the years to come.
“There’s no such thing as too early. And the earlier you start, the better of a base you build,” Harlow said.
The best all-in-one exercise for longevity
Harlow’s top exercise for all-around health and fitness is the goblet squat, a movement that trains strength, stability, and mobility at once.
Goblet squats are an accessible exercise — all you need is a dumbbell or other heavy object — and work your whole body at once.
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ardasavasciogullari/Getty Images
The exercise involves holding a weight, like a dumbbell or other heavy object, with both hands in front of the chest (as if you’re cupping a giant drinking goblet, as the name suggests).
That’s it — you don’t need a gym or any experience with a barbell, machine, or other equipment, and the risk of injury is low.
“The beautiful thing about the goblet squat is it’s highly safe because if you get into trouble, you can just drop the weight,” Harlow said.
Goblet squats work the entire body at once, engaging the muscles of the back, arms, and legs as you control the weight. As you squat, the joints of your knees, hips, and ankles are working, too. Plus, positioning the weight in front of your body activates your abs and hips.
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Elite athletes and top trainers love goblet squats for building explosive power. For the rest of us, the goblet squat is a simple way to build muscle that’s essential for healthy aging, and mimics real-world activities like sitting down and getting up safely.
“It’s so vital to keep that muscle on our body,” Harlow said. “Strength is just a proxy for independence because if you’re weak, you can’t open heavy doors, you can’t get on and off the toilet unassisted, and you can’t get on and off the floor.”
The longevity ‘sweet spot’
To get the most out of your squat workout, Harlow recommends focusing on a concept called reps in reserve: that’s how many more repetitions you could complete before hitting muscle failure, when you can’t lift anymore.
Research suggests the specific number of reps is less important than challenging your muscles, working until you could barely manage another rep or two if you absolutely had to.
You want a weight you can lift for at least 10 reps, but not more than 20 reps, for the best mix of strength, muscle-building, and health benefits, according to Harlow.
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“That’s a nice sweet spot for building muscle. It’s also heavy enough that you’re going to have an impact on your bone density and you’ll improve your mobility as well, but it’s not so heavy that we are elevating that risk of injury,” he said.
This article is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your qualified physician or healthcare provider.
Twenty minutes, twice a week — that’s the promise behind The Exercise Coach, where artificial intelligence and robotics are helping people rethink what a workout can look like.
“We always start with a leg press, and we get a really good workout on those hamstrings, the quads, the glutes,” said Erica Bennett, trainer at The Exercise Coach.
The workouts are designed for all ages and fitness levels, but many clients are 40 and older. That’s where maintaining strength, balance and muscle mass often becomes a bigger focus.
The proprietary “Exerbotic” machines first measure your strength and range of motion.
“The machine will then use that to create the workout for you, so that you are always spending the most time under tension and the right amount for you,” said Bennett.
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The goal is to keep muscles working continuously while the machine adjusts resistance and movement by staying within the lines of the digital graph above you.
“That’s reducing some of that wear and tear on the joints. That’s creating a little bit of a safer experience, especially for somebody who’s looking at some age-related muscle loss,” said Bennett.
Owner Chris Geiser says the technology is what first caught his attention.
“I love data, I love systems, and this had both of those, but also allowed us to help transform people’s lives, have an impact on their health,” said Geiser.
While the tech drives the workout, every session is still guided by a coach.
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The workout may be short, but it doesn’t feel easy.
The studio also incorporates balance and cognitive training to help clients maintain stability and coordination as they age.
“We don’t need to accept a casual decline of muscle mass. We can keep it up with the right level of intensity and the right frequency,” said Geiser.
For anyone who’s fallen out of an exercise routine, Geiser has a simple invitation.
“You might be surprised what your body can still do. We invite you to give it a shot,” he said.
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The Exercise Coach studio at 8425 Seasons Parkway in Woodbury, Minnesota, opens Friday.
One-on-one coach-led training is $35 to 45 dollars per session.
Scratch the surface, and you might think women have the upper hand when it comes to longevity. According to data from the Office for National Statistics, here in the UK, we live an average of 3.9 years longer than men.
Look a little closer, however, and there’s a catch. Thanks to a longstanding lack of investment in women’s health research, our underrepresentation in clinical trials and fewer treatment options designed for our bodies, we spend 25%more of our lives in ill health than men.
“For decades, hormonal fluctuations were viewed as a ‘complicating factor’ for data,” explains Elliott Roy-Highley, medical director at preventative health studio, Unbound. “As a result, modern medicine suffers from a massive sex-disaggregated data gap.”
That’s why, for women particularly, the question of longevity is not just one of living longer. Instead, our focus has to shift to ways we can stay healthier whilst we’re living: a concept known as healthspan.
The good news is that improving this metric doesn’t require expensive supplements or complicated therapies (just look at Blue Zone populations if you don’t believe me). Research shows quite clearly that a factor like regular exercise is one of the most powerful forms of health insurance we have.
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“A high level of cardiorespiratory fitness reduces the risk of dying from any cause by 53%,” explains Roy-Highley, pointing to a 2024 study in the British Journal of Sports Medicine, “whilst a high level of strength is associated with 31% reduced risk of death from any cause.”
With that in mind, we asked GP and leading longevity doctor, Dr Rhea Kotecha, to share the non-negotiable forms of exercise she believes we should prioritise in order to age well.
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For her thoughts, read on. And whilst you’re here, I recommend checking out our guides to the best longevity workouts, how to hack your longevity from home and the daily longevity habits doctors use themselves. We’ve also got a useful guide to musclespan and the habits we can all borrow from the Blue Zones.
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I’m A Longevity Doctor – These Are The Six Types Of Exercise Every Woman Should Be Doing For Healthy Ageing
How does exercise affect longevity?
