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Why exercise must be a priority for women in midlife

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Why exercise must be a priority for women in midlife

For women, particularly in midlife, keeping up regular physical activity plays a huge role in countering muscle loss related to hormonal shifts during menopause and supporting long-term well-being.

Every January, ‘exercising more’ tops lists of New Year Resolutions. Gyms fill up, fitness apps spike in downloads, and motivation feels abundant. As health professionals, we genuinely welcome this moment because everyone benefits from physical activity: any movement that uses energy such as walking, cleaning, or riding a bike. 

Exercise is a form of physical activity, aimed at improving health and may include brisk walk, running or structured workouts. Exercising regularly across our lives helps us stay healthy, strong, and independent for longer. But sustaining motivation is harder than starting, and  this challenge isn’t experienced equally by women.

For women, particularly in midlife (their 40s and 50s), staying physically active is vital to offset muscle decline related to hormonal changes during menopause and to sustain long-term well-being. For women with disabilities, including conditions like multiple sclerosis, which disproportionately affects women and is becoming increasingly common, exercise is a critical self-management strategy. Staying active can be a game changer.

Prioritising physical activity in midlife 

Women tend to drop physical activity as they enter midlife, when staying physically active becomes particularly important for their health and well-being. On average, men already report doing more regular exercise than women. Women also tend to do less moderate or vigorous physical activity and are less likely to take part in organised sports. 

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Many women say that family and work responsibilities make it hard to exercise. This is notably common in midlife, when ongoing work commitments often overlap with caring for children and/or ageing parents. Time shrinks, confidence and energy levels dip and not knowing where to begin can make exercise feel out of reach.

As people age, their muscles naturally get smaller and weaker, with strength peaking around 25 years of age before slowly declining. In men, this decline tends to be gradual over time. In women, research shows a different pattern. After a steady decline, many measures of muscle health drop sharply between the ages of 40 and 50. This rapid loss is linked to menopause, which is a normal stage of life when the ovaries produce much lower levels of the female sex hormones oestrogens and progesterone. 

Exercise is one of the most effective ways to slow this muscle loss. Resistance exercise—where muscles work against an external load, such as lifting weights or using resistance bands—is especially good for building and maintaining strength. Stronger muscles also help reduce the risk of many diseases, lower the chance of falls, support independence in older age, and are linked to living longer. 

Because women lose muscle mass and strength faster than men, increasing physical activity during midlife rather than putting it off is crucial for their long-term health. And because the benefits can still apply later in life, it is never too late for women to start exercising. 

Barriers to physical activity for women in midlife and with a disability

While circumstances vary, many women living with disabilities face similar barriers to staying active, which are further compounded by symptoms.  Multiple sclerosis (MS), one such disability that affects mainly women during their most productive years in life, illustrates how health, gender and life-stage pressures can intersect to make staying active even harder.

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MS is a neurological condition that affects women about three times more often than men. Symptoms vary, but many women diagnosed with MS experience fatigue, reduced balance, muscle weakness and changes in walking ability. Most are diagnosed in their 20s or 30s. While there is no cure, treatments have improved greatly in recent decades. There is now strong evidence that exercise can play a major role in improving health and daily function for people with MS.

Research shows that aerobic, strength, and balance training can improve fatigue, mobility and strength, and support better mental health outcomes. Yet, alongside MS‑specific barriers—such as tiredness, heat sensitivity, or difficulty accessing safe and suitable exercise spaces—many experience broader social barriers related to cost, limited transport, caring responsibilities and lack of support. For some, experiences of stigma or gender‑based violence can further restrict participation.

The good news is that exercise is safe for people with MS, and clear guidelines exist for getting started. Women who can still walk, even slowly or with a stick, can begin with short, manageable bouts of activity and gradually build to four or five weekly sessions that combine aerobic and resistance training. Balance and flexibility exercises are helpful for everyone. Physiotherapists and exercise physiologists can tailor programmes and teach strategies such as pacing, cooling and planning activity for times of higher energy.

Not long ago, people with MS were told to rest. Today, the evidence is clear: regular physical activity is one of the most important lifestyle steps women with MS can take to improve their symptoms and enhance quality of life.

