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Fitness, Not Weight, Is the Best Marker of Health, Finds New Study

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Fitness, Not Weight, Is the Best Marker of Health, Finds New Study

We’ve long known that your weight isn’t necessarily linked to your health.

Firstly, because weight doesn’t indicate how much of you is muscle and how much is fat. Secondly, because weight doesn’t indicate what’s going on inside our body, like how much visceral fat we have (the type that sits around organs and can be problematic for health) or how well our heart, liver, gut, and other organs are working.

Yet, we’re never not being sold weight loss solutions. They pop up when we’re scrolling Instagram, are plastered all over train stations and are sometimes recommended by medical professionals.

Why, given there are so many other markers of health that are much more interesting and, importantly, useful for indicating our health? Well, that’s a big question. Instead, let’s look at a more practical question: what exactly are those better measurements for an insight into how healthy we are?

That’s exactly what a new study, published in the British Journal of Sports Medicine, looked at.

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The Study

The study, from researchers at the University of Virginia, was a systematic review and meta-analysis of research looking at whether cardiorespiratory fitness or body mass index (BMI) had a bigger effect on cardiovascular disease and all-cause mortality risk.

They were looking at this because obesity rates have increased significantly over the past four decades, with roughly two in five adults now classified as overweight or obese. With that, more people are at risk of cardiovascular disease and mortality.

Public health strategy tends to involve promoting weight loss to increase health outcomes for these people. The problem? Many regain weight within 10 years, and intentional weight loss alone has not consistently shown improvements in mortality risk.

One thing that has been proven to reduce the risk of cardiovascular disease and death is being fit – so much so that the authors of this study suggested it could be the fifth ‘vital sign’.

While studies have already been done comparing BMI to fitness before, a lot of them had issues with their methods. Researchers wanted to study the updated literature to find out once and for all what is the most important measurement of health.

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So, they analysed 20 articles, resulting in a total of 398,716 observations.

The Results

The biggest result from this study is that overweight-fit and obese-fit people had the same risk of all-cause mortality as normal weight-fit individuals. A closer deep dive into the stats shows:

  • Individuals were classified as fit if their exercise stress test score (which was either estimated or directly measured by VO2max) placed them above the 20th percentile within their age group.
  • Compared with normal weight-fit individuals, there was a two-fold increased risk of all-cause mortality in unfit people who were normal weight, overweight and obese.
  • Similarly, compared with normal weight-fit individuals, there was no greater
    risk for cardiovascular disease in fit people who were overweight or obese.
  • Unfit people who were normal weight, overweight and obese had a 2-3 fold increased risk of cardiovascular disease.

What That Means For Us

Being fit is protective against cardiovascular disease and dying, regardless of your body weight and BMI.

Read that again and again.

If you need to hear it from a scientist, Siddhartha Angadi, associate professor of exercise physiology at the University of Virginia School of Education and Human Development and corresponding author of the study says: ‘Exercise is more than just a way to expend calories. It is excellent “medicine” to optimise overall health and can largely reduce the risk of cardiovascular disease and all-cause death for people of all sizes.’

The focus should be moving more, regardless of your BMI, and without the arbitrary goal of ‘weight loss’. ‘The largest reduction in all-cause and cardiovascular disease mortality risk occurs when completely sedentary individuals increase their physical activity modestly,’ says Angadi.

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And if you need another reason to find movement you love and do it regularly for your health, rather than focusing on your weight, they add: ‘Repetitive cycles of losing and gaining weight – yo-yo dieting – is associated with numerous health risks comparable to those of obesity itself. Improving cardiorespiratory fitness may help avoid the adverse health effects associated with chronic yo-yo dieting.’

The Bottom Line

Set goals that improve your fitness, whether that’s Couch25K, signing up to a new gym or training for a race, rather than ones that centre weight.


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Quarantine Fitness Trends & Top Exercises During COVID-19

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How to stay active and motivated during quarantine

When your daily routines are disrupted, finding the motivation to exercise can be a challenge. The key is to build a new structure that works for you. Schedule your workouts as you would any important appointment to create commitment and turn intention into action.

