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There is nothing better than exercise but more exercise.
Regular physical activity (PA) and high cardiorespiratory fitness (CRF: aerobic capacity, VO2 max) reduce all-cause mortality even after adjusting for relevant confounders.1 2 Large-scale studies indicate an almost linear relationship between increasing CRF and longevity, with no signs of an upper limit.3 It remains less clear which PA volumes are optimal for a long life. Public health guidelines recommend a minimum of 150–300 min moderate intensity aerobic PA or 75–150 min vigorous intensity aerobic PA per week to induce general health benefits.4
How much bang can you get for a PA buck?
Dr Hannah Arem and colleagues, using pooled data from six studies in the USA and Europe (including 661 137 adults), showed that meeting PA guidelines was associated with a large longevity benefit.5 And there were even further improvements until the benefit for longevity reached a threshold at a level 3–5 times higher (450–750 min/week) than the minimum recommendations, without adverse effects in those performing PA at ≥10 times that minimum. The maximum all-cause mortality reduction was almost 40% without relevant differences between …
Footnotes
Contributors Both authors contributed equally.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests Both JB and MB believe in the health benefits of PA and they aim to accumulate 700 min of moderate to vigorous PA weekly.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.