Does Exercise Extend Your Lifespan or Just Your Healthspan?

I was surprised by how much controversy is in the medical literature over whether the apparent longevity benefits of exercise are even real.

Isn’t that mind-blowing?

This is the third video in a four-part series. If you missed the first two, see How Many Steps Should We Get Every Day? ( ) and Exercise is Medicine ( ). Stay tuned for How Much Exercise Is Too Much? ( ).

For more on aging, check out my longevity book, How Not to Age ( ), from your local public library. It’s available in print, e-book, and audio. (All proceeds I receive from the book are donated directly to charity.)

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Want to get a list of links to all the scientific sources used in this video? Click on Sources Cited at . You’ll also find a transcript and acknowledgements for the video, my blog and speaking tour schedule, and an easy way to search (by translated language even) through our videos spanning more than 2,000 health topics.

Thanks for watching. I hope you’ll join in the evidence-based nutrition revolution!
-Michael Greger, MD FACLM

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Leroy Johnson
 

  • @tarabooartarmy3654 says:

    Curious for this one!

  • @naftalibendavid says:

    Follow the data! Small effects can accumulate over time. Stay strong!

  • @ThomNeale says:

    I is confuzzed

  • @econvelho3676 says:

    Amazing, i really think that exercices isnt a miracle to longevety but very good to healthspan

  • @oskariKN25 says:

    If I had to guess, Exercise alone only extends the physiological performance capacity of your body by forcefully stimulating growth factors to keep it functional even though damage through traditional diet is being done. So a combination of optimal diet of antioxidant rich, anti-inflammatory diet of plant whole food extends your body’s capacity to support that physique, extending your life as a result. Even elite athletes have signs of artery calcification and atherosclerosis, you can even make a hypothesis that their arteries might be worse off as extended stress, both chemical and physical cause arterial stiffening. High performance comes at a cost.

  • @StephenMarkTurner says:

    Just guessing, that the typical lousy diet would confound any difference in amount of exercise. Runners eating lots of refined carbohydrate, resistance trainers eating lots of steak ‘n’ eggs, and so on?

  • @aldovirooo says:

    I think we need both a good diet and exercise, but if I can only pick one, I am picking diet.

    • @seban-jackedweeb5513 says:

      @@aldovirooothis has to be one of the worst comments I’ve ever seen in my life. That’s basically saying, “You know that thing that thing has hazard ratios in the whole numbers reducing risk by, like, a hundred percent? Yeah, I’d rather focus on that thing with hazard ratios in the decimals so low that it’s hard to even detect a difference so I can reduce risk by, like, 5%” 🤦‍♂️.

    • @elchicousana2 says:

      @@seban-jackedweeb5513 I agree, a critical study meta-analysis showed people who eat more salt until a certain point lives longer than those with reduced salt, and also showed that those who consumed saturated fats and had higher level of cholesterol had less neurovascular events and lived longer than those with reduced fat ingestion.

    • @hornsteinhof7592 says:

      IMHO a good diet that keeps your inflammation levels low enables you to move a lot, so nutrition might be a prerequisite for exercise

    • @johnnyblue4799 says:

      @@seban-jackedweeb5513 What nonsense are your saying there? “You know that thing that thing”… what thing? A proper diet is a lot more important than exercising. You’ll die sooner if you gorge on McD burgers and fries even if you exercise a lot, than if you eat clean, nutritious food and only move when you need to do something.

  • @Alexander-ok7fm says:

    Thank you!

  • @s.schmidt5923 says:

    This sounds a bit confusing. There are so many studies that find a clear link between the vo 2 max value and longevity. Like “Midlife Cardiorespiratory Fitness and the Long-Term Risk of Mortality: 46 Years of Follow-Up”
    Vo2 Max can be easily trained from all I read, I would have loved to hear more about the topic.

