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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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Fitness

Davina McCall, 58, on the tough but transformational exercise regime she swears by

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Davina McCall, 58, on the tough but transformational exercise regime she swears by

When GH decided to launch a fitness challenge, there was only one woman we could turn to. Because honestly, who doesn’t want just a tiny slice of Davina McCall’s irrepressible energy for themselves?

In October, Davina designed a 31-day programme of fun, feelgood movement for GH readers – no equipment, no gym, no pressure. Just five minutes of each movement every day with a mat and your favourite playlist.

She hasn’t exactly slowed her pace since then. ‘My workout today,’ she recently wrote on Instagram, beneath a video of her shadowboxing in leopard-print leggings. ‘I absolutely love a fight. I literally want to go and run a marathon now!’

So should we all step up to this next level of the challenge and try shadowboxing ourselves? ‘Boxing is a surprisingly brilliant way to get moving and feel good,’ says Kim Hawley, GH’s fitness expert. Daunted? Don’t be. While contact boxing has been linked to brain trauma, you don’t actually need to get punched or swing a fist at anyone else to experience its benefits. ‘Boxing for fitness isn’t about stepping into a ring or investing in a mouthguard,’ Kim promises. ‘It’s the training that does the magic and keeps the brain ticking as much as the body, with drills to learn, remember and build on. Add in footwork and suddenly you’re working coordination, balance and focus all in one go.’

Shadowboxing like Davina – where you punch, defend and move as if you’re fighting an imaginary component – boosts heart rate, builds core strength, improves technique and burns calories. In fact, physical therapists have begun using non-contact boxing to help people with Parkinson’s disease manage their symptoms. It also acts as a major stress-reliever – just picture whatever’s getting under your skin that day.

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‘A few rounds of punching thin air will have your heart racing,’ summarises Kim. ‘Even basic simple skipping does wonders for cardio and bone strength – you can even “air skip” so you don’t even need a rope! Unlike sports that rely on courts, clubs or other people, this is something you can dip into whenever you like,’ says Kim.

There are plenty of ways to give it a try – most gyms now run classes, and you can find online shadow boxing workouts, too. ‘It’s genuinely fun,’ says Kim. ‘If you’re looking for something a little different for your health and fitness routine, boxing might just land the punch.’

This year, GH is getting fit (enough). Join us!

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Fitness

Scientists say just 30 minutes of exercise a week could transform your health

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Scientists say just 30 minutes of exercise a week could transform your health

As summer approaches, many people try to get back into healthier exercise habits. Most of us already know physical activity is important, but sticking with a routine can still feel challenging, especially when time is limited.

Current health recommendations suggest exercising for at least 2.5 hours each week, with 5 hours considered even better. For many people, that target can seem overwhelming.

But research from the past two decades suggests the amount of exercise needed for meaningful health benefits may be much lower than many assume. According to researchers, just 30 minutes of high intensity exercise per week can improve health. That works out to roughly 4.5 minutes per day or about 10 minutes every other day. The important part is intensity. The activity needs to be strenuous enough to leave you noticeably out of breath.

If you use a heart rate monitor, researchers say your heart rate should reach about 85 percent of your maximum. However, special equipment is not necessary. A simple way to judge intensity is by how difficult it is to talk. You should still be able to speak in short sentences, but you should not be able to sing or carry on a continuous conversation comfortably.

Why Cardiovascular Fitness Matters

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“The biggest reported challenge regarding exercise is lack of time. But with intense, short workouts, this is no longer a valid excuse,” said Ulrik Wisløff, a professor at the Norwegian University of Science and Technology (NTNU) and head of CERG, a research group that conducts research on the health effects of exercise.

Researchers say even a small amount of high intensity activity can improve cardiovascular fitness, which plays a major role in long term health.

“Cardiovascular fitness is the best indicator of current and future health. Good cardio fitness reduces the risk of over 30 lifestyle diseases as well as premature death by 40 to 50 percent,” explained Wisløff.

CERG first documented these effects in a 2006 study that analyzed health information from 60,000 people. Since then, additional large studies from Norway and other countries have reported similar findings.

Is It Better To Spread Workouts Out?

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Would it be just as effective to do one intense 30 minute workout each week instead of several shorter sessions spread across multiple days?