Focus on consistency rather than intensity, especially when adapting to a new environment. Setting small, achievable goals—like a 20-minute walk or a short bodyweight circuit—can build momentum. Remember that any movement is better than none, and establishing a regular habit is the most important first step.

At-home and outdoor exercise ideas

You don’t need a fully equipped gym to maintain your fitness. Many effective workouts can be done with minimal or no equipment, either in your home or safely outdoors.

  • Bodyweight training: Exercises like squats, push-ups, lunges, and planks are foundational movements that build strength using your own body as resistance.
  • Yoga and mobility: Focusing on flexibility and movement quality can reduce stress and improve recovery. Many free resources are available for guided yoga flows and mobility routines.
  • Outdoor cardio: If you can do so safely, activities like walking, running, or cycling are excellent for cardiovascular health and provide a much-needed change of scenery.

The most popular quarantine exercises, according to WHOOP data

A recent study examined data from 50,000 WHOOP members between January 1 and May 15, including over 4.9 million workouts. This comparison captured exercise behaviors before and during social distancing, using March 9 as the cutoff—the week the World Health Organization classified COVID-19 as a pandemic and the US declared a national state of emergency.

The study tracked the six most popular exercises: running, functional fitness, weightlifting, cycling, swimming, and walking. It measured the relative frequency of each activity on a daily basis. As you can see in the graphic below, there was a significant uptick in running, cycling, and walking once social distancing began.

QUARANTINE EXERCISE MODALITIES WITH BIGGEST INCREASE

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Walking took the biggest jump, followed by running and cycling. The spikes on the graph show increased participation in all three activities on weekends, which continued during quarantine. However, with running in particular, the frequency of weekday and weekend participation became more similar—a lack of commuting gave runners more opportunity to get outside during the week.

The quarantine workouts that decreased

The three activities people started doing more of are all individual forms of exercise that happen outdoors—a needed break from being stuck inside. Functional fitness, which for many members was already a solo at-home workout, saw little change. Weightlifting and swimming saw significant decreases, coinciding with the closures of gyms and athletic facilities.

Other trends in quarantine exercise: Increased frequency and intensity

The sample of 50,000 WHOOP members exercised 1.1% more often once quarantine began. With many social activities unavailable, people turned to working out to pass the time. Exercise modalities like running and cycling require a high cardiovascular load, and members spent 1.8% more time working out in their three highest heart rate zones during quarantine.

The study also discovered improvements in several key physiological markers that WHOOP tracks, including sleep, resting heart rate, and heart rate variability.

Understand your body’s response to new routines

Adapting your fitness routine is the first step. Understanding how your body responds to those changes is the next. Are your new workouts building fitness without compromising recovery, and are you getting enough sleep to support your efforts?

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WHOOP quantifies the impact of your daily behaviors on your body. By monitoring your Sleep, daily Strain, and Recovery, you get personalized insights to help you train smarter, recover faster, and build healthier habits.

Frequently asked questions

Does exercise help fight a virus?

Regular, moderate exercise can support your immune system. Physical activity helps promote good circulation, which allows the cells and substances of the immune system to move through the body freely and do their job efficiently. However, it’s important to balance activity with recovery, as overtraining can place stress on the body.

Does exercise speed up COVID-19 recovery?

The relationship between exercise and COVID-19 recovery is complex and depends on the individual. Some research suggests that light physical activity during and after the illness may help with certain symptoms, particularly mental and neurological ones. It is critical to listen to your body, avoid strenuous activity while sick, and consult with a healthcare professional before resuming exercise after an infection.

How does WHOOP measure the intensity of a workout?

WHOOP measures the intensity of your activities by analyzing your heart rate. The Strain score quantifies the total cardiovascular load you experience throughout the day, whether from a specific workout or other daily stressors. By tracking how much time you spend in elevated heart rate zones, WHOOP gives you a clear picture of how hard your body is working.

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Wondering how much weight you should be lifting in the gym to build strength? Dr Stacy Sims says that not going heavy enough could be the biggest mistake women are making in their workouts.

What strength training looks like might differ (for example, some prefer callisthenics over classic weight training) for some, but one thing is clear – it needs to be a challenge.

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