Can aerobic exercise slow down ageing?

Running is better than weight training at reversing signs of ageing

Running is better than weight training at reversing signs of ageing

“Running is better than weight training at reversing signs of ageing,” reports The Independent.

Researchers from Germany assessed the impact of 3 types of exercise – high intensity interval training, endurance walking or running, and weight training – on signs of ageing in human blood cells.

They found that, after 6 months of exercising for 45 minutes 3 times a week, all types of exercise improved fitness, but only interval training and running or walking had an effect on signs of cellular ageing.

The researchers measured the length of telomeres, which are protective caps at the end of chromosomes (coils of DNA found in all human cells).

Telomeres help prevent damage to the chromosomes that encode the cells’ genetic information.

As we age, telomeres shorten, meaning chromosomes are more likely to get damaged. This is one of the ways in which cells show signs of age.

Previous studies have linked longer blood cell telomeres to healthier blood vessels and hearts.

The researchers found telomeres shortened slightly among people who did no exercise or weight training, but lengthened among those who ran or walked, or did interval training.

But these findings were only based on 124 people. All types of exercise have benefits for health, including weight training.

This study suggests weight training may be best seen as a useful addition to aerobic exercise, such as running or fast walking, rather than a replacement for it.

This reflects NHS advice to do both types of exercise.

Read more about the recommended exercise guidelines for adults.

Where did the story come from?

The study was carried out by researchers at the Universität des Saarlandes, Universitätklinikum Leipzig and Hermann-Neuberger-Sportschule in Germany, with funding from the Corona Foundation, Deutsche Forschungsgemeinschaft, Saarland University, Saarland Ministry of the Interior, and Leipzig University.

It was published in the peer-reviewed European Heart Journal.

The Independent gave a good overview of the study, but didn’t mention the high dropout rate. More than half the people taking part in the study dropped out.

What kind of research was this?

This was a randomised controlled trial (RCT). These are usually the best way to test whether an intervention (such as a particular type of exercise) works.

This study only included results from the people who completed at least 70% of the training sessions, rather than all those originally assigned to the exercise.

This per-protocol analysis is less usual than an intention-to-treat analysis, as intention-to-treat gives more of a “real world” picture of the results of asking someone to take part in an exercise programme.

What did the research involve?

For the main study, researchers recruited 266 non-smoking adults aged 30 to 60 who were in good health but didn’t exercise on a regular basis.

Everyone did a cardiovascular fitness test that measured maximum oxygen uptake while exercising, and gave blood for telomere testing and measurement.

The participants were assigned to 1 of 4 groups:

the control group were asked to maintain their lifestyle and diet for the next 6 months

the endurance group was asked to run or walk briskly at a level that used 60% of their heart rate reserve (according to a heart monitor) for 45 minutes 3 times a week

the interval training group was asked to exercise for 45 minutes 3 times a week; each session involved a 10-minute warm-up of fast walking and then running to 60 to 70% capacity, 4 bouts of high-intensity running at 80 to 90% capacity for 4 minutes each, then slow running at 65 to 70% capacity for 3 minutes and 10 minutes cool-down running – this type of exercise regime is often referred to as high intensity interval training (HIIT)

the weight training group was asked to exercise for 45 minutes 3 times a week, switching between 8 weight machine-based exercises, such as chest pressing exercises

The groups had to attend at least 1 supervised exercise session a week. At the end of the study, people retook the fitness test and gave blood samples for telomere testing.

Only people from the exercise groups who completed at least 70% of the exercise sessions (55 sessions) were included in the results.

As well as measuring telomere length, the researchers measured the activity of a protein called telomerase, which protects telomeres.

What were the basic results?

Of the 266 people who started the study, 142 dropped out because of:

not taking part in exercise (43 people)

personal reasons (28 people)

orthopaedic problems (29 people)

injury (1 person)

other reasons (18 people)

missing data or implausible test results (23 people)

Based on the 124 people left, researchers found:

all 3 training groups had similar improvements in their physical fitness compared with the control group

all 3 training groups increased their maximum running speed compared with the control group

the endurance group and the interval training group both had small increases in the length of the telomeres on the chromosome of their white blood cells, by about 3.3% to 3.5%

the control group and the weight training group had either no change or a small decrease in telomere length, depending on the method of measurement

measurements of telomerase activity increased twofold in the endurance group and the interval training group, but didn’t change in the control group or the weight training group

How did the researchers interpret the results?

