Aerobic Exercise: 150 Minutes/Week

Cardio fitness is one of the strongest predictors of how long you’ll live (Blair et al., 1996; Mandsager et al., 2018). This is non-negotiable.

Objective

Accumulate 150 min/week moderate activity OR 75 min/week vigorous (American Heart Association, 2018). This baseline reduces all-cause mortality significantly compared to sedentary lifestyle.

The Protocol

If sedentary:

  1. Start with 10-15 min walks daily
  2. Build to 30 min × 5 days over 4-6 weeks
  3. Don’t rush progression

If already active:

  1. Hit the 150 min target consistently
  2. Mix intensities (Zone 2 + occasional higher intensity)
  3. Track weekly totals

If time-crunched:

  1. HIIT works: 20 min intense ≈ 40 min moderate
  2. But don’t do HIIT daily—recovery matters

If joint issues:

  1. Low-impact options: swimming, cycling, elliptical
  2. Consistency > intensity for joint-compromised individuals

Always: Warm up 5 min. Cool down 5 min. Don’t skip.

Cadence

  • Weekly: 150 min total (e.g., 5×30 min or 3×50 min)
  • Monthly: Review weekly totals and adjust schedule if needed
  • Quarterly: Retest fitness benchmark (1.5-mile time or VO₂max estimate)

KPIs

IndicatorTypeTargetHow to measure
Weekly cardio minutesLeading≥150Training log or wearable
Sessions/weekLeading≥3Training log
Resting heart rateLaggingDecreasing trendMorning measurement
1.5-mile time or VO₂maxLaggingImproving over quartersTimed test or wearable estimate

Failure Modes

ProblemFix
Skipping sessionsSchedule like meetings; morning slots have higher adherence
BoredomVary modalities (walk, bike, swim); add podcasts/music
Joint painSwitch to low-impact; see physio if persistent
No time for 30+ min3×10 min bouts count the same; stack throughout day
Overtraining (fatigue, elevated RHR)Reduce volume; prioritize sleep and recovery
American Heart Association. (2018). American Heart Association Recommendations for Physical Activity in Adults and Kids. https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults
Blair, S. N., Kampert, J. B., Kohl, H. W., Barlow, C. E., Macera, C. A., Paffenbarger, R. S., & Gibbons, L. W. (1996). Influences of Cardiorespiratory Fitness and Other Precursors on Cardiovascular Disease and All-Cause Mortality in Men and Women. JAMA, 276(3), 205–210. https://doi.org/10.1001/jama.1996.03540030039029
Mandsager, K., Harb, S., Cremer, P., Phelan, D., Nissen, S. E., & Jaber, W. (2018). Association of Cardiorespiratory Fitness With Long-term Mortality Among Adults Undergoing Exercise Treadmill Testing. JAMA Network Open, 1(6), e183605. https://doi.org/10.1001/jamanetworkopen.2018.3605