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Extended-reality workouts usher in an immersive era of virtual fitness on VR headsets

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Extended-reality workouts usher in an immersive era of virtual fitness on VR headsets
  • Extended reality is bringing immersive, personalized workout experiences to the fitness industry.
  • Leaders at four fitness brands told BI their extended-reality services helped them reach new users.
  • This article is part of “Build IT,” a series about digital tech and innovation trends that are disrupting industries.

In the summer of 2018, Rachel Z., who goes by the alias OtterWorldly online, started streaming herself playing the mixed-reality fitness game “Beat Saber.”

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Videos showcase her virtual saber skills as she slices digital blocks to the beat of songs such as Blackpink’s “Kill This Love.”

The gamified, competitive nature of virtual-reality fitness apps “transformed my workout routine,” she told Business Insider. “They provide variety, motivation, and the ability to track progress, which keeps me engaged and consistent.”


A woman smiles while holding a VR headset above her head

OtterWorldly, a VR content creator.

OtterWorldly



Extended reality is steadily changing exercise and fitness. It involves virtual reality, which immerses users in a computer-generated environment; augmented reality, which overlays digital visuals onto the real world through the use of devices like phones and AR glasses; and mixed reality, which blends real and virtual worlds.

Business Insider spoke with leaders at the fitness brands Puma, Les Mills, FitXR, and Supernatural about leveraging extended reality to provide tech-driven workouts.

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Shifting perceptions of fitness technology

Puma this year partnered with Meta Quest 3 to launch immersive mixed-reality workouts in the metaverse. People with a Meta Quest headset can participate in virtual exercises including boxing and Zumba.

“People can actually try different types of workouts that they might not try in the real world because maybe they don’t have access to it where they are,” Ivan Dashkov, the head of emerging marketing tech at Puma, told BI. “I’ve never boxed in my life, but in VR, boxing workouts are my favorite.”

Some people with so-called gym anxiety or a fear of being secretly recorded and shamed online have leaned into virtual-reality workouts. “People may not think of technology as something you work out in, but VR can break down those barriers,” Dashkov said.


A bearded man smiling and wearing a black shirt

Ivan Dashkov, the head of emerging marketing tech at Puma.

Kathryn Przybyla



Dashkov acknowledged there’s a learning curve. “I think a fun challenge in the space is that the general Puma audience might not necessarily have adopted some of these new technologies yet,” he said.

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He recalled seeing people’s perceptions of VR workouts change at a launch event for Puma and Meta Quest’s partnership earlier this year. After putting on a headset and working out for about 15 minutes, attendees had an aha moment, Dashkov said. “They didn’t expect to be sweating, because they think it’s like a video game,” he added.

One deterrent, however, is the look and feel of the Meta Quest headset: Its size can make it cumbersome. But Dashkov told BI he expects the headsets to become less bulky and eventually “be like a pair of glasses you’re wearing where things will be projected on top of them.”

Adapting to consumer needs

Les Mills is also using extended reality to create peer-reviewed, research-led exercise routines, such as strength training and yoga. In December, Les Mills launched a virtual-reality fitness game designed to bring holographic dance professionals into a Meta Quest user’s home.

Lisa Edwards, Les Mills’ digital innovation director, said the game’s development required the company to adapt to connect “a global community of fitness enthusiasts.” Three years ago, when Les Mills met with developers, the technology was more rudimentary; putting time and resources into extended-reality services was a risk.


A woman smiles with her arms crossed

Lisa Edwards​​​​, the digital innovation director at Les Mills.

Les Mills

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Edwards said the company read customer reviews and analyzed users’ activity dashboards to inform business decisions and keep up with “the changing needs of our users.”

“We do keep a really close eye on a lot of the data that we get back from both our own developers and Meta,” she added.

Engaging a broader audience

Sam Cole, the cofounder and CEO of FitXR, an extended-reality wellness company, told BI the fitness industry needed to focus on reaching people beyond those who are exceedingly active or don’t have restricted mobility.

Cole said his experience of dealing with an injury to his Achilles tendon a year ago showed him that “you get to a certain age, and you start to realize the importance of balance in terms of physical and general health.”


headshot of a bald man smiling and wearing a charcoal gray sweater.

Sam Cole, the cofounder and CEO of FitXR.

FitXR

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Cole said FitXR’s workouts focus heavily on balance while “taking the core ingredients that make group fitness great” and merging them with “highly immersive, highly engaging visuals” that encourage participation.

Leanne Pedante, the head of fitness at Supernatural, a virtual-reality fitness service, described a person who she said used immersive workouts for mobility.


