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The Aging Athlete: Paradigm of Healthy Aging
Abstract
The Exercise Boom of the 1970’s resulted in the adoption of habitual exercise in a significant portion of the population. Many of these individuals are defying the cultural norms by remaining physically active and competing at a high level in their later years. The juxtaposition between masters athletes and non-exercisers demonstrate the importance of remaining physically active throughout the lifespan on physiological systems related to healthspan (years of healthy living). This includes ~50% improved maximal aerobic capacity (VO2max) and enhanced skeletal muscle health (size, function, as well as metabolic and communicative properties) compared to non-exercisers at a similar age. By taking a reductionist approach to VO2max and skeletal muscle health, we can gain insight into how aging and habitual exercise affects the aging process. Collectively, this review provides a physiological basis for the elite performances seen in masters athletes, as well as the health implications of lifelong exercise with a focus on VO2max, skeletal muscle metabolic fitness, whole muscle size and function, single muscle fiber physiology, and communicative properties of skeletal muscle. This review has significant public health implications due to the potent health benefits of habitual exercise across the lifespan.
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“Extensive scientific evidence suggests that long-term endurance running in advanced age is effective in attenuating age-related physiological decline [11,72,73].”
From Ageing, Sex Differences, and REDs Risk in Endurance Runners: An Integrated Cross-Sectional Study Protocol (2026) · cites this paper as [11]
In the citing paper
“While long-term endurance training may attenuate typical age-related declines in cardiorespiratory fitness and musculoskeletal function, these benefits likely depend on whether energy intake sufficiently supports the energetic cost of training, daily living, and recovery [11].”
From Ageing, Sex Differences, and REDs Risk in Endurance Runners: An Integrated Cross-Sectional Study Protocol (2026) · cites this paper as [11]
In the citing paper
“Masters athletes are adults aged ≥40 who compete in sport, exhibiting superior physical function and healthier aging than their sedentary peers.”
From Effects of Aging on Determinants of Endurance Performance in Women Masters Athletes: A Scoping Review (2026) · cites this paper as [7]
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“Overall, findings were mixed with some studies suggesting that stroke volume may decrease with age, while others showed that endurance training may attenuate these effects [7,71].”
From Effects of Aging on Determinants of Endurance Performance in Women Masters Athletes: A Scoping Review (2026) · cites this paper as [7]
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Cited by
Vangsgaard, D., Noumi, M., Hayden, K. A., & Doyle-Baker, P. K. (2026) · Healthcare · doi:10.3390/healthcare14081080
Oreská, Ľ., Kundeková, B., Varga, L., Stebelová, K., Okuliarová, M., Payer, J., & Sedliak, M. (2026) · Sports · doi:10.3390/sports14030121
Metadata
- Authors
- Gries, K. J., & Trappe, S. W.
- Affiliations
- Program in Exercise & Sports Science, Marian University, Indianapolis, Indiana, USA
- Human Performance Laboratory, Ball State University, Muncie, Indiana, USA
- Venue
- International Journal of Sports Medicine
- Publisher
- Georg Thieme Verlag KG
- Published
- 2022-02-04
- Volume
- 43
- Issue
- 08
- Pages
- 661-678
- ISSN
- 0172-4622
- 1439-3964
- Cited by
- 22
- References
- 34
- Language
- en
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