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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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The Best Fitness Trackers for Your Lifestyle, Workouts, and Goals

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The Best Fitness Trackers for Your Lifestyle, Workouts, and Goals

Like every piece of gear you wear on your body day in and day out, fitness trackers are incredibly personal. The right tracker for you should be comfortable, accurate, and tailored to your lifestyle, including your preferred workouts and health goals. Do you bike, row, or strength train? Do you run on trails for hours at a time, or do you just want a reminder to stand up every hour? Do you want to wear it on your wrist or your finger, or tuck it into your sports bra?

No matter what your needs are, there’s never been a better time to find a powerful, sophisticated tool to help optimize your workouts or jump-start your routine. We test dozens of fitness trackers every year while running, climbing, hiking, or just doing workout videos on our iPads at night, to bring you these picks.

Our top choice for most people is the Garmin Vivoactive 6 ($300), which works well with Android and iOS, but we also vouch for the latest Oura Ring 5 ($399) and the budget-friendly Google Fitbit Air ($100). For more wearables, check out our guides to the Best Smartwatches, Best Smart Rings, and Best Sleep Trackers.

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Best Fitness Tracker Overall

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Garmin makes some of the most accurate fitness trackers on the market, and the Vivoactive 6 is the best midrange option for most people. It strikes a solid balance between smartwatch features and fitness tracking, with support for both iPhone and Android users.

Why WIRED recommends: The Vivoactive 6 is accurate, comfortable, and packed with useful wellness features without feeling overwhelming. It uses Garmin’s proprietary algorithms to power features like Morning Report and Body Battery, which provide daily insights into your sleep, recovery, and readiness. It also has built-in satellite connectivity and GPS, so you can track outdoor workouts without bringing your phone along. There’s also incident detection, which alerts emergency contacts if it detects a serious fall.

Garmin’s biggest advantage remains its free Connect platform, which enables health and fitness tracking without requiring a subscription. The company also continues to add new software features through regular updates without putting them behind a paywall.

The trade-offs: Garmin launched Connect+, a $70-per-year subscription with extras like live tracking and access to Garmin’s AI-powered Active Intelligence. Former editor Adrienne So doesn’t think most people need it, but it’s worth noting if you’re looking for a completely subscription-free experience. The Vivoactive 6 may also feel like overkill for casual users who only want basic activity and sleep tracking.

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Why this unexpected exercise is most effective for building arm muscle in your 50s – and how to do it properly

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Why this unexpected exercise is most effective for building arm muscle in your 50s – and how to do it properly

When it comes to building strong, defined arms, traditional fitness advice will usually point you toward endless sets of bicep curls and tricep extensions. But according to Dr Stacy Sims, a leading women’s exercise physiologist specialising in perimenopause and menopause, isolation movements like these aren’t necessarily the most effective. Instead, she advocates for one functional compound movement: the farmer’s carry.

Speaking on podcast A Life of Greatness, when host Sarah Grynberg asks how to get arm muscles like Dr Sims, the 51-year-old explained: ‘In order to get shoulders like this, heavy farmer’s carries. I’ve been travelling so much this year, and I haven’t been in the gym being consistent with all the push presses and Olympic lifts that I love to do, but what I have been consistent in doing is heavy farmer’s carries.

‘It’s good for grip strength, learning how to walk properly, core strength, shoulders – so if there’s one move everyone should do, it’s heavy farmer’s carries.’

The magic of the move lies in its ability to engage your biceps, triceps, shoulders, forearms and hands all at once. And because your arms are working continuously to stabilise heavy loads against gravity, the exercise activates the deep muscle fibres that don’t fire up as efficiently in single-joint arm movements, like bicep curls. Here’s how to do it with proper form, plus how heavy to lift and a workout to try, straight from Dr Sims.