“It is best to spread the sessions out a bit, because exercise also has an acute effect that lasts for one to two days, so that way you get the best of both worlds,” said Wisløff.

Researchers say blood pressure and blood sugar control improve for 24-48 hours after a workout that pushes you hard enough to become breathless for several minutes. Because of these short term benefits, experts recommend dividing exercise across two to four days per week whenever possible.

Short Interval Training Can Be Effective

That does not necessarily mean sprinting at full speed or using the highest resistance setting on an exercise bike.

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“No. Your own personal fitness level determines what gives you a high heart rate. If you are not very fit, simply taking a brisk walk may be enough. Having said that, you need to walk fast enough that you get quite out of breath. You can then increase the intensity as your fitness improves. Short intervals are effective. For example, this could be bursts of 45 seconds with 15-second breaks. Or like in Tabata workouts, with intense 20 second intervals interspersed with 10 second breaks. Otherwise, 4×4 intervals are recognized as highly effective for increasing oxygen uptake,” Wisløff said.

Fitness Must Be Maintained

Can you compensate for skipping exercise this week by doing extra workouts the week before?

“No. Fitness is something you have to maintain. Cardio fitness and strength decline quickly when not maintained, especially as you get older,” said Atefe R. Tari, a researcher and head of CERG’s initiative on exercise and brain health.

Strength training is also considered important, particularly for middle aged and older adults.

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“We know that strength training is important, especially for middle-aged and older adults. There is limited research on how strength training affects lifespan, but a HUNT study exploring this is due to be published soon,” said Wisløff.

The Trøndelag Health Study (The HUNT Study) is a long running population health study in Norway that has gathered health data for more than 40 years.

New AQ Measurement Tracks Exercise Intensity

Researchers have also introduced a new measurement system called AQ (Activity Quotient).

Unlike traditional activity tracking methods that focus mainly on steps or workout duration, AQ measures exercise intensity by monitoring heart rate. Researchers say this provides a more accurate picture of whether someone is active enough to improve health.

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Scientists at NTNU and CERG developed the AQ algorithm using population data from five countries, including Norway.

AQ can be measured through the Mia Health app created by NTNU and Sintef through the spin-off company Mia Health. The app connects with heart rate monitors, although users can also manually enter activities if they are not wearing one.

How AQ Points Work

AQ points are earned whenever physical activity raises your heart rate enough to make you slightly out of breath. The harder your heart works, the faster AQ points accumulate.

Researchers found that people reaching at least 25 AQ points per week significantly lowered their risk of lifestyle related diseases. According to the researchers, the strongest health benefits appeared at 100 AQ points or higher.

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Click here to read more about AQ.

In a study examining the relationship between AQ and health, researchers analyzed data from more than half a million people. The study found a strong connection between higher AQ scores, better cardiovascular fitness, and improved health outcomes:

Association between Activity Quotient and cause-specific mortality — A prospective cohort study of 0.5 million participants in Asia, Progress in Cardiovascular Diseases, March-April 2025

Exercise and Brain Health

Large studies also suggest exercise benefits the brain in addition to the body.

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“Physical health and brain health are closely linked, and cardio fitness is key here as well. Exercise leads to the formation of new brain cells,” said Atefe R. Tari, who is head of a research group at CERG.

Tari helped lead a scientific study on exercise and brain health published last year. The paper became one of the most widely read articles in The Lancet in 2025.

Researchers Push for “Micro Workouts”

Wisløff and Tari are now encouraging Norwegian health authorities to revise the country’s official exercise recommendations, arguing that exercise intensity should receive greater emphasis.

The researchers also wrote the book ‘Mikrotrening’ (in Norwegian), which draws on research reviews showing that brief bursts of high intensity activity may provide greater health benefits than spending many hours each week doing low to moderate intensity exercise. (Captions)

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“We need a new Dagfinn Høybråten to get the whole population on board with this,” said Wisløff, referring to the man who was the driver behind the introduction of the smoking ban in Norway.

“In my opinion, Høybråten is the politician who has done the most for public health in Norway since the Second World War,” said Wisløff.

“It usually takes 3 to 5 years to see the effects of implemented measures, and since we have general elections every four years, this is not easy to achieve. This should be a cross-party initiative because it would save Norway 2 to 4 health budgets per year, and could be used for prevention and in areas such as elderly care,” Wisløff said.

