Recommended Exercises for a 60-Year-Old
A healthy 60-year-old should perform 150-300 minutes of moderate-intensity aerobic exercise weekly (or 75-150 minutes of vigorous exercise), strength training of all major muscle groups at least 2 days per week, and multicomponent activities including balance and flexibility exercises at least 2-3 days per week. 1
Aerobic Exercise Component
Target Duration and Intensity:
- Aim for 150-300 minutes of moderate-intensity aerobic activity per week, spread throughout the week rather than concentrated in 1-2 days 1
- Alternatively, 75-150 minutes of vigorous-intensity activity, or an equivalent combination of both intensities 1
- Moderate intensity means you can talk but not sing during the activity, with noticeable breathlessness 1, 2
- Exceeding 300 minutes of moderate activity provides additional health benefits 1
Practical Examples:
- Brisk walking, cycling at a comfortable pace, swimming continuously, recreational tennis doubles, or water aerobics 2
- Dancing and gardening also qualify as moderate-intensity activities 1
Strength Training Component
Frequency and Structure:
- Perform resistance exercises at least 2 days per week on non-consecutive days, targeting all major muscle groups (legs, hips, chest, back, abdomen, shoulders, and arms) 1, 3
- Complete 8-12 repetitions for 1-2 sets per exercise 1, 4, 5
- Allow 2-3 minutes rest between sets and at least 48 hours between training sessions for the same muscle group 1, 5
Intensity Guidelines:
- For those new to strength training, use 40-50% of one-repetition maximum (very light to light intensity) 5
- For intermediate exercisers, progress to 60-70% of one-repetition maximum (moderate to hard intensity) 5
- Use light weights with 10-20 repetitions if just starting 1
Balance and Flexibility Component
Balance Training:
- Perform balance exercises at least 2-3 days per week 1
- Include dynamic movements that challenge balance and coordination 2-4 days per week 1
- Balance activities should involve 3-5 repetitions, performed for 10-30 seconds each, of 5-10 different exercises 1
- These can be integrated into daily activities or leisure activities 1
Flexibility Training:
- Stretch at least 2 days per week for a minimum of 10 minutes each session 1, 3
- Target all major muscle-tendon groups with a total of 60 seconds per exercise 3
- Hold static stretches to the point of tension (not pain) for 10-30 seconds, repeating 3-4 times per muscle group 1
- Perform stretching after aerobic activity or during cooldown 1
Multicomponent Training Approach
Integrated Programming:
- The most effective approach combines aerobic fitness, strength exercises, flexibility, and balance activities into a comprehensive program 1
- Multicomponent activities including balance, strength, and aerobic training should be performed at least 3 days per week 1
- Examples include circuit training, kayaking, or swimming that incorporate multiple fitness components 1
Sedentary Behavior Reduction
Breaking Up Sitting Time:
- Avoid prolonged sitting and break up sedentary periods every 30-60 minutes with physical activity or standing 1, 4
- Take 2 minutes of physical activity for every hour of sitting 1
- Limit recreational screen time to no more than 2-3 hours per day 1, 4
- Replace sedentary time with activity of any intensity whenever possible 1
Progressive Implementation Strategy
Starting and Advancing:
- If currently inactive, begin with small amounts of activity (as little as 10 minutes once or twice daily) and slowly increase duration, frequency, and intensity 1
- Start with light-intensity activity and gradually progress to moderate intensity over several weeks 1
- When unable to meet the full guidelines initially, do as much as your health and fitness allow—some activity is always better than none 1
- Systematically increase resistance or duration when the current workload can be performed for 1-2 repetitions over the desired number on two consecutive sessions 5
Common Pitfalls and Caveats
Safety Considerations:
- While most healthy 60-year-olds can begin moderate exercise without medical clearance, consult a healthcare professional if you have chronic conditions, chest pain, dizziness, or other concerning symptoms 1, 3
- Avoid doing too much too soon—gradual progression prevents injury and improves long-term adherence 1, 3
- Exercise should be pleasant and enjoyable to improve adoption and adherence 3
- Group activities and competitive sports can provide social and emotional health benefits in addition to physical benefits 1
Realistic Expectations:
- The beneficial effects of regular physical activity in 60-year-olds include improvements in cardiovascular health, muscle mass and strength, bone density, posture, physical stability, cognitive function, and reduced depression 6, 7, 8
- Strength gains in older adults can be similar to or even higher than in younger people when following appropriate resistance training 6, 9
- Flexibility and balance improvements are maintained even during periods of reduced training 9