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The nine golden rules for strength training in midlife, according to experts

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The nine golden rules for strength training in midlife, according to experts

NHS guidelines encourage adults aged 19-64 to complete two-and-a-half hours of exercise per week, or a bit less if it’s more intense, alongside a couple of “strengthening activities”. But exercising at 19 tends to feel very different to exercising at 64.

Not only do your social, work and family commitments mount up as you advance through life, but your ability to recover from intense exercise also reduces. Yet the benefits of exercise, and strength training in particular, become more valuable the older you get for injury prevention, freedom of movement, and heart health.

Patrick James, head coach at Marchon Victoria gym, understands this better than most. Despite more than a decade of experience working as a coach, he counts persuading his mum to lift weights as one of his top achievements to date.

“She’s 67, and always felt that if she walked regularly and did the gardening, she didn’t need to do it,” he says. “But if you want to walk up the stairs and get out of a chair in 10 years’ time, you need to strengthen your legs.”

It started with a simple twice-weekly bodyweight circuit; kneeling press-ups off the sofa, squatting to a chair, rows with a weight in the garden and single-leg hip thrusts. Now she is the proud owner of three different kettlebells and completes four or more home workouts each week.

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“She can feel the benefits of it now – that rush of endorphins, feeling healthier and feeling stronger,” James says.

Those aged 50 and up can experience similar results sans gym, with just a couple of weekly workouts, he adds. This approach maximises the juice-to-squeeze ratio of your exercise efforts.

Here are his tips on how to maximise your workout.

Tip 1: Consider your exercise choice

“In your younger years, you can afford to train poorly and get away with it,” James says. “As you get older, moving towards your 50s, 60s and 70s, you can’t. Whether through hormones or your body’s ability to synthesise protein, the rate at which your body can adapt and recover from exercise slows down.”

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But this doesn’t mean you should stop exercising – quite the opposite. James’s solution is to box smart.

“I can’t train my 65-year-old client the same way a bodybuilder in their 20s trains,” he explains. “He might have played rugby back in the day and now he has very little cartilage in his knees, so it hurts to do a heavy back squat, so I have to find an exercise or variation that allows him to train the same muscles without it being painful.”

For example, instead of heavy barbell squats, James might prescribe goblet squats to a box, reducing the range of motion to one that is comfortable for the client.

Tip 2: Lift lighter weights for more repetitions

Lowering the weight you’re lifting and the number of repetitions you’re lifting it for can reduce pressure on certain joints and minimise discomfort during strength training workouts.

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“Heavier strength training – lifting a heavy weight for five repetitions or less – will put a bit more pressure through the joints,” James says. “You can get a similar stimulus for building muscle and maintaining strength from lifting lighter weights for 10-20 reps.”

For example, you might substitute the five sets of five heavy barbell squats mentioned above for three sets of 10-20 goblet squats to a box.

“The intensity will be a little bit lower, but you’ll still get a great stimulus to develop muscle and build a stronger body,” says James. “And for most people, the joints will feel better through doing some strength training, if they build it up gradually.”

The key is to start with lighter weights and exercises with smaller ranges of motion, then progress over time.

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A gym isn’t a prerequisite for making impressive fitness progress (Getty/iStock)

Tip 3: Challenge yourself

There does have to be an element of challenge in a strength training exercise to ensure it’s effective for building strength and muscle, James says.

“We don’t need to be training to failure [the point where your muscles are too tired to complete another repetition] on every set, as someone in our 50s or 60s,” he explains. “We just want to make sure the sets we do are somewhat challenging so we can create a good stimulus for muscle growth. If we can do that consistently, then, over time, we are going to get stronger.”

Take a “little and often” approach and aim to hit major muscle groups in the legs, glutes, back, chest and shoulders twice a week.

Swap high-load, low-rep exercises for lighter weights lifted for more repetitions to reduce stress on your joints while still building strength and muscle

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Swap high-load, low-rep exercises for lighter weights lifted for more repetitions to reduce stress on your joints while still building strength and muscle (Getty/iStock)

Tip 4: Embrace the full-body workout to maximise efficiency

Rather than focusing on a single muscle each session, James recommends doing full-body workouts two or three times per week.