How to do a farmer’s carry

  1. Standing with feet hip-width apart and weights at the outside of the ankles, hinge your hips back and bend the knees, keeping your back flat.
  2. Tighten up your lower back and abdominals before reaching down to grab the weights.
  3. After gripping the weights, begin to stand tall by driving your heels into the ground, maintaining a tight form. Once you reach full standing position, tighten your armpits and make sure your shoulders are pulled back to activate the muscles in the rotator cuff area.
  4. Finally, begin to take small steps forward, maintaining a strong grip and form. If you’re returning in opposite direction, set the weights down, turn around, and then grab the weights again before walking in the opposite direction.

Set/reps for results: Aim for three sets. Try timing your farmer’s carry for 25 to 30 seconds or go for 10 steps forward and back.

Form tips: Start out with a light weight to ensure you don’t end up leaning too far forward or towards one side. Make sure to keep your back straight for safety. When it comes to moving, small strides will do. They’ll keep you balanced as you increase your weights.

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How heavy to lift

As for what “heavy” means to Dr Sims, she says: ‘How many people have heard that you should be able to farmer carry 75% of your body weight for a minute? That is made up from bro science. It’s a good metric but there’s no science behind it. So, a heavy farmer’s carry is you have two very heavy dumbbells by your side and you’re walking back and forth.’

Here’s a weight guide to follow:

  • Beginners: 2x 4-6kg
  • Intermediate: 2x 8-12kg
  • Advanced: 2x 12-20kg
Image no longer available

Farmer’s carry workout

Dr Sims shares a descending ladder workout to try.

  • 500m ski
  • 500m heavy farmer’s carry
  • 400m ski
  • 400m heavy farmer’s carry
  • 300m ski
  • 300m heavy farmer’s carry
  • 200m ski
  • 200m heavy farmer’s carry
  • 100m ski
  • 100m heavy farmer’s carry

‘If you really have anything left in the tank after this workout, you go back up in 100m,’ she adds.


womens health magazine cover featuring a fitness theme

One of our most frequently asked questions here at Women’s Health? How to build muscle and burn fat at the same time. So, we asked superstar trainer Oyinda Okunowo exactly how to do it. In this 4-week plan – created exclusively for Women’s Health COLLECTIVE members – you’ll get the workouts and nutrition guidance needed to help you on your way to better body composition. Tap the link below to unlock 14 days of free access to Oyinda’s plan and start training today.

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Headshot of Bridie Wilkins

As Women’s Health UK’s fitness director and a qualified Pilates and yoga instructor, Bridie Wilkins has been passionately reporting on exercise, health and nutrition since the start of her decade-long career in journalism.

After earning a first-class degree in journalism and NCTJ accreditation, she secured her first role at Look Magazine, where she launched the magazine’s health and fitness column, Look Fit, before going on to become Health and Fitness writer at HELLO!

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Since, she has written for Stylist, Glamour, Cosmopolitan, Marie Claire, Elle, The Metro, Runner’s World and Red. Today, she oversees all fitness content across Women’s Health online and in print, spearheading leading cross-platform franchises, such as ‘Fit At Any Age’, which showcases the women proving that age is no barrier to exercise.

She has also represented the brand on BBC Radio London, plus various podcasts and Substacks – all with the aim to encourage more women to exercise and show them how. Outside of work, find her trying the latest Pilates studio, testing her VO2 max for fun (TY, Oura), or posting workouts on Instagram.   

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Fitness

When is the best time to exercise in the heat?

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When is the best time to exercise in the heat?

The sun is a welcome addition to our exercise routines come summer – but the novelty of a sunny run or hike can quickly wear off as the temperature climbs. With heatwaves and record-breaking temperatures already this year, it’s important to know the best time to exercise in the heat for the weeks ahead.

Obviously, if you don’t like the heat and would rather be inside, then you can exercise in an air-conditioned gym or studio at any time of day. A good swimming workout is another way to stay cool. However, if you enjoy running, hiking, cycling, or a garden strength training workout, it makes sense to choose the coolest times of day. In the peak of the summer, this is before 10 am and after 5 pm, but the earlier (or later) you can go, the better.

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