    • @Peter-dw5xq says:

      High VO2 max is a great marker of health eg you are likely a non-smoker, not in a wheelchair and dont have diabetes or a psychiatric disease

    • @s.schmidt5923 says:

      @@Peter-dw5xq @Peter-dw5xq I appreciate your perspective and I do agree that a high VO₂ max is often associated with overall health markers like non-smoking status, absence of diabetes, and fewer physical limitations. However, it seems that studies suggest that VO₂ max isn’t only an indicator of existing health but also a modifiable factor that could actively contribute to increased longevity.

      Research, including long-term studies highlight that a higher VO₂ max correlates with reduced mortality risk over the years. It’s also shown that many people, regardless of initial fitness levels, can achieve significant improvements (often around 20% from what I saw) with consistent training over a few months. This suggests that VO₂ max may not just reflect health but actively promote it when improved.

      If VO₂ max indeed contributes to longevity, it might deserve a place in preventive health advice, much like blood pressure management does. There are numerous cases of people who have overcome health challenges through exercise: friends who’ve quit smoking, relatives who manage their diabetes through lifestyle changes, and family members who find ways to exercise even with severe conditions like Parkinson’s.

      So, while I see your point that a good VO₂ max often correlates with existing health, there seems to be evidence that individuals who are able to improve their levels should consider doing so.

      (And I want to emphasize that I certainly don’t claim to have all the answers – quite the opposite. I just find the topic fascinating and had hoped Dr. Greger would delve into it more deeply, especially since so many others attribute such importance to VO2 max for health and longevity.)

  • @DrumAndDrumber says:

    So, if I understand correctly, it doesn’t extend your life. So, I might not live longer, but I’ll live better. That’s much important to me than adding a few years of questionable health.

  • @NutritionFactsOrg says:

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    And if you have already read Dr. Greger’s new book OZEMPIC: Risks, Benefits, and Natural Alternatives to GLP-1 Weight-Loss Drugs ( https://nutritionfacts.org/book/ozempic/ ), please come to the webinar with your questions.

  • @Peter-dw5xq says:

    Mightily impressed by this video, thank you. I exercise a lot because I enjoy it but I doubt it will increase my lifespan.

  • @zukodude487987 says:

    I am not convinced.

  • @godemperormeow8591 says:

    My guy looked at a Mic the Vegan video and and decided to copy off his homework. 😂

  • @RoughNeckDelta says:

    Personally I think of keeping moving for brain health and lifting heavy things to keep muscle and bone from eating away as we get older.
    I’m not looking to stay here longer than I have to

  • @fredhoy6697 says:

    My position on exercise and diet is not predicated on making me live longer but instead, healthier. I’m a firm believer that ancestry grants me my lifespan but diligence gives me my health.

  • @sojournern says:

    It’s amazing if exercise doesn’t add to lifespan. I’m 72 and the people I know my age are all suffering from chronic illnesses, except me. I exercise a lot and have none…so…this just confuses me.

  • @bjornjurke3610 says:

    Physical activity reduces the risk of dementia, diabetes, heart disease and cancer. But a brisk 45 minute walk 3 times a week can be enough to get these positiv results, according to experts here in my country Sweden.

  • @georgehornsby2075 says:

    Really interesting, this is coming from a consistent exerciser getting 7-8 hours a week of cardio/resistance training. I have a feeling people overstate the benefits of exercise for longevity as it is non controversial as everyone agrees you need physical activity. Whereas if you focus on dietary interventions you are kicking a hornet’s nest. Far easier for a health professional to tell a patient to exercise than to argue about diet.

    There is a ludicrous focus in the pop culture longevity space at the moment on building muscle mass as the ultimate anti-ageing pursuit. Seemingly thinking that if you have enough lean tissue you will be set up perfectly for longevity. This uses huge extrapolations from population data showing the highest quintile in grip strength live the longest ignoring the confounders and the fact that the top quintile of the population aren’t pumping iron, just slightly fitter than average. The jacked TRT taking middle aged are not living the longest!

  • @GregAntal says:

    People who exercise more also eat more. Hence, the quality of the diet partially determines the effect of exercise.

    If one eats a toxic diet that consists of mostly salty-greasy foods, then exercising more means eating more salty-greasy foods…..

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