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Triology Longevity, a global leader of longevity and regenerative medicine in China.

From the perspective of longevity medicine, how can we exercise most efficiently?

Release time:

2025.09.06


Flexibility, strength, balance, and cardiovascular fitness

Once we understand why exercise is the best remedy against aging, a more critical and pressing question emerges—how exactly do we "do it"?

This article is precisely the long-awaited "Action Blueprint." It aims to transform the scientific principles discussed earlier into a clear, safe, and easy-to-follow practical guide that anyone can implement. We’ll focus on the three core areas that form the foundation of a healthy, fulfilling later life: strength, cardiorespiratory fitness, and flexibility & balance.

This is not just a training guide—it's also a manual for investing in the quality of life for years to come.

Strength Training Framework:
Building the body's "structural assets"

The core of strength training lies in investing in and preserving our most valuable physiological asset—skeletal muscle. For individuals over 50, this isn’t just about strength; it also plays a critical role in metabolic health, endocrine stability, and even cognitive function—serving as the cornerstone for actively combating the aging process.

Strength training is a key anti-aging strategy. It stimulates muscle regeneration, directly counteracting age-related muscle loss. At the same time, muscle contractions create beneficial stress on bones, effectively boosting bone density and helping to prevent osteoporosis. More importantly, muscles during exercise secrete helpful "myokines"—signaling proteins that circulate throughout the body, playing a vital role in combating inflammation and optimizing metabolism, thereby profoundly benefiting overall health.

How can we carefully build and maintain our muscles through a scientific, safe, and sustainable approach?

 

Progressive Overload

The answer lies in a core principle that runs throughout—“progressive overload.” This means the body must continually be challenged with slightly greater demands than before, in order to awaken and kickstart its growth process.

Intensity is the "ignition switch" that kicks off muscle growth. What we’re aiming for isn’t necessarily lifting the heaviest weight, but rather achieving "effective failure"—that is, feeling a significant challenge and struggle during the final 1–2 repetitions of your target set, while still maintaining proper form. This precise moment is exactly when you send the signal to your muscles: "You need to get stronger."

Total training volume is also crucial, and we typically measure it using "sets × reps." For maintaining health and promoting muscle growth, performing 10–20 effective sets per major muscle group (such as legs, glutes, back, chest, shoulders, and core) each week falls within the scientifically validated "golden range." Beginners can start with a lower volume—perhaps 4–6 sets per muscle group per week—to allow their bodies to gradually adapt.

Research clearly shows that spreading total volume across 2–3 sessions per week is far more effective for muscle growth and recovery than concentrating it all into a single "bombardment" of one body part in just one day. Therefore, frequency is equally important. For instance, rather than completing 10 sets of chest exercises on Monday, it’s better to split them between Monday and Thursday—doing 5 sets each day—for more optimal results.

Avoid incorrect exercise habits

However, it’s crucial to remember that technique always takes precedence over weight. This is the unwavering first law of strength training. Incorrect movement patterns not only significantly reduce the effectiveness of your workout but also become the primary culprit behind sports injuries. With each new exercise, you should start with either no weight or a very light load, patiently refining your form until your body fully memorizes and masters the movement—only then should you gradually increase the weight.

Additionally, the following points should also be noted:

  • Guaranteed recovery: Remember that muscles grow during rest, not during training. Be sure to allow at least 48 hours of recovery between two workouts targeting the same muscle group. Additionally, adequate sleep and a high-quality protein intake—such as eggs, milk, fish, and soy products—are essential building blocks for muscle repair and rebuilding.
  • Eliminate "compensation": When the target muscle becomes fatigued, the body instinctively "cheats," engaging other muscle groups (such as the lower back or trapezius) to help complete the movement. As soon as you notice any form distortion, immediately stop, proactively reduce the weight, or end the exercise altogether. This approach not only ensures accountability for your training results but also safeguards your body from potential injury.
  • Master your breathing: Develop the habit of exhaling when exerting force and inhaling when relaxing. Never hold your breath for extended periods during physical effort, as this can cause a sudden spike in blood pressure, putting unnecessary strain on your cardiovascular system—especially important for middle-aged and older individuals to keep in mind.