Promoting physical activity locally

Recent studies highlight that women of all abilities are far more likely to stay active when they feel supported by family, peers or their broader community. When nearby community-based fitness programmes are safe, accessible and affordable, women are more likely to overcome barriers linked to confidence, motivation and depressive symptoms. 

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From our work among people with spinal cord injuries, some additional recommendations apply to people with disabilities more broadly. 

First, to ensure that fitness staff receive proper training and mentoring to work with people with disabilities, which has been shown to improve participation and well-being dramatically.

Second, to co‑design programs so people can shape their own goals. Feeling in control and supported makes it easier to stay active. 

Third, to expand policy and funding support to cover gym memberships and training the trainers, reducing these major barriers. 

Together, these changes would make community fitness spaces more accessible and supportive, so women in midlife have better chances of exercising regularly.

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Beatriz IR de Oliveira is a senior researcher and educator within Swinburne University of Technology, School of Health Sciences, Department of Allied Health, Discipline of Physiotherapy. She is an adjunct academic within the Curtin School of Allied Health, Curtin University. She currently receives funding from the Medical Research Future Fund (MRFF).

Séverine Lamon is a Professor within Deakin University’s School and Exercise and Nutrition Sciences and Institute for Physical Activity and Nutrition, and the Deputy Associate Dean (Research) for the Faculty of Health. She currently receives funding from the Australian Research Council (ARC) and the World Anti-Doping Agency (WADA).

Yvonne C Learmonth is a research physiotherapist and Associate Professor within the University of New South Wales’ School of Health Science, Discipline of Physiotherapy. She is an adjunct researcher in the School of Allied Health at Murdoch University and the Perron Institute. She currently receives funding from MS Australia.

Originally published under Creative Commons by 360info

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The Best Fitness Trackers, According to Months of Real-World Testing

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The Best Fitness Trackers, According to Months of Real-World Testing

In the last few years, the fitness tracker market has grown exponentially. Now, you can find something for every taste, whether you prefer a discreet ring or a large screen, as well as for every personality, from the health metric-obsessed to the person who simply wants better sleep.

And in 2026, I tried many of the most popular devices on the market, from Apple, Oura, Garmin and more. Some days, I had a forearm-high stack of watches as I compared how they tracked my data for runs, strength training sessions, sleep and more. And I had some clear favorites.

Below, I’m sharing the top trackers that I tried last year, from screen-free options to the best pick for runners.

Best smart watches

Best affordable tracker:

If you’re looking for a fitness tracker that can give you all of the basics (and then some) at a relatively affordable price, the Fitbit Inspire 3 is one of the best devices out there, in my opinion. While it doesn’t have some of the bells and whistles that other gadgets offer, it really does quite a bit. Over the course of about a month of wear, I found the sleep, activity and general health data to be pretty accurate.

I also like that the device feels less bulky than many of the other trackers with screens that I have tried. The screen is 5 millimeters, which is just enough to show you the relevant stats during workouts, read notifications and texts and more without feeling like an eyesore on your wrist. However, that comes with the caveat that those with larger fingers may struggle with the small touchscreen.

To access all of your data, you’ll have to go to the app. It takes some playing around to figure out where to find everything, but once I did, it was easy to stay up to date on all my metrics. While you can access most of the basic data with just the app and watch, you’ll also get a six-month Fitbit Premium membership when you purchase, where you can see even more metrics and access additional workout videos as well.

Best for runners:

While I’ve tried a couple of Garmin’s devices and loved them all, for casual runners, the Garmin Forerunner 55 is a great entry point. That’s not to say you can’t use it for other activities. It allows you to log different activities and monitor sleep data, but I’ve found it to be the most helpful for running.

If you’re someone who regularly runs races, whether it be 10Ks or full marathons, you can find your race on the Garmin app and start a countdown and the app will even create a custom training plan for you with workouts that you can send to your device. I love the ability to create custom workouts with different pace and distance goals throughout your run (which is particularly great for anyone working on speed). If you’re running below or above your desired pace, the watch will send you an alert to keep you on track.