A woman smiles while sporting a cropped workout top and leggings

Leanne Pedante, the head of fitness at Supernatural.

Lindsey Byrnes



The person, Pedante said, struggled with their weight and used a wheelchair to get around. She said that taking exercise classes on Supernatural’s platform helped them work toward using a walker. “That’s the kind of stuff that’s happening in VR,” she said.

Cole acknowledged that while some people lack enthusiasm for or don’t trust VR because it’s still a relatively new technology, he believes that “the perceived limitations are more problematic than the actual limitations” and people will have to try VR for themselves to find out.

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Five exercise swaps you should consider for more muscle growth, says a fitness expert

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Five exercise swaps you should consider for more muscle growth, says a fitness expert

Just because an exercise is considered a ‘classic’ or everyone on the gym floor is doing it, doesn’t necessarily mean it’s the best for muscle growth. While there are lots of exercises out there that are effective for hypertrophy, there are some that are arguably ever so slightly better, due to the fact that they’re easier to progressively overload, or are more convenient, time-wise.

If you’ve started to hit a plateau in your training or feel your gains have been somewhat minimal, then it may be time to switchup your programme. Exercise Researcher, Dr. Pak Androulakis-Korakakis, has shared five exercises in a recent YouTube video, that he’s stopped doing for muscle growth, and some smart swaps you can try instead to unlock better (and hopefully bigger) results…

Barbell back squat

(Image credit: Getty Images)

The barbell back squat is hailed as the king of lower body exercises – like, if you don’t do it, who are you? But is it best for honing in on your quads? Dr. Pak would disagree. “Barbell squatting, in my opinion, is not the most time-efficient way to blast your legs, and can feel ‘meh’ given that it overloads your spine.” It’s also not the safest exercise to go all out to failure on.

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Mitochondria and aging: Why HIIT is the game-changer for fitness and longevity

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Mitochondria and aging: Why HIIT is the game-changer for fitness and longevity

The mitochondria are considered the ‘powerhouses’ or ‘engines’ of your cells. As Dr. Terry Wahls points out, most chronic diseases involve dysfunctional mitochondria. Poorly functioning mitochondria play a big role in disease risks, a slower metabolism, and the aging process. Researchers have concluded that exercise improves mitochondrial quality and function and stimulates mitochondrial turnover. It’s time to start thinking about these little organelles that have a big impact on our wellness and longevity.

Exercise for your mitochondria

Additional research also revealed that just 12 weeks of resistance exercise training yielded qualitative and quantitative changes in skeletal muscle mitochondrial respiration. Not only did resistance training increase lean body mass by 4% and quadriceps muscle strength by 15%, but staying committed to those 12 weeks of training also improved the respiratory capacity and functioning of the mitochondria.

So, which exercise is superior for improving mitochondrial functioning? Which exercise results in the most dramatic positive cellular changes? Let’s dive into the research.

The study

In a study published in Cell Metabolism, the researchers explored how different types of exercise — resistance training, high-intensity interval training (HIIT), or a mix of both — change muscles and cells at the molecular level in younger and older adults. The researchers focused on how genes and proteins respond to exercise, how exercise impacts the mitochondria, and how these changes affect overall fitness and metabolism.

The study methods

For 12 weeks, younger and older adults completed one of three exercise programs: traditional resistance training, HIIT, or a mix of both at a lower intensity. The researchers measured fitness and VO2 peak, insulin sensitivity, muscle mass and strength, mitochondrial health and function, and changes in gene activity and protein levels in muscle.

The results

Here are the study results:

  • HIIT has the biggest impact in improving aerobic fitness, insulin sensitivity, and mitochondrial function, compared to other workouts. These results were especially noticeable for older adults.
  • HIIT reversed some age-related declines in muscle mitochondria and enhanced the cell’s ability to make new proteins.
  • HIIT enhanced mitochondrial capacity by close to 50% for young adults and nearly 70% in older adults.
  • Resistance training mostly helped build muscle mass and strength, but didn’t have as much of an impact on aerobic fitness or mitochondria. The combined training resulted in smaller and moderate benefits compared to just doing HIIT alone.

Changes at the molecular level

HIIT caused significant increases in gene activity and protein-building machinery. Most of the benefits from exercise take place after the genes send their signals during the protein-building stage. HIIT improved protein quality and helped reduce damage to muscle proteins, which helps the body build new and efficient mitochondria.

