Performance
June 1, 2026

The Missing Piece in Aging Well: Why Power Matters as Much as Strength

Why does muscle power matter as you age? Discover how the ability to generate force quickly impacts balance, mobility, independence, and long-term health.

Most people understand that strength matters as we age. We talk about muscle mass, bone density, body composition, cardiovascular fitness, and the importance of staying active.

All of that matters.

But there is another quality that often receives far less attention — and it may be one of the most important predictors of how well we move, function, and age.

That quality is muscle power.

Strength is the ability to produce force. Power is the ability to produce force quickly.

That distinction matters.

Slowly standing up from a heavy squat and rapidly catching yourself when you trip on a curb both require strength. But only one requires speed, coordination, and rapid force production. In real life, many of the moments that determine independence — recovering from a stumble, climbing stairs, rising from a chair, changing direction, stepping off a curb — are not slow strength tasks. They are power tasks.

This is why muscle power has become such an important area of aging research.

Several studies suggest that power declines earlier and faster than strength or muscle mass. In other words, a person may still appear relatively strong, or may still have reasonable muscle mass, while losing the quick, responsive neuromuscular capacity that protects function.¹

This is one reason the term “powerpenia” has been proposed: not simply the loss of muscle, but the loss of the ability to generate force quickly.

The evidence is increasingly compelling.

In a large prospective analysis published in Mayo Clinic Proceedings, muscle power outperformed strength as a predictor of mortality in middle-aged and older adults, reinforcing the idea that rapid force production may be one of the most clinically meaningful physical capacities to preserve with aging.¹

The Toledo Study for Healthy Aging and subsequent work from Alcazar and colleagues added another important layer. Older adults with higher relative muscle power demonstrated lower all-cause mortality risk over long-term follow-up. One of the more striking observations was the so-called “fat but powerful” paradox: individuals with higher adiposity but preserved muscle power appeared to have better survival than those with lower power.³ This does not mean body composition is irrelevant. Rather, it suggests that function and physiologic reserve may matter more than appearance alone implies.

This represents an important shift in how we think about healthspan.

For decades, fitness conversations have focused heavily on how much muscle we have, how lean we are, or how much cardiovascular exercise we perform. Those remain critically important. But they do not fully describe how well the body can respond to the real-world demands of aging.

Power captures something different.

It reflects the integration of muscle, nervous system, tendon function, coordination, and reaction capacity. It tells us not only whether someone can produce force, but whether they can produce it quickly enough to matter.

This is why power-sensitive tests are so valuable.

A countermovement jump, stair-climbing power assessment, or sit-to-stand power test can reveal changes that may not be obvious during a standard gym session or routine medical visit. These assessments are not about athletic performance for its own sake. They are windows into neuromuscular reserve.

And reserve is what we care about.

Healthspan is not simply the absence of disease. It is the preservation of capacity —the buffer that allows someone to keep moving well, recover from setbacks, tolerate stress, and remain independent for as long as possible.

The good news is that power is trainable.

Traditional resistance training remains foundational. We still need to build and preserve muscle, strength, and bone. But for many adults, especially as they move through midlife and beyond, the program should not stop there.

Power training usually involves lighter to moderate loads performed with a fast concentric phase — the “lifting” portion of the movement — while maintaining control and proper technique. This might include explosive sit-to-stands, medicine ball throws, faster step-ups, kettlebell patterns, or carefully progressed jump and landing mechanics.

The goal is not recklessness. It is not high-risk plyometrics thrown randomly into a workout.

The goal is appropriate, progressive exposure to velocity.

Emerging evidence suggests that high-velocity resistance training may provide additional benefits over traditional slower resistance training for functional outcomes in older adults, particularly for measures such as walking speed, chair-rise performance, and mobility tasks.² While the effect sizes are modest and the literature remains heterogeneous, the overall direction of evidence is increasingly consistent.

The clinical implication is not that everyone should suddenly start jumping.

It is that we should stop assuming slow strength alone is enough.

Aging well requires multiple physical qualities: aerobic capacity, strength, mobility, balance, body composition, metabolic health, and power. Each tells us something different. Together, they create a more complete picture of physiologic reserve.

At Evolving Health, this is the kind of question we care about:

Not just, “How fit are you today?”

But, “What capacities are you preserving for the decades ahead?”

Power matters because life rarely gives us time to generate force slowly. The real world asks us to react, stabilize, recover, and move with confidence.

Strength is essential.

But power may be the quality that determines whether strength remains useful.

And for anyone serious about aging well, it deserves to be measured, understood, and trained.

References

  1. Araújo CGS, et al. Muscle Power Versus Strength as a Predictor of Mortality in Middle-Aged and Older Men and Women. Mayo Clinic Proceedings. 2025. https://doi.org/10.1016/j.mayocp.2025.02.015
  2. Lopez P, et al. Does High-Velocity Resistance Exercise Elicit Greater Physical Function Benefits Than Traditional Resistance Exercise in Older Adults? Journals of Gerontology: Series A. 2023. https://doi.org/10.1093/gerona/glac230
  3. Alcazar J, et al. “Fat but Powerful” Paradox: Association of Muscle Power and Adiposity Markers With All-Cause Mortality in Older Adults. British Journal of Sports Medicine. 2021. https://doi.org/10.1136/bjsports-2020-103720
About the Author
About the Authors
Dr. Demetrios Sirounis, MD, FRCP

Dr. Demetrios Sirounis is a Clinical Professor in the Department of Anesthesiology, Pharmacology and Therapeutics at the University of British Columbia. He is a Fellow of the Royal College of Physicians and Surgeons of Canada and the American Society of Echocardiography and is a dually trained sub-specialist in Cardiac Anesthesiology and Critical Care Medicine. Dr. Sirounis is also an Associate Investigator at the S.H. Leong Center for Healthy Aging at the University of British Columbia.

Dr. Sirounis is a lecturer, researcher, supervisor, and Division Head of Critical Care Medicine in Vancouver. He has also served as a Duty Medical Administrator during the 2010 Olympic Winter Games Vancouver. Demetrios is a retired professional triathlete and passionate about athletics.

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