It has an impressive battery life of up to two weeks on a single charge, too, so I’ve been able to go on trips and leave the charger behind. In fact, on a 14-day trip, I got home and still had a day’s worth of charge left.

This is also the only device I tried without a touchscreen, which I really liked. That meant that I wasn’t fumbling with the buttons with sweaty hands on hot days or cold, gloved ones in the winter. The buttons are large enough that I could press them to pause or restart my workout, even when the watch was hidden by a jacket sleeve.

Best affordable Apple Watch:

The Apple Watch SE is the brand’s most affordable model, and I recommend it for the person who wants to stay connected, track workouts, monitor health and more, but doesn’t mind charging every day. (Though a big benefit of this new model is that it charges much faster than previous versions.)

New features include temperature sensing for more accurate vitals measurements, a daily sleep score to give you a better idea of how well-rested you are for the day, an always-on display and the ability to start workouts on your phone and track them on the watch.

Plus, if you have an iPhone, an Apple Watch is by far the best option out of all the available trackers for staying connected. You can easily respond to texts, check your email, use your Apple Wallet, answer calls and more. It makes functioning without a phone easy if I need to accomplish something without my phone nearby.

Best for iPhone users:

Apple released its Apple Watch 11 earlier this year, and for anyone questioning if they should make the upgrade, the new watch has one major perk: Extended battery life. According to the brand, you can get up to 24 hours of normal use from one charge, and I find that to be pretty accurate. But when you put it on low power mode (which I often do), you can get more than a day of use.

When looking at the other models, I would say the biggest draw of this one is that you get a much better battery life for just a little more money than the SE (considering that it’s on sale right now). Plus, like the other new models Apple released this year, the Series 11 includes the sleep score feature and can be used to spot signs of possible hypertension or high blood pressure.

I’ve also had issues with my Apple Watch screens scratching in the past, so I appreciate that the brand says this one is twice as scratch-resistant as the previous model.

Best for endurance athletes:

If it weren’t for the high price, I would recommend the Apple Watch Ultra to everyone. But for those who are active and willing to invest, I consider it to be the all-around best option among Apple’s watches.

The Ultra is designed specifically with athletes and adventurers in mind. It has the longest battery life of any of the Apple Watches, with up to 42 hours of battery life (and up to 72 hours on low power mode), so it will last through long races and backpacking trips — or even just a couple of days of going through your normal routine. It’s also designed to be much more durable than other models, as it has a titanium case and a display made from sapphire crystal (which Apple says is one of the strongest naturally occurring metals on Earth). It’s also said to have a better-than-average GPS, so your data won’t be as affected when running in urban areas where there are a lot of tall buildings.

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Another thing that I really love about the Ultra is the additional Action button, which is customizable, so you can use it to control your workout, start a new interval or mark a segment. You can pause and end your workout using the buttons as well, so you don’t have to fumble with the touchscreen (which, if you have sweaty hands, you know is a big win).

If you spend a lot of time off the grid — say, trail running or climbing in remote areas — you can use the satellite feature to stay connected and send texts or your location, even if you don’t have WiFi or cell service. It can also be used to get help in case of an emergency.

Best screen-free trackers

Best for the data-obsessed:

If you’re a true wellness obsessive who loves data and seeing how behavior changes affect sleep, workouts and more, this is a great device to consider.

For each activity you do, you get an estimated strain score that tells you how taxing the activity was on your body (the score can range from zero to 21). These all factor into your strain score for the day, which includes everything from workouts to general daily movement, as well as stress and anxiety. After a night’s rest, you’ll also get a recovery score — a percentage between one and 100 — which factors in your activities and stress from the day before, your sleep performance, HRV, heart rate and respiratory rate. Each day, you also get the option to journal, so you can track behaviors, like stretching or taking supplements, and over time, you can track how the habits affect your recovery.

