STORY AT-A-GLANCE
- Data from a study with 86,657 male and female participants demonstrated that those who exercised between 8 a.m. and 11 a.m. had the lowest risk of coronary heart disease and stroke and women appeared to benefit more than men
- A past study of 350,978 participants showed no significant difference in all-cause or cause-specific mortality in people who exercised on the weekend or regularly throughout the week
- Exercising in the evening, from 7 p.m. to 10 p.m., can disrupt your circadian rhythm, which is associated with the dysregulation of the neurological, psychiatric, metabolic, cardiovascular and immunological systems
- You can boost the health benefits of exercising in the morning even further by exercising in a fasted state and including time in the sauna with your routine
They engaged 125,000 patients and followed them for nearly nine years. They discovered that the estimated age based on the exercise stress test was a better predictor of mortality when compared to chronological age for both men and women. Although the results of studies are encouraging, it’s important to note that you can’t out exercise a bad diet.
Morning Exercise Shows Greatest Reduction in CAD
As Land explains in the video, the study included 86,657 men and women with a mean age of 61.6 years and a BMI of 26.6.8 This BMI generally falls in the overweight range. An individual 5’4” and 150 pounds or 5’8” and 170 pounds would have a BMI of approximately 26.9The researchers compared the peak time of activity for each participant across a 24-hour period and found those who were most active from 8 a.m. to 11 a.m. had the lowest risk of heart disease and stroke — 17% reduced risk of stroke and a 16% reduced risk of CAD when compared to the reference group.
“Irrespective of total physical activity, morning physical activity was associated with lower risks of incident cardiovascular diseases, highlighting the potential importance of chronoactivity in CVD prevention.”The researchers also tracked whether the participants naturally woke early in the morning or stayed up late at night. One study author, Gali Albalak of Leiden University Medical Centre, The Netherlands, commented in a press release:
“It is well established that exercise is good for heart health, and our study now indicates that morning activity seems to be most beneficial. The findings were particularly pronounced in women, and applied to both early birds and night owls.”
Time of Day You Exercise Influences Your Circadian Rhythm
As Land notes in the video, individuals who exercise in the morning have better biomarkers throughout the day. This includes lower blood sugar and lower blood pressure “which over the course of many years just keeps you healthier.” He also notes that the time of day you exercise influences your circadian rhythm.Those who exercised at either 7 a.m. or between 1 p.m. and 4 p.m. shifted their body clock to an earlier time. As a result, it was easier for the participants to go to bed earlier. Going to sleep earlier can facilitate getting up earlier the next morning. People who exercised between the hours of 7 p.m. and 10 p.m. shifted their body clock to a later time.
While data from the featured study showed individuals got the greatest benefit from exercising in the morning, Land was quick to point out that if you cannot exercise in the morning, it is important to continue to include exercise in your daily routine since no matter what time you exercise, it is a healthy activity.
Circadian Disruption Is Associated With Other Health Problems
During his discussion of the featured study, Land also noted the results of a study17 in which researchers evaluated the efficacy of increasing NAD+ as a therapy for diet-induced obesity and Type 2 diabetes.Using an animal model, they demonstrated that increasing NAD+ levels during the onset of activity helped to mitigate metabolic markers such as glucose and insulin tolerance and body weight. However, using the same treatment at the beginning of rest severely compromised these responses. Land believes this may help explain the data from the featured study since exercise also boosts NAD+ levels.
“The bottom line is almost every cell in our body has its own clock. In every cell, the clock regulates a different set of genes, [telling them] when to turn on and [when to] turn off.
As a result, almost every hormone in your body, every brain chemical, every digestive juice and every organ that you can think of, its core function rises and falls at certain times of the day [in a coordinated fashion].”Research has found an association19 between disrupted circadian rhythms and the regulation of the neurological, psychiatric, metabolic, cardiovascular and immunological systems. This highlights the interrelatedness between a disruption in the circadian rhythm and the potential to use circadian-based interventions to modify disease outcomes.