Cardiopulmonary Function Framework:
Optimizing the body's "energy and delivery system"

Cardiovascular and pulmonary training—commonly known as aerobic exercise—has the core goal of comprehensively upgrading our body’s “energy supply and delivery system.” In principle, its benefits are multi-layered: On a macro level, it enhances cardiac muscle strength and lung capacity, thereby boosting maximal oxygen uptake (VO₂ Max)—a golden indicator for measuring endurance and healthy lifespan. At the systemic level, it improves endothelial function in blood vessels, helping maintain vascular elasticity, stabilize blood pressure, and preserve the overall cardiovascular system’s youthful vitality. Even deeper, at the cellular level, regular aerobic exercise effectively promotes the regeneration and enhanced efficiency of mitochondria—the body’s “energy factories”—fundamentally improving energy utilization while slowing down the aging process.

So, how can we transform these profound principles into a scientific, safe, and sustainable practice framework?

The answer lies in precisely mastering intensity, which is the soul element that determines training effectiveness. We should dedicate most of our training time to the core zone of moderate intensity, scientifically known as "Zone 2."

This is a simple and practical assessment method used to determine the intensity of cardiorespiratory training:

Mild intensity: You can easily carry on a conversation and sing without experiencing noticeable shortness of breath.

Moderate intensity: You can still talk, but singing will feel challenging.

High intensity: Can only manage short phrases, unable to hold a full conversation.

 

This intensity level is easily recognized by the classic "talk test"—during exercise, your breathing and heart rate quicken, yet you can still maintain a coherent conversation. However, singing would leave you out of breath. Physiologically speaking, this is precisely the sweet spot where the body efficiently burns fat as its primary fuel, while simultaneously clearing away lactate in a timely manner. This optimal balance allows the body to sustain prolonged activity under relatively low physiological stress.

From a heart rate perspective, this typically corresponds to about 60% to 70% of your maximum heart rate (which can be roughly estimated as 220 minus your age). For instance, a 60-year-old would have a Zone 2 heart rate ranging approximately from 96 to 112 beats per minute. Spending most of your time within this range is the ideal strategy for building a strong cardiovascular endurance foundation and optimizing cellular mitochondrial function.

In contrast, high-intensity interval training (HIIT), though highly effective, places significantly more physical impact and stress on the body. Therefore, for individuals over 50, it’s best viewed as a "seasoning"—something to be cautiously tried only after establishing a solid endurance foundation, and even then, used sparingly as a weekly treat rather than as the main component of daily workouts.

Mastering intensity also requires combining it with appropriate duration and frequency. A single session of moderate-intensity exercise should last at least 20 to 30 minutes or longer to ensure the body fully activates its fat-burning system and provides a sufficiently profound stimulus to the cardiovascular system. However, no matter how long a single workout lasts, it cannot replace the importance of regular frequency. Engaging in consistent, 3 to 5 sessions per week delivers sustained benefits, helping to reinforce and build upon the body’s positive adaptations—such as reduced resting heart rate and stabilized blood pressure—making this approach far more effective and safer than occasionally attempting an extended "overcompensation" session.

Finally, all of this requires a movement pattern that can sustain it. At the heart of this approach lies the intersection of personal preference and physical safety. Choosing activities that you genuinely enjoy and are gentle on your joints—such as brisk walking, swimming, or cycling—is essential for ensuring long-term consistency, because passion is the strongest motivator in overcoming inertia. Meanwhile, gently alternating between different modes not only keeps your workouts fresh and engaging but also allows various muscle groups to take turns working and resting, effectively reducing the risk of strain caused by repeatedly performing the same movements over an extended period.

However, all these efforts must be safeguarded by a comprehensive safety framework. Each training session should begin with 5–10 minutes of dynamic warm-ups and conclude with 5–10 minutes of static stretching—this is an essential routine to gently guide the body into and out of its active state, while also helping prevent injuries. Throughout the entire training cycle, it’s crucial to learn how to listen to your body and avoid overexertion, as pushing beyond your recovery capacity will only backfire, potentially leading to elevated stress hormones and weakened immunity. Additionally, maintaining proper hydration at all times—and remaining vigilant about environmental factors like extreme weather—are equally vital components of smart, injury-free training.