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The Whoop provides you with a lot of interesting data, but it also has features to help you understand it better. It uses AI to create a daily outlook, which will give you activity recommendations based on your sleep and activity data. There’s also a Healthspan feature, which takes your data (after 21 consistent nights of wear) and gives you your Whoop Age (a measure of your physiological age, which can be different from your actual age) and Pace of Aging (which is impacted by your daily lifestyle choices and can range from -1x to 3).

The battery life is also pretty hard to beat. The brand shares that you can get up to 14 days, and I’ve found that estimate to be pretty accurate. In fact, I’ve even occasionally gotten more than two weeks of use out of it from one charge. To charge the Whoop, you charge its battery pack separately and then can slide it onto the device while you’re still wearing it to add juice, so you don’t even have to miss a minute of data.

As someone who is super interested in using data to optimize health, I love the Whoop. However, as a runner who spends a lot of time focused on proper pacing during workouts, for those activities, I also typically wear a device with a screen, like my Garmin or Apple Watch, to make sure I’m meeting my goals.

When you purchase using one of the above links, you’ll get a year-long membership. After that, you can choose from one of Whoop’s three membership options: One ($149 per year), Peak ($239 per year) or Life ($359 per year).

The most discreet fitness tracker:

The Oura Ring has become one of the most trendy trackers of the last few years, thanks to its discreet — and I would even say, stylish — design. The ring features sensors along the inner band, which measure things like blood oxygen levels, temperature, respiration, heart rate variability and more.

In my opinion, one of the best things about the Oura ring (outside of its look) is how simply it breaks down the data. Each morning, it takes your data from the night and day before, and gives you three scores: Sleep, Activity and Readiness, all of which fall between zero and 100. Each one provides you with a broader view of how well rested you are for the day and how ready you are to challenge yourself.

If you’re in it for the workout tracking aspect, this is not the best option. Aside from the fact that it doesn’t have a screen (so you can’t actively see your stats while you’re in a workout), it doesn’t always sense lower-intensity workouts, like yoga or Pilates, so you often have to go into the app and add them after. Plus, in addition to the cost of the ring, accessing your data and all the features on the app costs $6 per month.

How we chose

Last year, I tried over a dozen fitness trackers, wearing them each for at least a week straight (most of the time much longer) for workouts, sleep and everyday activities. Throughout the year, I trained for multiple races, including a marathon and two half marathons, so I used many of the trackers for workouts related to my training. When choosing the best trackers, I kept in mind a range of factors, including price, battery life, connectivity and general features.

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Why trust Shop TODAY?

The Shop TODAY editors and writers search the internet to find the best products out there. We interview expert sources and use our own personal experiences with the product and brand to make shopping easier for our readers.

Emma Stessman is a writer for Shop TODAY. She has over a decade of experience in digital media — with nearly half of that time being focused on the health and wellness space. She has owned multiple fitness trackers from top brands over the years. At Shop TODAY she covers a range of topics, from new tech releases to expert-approved beauty trends. She is an avid runner and fitness enthusiast with a personal passion for health.

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The 150-minute Exercise Rule Helps Your Heart. But If You’re Serious About It, Better Aim for 600 Minutes

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The 150-minute Exercise Rule Helps Your Heart. But If You’re Serious About It, Better Aim for 600 Minutes
Credit: Unsplash.

Public health advice says you should get at least 150 minutes of brisk walking, cycling, running or other moderate-to-vigorous exercise each week.

However, a new study suggests that the target is just the bare minimum.

The widely cited 150-minute goal is not wrong. The new study found it offers a reliable first layer of protection against heart disease. But for people seeking a much larger reduction in cardiovascular risk, the amount of exercise associated with that benefit was far higher: roughly 560 to 610 minutes a week, or about 80 to 90 minutes a day.

A Minimum, Not a Magic Number

The study analyzed more than 17,000 adults in the UK Biobank who wore wrist activity monitors and completed a fitness test. Over nearly eight years of follow-up, researchers tracked heart attacks, strokes, heart failure and atrial fibrillation.

They found that meeting the current guideline was linked to a modest 8 to 9 percent reduction in cardiovascular risk across fitness levels. A reduction greater than 30 percent was associated with about three to four times as much weekly exercise.

