Lifting is linked to a longer life. You need less than you think.

People say: “More lifting means a longer life” We read the study.

What they did

Meta-analysis of cohort studies. 263,058 people. 16 studies (published 2012-2020; each with at least 2 years of follow-up; longest median follow-up 25.2 years).

Many studies, added up. People were watched, not told what to do. A clue, not proof.

Who: Adults aged 18+ without severe health conditions at baseline (ages 18 to 97.8), mostly from the USA (also England/Scotland, Australia, Japan). n = 263,058 participants / 42,133 deaths in the any-vs-none all-cause mortality analysis (7 studies); the paper gives no single total across all 16 studies. Individual studies ranged from 3,809 to 479,856 participants.

What they found
  • Any lifting vs none-15%
  • Lifting + cardio vs neither-40%
  • Lowest risk at40 min/week
The catch

More to know, from our read of the paper:

  • Observational cohort studies only: association, not causation; authors cite possible residual, unknown and unmeasured confounding
  • Strength training was self-reported (13 studies questionnaire) or by interview (3 studies), never objectively measured
  • Certainty of evidence (GRADE) rated 'very low' for all-cause mortality, CVD and total cancer, and 'low' for diabetes
  • Small number of studies (7 or fewer per outcome); publication bias could not be tested, so pooled estimates 'might have been overestimated'
  • High heterogeneity (I2 83% all-cause, 73% CVD, 76% total cancer)
The verdict

A little lifting, linked to a longer life.

One thing to try
  1. Aim for 30–60 min a weekThat's where the risk was lowest.
  2. Add cardio tooBoth together: 40% lower death risk.
  3. More isn't proven betterPast ~2 hours a week, the data get unclear.
In short

A meta-analysis of 16 cohort studies of adults, with strength training self-reported. Any muscle-strengthening activity was linked to 15% lower risk of death vs none (7 studies, 263,058 people). Risk was lowest at about 40 minutes a week; beyond that the benefit didn't clearly grow, and past ~2 hours a week the data are unclear (not shown to be harmful). Strength plus aerobic exercise vs neither: 40% lower. Observational, very low certainty of evidence: linked, not proven.

The paper

Momma et al. (2022). Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies. British Journal of Sports Medicine.

Design: Meta-analysis of cohort studies · systematic review and meta-analysis of prospective cohort studies (linked, not proven)

DOI: 10.1136/bjsports-2021-105061

Goals:

How we checked

We read the abstract and the full text of this paper and checked every number on this page against it (16 facts, checked on 2026-09-27). The study design is named above. Cohort and other observational studies are described as linked, not proven. Found an error? Email theis@onestudyaday.com.

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