Fasted Exercise Can Boost Your Health Benefits
You can boost the benefits of exercising in the morning even further by exercising in a fasted state. As noted in a 2012 study,20 “aerobic training in a fasted state lowers body weight and body fat percentage,” while “fed aerobic training decreases only body weight.” Exercising and fasting together also increases acute oxidative stress which, paradoxically, benefits your muscle. A 2015 paper explains:21“Since the discovery of exercise-induced oxidative stress several decades ago, evidence has accumulated that ROS [reactive oxygen species] produced during exercise also have positive effects by influencing cellular processes that lead to increased expression of antioxidants.
These molecules are particularly elevated in regularly exercising muscle to prevent the negative effects of ROS by neutralizing the free radicals. In addition, ROS also seem to be involved in the exercise-induced adaptation of the muscle phenotype.”Fasting and exercise trigger a mechanism of genes and growth factors such as brain-derived neurotrophic factor (BDNF) and myogenic regulatory factors (MRFs). BDNF controls neurogenesis, signaling your brain stem cells to convert into new neurons,22 while MRFs are instrumental in muscle development and regeneration.23
In other words, fasted exercise may actually help keep your brain, neuro-motors and muscle fibers biologically young. Fasted exercise is also a potent prevention strategy for Type 2 diabetes.
Add Sauna Use to Boost Health Benefits
Another way to boost the health benefits of exercise is to include a sauna in your routine. In this MedCram video recorded in April 2022, Rhonda Patrick, Ph.D., cofounder of Found My Fitness, provided a summary of the benefits of sauna therapy and some of the basic principles of sauna treatment.
- Lower blood pressure
- Lower risk of dementia
- Strengthen immune function
- Reduce all-cause mortality
- Improve athletic endurance
- Activate and replenish stem cells
- Improve fasting glucose and insulin sensitivity
- Reduce the stress hormone cortisol25
- Improve cardiovascular fitness
- Lower risk of death from cardiovascular disease
- Improve mood and mental health
- Reduce inflammation
Similarly, those who use it four to seven times a week have a 40% lower all-cause mortality risk than those who use it only once a week. And, as explained in the interview, combining sauna use with other strategies, such as cold-water immersion and/or exercise can optimize these kinds of benefits even further.
Sources and References
- 1, 11 European Journal of Preventive Cardiology, 2022; doi: 10.1093/eurjpc/zwac239
- 2 Journal of the American College of Cardiology, 2013;61(23):2346
- 3 Diabetologia 2012: 55(11); 2895-2905
- 4 Medical Xpress, July 18, 2012
- 5 European Journal of Preventive Cardiology, 2019; doi: 10.1177/2047487319826400
- 6 Morgan Spurlock, Supersize Me
- 7 Journal of the American College of Cardiology January 22, 2008; 51:249-255
- 8 European Journal of Preventive Cardiology, 2022; doi: 10.1093/eurjpc/zwac239 Methods and results
- 9 Eat Smart Move More, BMI Chart
- 10 EurekAlert! November 14, 2022
- 12 Journal of Physiology February 19, 2019; 597(8)
- 13 Arizona State University February 20, 2019
- 14 Centers for Disease Control and Prevention, Walking line 1
- 15 American Heart Association, April 18, 2018
- 16 JAMA Internal Medicine, July 5, 2022; doi: 1001/jamainternmed.2022.2488
- 17 bioRxiv, 2022; doi: 10.1101/2022.08.12.503453
- 18 CNN, October 2, 2017
- 19 The Journal of Clinical Investigation, 2021; doi: 10.1172/JCI148286
- 20 International Journal of Sport Nutrition and Exercise Metabolism February 2012; 22(1)
- 21 Biomolecules 2015 Jun; 5(2)
- 22 Archives of Medical Science 2015 Dec 10; 11(6)
- 23 Seminars in Cell and Developmental Biology, 2017;72
- 24 Journal of Physiology, 2010;588(21)
- 25 YouTube The Science & Health Benefits of Deliberate Heat Exposure | Huberman Lab Podcast #69 Min 39:07
- 26 Science Daily, February 23, 2015





