The Reality
We have discussed the importance of protein and creatine monophosphate in relation to strength training, and the following statement from Dietitians Australia captures the other component of the necessary equation.
“To maintain muscle mass and strength, it is also important to complement protein intake with exercise to avoid muscle wasting and maintain strength (for example, walking and resistance/strength exercises). This is particularly important for adults over the age of 50, as muscle mass begins to decrease with age.”
There is significant data about the benefits for men, but it is also critical for women (Ref. 1, Ref. 2, Ref. 3). This 2025 article details the history of resistance training for women.
Muscle & Strength Loss – a natural process
Every decade after the age of 40, we lose, on average, 10% of our muscle mass. This rate increases in menopausal women, rising to 1.5% per year. This rate of loss is not linear for the individual with age. In addition to the general decline, there are step-downs with higher rates of loss during periods of inactivity associated with injury, illness, or reductions in training or general activity.
This is accompanied by an important distinction: between chronological and skeletal age. When injured and therefore not training, muscle mass and strength decrease, and skeletal age advances (not beneficial). For example. If a 60-year-old man falls and fractures his hip. Due to his period of inactivity, his skeletal age advances to that of a 66-year-old man who hasn’t had a fracture. This insidious advancement of skeletal age occurs with each injury, illness and detraining period, resulting in loss of independence and frailty.
Like grey hair and wrinkles, loss of muscle mass is a natural process we can’t stop, but we can mitigate its effects through strength training and appropriate protein intake.
The loss of 1% of muscle mass per year sounds concerning, but the loss of strength can be 2-5 times greater, and this rate increases after 75 years of age.
I liken strength to superannuation: it is better to start building it early rather than leave it until you are 50 or 60. If you left retirement planning and your superannuation until 50 or 60, you wouldn’t have much financial security when retiring at 67!
Given that early and consistent contributions to our strength bank are critical, are we currently doing the right thing, that is, planning for an independent older age? Among adults aged 20 to 59 years, only 3.2% of women and 3.8% of men met the recommendations to engage in moderate-to-vigorous physical activity for at least 30 minutes (in sessions of at least 10 minutes) on five or more days per week. It would seem that we are not even close to achieving our strength capacity.
If, as older adults, we want to spend time in the garden, casting a fishing rod, throwing a ball with our grandkids, or picking up our dog, AND have a low injury risk profile, we need to engage in more strength training to enable an active and independent lifestyle as we age.

Sex Differences
Male Summary
💪 Staying Strong as You Age: For Men
As the years pass, your body changes — but staying active helps you maintain your independence and continue to be adventurous.
👊 Muscles shrink faster with age → Strength training keeps you powerful.
🦴 Bones thin slowly over time → Keep them strong with weight-bearing activity.
❤️ Heart and Lungs lose endurance → Regular walking, swimming, or cycling keeps you fit.
🍔 Belly Fat sneaks up → Healthy eating + movement help protect your heart.
🧍 Balance may decline suddenly → Practice exercises that keep you steady.
👉 Regular exercise, good sleep, and staying active in daily life are the best ways to maintain independence.
Male Specifics
- Muscle Mass and Strength
Men typically enter adulthood with more lean muscle mass, but their testosterone levels gradually decline with age. This reduction impairs the body’s ability to build and maintain muscle, leading to loss of strength and reduced power. - Cardiovascular and Respiratory Fitness
VO₂ max declines steadily from midlife onward, resulting in reduced endurance. Larger hearts and lungs initially provide an advantage, but aerobic capacity declines sharply over time. - Fat Distribution and Metabolism
With age, men accumulate more visceral fat around the abdomen and organs, raising risk for diabetes and heart disease. - Balance and Falls
Men tend to maintain mobility longer due to their greater initial muscle mass, but sudden health events (e.g., stroke, heart disease) can cause steep declines in mobility. Exercise reduces the risk of falls by 25%.
Female Summary
🌸 Staying Strong as You Age: For Women
Your body changes throughout life, especially after menopause — but movement is a powerful way to stay healthy and confident.
👊 Muscles are 20-25% smaller to start, cf. males→ Building them early and keeping them strong makes everyday tasks easier.
🦴 Bones lose strength quickly after menopause → Lifting weights + Vitamin D help protect against fractures.
❤️ Heart Health needs extra care → Exercise reduces risk as natural protection decreases.
🍎 Fat Storage shifts toward the belly during menopause → Staying active helps control this. Midlife weight gain is more age-related than hormone-related.
🧍 Balance becomes more challenging → Strength, balance drills and maintaining flexibility help to prevent falls.
👉 Staying active helps you enjoy more adventures, protect your health, and keep doing what you love.
