09/10/2026
A previously sedentary sixty-year-old who starts training is working on two
different timelines.
Total arterial compliance, blood pressure, and cardiac afterload improved with even a modest lifelong dose of two to three sessions a week. Similar improvements were reported after one year of endurance training in previously sedentary seniors. The functional components of arterial compliance are more readily influenced by exercise training.
Aortic structure runs slower. One year of training at over two hundred minutes a week of moderate and high-intensity work did not substantially improve biological aortic age in previously sedentary seniors. Age-related changes in large elastic vessel structure are not reversible by exercise training alone when initiated later in life. One theory is that lifelong vigorous endurance exercise inhibits the remodeling of the aorta toward stiffness, and that the effect accrues across a lifetime of training — which is why one year has little impact.