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Strength Training

Targets

None0
Below Target0–30m
Effective30m–60m
Peak60m+

Guidance

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What It Is

Exercises that challenge your muscles to get stronger and more powerful.

Why It Matters

Muscle-strengthening activity is one of the few training variables the mortality literature studies directly, and lifting regularly probably lowers your risk of dying from any cause, with the same direction for cardiovascular and cancer deaths. Risk falls as the weekly dose rises from none, which every large study of this has found. The association also holds after accounting for aerobic exercise, so it is not simply a marker of being an active person in general. The mechanism runs through muscle mass and power: strength training preserves the motor unit recruitment and force production that underlie catching yourself from a fall, climbing stairs, and getting out of a chair, while improving insulin sensitivity and cardiometabolic markers.

How much it lowers that risk, and where the curve tops out, are less settled than the direction. All of this evidence is observational, and the people who lift are also leaner, better educated, and healthier to begin with, so the estimates flatter the habit. The meta-analyses that pooled the earlier cohorts put the reduction higher than the cohort with the most deaths behind it has since found, and in that cohort the curve was shallow: a few minutes a week carried nearly as much of the benefit as several hours did. The others see a steeper rise and then a levelling off, but they put the top of it anywhere from one hour a week to two. What none of them disputes is that doing some resistance work beats doing none by much more than doing a lot beats doing some.

So treat the target as a floor rather than a ceiling. Aim for at least 30 minutes of resistance work per week, spread over more than one session, and read 60 as the top of what the evidence will pay for rather than a level you have to reach before it counts. If even 30 feels out of reach, the more useful reading is that the first few minutes matter most, and the gap between nothing and something is far wider than the gap between something and a lot. Pair it with aerobic activity: the two work together, and in every cohort that has separated them the aerobic side carries the larger share of the reduction.

GRADE

CertaintyModerate

MagnitudeModerate

References

  • García-Hermoso, A. et al. (2018). Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women. Archives of Physical Medicine and Rehabilitation. doi.org/10.1016/j.apmr.2018.01.008
  • Coleman, C.J. et al. (2022). Dose-response association of aerobic and muscle-strengthening physical activity with mortality: a national cohort study of 416 420 US adults. British Journal of Sports Medicine. doi.org/10.1136/bjsports-2022-105519
  • Momma, H. et al. (2022). Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies. British Journal of Sports Medicine. doi.org/10.1136/bjsports-2021-105061
  • Shailendra, P. et al. (2022). Resistance Training and Mortality Risk: A Systematic Review and Meta-Analysis. American Journal of Preventive Medicine. doi.org/10.1016/j.amepre.2022.03.020
  • Ji, H. et al. (2024). Sex Differences in Association of Physical Activity With All-Cause and Cardiovascular Mortality. Journal of the American College of Cardiology. doi.org/10.1016/j.jacc.2023.12.019
  • Shailendra, P. et al. (2024). Weight training and risk of all-cause, cardiovascular disease and cancer mortality among older adults. International Journal of Epidemiology. doi.org/10.1093/ije/dyae074
  • Araújo, C.G.S. et al. (2025). Muscle Power Versus Strength as a Predictor of Mortality in Middle-Aged and Older Men and Women. Mayo Clinic Proceedings. doi.org/10.1016/j.mayocp.2025.02.015
  • Zhang, Y. et al. (2026). Long-term resistance training with all-cause and cause-specific mortality: assessing dose-response and joint associations with aerobic physical activity. British Journal of Sports Medicine. doi.org/10.1136/bjsports-2025-110503

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