the minimum dose of exercise that science points to changing the health of those over 60 years of age
In the 1980s, gerontologist Robert N. Butler launched a phrase that has become in a mantra of modern medicine: “if exercise and physical activity could be packaged as a pill it would be the most widely prescribed and beneficial medication for the population.” Forty years later, science has stopped treating that phrase as a metaphor and turned it into a mathematical calculation. The ROI of the force. Until now, we knew that sport was healthy, but data on its direct clinical profitability were lacking. The GENUD research group, led by José Antonio Casajús, published in Experimental Gerontology at the end of 2025 one of the strongest evidence to date. The essay, carried out with 123 people over 80 years oldprescribed a treatment of three weekly supervised exercise sessions for six months. The clinical results were clear: improvements in functional capacity, reduction in frailty and increase in quality of life. But the data that has aroused the interest of health managers is economic. The conclusion here was that while the cost of the intervention was only 164 euros per person, The savings to the system exceeded 1,000 euros. The clinical squat. If exercise is the ideal drug, clinical evidence points to the squat being the most important active ingredient here. Many studies have precisely validated this movement, which can mean the world to some people, not as a gym exercise but as a diagnostic and treatment tool. Biomechanics is key. Why is the squat so important to medicine? First of all because it is an exercise that demands more on the hip extensorsvital for an elderly person to be able to get up from a chair or bed without help. But in addition, it also activates the quadriceps and plantar flexors more. At the metabolic and cardiovascular level, the impact is systemic. The venous compression that occurs during the squat increases venous return and cardiac output, acting as a natural pump that combats orthostatic hypotension. Even in post-stroke patients, fast squats have been shown to activate the injured rectus femoris, correcting asymmetries and improving postural control. How long. You don’t have to work hard, since a recent study showed that a program of just one minute a day, that is, about thirty seconds of squats and thirty seconds of push-ups, is enough. This is something that was seen with prescription by primary care physicians, improving physical performance in patients over 60 years of age with excellent adherence at 24 weeks. Anti-cancer effect. Beyond the effect on adults, important implications of physical exercises in pediatric cancer have also been seen. This was evidenced by Carmen Fiuza-Luces, from the Physical Exercise and Pediatric Cancer group, who directs the “La Aceleradora” project of the Unoentrecienmil Foundation. And contrary to the belief of having “absolute rest” when you have cancer, the evidence shows that exercise during treatment of pediatric solid tumors It achieves what no drug can. For example, it reduces the side effects of chemotherapy, protects the heart from the toxicity of the treatment or prevents atrophy in sick children. The problem is not the drug. The problem with prescribing exercise in consultation is lack of knowledge about the ‘dose’ that should be given. Just as a doctor does not say ‘take an antibiotic’ without a clear duration and frequency, the same thing happens with sports. You can’t say ‘do sports’. In these cases, exercise requires a dose in the form of frequency and duration, the intensity that must be personalized to each patient and, above all, monitoring with adaptation to the patient’s pathology. Looking for the front door. The Health and Sports Working Group of the Collegiate Medical Organization, coordinated by José Ramón Pallás, is pushing for integrate exercise into the National Health System as a therapy equivalent to drugs. The goal is for the “3 sets of 10 squats” recipe to be as official and binding as any blood pressure pill. In this way, science has done the numbers and all that remains is for the administration to make a move. Images | Victor Freitas In Xataka | Neither 10,000 steps a day nor killing yourself in the gym: the “sweet spot” of exercise according to science is 30 minutes