Concluding thoughts

This study shows that HIIT is one of the most powerful ways to improve muscle health and fitness even in later years. This type of exercise, which involves shorter bursts or intervals of higher-intensity movements, is superior for the mitochondria and helps your body make more and better mitochondria, which can slow age-related decline and boost your energy levels.

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What an Oncology APP Should Know About Exercise in Cancer Care | Oncology Nursing News

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What an Oncology APP Should Know About Exercise in Cancer Care | Oncology Nursing News

Oncology advanced practice providers (APPs) should be aware of the transformative potential of exercise in cancer care and how to get patients started with a feasible exercise plan, said Daniel Glidden, MS, PA-C.

Ahead of his presentation at JADPRO Live 2025 on evidence-based diet and exercise tactics for patients with cancer, Glidden spoke with Oncology Nursing News about the key evidence APPs should be aware of, as well as actionable changes that can be made to incorporate exercise in patients’ care plans.

What data supports exercise as an essential part of cancer care?

For the longest time, we’ve had observational data that associates exercise and proper nutrition with improved survival, but it’s always been observational data. Now we have the first randomized, controlled trial—the phase 3 CHALLENGE trial (NCT00819208)—that shows us the true overall survival and disease-free survival benefit of a structured exercise program after adjuvant chemotherapy for colorectal cancer.

This was a phase 3 randomized controlled trial that randomized patients into either receiving health education materials alone or receiving health education materials plus a structured exercise program where they would go in for a supervised exercise and also have either in-person or virtual visits to talk about behavioral change to increase their exercise. What they found, of course, was that people in that exercise group had increased physical fitness in terms of their VO2 max and their 6-minute walk test and so on, but also that their disease-free survival was significantly improved. Around the 8-year mark, there was a [7%] improvement in disease-free survival in the patients in the intervention group. There was also an overall survival benefit.

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Do the CHALLENGE data set a standard for all types of cancer care?

This is the first randomized control trial to show the true survival benefit that exercise can confer, at least in this patient population. We can’t extrapolate those data to all different cancers, but we have some good observational data that tells us that that there’s improved survival in many different cancers with exercise. As more of these studies come out, we’ll see more that exercise truly can be helpful for survival in cancer.

What level of exercise should patients with cancer be told to follow?

The general guidelines for people with cancer to start seeing health benefits from exercise are to get between 150 and 300 minutes of moderate-intensity aerobic exercise per week. Moderate-intensity aerobic exercise is a brisk walk where, if you’re walking with a friend, you can have a good conversation with them, but if you tried to sing a song, you’d get out of breath. That’s a good “talk test” for moderate intensity exercise. We recommend that [routine], plus 2 to 3 days per week, getting resistance training of the major muscle groups for about a half hour at a time.

How can exercise plans be personalized for each patient?

The first step is finding out what people are doing. Are they exercising regularly? Are they exercising somewhat or completely sedentary? If they’re completely sedentary, I wouldn’t tell them to just go right off and exercise to those guidelines. We would want to start off slow and do a stepwise approach. …For many of our patients, cancer is not their only chronic condition, and there may be other safety issues like their neuropathy or bone [metastases] or poor bone health in general that we must take into consideration when we’re creating an exercise prescription.

What should all oncology APPs know about exercise in cancer care?

Exercise counseling is something that [oncology APPs] can integrate into their clinical visits. I want them to know that the true benefit of exercise is not just something that we can do, it’s something that we should be doing, all of us. If exercise was a medicine in a pill form, it would be something that we would all be lining up around the corner at our doctor’s offices to get a prescription for. Really, exercise truly is medicine.

What is integrative oncology, and what made you choose this field?

Integrative oncology is a patient-centered approach to cancer care that looks at the whole patient and combines their conventional cancer care with other treatment modalities like exercise; nutrition; stress management; and mind-body therapies like yoga, tai chi, and meditation to take care of the whole person.

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I started off my career working first in emergency medicine, then in medical oncology. While I was working in medical oncology, I saw that we were doing a great job treating the cancer. We were winning the battle more and more, but there’s still a person there who needs to be taken care of, and that person was undoubtedly cared for by their cancer team. But there is certainly more that can be done.

I made the transition into integrative oncology at Dana-Farber so I could spend my entire clinical practice emphasizing and optimizing health, wellness, and quality of life. I will see people for consults and people come to me for different reasons. Sometimes it’s for treatment-related adverse effects. In those cases, we talk about how can acupuncture be helpful? For hot flashes, joint pains, or neuropathy, how can exercise, proper nutrition, and stress management be helpful?

This transcript has been edited for clarity and conciseness.

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