The researchers said the study showed that “completing a training programme of moderate or intensive endurance exercise led to potent anti-ageing effects in circulating blood cells”, which they said was “consistent with beneficial effects on cardiovascular health in the long term”.

They say the study results “support the European Society of Cardiology’s current guideline recommendations that resistance exercise [weight training] should be complementary [in addition] to endurance training, rather than a substitute”.

Conclusion

This study adds to our understanding of how exercise can help keep people fit and healthy as they age.

In addition to the benefits of exercise already known – such as improved heart and lung health, lower cholesterol, better mental health, and stronger bones and muscles – exercise may also protect us from ageing at a cellular level.

But there are limitations to what the study can tell us. The high dropout rate indicates that adopting an exercise regime that required 45 minutes of training, 3 times a week, isn’t always easy.

Because the results are based on only the people who completed at least 70% of the exercise sessions, we don’t know the effect on telomere length for people who did less exercise over the 6-month period.

We also don’t know the long-term physical effects of the small changes in telomere length observed in the study.

While there is evidence from other studies that longer telomere length in white blood cells is beneficial for the cardiovascular system, we can’t tell that from this study.

Exercise clearly has many benefits and, even if the telomere length changes don’t translate directly into physical benefits, keeping active is a great way to stay healthy as we get older.

The NHS recommends that most adults should do:

at least 150 minutes of moderate aerobic activity, such as cycling or brisk walking every week, and

strength exercises on 2 or more days a week that work all the major muscles (legs, hips, back, abdomen, chest, shoulders and arms)

Or:

75 minutes of vigorous aerobic activity, such as running or a game of singles tennis every week, and

strength exercises on 2 or more days a week that work all the major muscles (legs, hips, back, abdomen, chest, shoulders and arms)

Or:

a mix of moderate and vigorous aerobic activity every week, such as 2 30-minute runs plus 30 minutes of brisk walking, which equates to 150 minutes of moderate aerobic activity, and

strength exercises on 2 or more days a week that work all the major muscles (legs, hips, back, abdomen, chest, shoulders and arms)

Even if you have been inactive for years, it’s never too late to increase your activity levels whatever your age or overall health.

Find out how to get active your way

Analysis by Bazian
Edited by NHS Website

Up to 1 million people to take part in Dubai Fitness Challenge as city urges other world destinations to follow lead

Dubai and exercise

Dubai and exercise

Dubai is on a mission to become the most active city in the world, with the opening of the second annual Dubai Fitness Challenge, with a targeted 1 million residents of the City (almost 1 in 3) pledging to commit to 30 minutes of exercise every day for 30 days.

Spearheaded by His Highness Sheikh Hamdan bin Mohammed bin Rashid al Maktoum, Crown Prince of Dubai and Chairman of Dubai Executive Council, the initiative will see 4000 free classes available for residents across the next month.

With stats showing 28% of adults globally do no exercise, it seeks to build on the success of the inaugural Dubai Fitness Challenge, which saw a staggering 786,000 people of all ages and fitness levels participate – 25% of the population – and bring its participant number to 1 million.

Organisers hope that the Challenge, the world’s only multi-activity, month-long, city-wide fitness movement, will inspire other major cities around the world to follow suit. This comes in the wake of rising obesity figures globally, with experts warning in the UK, for example, that nearly half of the country could be obese by 2030 if changes aren’t made.
Over the course of the month, citizens will have access to over 4000 free fitness classes in more than 250 locations across the city. The Opening Carnival on Friday saw a spectrum of main stage fitness classes, with special guest appearances from high profile influencers and celebrities, including fitness model Emily Skye and Swedish kickboxer Badou Jack, as well as dedicated sports zones showcasing everything from the FIFA Club World Championship football experience, mini ramp skateboarding and dragon boat racing to slacklining, inline skating and parkour.
Another new addition this year are five Fitness Villages that will be open for 26 days at locations easily accessible to communities across Dubai so there’s even greater ability for everyone to make ‘fitness’ part of their daily routine.
The event is on from 26th October to 24th November.

Light activity ‘may be enough to help you live longer’

Light exercise

Light exercise

“Pottering around the garden or walking the dog is enough to help older men live longer,” reports The Daily Telegraph.

