Adherence
Five years of supervised high-intensity interval training (HIIT) in older adults (70-77 years) shows a non-significant trend toward reduced all-cause mortality compared to following national physical activity guidelines, whereas moderate-intensity continuous training (MICT) showed no benefit and potentially increased risk.
If you are in your 70s, simply following general activity guidelines (like daily walking) may not be enough to maximize your lifespan. Incorporating high-intensity intervals (like 4 minutes of hard effort repeated 4 times, twice a week) under supervision shows a promising trend toward lower mortality compared to moderate activity alone. However, the study was not large enough to prove this statistically, so consistency and safety are key.
When MICT and HIIT were analysed separately, with the control group as reference (observed mortality of 4.7%), an absolute risk reduction of 1.7 percentage points was observed after HIIT (hazard ratio 0.63, 95% confidence interval 0.33 to 1.20) and an absolute increased risk of 1.2 percentage points after MICT (1.24, 0.73 to 2.10).
Why this rating
Large randomized controlled trial (n=1567) with long follow-up (5 years) and blinded endpoint assessment, but limited by high baseline activity in controls and healthy volunteer bias.
Source
Effect of exercise training for five years on all cause mortality in older adults—the Generation 100 study: randomised controlled trial
Dorthe Stensvold et al. · BMJ · 2020
DOI 10.1136/bmj.m3485
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →