Condition Strategy

Exercise Performance Decline

Maintain and improve cardiovascular and muscular performance with age

Evidence Level A

Evidence and Risk Labels

Evidence A/B/C reflects research maturity, and risk levels reflect monitoring needs. These labels support comparison, not diagnosis or treatment decisions.

See full scoring guide

Guidance Summary

VO2max and muscular strength decline predictably with age but respond meaningfully to training. Targeted supplementation with creatine and NO-enhancing compounds provides additional support.

Top Interventions

  • progressive resistance training
  • high-intensity interval training
  • creatine supplementation
  • citrulline malate
  • adequate protein intake

Monitoring Priorities

  • VO2max or submaximal fitness test
  • grip strength
  • 1-rep max or functional strength test
  • resting heart rate

Source Links