UK researchers used monitors to track the activity levels of 1,181 men aged 71 to 92. They found those who were the most active were likely to live longer.

People in the UK are advised to take at least 150 minutes of moderate to vigorous physical activity a week in bouts of 10 minutes or more.

But the study found even light activity was beneficial. It didn’t matter how long each bout of activity lasted, as long as the target of 150 minutes a week was met.

The problem with this type of study is that it’s hard to know whether people live longer because they do more physical activity, or whether they do more activity because they’re generally in better health and so live longer.

Even though the researchers tried to account for other factors that might have affected how long the men lived, this study can’t prove that being more active increases your lifespan.

That said, the study’s take-home message is simple and positive: short bouts of light activity of any duration all add up and may increase your chances of living longer.

If you can only manage a short walk or some gentle gardening, that’s a lot better than doing nothing.

Where did the story come from?

The study was carried out by researchers from University College London, Bristol Medical School and St George’s Medical School London in the UK, and Harvard Medical School in the US.

It was funded by the British Heart Foundation and the National Institute of Health Service Research.

The study was published in the peer-reviewed British Journal of Sports Medicine and is free to read online.

The study was widely reported, with most UK media reports being reasonably accurate.

The emphasis on “a few minutes of light exercise” being enough to help people live longer, however, could make people think there’s no point in doing more than that.

In fact, the study showed that the more active people were, the better.

What kind of research was this?

This was part of a long-term cohort study involving survivors of a study that began in 1978.

Researchers wanted to investigate the effects of objectively measured physical activity on length of life in older men.

Cohort studies are a good way to spot patterns and links between factors – in this case, physical activity and length of life – but they can’t prove that one directly causes the other.

What did the research involve?

Researchers approached 3,137 men who were part of a long-running study of men’s health.

They asked them to come for a health check and to wear an activity monitor for 7 days. They followed them up until the end of the study (an average of 5 years).

They then looked at how many men survived to the end of the study, and whether their activity measures at the start of the study were linked to their chances of still being alive.

The researchers adjusted their figures to take account of potential confounding factors.

The activity monitors recorded:

  • minutes spent in sedentary activity (such as sitting or lying down)
  • minutes spent in light activity, such as gentle walking
  • minutes spent in moderate to vigorous activity, such as brisk walking or cycling

As well as total time, the monitors tracked bouts of activity – for example, hours spent sitting down without moving or minutes spent walking without a break.

Potential confounding factors included:

  • cigarette smoking and alcohol consumption
  • usual length of sleep at night
  • whether the men lived alone
  • cardiovascular disease at the start of the study
  • walking disability
  • social class and geographical region

What were the basic results?

Half the men approached agreed to take part. Researchers excluded those who’d had a heart attack, heart failure or stroke.

They had sufficient activity monitor data to include 1,274 men in the study.

The average time men spent wearing the activity monitor was 855 minutes (14 hours) a day.

Average activity levels were:

  • 616 minutes spent sedentary
  • 199 minutes spent in light activity
  • 33 minutes spent in moderate or vigorous activity

Men who were more active were likely to be younger (average age was 78), non-smokers and drink less alcohol, and less likely to have a walking disability.

During the 5 years they were followed up, 194 men died.

Time spent sedentary or active was linked to how likely people were to have lived to the end of the study:

  • each additional 30 minutes a day spent sedentary was linked to a 15% increase in chances of death (hazard ratio [HR] 1.15, 95% confidence interval [CI] 1.07 to 1.23)
  • each additional 30 minutes a day spent doing light activity was linked to a 15% reduction in chances of death (HR 0.85, 95% CI 0.78 to 0.92)
  • each additional 30 minutes a day spent doing moderate to vigorous activity was linked to an 8% reduction in chances of death (HR 0.92, 95% CI 0.86 to 0.98)

Men who managed the government target of 150 minutes of moderate to vigorous activity each week were about 40% less likely to have died by the end of the study, regardless of whether they did this in bouts of 1 to 9 minutes, or bouts of 10 minutes and more.

How did the researchers interpret the results?

The researchers said their results “could refine physical activity guidelines and make them more achievable for older adults with low activity levels” by “stressing the benefits of all activities, however modest”.

They added that guidelines should encourage “accumulating activity of all intensities without the need to sustain bouts of 10 minutes or more”.