Researchers say Norway’s extensive long term health databases make it easier to evaluate how exercise policies affect public health over time.

“Norway could become a pioneer with regard to health benefits from micro workouts,” said Wisløff.

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Fitness

Why telling people to exercise more rarely works – and the more effective alternative

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Why telling people to exercise more rarely works – and the more effective alternative

The article below is an excerpt from my newsletter: Well Enough with Harry Bullmore. To get my latest thoughts on fitness and wellbeing pop your email address into the box above to get the newsletter direct to your inbox.

Exercise is good for you. Brilliant, in fact, by nearly every objective measure. For this reason, the world is full of fit people telling less fit people to do more exercise – but this rarely works. Why?

There’s a quote I love from my chat with experienced trainer, author and all-round sensible chap Ben Carpenter.

“Fitness professionals are hardcore exercise enthusiasts who often don’t know how to empathise with people who are not also hardcore exercise enthusiasts.”

This causes a massive divide between those who exercise and those who don’t.

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Those who exercise regularly (group A) often built this habit as a child. Exercising regularly is their default, they are good at it, it feels fantastic, and (as with anyone who has ever hit a dopamine goldmine) they are keen to encourage others to do it too.

But for those who don’t exercise regularly (group B), it doesn’t feel good or natural at first – quite the opposite, actually. This is especially true when a member of group A recommends they start with a high-octane exercise class or hardcore workout programme.

No one is in the wrong – we are all just playing the cards we have been dealt. But there is a solution: start where you are, not where you want to be.

To do this, it is important to realise there is no one-size-fits-all fitness plan. The same workouts will affect people differently depending on individual factors such as genetics, environment and training experience.

This means, when a fitness figure or influencer tells you, “You can look like me by doing exactly as I do,” you would do well to question it.

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Instead, it’s best to find a fitness routine that meets you where you’re at. (I think this plan from coach Darren Ellis offers a good framework for getting started, alongside a few options to scale it to your specific needs.)

If you currently don’t do any exercise, adding any new healthy behaviours into your regular daily routine will likely see an uptick in your fitness fortunes. For example, an extra portion of fruit and veg, a walk or a short mobility session.

If you’re a seasoned runner or gym-goer wanting further fitness progress, you need to upgrade the intensity of your existing workouts. For example, quickening your paces during interval sessions or adding a few extra kilos to the barbell for your next set of squats.

In both situations, picking appropriate workouts for you and progressing them in line with your fitness levels is the key to long-term success.

It’s also worth noting that exercise doesn’t always feel good at first, especially if you bite off more than you can chew.

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I remember listening to elite coach Chris Hinshaw describe a running session he did with a former professional powerlifter who wanted to learn how to sprint. Powerlifters are juggernaut figures who excel at lifting heavy barbells, but they are often less adept at moving their own bodies.

So, Hinshaw gave his client a beginner sprinting drill he knew the athlete could excel at. “The first bite of the apple has to taste good,” Hinshaw later explained. Spurred on by his early success, the motivated athlete continued to work on his sprinting.

Perhaps hypocritically, given the intro, I am now going to tell you that exercise does ultimately end up feeling inexplicably good. My recent interview with 47-year-old Irishman David Keohan reinforced this belief.

“In my 20s I was into art and music and drinking and smoking,” he told me. “I was obese and unhealthy, mentally and physically. Then you get to your 30s and your body says, ‘Hold on a second, we need to start doing something about this, kid’.”

So, he went and bought a pair of trainers, fending off questioning glances from the man behind the till. Within six months he had run his first marathon. In the next few years he became a world champion at lifting kettlebells. Then, during Covid lockdowns, he started lifting huge boulders in his garden and stumbled across the lost Irish culture of stone lifting (this is one of my favourite recent interviews).

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“I got bitten by the bug of feeling good,” Keohan continues. “Before, I never knew what feeling good felt like, if that makes any sense? But once you start to feel good, it’s amazing, and you realise how bad you felt for the last 10 years.”

Now, you don’t have to lift 170kg stones in your back garden to get in shape. This is an extreme example. But it does pay to do something slightly challenging (for you) on a fairly regular basis – whether that’s a short walk or a gnarly workout.

Because eventually, I’m afraid to say, exercise does have a tendency of making you feel rather good.

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