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The Marylebone Practice

Training Is Not About Shrinking Yourself

It is about building the body that carries you through life.

“Training is not about men or women becoming smaller. It is about all of us becoming stronger, steadier and better equipped for the years ahead.”

For many people, exercise has been sold as a way to become smaller.
Burn calories. Drop a dress size. “Tone up.” Undo what you ate.
But what if we changed the conversation?
What if training was not about punishment, guilt or chasing a version of ourselves from ten years ago?
What if training was about longevity, strength, independence, confidence, bone health, metabolic resilience and living better for longer?
Because that is where the real conversation needs to go.

Why training matters more as we age
From our 30s onwards, we gradually begin to lose muscle mass unless we actively work to maintain it. For women, this can become more noticeable around perimenopause and menopause, when hormonal changes can affect muscle, body composition, energy, recovery and bone density. For men, ageing also brings gradual changes in muscle mass, strength, metabolic health and cardiovascular fitness.

This is not a reason to panic. It is a reason to act.

Strength training is one of the most powerful tools we have. It supports muscle mass, balance, glucose control, joint health, posture, confidence and daily function. It also helps protect bone density. The World Health Organization recommends that adults do both aerobic physical activity and muscle-strengthening activity, and the NHS highlights weight-bearing and resistance exercise as particularly important for improving bone density and helping prevent osteoporosis. [1,2]

Why do we care so much about bone density?
Bone density is not just a scan result. It is your future freedom.

Low bone density increases the risk of osteoporosis and fractures. Hip and spine fractures in later life can be life-changing, affecting mobility, independence and quality of life.
The good news is that bone is living tissue. It responds to load.

When you lift weights, walk briskly, climb stairs, jump, carry, push, pull and use your muscles against resistance, you are sending a signal to your bones: stay strong, we still need you. The Royal Osteoporosis Society describes weight-bearing impact and muscle-strengthening exercise as key ways to keep bones strong. [3]

And then there is VO2 max
VO2 max is a measure of how well your body uses oxygen during exercise. In simple terms, it reflects cardiorespiratory fitness: the capacity of your heart, lungs, circulation and muscles to work together.

Why does that matter?
Because cardiorespiratory fitness is strongly linked with long-term health and survival. A large JAMA Network Open study found that cardiorespiratory fitness was inversely associated with long-term mortality, and described fitness as a modifiable indicator clinicians should encourage people to improve and maintain. [4]

This does not mean everyone needs to become an endurance athlete. It means we should all care about the health of our heart, lungs, circulation and muscles.

Walking faster, cycling, swimming, intervals, hills, rowing, dancing and stair climbing all count.

The aim is not perfection. The aim is progression.

Food confusion is holding too many people back
Many people are trying to train while under-fuelling.

They are lifting weights but afraid of carbohydrates. Trying to build muscle but not eating enough protein. Doing high-intensity sessions while running on coffee and willpower. Feeling tired, then blaming themselves for “lack of discipline”.

Nutrition does not need to be complicated, but it does need to support the body you are asking to perform.

For muscle and bone health, protein matters. The PROT-AGE Study Group recommends that healthy older adults consume at least 1.0-1.2 g of protein per kg body weight per day, with higher intakes sometimes indicated in illness, injury or more demanding circumstances. [5]

But protein is not the whole story. We also need enough total energy, carbohydrates for training, healthy fats, fibre, and micronutrients such as calcium, vitamin D, magnesium and iron where appropriate.

Food is not the enemy of fitness. Food is part of the training plan.

Training is healthcare, not vanity
This is the shift I would love more people to make.

Training is not just about aesthetics.
It is about being able to get up from the floor with ease. Carry your shopping. Run for a train. Climb stairs without fear. Lift your suitcase. Recover from illness or injury. Protect your bones. Support your brain. Improve your metabolic health. Feel at home in your body.

It is about building a body that is capable, not just one that is smaller.

Where to start
Start with the basics.

Lift something heavy enough to challenge you, two to three times per week. Walk regularly. Add some training that gets you breathless. Eat enough protein. Stop fearing carbohydrates. Prioritise sleep and recovery. Build slowly. Be consistent rather than extreme.

You do not need to do everything at once.
But you do need to start seeing training differently.
Not as a short-term fix. Not as punishment. Not as a way to earn food.
But as one of the most important investments you can make in your future self.
Because the goal is not just to live longer.
The goal is to live stronger.

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