Flexibility and Balance Framework:
Maintaining the body's "functional and safety systems"

Using a BOSU ball for balance training—something that becomes increasingly important as we age.

Flexibility and balance are the body's "safety and calibration system," profoundly influencing our quality of life and mobility in later years—and are crucial for preventing catastrophic falls.

Its core value lies in the fact that flexibility training, through gentle stretching, helps maintain a full range of motion in the joints, ensuring smooth, pain-free performance of everyday movements such as bending over and turning. Meanwhile, balance training focuses on strengthening the nervous system, enhancing the body's ability to accurately perceive its own position (proprioception) and significantly reducing the reaction time needed to "self-correct" in case of unexpected instability.

How can flexibility and balance training be achieved scientifically?

Improve flexibility through exercise

Shaping flexibility typically begins during the warm-up phase before exercise. At this stage, dynamic stretches—such as controlled, repetitive movements like arm circles or lunges with torso twists—gently awaken the muscles and lubricate the joints, preparing the body for the upcoming activity. Meanwhile, after exercising, while the body is still warm, static stretching becomes especially beneficial. Gently holding each muscle stretch in a comfortably taut position for 20 to 30 seconds effectively releases muscle tension—a crucial practice that, over time, helps enhance your body’s long-term flexibility.

Complementing this is the meticulous refinement of balance ability, which revolves around gradually increasing challenges in a controlled manner—thus stimulating the nervous system to adapt and improve. This process typically begins by testing the stability of your supporting base. You might start by standing with your feet together, then progress to a staggered stance—one foot slightly ahead of the other—and eventually aim for steady single-leg balance. Once your body has grown accustomed to this inherent instability, you can begin introducing disruptions to sensory input—for instance, closing your eyes (while ensuring safety) or practicing on a soft, cushioned surface—thereby strengthening your body's internal awareness. Ultimately, you can integrate dynamic elements into your balance practice, such as gently turning your head while standing on one leg or tossing and catching a soft ball. These exercises not only simulate real-life scenarios but also enhance your ability to navigate complex environments with confidence and agility.

One-Legged Toothbrushing Challenge

Most importantly, the essence of these exercises lies not in the duration or intensity of a single session, but in their consistent "little and often" approach. Flexibility and balance exercises are perfectly suited to be seamlessly integrated into the fragmented moments of daily life—such as practicing one-legged standing while brushing your teeth, or doing a few stretches between TV commercials. Making these simple practices a daily habit is the key to keeping your body functions youthful and vibrant over the long term.

However, it's important to note:

During our training, we must prioritize "safety above all else" as our guiding principle. Especially when performing any balance exercises that may feel unstable, always make sure there’s a sturdy wall, chair, or handrail nearby—something your hands can easily grasp for support at any moment. This is a smart safeguard against unexpected falls.

Equally important is learning to listen to and respect the signals your body sends. When stretching, aim for a "gentle, pulling sensation"—but if you experience "sharp pain," stop immediately, as pain is your body’s warning that tissue damage may be occurring, not an indication that the exercise is effective. Above all, remember never to perform intense static stretches when your muscles are still "cold" and haven’t been warmed up yet.

Furthermore, this kind of listening also means respecting individual differences. Everyone’s physical condition and capabilities are unique, and they can fluctuate depending on their daily state. We should focus our attention on our own feelings and progress, rather than forcibly imitating others or striving to meet some arbitrary standard—using our own bodies as the sole measure.



Conclusion

The true essence of exercise lies not in pursuing specific performance metrics or striving for distant limits, but in transforming it into a lifestyle—a gentle dialogue with your body, where both thrive together. It begins with respecting individual differences, continues through unwavering commitment to safety, and ultimately finds its success in the steady, day-after-day dedication to consistency.

Remember, the best exercise for you is always the one you’re willing to start today—and can enjoy consistently over the long term.