When I posed this question to Dr Kotecha, her response was emphatic. “Exercise,” she says, “is the closest thing we have to a longevity drug.”
It’s a glowing endorsement for the role that movement plays in the ageing process, one repeatedly evidenced by research. “The least fit participants had roughly five times the mortality risk of the fittest,” Dr Kotecha says, referencing a 2018 study of over 122,000 adults. “To put that in perspective, being unfit was a bigger risk than being a smoker.”
But what about the risk of too much exercise? Is there a danger that we could go too far? “In theory, yes, but in practice, rarely,” says Dr Kotecha. “The risks live at the extreme end, where years of relentless overtraining can drive up stress hormones, suppress immunity and, in women, switch off the menstrual cycle and erode bone.”
Though this is critical to be aware of, Dr Kotecha says that it’s far more common for women’s health to be compromised by too little exercise. And, she says, in reality “it’s almost never the exercise itself that harms you, but the absence of recovery.”
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Are the longevity benefits of exercise different for men and women?
Due to variations in our biology, muscular and hormonal profiles, it makes sense that exercise would have a different impact on male and female bodies. And in the case of longevity, it turns out things look pretty good for us.
“Essentially, we can do more with less,” says Dr Kotecha, who shares a 2024 study published in the Journal of the American College of Cardiology, which found that women needed to exercise for around 140 minutes a week to reap maximum survival benefits, compared to 300 minutes for men. “What this means is that women get a far better return on investment,” Dr Kotecha explains.
Should your exercise habits change as you age?
It’s not all plain sailing, however. Because as we reach menopause, Dr Kotecha says our biology shifts and this impacts how we need to train. “When oestrogen withdraws, the protection it provides to our bone, muscle and cardiovascular system withdraws with it,” she explains. “This is where training has to step up to fill the gap.”
That doesn’t mean that our exercise routine has to dramatically change in midlife, nor that we have to push our bodies to breaking point. But it does mean that keeping up our fitness in a variety of ways is essential as we age. “What changes across the decades is not which pillars you train, but how you divide the budget between them,” says Dr Kotecha, who says her non-negotiable advice is to remain an all-rounder. “Think of it as a line from performance to preservation. Train now for the answer you want in the future.”
6 types for exercise for staying healthier and living longer, according to top experts:
So, how do we become this exercising all-rounder? According to Dr Kotecha, these six forms of movement are the keys to unlocking healthier ageing.
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1. Strength and resistance training
“Muscle is the organ of longevity,” says Dr Kotecha. “It is your metabolic engine, your glucose sink, your fall insurance and, after menopause, one of your only remaining levers on bone health.”
For that reason, she recommends lifting two to three times a week. “You don’t need to live in the gym,” she reassures, citing research which shows the maximum benefit for longevity lands at roughly 30-60 minutes of resistance training a week. “But you do need to lift things which are genuinely heavy, with the last couple of repetitions feeling hard.”
2. Functional Fitness
Functional fitness, which equates to movement patterns that we use in our day-to-day life, should form a core part of your strength training, says Dr Kotecha. “We want to train the body as one connected system, not as a collection of muscles taking turns on machines. We’re looking for the kind of strength that lets you carry the shopping, a toddler and a suitcase up the stairs. These are the tests of strength that really matter.”
Some of her favourite moves include Turkish get-ups and the farmer’s carry. “These moves build grip, core, coordination and real-world strength all at once,” she explains when asked why she loves them.
The Dumbbell Turkish Get-Up – YouTube
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3. Explosive power
“This is the one almost everyone skips,” says Dr Kotecha, who warns that the impact of neglecting to train for power can be detrimental. “As we lose fast-twitch fibres, we lose stability, increasing our risk of falls and fractures, which in turn increase the risk of mortality and a loss of independence in later life.”
The good news, she says, is that explosive power can be done in small doses and ticked off as part of another session. “You only need about five minutes, but those five minutes might buy you decades of staying on your own two feet,” she explains. “Box jumps, jump squats, hops and a few short sprints are all forms of training explosive power.”
4. Zone two cardio
On the other end of the intensity scale is steady, conversational-pace cardio- think brisk walking, easy cycling or light jogging.
“Nobody posts about this kind of fitness, but everybody needs it,” says Dr Kotecha, who recommends between two and a half and four hours a week of this kind of exercise.
5. HIIT
High intensity interval training has been a contentious topic for women’s training over the years, with debates over whether it has a positive or negative effect on our stress levels and hormonal health.
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The reality, though, is that it’s not an all-or-nothing approach. “The classic mistake is turning everything into a high-intensity session,” says Dr Kotecha. “But short, hard intervals raise your VO2 max efficiently, and VO2 max is one of the strongest survival predictors we have.”
Her recommendation? One to two sessions a week.
6. Stability and balance
It’s far from the most exciting part of an exercise routine, but Dr Kotecha says stability and balance work is highly underrated. “A few minutes of single-leg work, balance drills and mobility most days is possibly the most important thing you will ever do,” she says. “It could be the difference between a stumble and a fracture.”
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Is exercise more important than nutrition for longevity?
It’s tempting to want to rank the things we can do for our health into neatly prioritised boxes. But as Dr Rhea Kotecha, GP and longevity physician, clearly explains, when it comes to nutrition and exercise, one shouldn’t exist without the other.
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“The clinical truth is that you cannot outtrain a poor diet and you cannot out-eat a sedentary body,” she says. “How you train and what you eat are the two strongest, most modifiable levers you have on how long and how well you live, and they only reach their full power together. There is no green powder, no collagen sachet and no supplement that substitutes for being strong and aerobically fit. The basics are boring, and they are also undefeated.”