Not long ago, a friend I used to work with told me she’d stopped going to the gym. She had been an avid cyclist, had completed a number of triathlons, and had consistently added resistance training to her weekly schedule through her 40s and 50s.
Today, she walks five days a week, she said, and feels that's probably enough at her age. She was 58 when we had this conversation, and thinking about retiring, while admitting she was managing mild stiffness in her knees and hips. The gym now felt like a place for other people.
She isn’t unusual. Most adults over 60 who exercise regularly do so aerobically — walking, cycling, swimming, hiking. These are good choices, genuinely protective, and the research on their cardiovascular and metabolic benefits is well established.
What’s less well understood, and what a major new study has just clarified in more detail than we’ve had before, is how much a modest addition of resistance training changes the picture. Not the sweaty gym version of resistance training. Any version.
The study was published on June 2, 2026, in the British Journal of Sports Medicine. It was led by researchers at the Harvard T.H. Chan School of Public Health and drew on three large, long-running American cohort studies that followed 147,374 adults for up to 30 years. The largest investigations ever conducted into the relationship between strength training and mortality. The findings are worth careful consideration, including the more complex parts.
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The headline finding is this: 90 to 120 minutes of resistance training per week was associated with the lowest risk of all-cause mortality. Those who did that amount had a 13 percent lower risk of all-cause mortality than those who did none.
The cardiovascular benefit was even greater: a 19 percent reduction in the risk of dying from cardiovascular disease.
The neurological finding, however, was the aha moment. That same weekly dose, roughly two to three sessions of 30 to 40 minutes each, was linked to a 27 percent lower risk of death from neurological disease. For adults in their sixties and seventies who take cognitive health seriously, that figure is significant.
The mechanisms are not yet fully understood, but the signal is consistent enough across the cohorts to merit attention.
What the dose-response curve showed is as important as the headline numbers: beyond 120 minutes per week, the mortality benefits levelled off. More resistance training did not translate into progressively lower risk. The curve flattens.
This has two practical implications. First, the commitment required to achieve meaningful longevity benefits is genuinely modest — less than most people assume. Second, for those already doing more, the study's additional volume isn’t necessary for longevity, even if it serves other goals. reassures that
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The study’s most striking finding was the combination effect.
Participants who regularly engaged in both resistance training and meaningful aerobic exercise had a 45 percent lower risk of death than sedentary adults — a benefit substantially greater than that from either modality alone. Aerobic exercise by itself, at meaningful volumes, reduced mortality risk by 26 to 43 percent. Resistance training by itself produced the 13 percent reduction noted above. Together, the benefit exceeded that of either modality alone.
The researchers described the two as complementary rather than competing. That framing is useful because it addresses one of the most common misconceptions I encounter in my gym with older adults: the idea that strength training is an alternative to aerobic exercise rather than an addition to it. It is not a question of choosing one. The evidence now points clearly toward both.
Aerobic work builds cardiovascular capacity, metabolic efficiency, and respiratory function. Resistance training preserves muscle mass, bone density, grip strength, balance, and the neural coordination that supports fall prevention.
After 60, both sets of benefits matter. The difference in functional capacity between adults who have maintained some form of resistance training and those who have not — even among aerobically active people — is consistent and visible; the body keeps track.
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Good science complicates the narrative, and this study is no exception. The relationship between strength training and cancer mortality did not follow the same pattern as the cardiovascular and neurological findings, and the researchers were transparent about it.
At low levels of resistance training — just one to 29 minutes per week — participants showed a 21 percent lower risk of dying from cancer. At 30 to 59 minutes, the figure was 18 percent. But the benefit did not continue to rise as training volume increased. The dose-response curve for cancer was non-linear in a way the researchers were not able to explain.
The authors are careful not to interpret this as evidence that minimal exercise outperforms more. The more plausible explanation is that the study couldn’t fully account for confounding factors, including diet, cancer type, genetic predisposition, and participants’ health trajectories across different exercise levels.
I mention this not to undermine the study’s conclusions, but because the relationship between cancer and exercise is genuinely not yet fully understood.
The study’s other limitations are worth noting too. Exercise was self-reported. Pilates, yoga, and callisthenics were not captured. Intensity was not measured, only duration. These are standard constraints in large observational research.
What gives this study considerable weight despite these limitations is its scale: 147,000 participants, up to 30 years of follow-up, and repeated measurements of exercise habits every 2 years across three independent cohorts. This is as strong as epidemiological evidence gets on this question.
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I think about my friend who stopped going to the gym. She was already doing something right. This study suggests that adding one or two short sessions of resistance training each week would meaningfully change her mortality risk profile. Bodyweight squats. Seated rows with a resistance band. Modified push-ups against a wall. Any of these count. The study did not ask participants whether they were former athletes. It only asked how much resistance training they performed.
The answer that produced the greatest benefit was modest, consistent, and achievable by most people reading this, regardless of where you start from.
Sixty to ninety minutes a week. Two sessions. Begin where you are today.
Please consult your physician or a qualified health professional before beginning a resistance training programme, particularly if you are managing existing conditions, recovering from injury, or returning to exercise after a period of inactivity.
Source
Zhang, Y., Lee, D.H., Rezende, L.F.M., Ma, Y. & Giovannucci, E. (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. Published June 2, 2026.
A note on my writing process: The Long Ride uses Claude, an AI assistant, to help search for the scientific data, review validated research, and draft a summary.
The voice, personal reflections, editorial decisions, and verified research are mine. A full explanation of how I use AI in my writing will be on my home page soon.




Interesting. I'm 80 and have been consistently doing 3 strength sessions per week for about 5 years. About 30 minutes each. Usually 2 days of swimming and/or walking. Goal is to reach 90 with healthy lifespan
Just subscribed. 77 with a lifetime of handball, biking, and running. Especially handball. And so? I have sat on my ass the last two years and the results of that are pathetic. Balance is terrible. Thanks so much, Greg. You have instantly and permanently motivated me to get off my butt. And again, especially handball. The greatest sport in the cosmos.