“For building muscle, we know that one set done three times per week is better than three sets done once per week,” he explains, adding that the more you work a certain muscle and movement pattern on any given day, the more it will take out of you. The quality of the exercise will also decrease as you tire, leading to diminishing returns.

By spreading each muscle’s workload through the week, you can keep your body feeling fairly fresh and ready for the rigours of daily life – as well as your next workout.

Tip 5: Get your priorities straight

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Six to 10 sets per week for each major muscle group should be sufficient to build muscle for most people, James says. If you want to focus on developing a certain area, you might add a couple of extra weekly sets or exercises that target those muscles.

“You want to prioritise the big muscles in your sessions – these are usually working in the compound or multi-muscle exercises you can lift more weight with,” he says. “In the lower body, aim to hit the quads, glutes and hamstrings. In the upper body, there are the pecs in the chest, the lats in the back and the delts of the shoulder.”

Prioritise multi-muscle compound exercises like squats, lunges, deadlifts, rows and presses to ensure bang for your buck from your workouts

Prioritise multi-muscle compound exercises like squats, lunges, deadlifts, rows and presses to ensure bang for your buck from your workouts (Getty/iStock)

Tip 6: Progressive overload is essential for continued results

The body adapts to get better at the things we consistently ask it to do, so strength training can be seen as a conversation with our muscles.

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Every time we lift weights, we are telling our body that we want to become stronger. If we make a strong enough case, doing sufficiently challenging exercises, then over time it will adapt by bolstering our bones, tendons, ligaments and muscles.

This is why we have to apply progressive overload: the process of gradually increasing the difficulty of our workouts over time, in line with our increasing strength and fitness levels. You need to increase the weight, up the number of sets and repetitions, or switch to a more challenging exercise variation, relative to your rising strength level, to send the body a clear message that you want to continue to grow stronger, rather than just maintain what you have or lose muscle.

Tip 7: Find low-impact ways to raise your heart rate

If you are new to exercise, James advises opting for a lower-impact form of cardio – for example, using exercise machines such as exercise bikes, rowing machines and ellipticals, which make it easy to get your heart rate up with a low risk of injury.

Using these machines once or twice a week to get a bit out of breath can deliver plenty of health benefits, including improved heart health and reduced risk of several major illnesses.

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These more intense activities should also be underlined by a healthy dose of daily movement – “Aerobic activities such as longer walks.”

Tip 9: Put enjoyment first

Enjoyment is the most important, and most overlooked, tenet of a successful exercise plan. You could have a scientifically-optimised training plan for building muscle, but if you don’t follow it because you don’t enjoy it, it’s going to be redundant, James says.

“It’s about finding a plan that someone can adhere to, enjoy and be consistent with,” he says. “And if you’re consistent, you’ll most likely see results.”

Enjoyment can ensure you stick to an exercise plan – and consistency is the key to success

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Enjoyment can ensure you stick to an exercise plan – and consistency is the key to success (Getty/iStock)

The four-move workout

This is a beginner workout with minimal equipment, which works the main muscle groups of your upper and lower body and should take no more than 30 minutes. Do three sets of 10-20 repetitions of each exercise, and repeat two to four times per week.

The aim is to perform at least 10 repetitions in every set, while using a weight challenging enough that you cannot easily lift it for 20 repetitions.

“As you start to adapt to the training and become familiar with the movements, try to either increase the weight or number of reps.”

If you don’t own any weights, a filled water bottle or rucksack can be used instead, but James recommends investing in a couple of dumbbells or kettlebells to broaden your exercise horizons if you’re training at home.

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“You can get a set of kettlebells for around 20 quid,” he says. “Start with a 5kg and 10kg weight, and as you get stronger, you can buy heavier options.”

Exercise 1: Squat to chair or sofa

Sets: 3 Reps: 10-20 Rest: 90 seconds

Coach’s notes:

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  • If you are not using a weight, hold your arms out straight in front of you
  • If you are using a weight, hold it against your chest in the goblet position
  • Place your feet just outside hip-width apart with your toes turned out slightly
  • Take a big breath in and hold it as if someone were going to punch you in the belly
  • Take two seconds to lower your bum to the chair in a smooth, controlled motion
  • When it touches the chair, stand back upright, breathing out as you do so
  • Keep your eyes looking straight ahead with your chest upright throughout the movement
  • Over time, you can make this exercise more challenging by increasing the depth of the squat or by increasing the weight or reps