Female Specifics
- Muscle Mass and Strength
Women typically have lower muscle mass, making declines more noticeable during daily tasks. Hormonal changes reduce recovery and repair, emphasising the importance of resistance training. Ligaments, tendons, and other soft tissues also experience declines in strength, hydration, and elasticity with reductions in estrogen. This is called the musculoskeletal syndrome of menopause and affects 70% of women. - Bone Density
Following menopause, estrogen levels fall sharply. This accelerates bone loss and significantly increases the risk of osteoporosis. - Cardiovascular and Respiratory Fitness
Women have lower baseline aerobic capacity. After menopause, the loss of estrogen removes a layer of cardiovascular protection, increasing the risk of heart disease. - Fat Distribution and Metabolism
Before menopause, fat is stored mainly around the hips and thighs. After menopause, abdominal fat tends to accumulate, increasing visceral adiposity and metabolic risk. - Balance and Falls
Reduced muscle reserves, smaller body size, and declining bone density increase the risk of falls and fractures. Balance-focused exercise is crucial. - Mental Health
While not directly a strength-related change, menopause can also have a significant impact on mental health, with changing hormone levels, fatigue, sleep disturbances, anxiety, depression and ‘brain fog’. Sleep reductions and persistent fatigue may reduce exercise capacity and interest.
Strength = Independence = Enjoyment
Keeping it very simple, your strength (which, as noted above, naturally decreases) is your independence. This brutal truth is clearly demonstrated during hand-grip tests. This simple test correlates strength to longevity. Loss of strength is directly related to a shorter life and to a loss of the activities we enjoy, love, and are passionate about, such as fishing, playing with grandchildren, gardening, hiking, or scuba diving. Once we no longer have the strength to do these things we enjoy, we can’t do them. Period. Building or at least maintaining our strength, therefore, becomes imperative.
Building strength through targeted repetitions (reps)
The only way to build strength is through resistance training, whether using weights, elastic bands, or body weight. Repetition ranges are low, say 5-10. Once repetitions increase substantially, you move into a more cardio-focused workout, which doesn’t focus the body on building muscle. I focus on five repetitions as the sweet spot for a couple of reasons. First, it facilitates muscle growth, as noted previously; second, it is an ideal number for maintaining good form and concentration. Often, when people perform 10-12 reps, the last 3-5 reps are fatiguing, or they lose concentration, resulting in a decline in movement quality. No point practising poor habits and pushing the risk of injury with ’empty reps.’
Goal = 70% loading for each muscle/exercise
To facilitate muscle growth, we need sufficient physical stress on our muscles. However, as we age, our muscles become stiffer, recover more slowly, and adapt more slowly to changes in loading. This means we aim for around 70% maximal loading, not 85-90% as in our younger days. In this way, we have sufficient stimulus to promote muscle growth, we can perform back-to-back sessions (consistency is essential for building muscle), and we reduce our risk of injury.
How do I determine what 70% of my maximal capacity is for each exercise? There is a complex process that takes time in the gym under supervision, but for our situation, the weight you can achieve around 14 times is your 70% maximal lift for that exercise.
Frequency & format for the overall program
In part, this depends on how much time you can allocate to resistance training, given your other fitness goals (cardio, flexibility), family, work, and community commitments. However, given that you are possibly a role model for children/grandchildren, you want to facilitate an active and enjoyable post-50 lifestyle, and you understand now the critical role strength training has for all this to happen, two sessions of around 45 -60 minutes would be a minimum. Ideally, aim for three; I aim for four per week.
I use a 5×5 program. This means I perform five repetitions of an exercise, then repeat it five times. A block comprises three strength exercises followed by one stretch exercise; I have two blocks in a workout. Each workout is preceded by 10-15 minutes of warmup to bring my body up to operating temperature and focus my mind on the workout. I have two workouts (one more focused on legs, the other on arms) that are balanced with my other exercises: swimming, hiking, and cycling.
Daily workout program:
| Monday/Thursday | Tuesday/Friday | |||
| Warmup | Warmup | |||
| Block 1 | Block 2 | Block 1 | Block 2 | |
| Calf raise | Bench press | Abdominal pike | Lat pulldowns | |
| RDL single | Shoulder external rotation | Pect cable flys | Decline pushups | |
| Biceps | Split squat | Anterior tibials | Step down single squat | |
| Hamstring stretch | Calf stretch/Squat | Hamstring stretch | Calf stretch/Squat |
The above is my general program. However, some flexibility and variety are beneficial. I may push out the final set of a specific exercise to 14 reps (70% max), add a bonus exercise such as hip thrusts, or increase my push-ups per set; start at 5, then 6, 7, 8, 9, and 10 in my final set.
You can download a program template here.
Weekly workout program:
| Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Gym/Legs | Gym/ Arms | Cycle | Gym/Legs | Gym/Arms | Hike | Rest |
| Swim | Swim |
Stretching
Stretching is another critical element of general fitness, especially if you have an X & Y chromosome!
- Can you do a full squat while wearing gym shoes and keep your heels on the ground?
- Does your neck turn 90 degrees each way?
- Can you lift your arm above your head so it is parallel to your trunk? These are all essential functional requirements.
As a general rule, women are more flexible and tend to spend more time in yoga and pilates classes. Guys, on the other hand, tend to go to the gym and work on their strength. We tend to do what feels easier, rather than what would be better for us. While both sexes need to work on strength, guys should focus a bit more on mobility, and women should focus more on strength.
I focus on two of my tightest areas; calves (short and long groups) and hamstrings, during my gym workouts. I will conduct a couple of longer sessions during the week, lasting 30+ minutes, in combination with a massage gun, often while watching television, talking, or listening to music.
