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Nino Tiburzi

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September 17, 2026

Same weight, harder stairs.

Your weight is about what it was five years ago. But the stairs feel longer than they used to, and getting up off the floor with a grandkid takes a little planning now. Nothing is wrong, exactly. It just feels different.

There’s a picture going around online right now: two thigh cross-sections from 70-year-olds, side by side. One is dense and dark red. The other has a thick pale ring around the outside and pale marbling running all the way through it — fat that has moved into and around the muscle.

Those particular images are illustrations, not scans of real people. But the thing they’re describing is real, and it has a name. Muscle loss with age is called sarcopenia, and it usually comes with fat infiltration — fat taking up residence inside the muscle itself.

The scale is the wrong instrument

Here’s the honest version of the numbers. Most adults lose somewhere around 3 to 5 percent of their muscle mass per decade after age 30, and the rate picks up after 65. The scale often doesn’t register any of this, because fat quietly fills the space muscle used to occupy.

Same number on the scale. Different body underneath. That gap between what the scale says and what your legs can actually do is the whole problem, and it’s why weight alone is a poor way to track how you’re aging.

How much of this is aging, and how much is disuse?

This is the part worth knowing. In 2011, researchers MRI-scanned the thighs of 40 recreational athletes aged 40 to 81 who trained four or five times a week. Across that group, mid-thigh muscle area and quadriceps strength did not decline with age. Their conclusion was blunt: a lot of what we chalk up to “muscle aging” may really be chronic disuse.

I want to be fair about that study. It was small, it looked at people at a single point in time, and lifelong athletes aren’t a fair comparison to someone starting at 62. It cannot prove that training alone made the difference — people who train four times a week tend to differ in a dozen other ways too.

But it lines up with a large body of research on resistance training in older adults, which consistently shows people in their 70s and 80s gaining strength and muscle when they train regularly. That research is much harder to argue with, because it involves actually giving people a program and measuring what changes.

Not back to 30. Nobody honest will promise you that. But the line stops falling and starts climbing, and that changes what your 80s look like.

One thing to do this week (under 15 minutes)

Test it, then train it.

The test: sit in a dining chair, arms crossed over your chest, and stand up and sit down as many times as you can in 30 seconds. Write the number down with today’s date. That’s your baseline.

The training: twice this week, do three sets of eight sit-to-stands. Take three seconds to lower yourself down. No hands. That’s about five minutes per session. Retest in six weeks.

This isn’t a gym exercise dressed up as a life skill. It is the life skill: getting off the couch, out of the car, up off the floor.

If it’s already hard without using your hands, that’s useful information, not a failure. It means you’ve found the right thing to work on, and it means you should scale it — use a higher chair or a light hand on the armrest — rather than skip it.

Where to start

If you want a real baseline rather than a guess, come in and we’ll run it at the start of your next session. Most of what we do at Sage is 30- or 60-minute one-on-one appointments, which means the program gets built around what your test actually showed, not around what the average 60-year-old needs.

Reply to this, book a consult, or just show up this week.

— Nino / Sage Personal Training

Sources

Wroblewski AP, Amati F, Smiley MA, Goodpaster B, Wright V. “Chronic exercise preserves lean muscle mass in masters athletes.” The Physician and Sportsmedicine, 2011;39(3):172–178.

Harvard Health Publishing, “Preserve your muscle mass.”

Cleveland Clinic, “Sarcopenia (Muscle Loss): Symptoms & Causes.”

Adapted from a graphic posted by @everarias_md on Instagram.

General fitness guidance, not medical advice. If you have a joint, heart, or balance condition, check with your doctor before starting something new.

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