Exercise, a structured form of physical activity, offers numerous health benefits, including improved quality of life, reduced chronic disease risk and enhanced mobility, cognition and mental well-being. Physical inactivity increases with age, particularly among underserved populations. Older adults should aim for 150–300 minutes of moderate or 75–150 minutes of vigorous physical activity weekly, complemented by muscle-strengthening, balance and flexibility exercises. Health care providers play a crucial role in promoting physical activity but often face barriers such as time constraints and lack of reimbursement. Innovative strategies such as health coaching, wearable trackers and community collaborations can support active lifestyles. Combining exercise with proper nutrition, including protein and micronutrient considerations, optimizes benefits for older adults, particularly those with frailty or chronic conditions. Exercise also prevents falls and reduces frailty by improving strength, balance and daily functional abilities. Tailored programs such as the Otago Exercise Program and SMART goal setting enhance adherence and outcomes. Socially engaging in exercise provides additional benefits, including better cognitive health and reduced disability. Exercise must be integrated into daily life to foster healthy aging and sustained quality of life.