Conclusion

The importance of staying active in older age is becoming increasingly clear, but many older people find it difficult to meet targets set for the wider population.

This study provides useful information about physical activity levels in a group of older men in the UK and how activity may be linked to length of life.

It’s particularly useful that the group wore activity monitors, as much research about physical activity is based on people estimating what they did, which can be inaccurate.

But this study has some limitations. It only involved older men in the UK, who were mostly white, so the results may not translate to women, other ethnic groups, or younger men.

Although the researchers tried to account for confounding factors, these may still have some unmeasured effects.

That means we can’t be completely sure that physical activity was the reason that the more physically active men lived longer.

And activity monitors can’t always tell the difference between someone sitting still and standing still, so may overestimate sedentary time.

The general message of the study is positive for older people: it’s worth keeping active, even if you can’t do very vigorous activity.

Short bursts of gentle activity of any duration all add up and may increase your chances of living longer.

Exercising in Winter

Exercising in winter

Exercising in winter

As the days draw in and temperatures drop, you may be tempted to hang up your exercise gear and hibernate.

Don’t! Stay active throughout autumn and winter to beat those seasonal blues and feel on top of the world.

If you’re short on ideas for getting active, try our popular Couch to 5K running plan and Strength and Flex exercise plan, which are ideal for beginners.

And if you’re not keen on exercising outdoors, check out:

10-minute home exercise routines

Home exercise videos

Gym-free workouts

If you’re looking for something less energetic, these strength, balance, flexibility and sitting exercises are ideal if you want to improve your health, lift your mood and remain independent.

Don’t worry if you’ve not done much for a while, these exercises are gentle, easy to follow and can also be done indoors.

More energy

Regular exercise will make you feel more energetic, which should make it a little easier to get out of your warm bed on cold, dark mornings.

Your body’s defences will also benefit. There is some limited research suggesting that moderate exercise can strengthen the immune system, thereby reducing the risk of coughs and colds.

If the shorter days are affecting your mood, being active can improve your sense of wellbeing. Find out more in Get active for mental wellbeing.

You may be tempted to eat more during the colder months. Exercising will help you manage your weight better and keep your body in shape.

Get tips on eating a healthy balanced diet and taking regular exercise to maintain a healthy body weight.

Warm up

If you’re starting a new exercise regime, don’t overdo it. Slowly build the amount of exercise you do. If you can’t manage 30 minutes in one go, break it up into 10-minute chunks.

Always warm-up for up to 10 minutes before you start. Walk at a brisk pace, or jog to warm your muscles.

Make sure you’re warm if you’re going outside. Wear several layers to keep the heat in. A lot of heat escapes through your head, so consider wearing a hat as well.

Stay safe

If you’re exercising after dark, keep to well-lit areas and wear bright and reflective clothing. Ideally, exercise with a friend, but always tell someone where you’re going.

Avoid listening to music while running outdoors. Not hearing what’s going on around you can make you vulnerable.

If rain or ice is making exercise dangerous, do it another day. The weather might be better tomorrow, but an injury could take weeks to heal.

If you have a cold

Colds are more common in winter, but you don’t necessarily have to stop exercising if you’re feeling under the weather. According to Dr Keith Hopcroft, a GP from Basildon in Essex, use common sense and listen to your body.

“If your symptoms are not severe and you generally feel OK, then you can exercise. If you feel absolutely rotten, then it’s best not to go.”

However, it is important not to exercise if you have a fever. A fever is when your body’s temperature is 38C (100.4F) or above and is rarely a symptom of a cold.

“If you exercise with a fever,” says Dr Hopcroft, “it’ll make you feel worse. In very rare cases, exercising with a fever can lead to the virus affecting your heart, which can be dangerous.”

If you have asthma, take extra care when exercising in winter as cold air can trigger symptoms. Use your inhaler before you exercise and have it with you during your activity.

Something you enjoy

Choose an activity that you enjoy. Now might be the time to try something new that you can do indoors, such as tai chiyogarock climbing or swimming.

Use our directory to find fitness activities and classes near you.

You don’t even have to stop doing outdoor activities.

If you enjoy running, don’t let cold weather put you off. Get tips on running outdoors in winter.

You could take a long walk at the weekend or go for a bike ride. Just wrap up warm and be careful if it’s wet or icy.