Muscle Mass Can Predict How You Age: Here’s Why (and How) To Build It
Authors: Therabody Scientists: Michelle Darian, MS, MPH, RD, LDN; Tim Roberts, MSc; Rachelle Reed, PhD, MS, ACSM-EP
Strength training is best known for its ability to help maintain (and build) muscle. But it also helps to improve nearly every area of your health, including your heart health, bone health, mental well-being, and metabolism.
Research shows that muscle mass is a strong predictor of lifespan (the number of years you live). It also improves the quality of those extra years (your healthspan) by preserving mobility, independence, and overall health. That means more years of doing what you love, whether it’s pickleball, swimming, or playing with grandkids. [1, 2, 3]
The challenge is that building and maintaining muscle gets harder with age. Starting as early as your 30s, the body shifts from favoring muscle growth to breaking it down.
The good news is that strength exercise can help counter these changes at any age.
Here, we break down five age-related changes people experience that make physical activity especially crucial whether you’re 40, 50, or 60+ — and how strength training helps you fight back.
1. The rate of muscle protein synthesis declines
You start losing muscle in your 30s. And if you don’t prioritize building or maintaining muscle, you can lose about 8% of your muscle mass each decade. [4]
That’s because muscle tissue is in a constant state of turnover. New muscle tissue is generated through muscle protein synthesis (MPS), alongside muscle protein breakdown. As you age, the rate of MPS slows, which makes building new muscle more challenging. So, it takes more concerted effort to stimulate MPS. [5]
Pro tips:
- Make sure you're getting enough protein through your diet. Aim for 25-30 grams of protein per meal and talk with a registered dietitian about adding a protein supplement on lower protein days.
- Participate in strength-based exercises at least twice a week to stimulate MPS. This 4-minute protocol is scientifically proven to increase flexibility.

2. Hormonal changes impact muscle and bone mass
Both men and women experience hormonal changes with age that impact the ability to hang on to muscle and bone – together, called lean mass.
For women, estrogen is a protective hormone. Estrogen levels fluctuate and then decline during perimenopause, which can accelerate age-related muscle and bone loss. [6]
Men aren’t immune to hormonal changes, either. Testosterone levels, a hormone that helps build muscle, gradually decline with age. So, declining testosterone levels can make maintaining and building muscle more challenging. [7]
Since hormonal changes make muscle building more challenging, resistance exercises become even more critical in your 40s.
Pro tip:
- Incorporate strength-based exercises using dumbbells, resistance bands, or even a weighted vest to help protect and maintain muscle mass.
3. A slowed metabolism
The loss of lean mass (muscle and bone) that accompany aging can actually slow your metabolism.
Because muscle tissue is more metabolically active than fat, individuals with more muscle mass tend to have higher resting energy expenditure, meaning they burn more calories throughout the day (even when not exercising). [8]
Lean mass isn’t the only thing that impacts metabolism, sex, age, and hormones also influence your resting energy expenditure.
However, maintaining and building muscle is one of the biggest lifestyle levers you can pull that keeps your metabolism active with age.
Pro tip:
- Focus on compound movements like squats, deadlifts, and push-ups that work several muscle groups at once.
- Gradually increase the amount of weight you use, the number of reps you perform, or the sets over time — this progressive overload is crucial for continued muscle growth.
4. Reduced cardiovascular function
The heart is also a muscle. It becomes less efficient with age, working harder to circulate blood, oxygen, and nutrients throughout your body. It can make everyday activities feel more tiring than they used to. [9]
Fortunately, cardiovascular exercise (like walking, running, and biking) can train your heart and improve your cardiovascular fitness. [10]
Cardiorespiratory fitness (typically measured by VO₂ max, or the maximum amount of oxygen your body can use during intense exercise) is a strong predictor of overall health and longevity. [11]
A higher VO₂ max means your body is better at delivering and using oxygen, which supports stamina, recovery, and resilience. [11] You can get an estimate of your VO₂ max through certain smartwatches, fitness apps, or more precise lab-based fitness testing.
Pro tip:
- Combine strength training with cardiovascular exercise for heart health benefits. Include cardio in your weekly exercise routine.
- Find movements you like, such as brisk walking, swimming, or cycling — alongside resistance training. This combination not only strengthens your heart muscles but also helps improve circulation.
5. Joint stiffness and reduced mobility
As we age, maintaining mobility (the ability to move freely and easily) becomes increasingly important for quality of life. Reduced mobility can make everyday tasks harder, increase the risk of falls, and limit independence.
One common contributor to joint stiffness and restricted movement is a change in connective tissue, including fascia — the thin layer of tissue that surrounds muscles, bones, and joints. Over time, fascia can become thicker and less elastic, which may limit your range of motion, reduce blood flow, and slow down recovery. [12]
Regular physical activity and mobility-focused exercises can help keep joints lubricated and moving well. [13]
Pro tip:
- Maintain flexibility and joint health through dynamic warm-ups and regular stretching.
- Find mobility activities you enjoy, such as yoga and Tai Chi, to complement your stretching.
- If your joints and muscles need an extra boost, try using a Theragun®. This 4-minute protocol is scientifically proven to increase flexibility.