Exercise 2: Romanian deadlift

Sets: 3 Reps: 10-20 Rest: 90 seconds

Coach’s notes:

  • Hold the weight in front of your thighs in both hands with your arms straight and relaxed
  • Place your feet hip-width apart with your toes pointing straight ahead
  • Take a big breath in at the start of the rep
  • Bend your knees slightly, then keep them in this position throughout the exercise – this is important for preventing you from using your lower back rather than your lower body muscles
  • Lower the weight in a straight line toward the ground by hinging at your hips, keeping it close to the front of your legs throughout
  • As you do this, think about pushing your hips back horizontally as if you are closing the fridge door with your bum
  • At the same time, let your shoulders come forward like you are looking over a cliff
  • Stop when the weight reaches the middle of your shin, then stand back up
  • Your back should remain in a relatively straight position the whole time

Exercise 3: Press-up to chair or sofa

Sets: 3 Reps: 10-20 Rest: 90 seconds

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Coach’s notes:

  • Find a chair, sofa or another sturdy raised surface to press up from. This makes the exercise slightly less challenging than a standard press-up – the higher the surface, the easier the exercise will feel, so you can progress to lower surfaces over time to make the exercise more difficult
  • Place your hands on the surface, just outside shoulder-width apart
  • Keep your bum squeezed and hips forward so that your torso and hips stay in one line
  • Bend at the elbows to lower your torso until your chest touches the chair or sofa, then press through your hands to return to the starting position
  • Start on your knees, and over time, you can progress to your feet as you get stronger

Exercise 4: Single-arm row

Sets: 3 Reps: 10-20 Rest: 90 seconds

Coach’s notes:

  • Support yourself on the back of a chair or sofa with one arm while you hold the weight in the other hand
  • Keep your back flat and your torso roughly parallel to the ground
  • As you row, think about pulling your elbow towards your trouser pocket rather than pulling the weight straight up to your chest
  • Finish the rep with the weight at the bottom of your ribcage, then slowly lower it back toward the ground until your arm is straight

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Fitness

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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‘Not what the fitness industry is trying to sell you’: this is the one simple move everyone really needs to be doing, according to an exercise scientist

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‘Not what the fitness industry is trying to sell you’: this is the one simple move everyone really needs to be doing, according to an exercise scientist

Ask any exercise scientist what they would prescribe to someone serious about staying strong into their 50s and beyond, and the answer is rarely what you’d hope for — and certainly not what the fitness industry is currently trying to sell you.

It isn’t long sessions on one of the best under-desk treadmills or a stationary bike like the Peloton, nor the kind of machine-based exercises that isolate muscles without ever teaching them to work together.

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Ellie Kildunne built her powerful body by keeping things simple – focusing on these fundamentals

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Ellie Kildunne built her powerful body by keeping things simple – focusing on these fundamentals

Despite being named World Rugby’s Women’s 15s Player of the Year, England rugby star Ellie Kildunne admitted on an episode of Just As Well that the ‘gym was never easy’. In order for her to feel her best, she sticks to a no-nonsense approach to training and nutrition that focuses on the fundamentals: consistent exercise and eating enough.

‘If I haven’t put the work in, if I’ve skipped reps, if I haven’t eaten the right amount for the game, I would feel anxious,’ she says in her cover interview for Women’s Health UK. ‘But I’ve never put myself in that position because I want to be the best.’

What does being the best mean to her? ‘I want to become world player of the year twice. That’s my focus. Anything else that happens is by the by.’

On her episode of Just As Well last year, she said strength training now makes her ‘feel powerful’, while she ‘hates running’ – but a lot of her training involves speed, agility and endurance practice for her time on the pitch. That mix of conditioning and strength means she has built a strong, fast and resilient body.

Speaking of her physical transformation, she admits her personal body image hasn’t always been positive: ‘Body image is such a mental challenge,’ she tells Women’s Health UK. ‘My body is what made me World Player of the Year… I’ve got to remind myself of that.’ Visibility helps too: ‘We’re in that transition phase… social media is starting to lean more towards athletic women… I see people that look like me now.’ Now, Ellie says when she sees a muscular person, she thinks, ‘Respect. Because I know exactly what goes into that.’

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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!

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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