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The findings do not mean that 150 minutes a week is useless — quite the opposite. The study suggests it works as a simple public health floor, one that benefits people regardless of whether they start out fit or deconditioned.

But the results also challenge the way many people understand the guideline. The number is often treated as a target to reach and stop at.

The researchers studied moderate-to-vigorous physical activity, a category that includes exercise intense enough to raise the heart rate, such as brisk walking, running and cycling. They also measured cardiorespiratory fitness using estimated VO₂ max, a measure of how efficiently the heart, lungs and muscles deliver and use oxygen during exertion.

This is a pretty important distinction. Fitness and physical activity are of course related, but they are not the same thing. Two people may report similar exercise habits and still differ in cardiovascular fitness because of genetics, age, health history, training response or earlier-life conditioning.

“Future guidelines may need to differentiate between the minimal moderate to vigorous exercise volume required for a basic safety margin and the substantially higher volumes necessary for optimal cardiovascular risk reduction,” they conclude.

Less Fit People Faced a Steeper Climb

Graph showing how much exercise per week is linked to different levels of cardiovascular risk reduction.Graph showing how much exercise per week is linked to different levels of cardiovascular risk reduction.

Participants wore an accelerometer for seven consecutive days between 2013 and 2015. They also completed a submaximal cycling test used to estimate VO₂ max. The researchers then linked these data to hospital and death records through October 2022.

During a median follow-up of 7.85 years, 1,233 cardiovascular events occurred. These included 874 cases of atrial fibrillation, 156 heart attacks, 111 cases of heart failure and 92 strokes.

The pattern was not simply “more exercise is better” in a straight line. Instead, the researchers found a non-linear relationship between activity, fitness and risk. Higher fitness appeared to provide its own protective margin. At the same time, increasing weekly activity lowered risk across the fitness spectrum.

For a 20 percent reduction in cardiovascular risk, people with the lowest fitness needed about 370 minutes of moderate-to-vigorous activity per week. People with the highest fitness needed about 340 minutes. For a 30 percent reduction, the estimates rose to about 610 minutes per week for the least fit and 560 minutes for the most fit.

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You might not like to hear this, but if you’re already unfit, you need to invest much more time and effort than someone who is fitter to reach the same cardiovascular protection. If that sounds like common sense, it is. But the new study is helpful because the figures it offers help frame things more clearly and offer a measurable goal.

Set Achievable Goals

The study was observational, so it cannot prove that exercising 600 minutes a week caused the lower risk. People who exercise more may differ in other ways, such as diet, income, sleep, access to care, smoking history or underlying health.

Also, not everyone can afford to exercise for 10 hours a week. In fact, most don’t. For older adults, people with heart disease, or those who have been inactive for years, that could be unrealistic or unsafe without medical guidance.

For broad public health, 150 minutes a week remains a useful and achievable goal. But if you can safely do more, the heart may keep benefiting well beyond that threshold.

The findings appeared in the British Journal of Sports Medicine.

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I Spent Years Believing Exercise Wasn’t for Me—Until I Ran My First Half Marathon at 35

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I Spent Years Believing Exercise Wasn’t for Me—Until I Ran My First Half Marathon at 35

“No one forced you to be here”: it’s a statement I’ve heard many times in many different ways over the years; at parties I didn’t enjoy, on weekends away when I had, in fact, felt forced to attend. Most recently, I said it to myself as I shuffled towards the start line at the Hoka Hackney Half Marathon. It was true; no one had forced me, and while that saying had previously always felt loaded — usually spewed in sulky moments when I wasn’t being fully amenable to the whims of whoever was lodging the insult at me — more recently, I have found it empowering.

I have a history of recoiling at anything with even a whiff of bootcamp vernacular, but at my weekly Pilates session, instructor Lucy Borrie likes to remind us that we chose to be there, and for the first time in my life, I’ve found that reminder reassuring rather than reprimanding. Before, I’d taken the saying as confirmation that I wasn’t meant to be there — that the space, and exercise at large, were not for me. No one forced you to be here, so if you’re not enjoying this, or you can’t complete the routine, then you are the problem: that is what I took that saying to mean.

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