How strength training can counter these changes
Incorporating a mix of cardio and strength training can help counter age-related muscle loss. There are numerous researched benefits to adding this type of training to your routine in your 40s and beyond:
- Improved strength, balance, and endurance: One systematic review and meta-analysis found that exercise programs significantly improved muscle strength, balance, and endurance in people aged 40-65 years. [14]
- Improved bone mineral density: Consistent strength training has been shown to improve bone mineral density, especially in postmenopausal women. [15] A study published in 2023 even found that six weeks of training with dumbbells improved bone mineral content and age-adjusted bone health scores in people in their 60s and 70s. [16]
- Metabolic health: Studies show that strength training can help lower blood pressure, improve insulin sensitivity (lowering the risk of type 2 diabetes), and improve the composition of lean mass to fat mass. [17, 18, 19]
- Reduce the risk for falls: Strength training helps maintain functional independence by preserving or improving strength, power, mobility, and balance. This translates into lower risks of falls, injuries, frailty. [19, 20]
- Quality of life: A 2023 study reviewed data from 21 studies and 1,610 older adults to see how resistance training impacted muscle strength, mental health, and quality of life. Results showed that there was a significant improvement in social function, depression, and pain. [21]
How much physical activity do you need?
Getting the health benefits of exercise doesn’t have to mean spending hours a day at the gym.
The Physical Activity Guidelines for Americans recommend that all adults get at least 150 minutes of moderate-intensity aerobic (cardio) activity per week or 75 minutes of vigorous-intensity activity per week. [22]
This includes activities like hiking, jogging, walking, and climbing up and down stairs.
The guidelines also recommend that all adults participate in muscle-strengthening activities two or more days per week that activate all major muscle groups (including your legs, hips, back, abdomen, chest, shoulders, and arms).
These activities include bodyweight exercises, weightlifting, carrying heavy groceries, and even some forms of Pilates.
For older adults, the guidelines also recommend including exercises that improve your balance and coordination, like single-legged movements, to help reduce the risk of falls.

How to start strength training to build muscle
So, the question becomes: How do you incorporate, and stay consistent with, this level of physical activity?
Here’s what the American College of Sports Medicine recommends: [23]
- Follow a well-rounded routine that includes strength training, aerobic activity, and mobility work. Shoot for at least two days a week of strength training, a form of cardio daily, and mobility work (like dynamic stretching) a few times a week.
- Prioritize proper form: Your form and body alignment is crucial to getting the most out of each exercise and to prevent injury. If you’re new to strength training, taking group fitness classes or working with a trainer can help you learn proper techniques and build confidence.
- Progress gradually: Building muscle and strength means adding more to your routine, whether that’s weight, volume of exercise, or number of reps.
- Build in recovery time: Recovery is essential, especially as we age. Allow at least one day of rest between strength sessions. Light movement, stretching, and tools like percussive therapy can support muscle recovery and improve flexibility.
Key takeaways
- Muscle mass is a strong predictor of both lifespan and healthspan: it helps to preserve mobility and reduce age-related health risks.
- You start losing muscle if you don't actively maintain it through exercise.
- It's never too early or too late to start, exercise benefits people at every age and stage of life.
- Do strength-based training at least twice per week targeting all major muscle groups
- Combine strength and cardio, your weekly routine should include both resistance and cardio training.
- Recovery matters too, tools like stretching, mobility work, and percussive therapy help maintain flexibility.
- Consistency beats intensity, regular activity that you enjoy and can stick with long-term is more valuable than sporadic intense workouts.
References
- Muscle Mass Index as a Predictor of Longevity in Older-Adults
-
Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies
- Muscle mass, strength, power and physical performance and their association with quality of life in older adults, the Study of Muscle, Mobility and Aging (SOMMA)
- Muscle tissue changes with aging
- Age-Related Sarcopenia in Humans Is Associated with Reduced Synthetic Rates of Specific Muscle Proteins
- Changes in muscle mass and strength after menopause
- Testosterone for the aging male; current evidence and recommended practice
- Skeletal muscle metabolism is a major determinant of resting energy expenditure
- Cardiac changes associated with vascular aging
- Cardiovascular Effects and Benefits of Exercise
- Cardiorespiratory fitness is a strong and consistent predictor of morbidity and mortality among adults: an overview of meta-analyses representing over 20.9 million observations from 199 unique cohort studies
- Fascia thickness, aging and flexibility: is there an association?
- The Effect Of Percussive Therapy On Musculoskeletal Performance And Experiences Of Pain: A Systematic Literature Review
- Physical activity improves strength, balance and endurance in adults aged 40-65 years: a systematic review
- Comparative efficacy different resistance training protocols on bone mineral density in postmenopausal women: A systematic review and network meta-analysis
- Effect of six weeks of resistance training on bone preservation in older adults: a randomized control trial
- Resistance training to reduce resting blood pressure and increase muscle strength in users and non-users of anti-hypertensive medication: A meta-analysis
- The role of resistance training in influencing insulin resistance among adults living with obesity/overweight without diabetes: A systematic review and meta-analysis
- Resistance Training and Weight Loss in Older Adults: A Scoping Review
- Physical activity plays a crucial role in multidomain intervention for frailty prevention
- A Systematic Review and Meta-Analysis of Resistance Training on Quality of Life, Depression, Muscle Strength, and Functional Exercise Capacity in Older Adults Aged 60 Years or More
- Physical Activity Guidelines for Americans
- Exercise and Physical Activity for Older Adults
