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Best Exercises for Women Over 50 in Perimenopause

Discover the best exercises for women over 50 navigating perimenopause. Practical guidance on movement that supports your changing body.

5 min readFebruary 28, 2026

Why Exercise Matters More Than Ever After 50

Perimenopause brings a gradual shift in how the body responds to movement. Declining oestrogen affects bone density, muscle mass, and how the body manages blood sugar. For women over 50, these changes can feel sudden, but the right exercise approach can counteract many of them. The goal is not to exercise harder or longer. It is to exercise smarter, choosing types of movement that match what your body needs most during this transition. Research consistently shows that women who maintain a mix of strength work, cardiovascular activity, and flexibility training during perimenopause experience fewer severe symptoms and maintain healthier weight over time.

Strength Training: The Non-Negotiable Foundation

Muscle mass declines by roughly one percent per year after 40, and this accelerates around perimenopause. Strength training is the single most effective way to slow this process. Exercises such as squats, deadlifts, rows, and overhead presses build and preserve lean muscle, which in turn supports a healthy metabolism. You do not need a gym membership to start. Bodyweight squats, resistance band rows, and press-ups are genuinely effective for beginners. Aim for two or three sessions per week, allowing at least one rest day between sessions to give muscles time to recover and rebuild. If you log your workouts, you can track strength gains over weeks and months, which helps you see progress even when it feels slow.

Walking: Underrated and Highly Effective

Walking is one of the most accessible and consistent forms of exercise available to women over 50. It is low-impact on joints, supports cardiovascular health, and has been shown to reduce hot flash frequency in some studies. A brisk 30-minute walk most days provides meaningful cardiovascular benefit without the recovery demands of higher-intensity exercise. Adding hills or carrying light hand weights can increase the challenge gently. Walking also has a notable effect on mood and anxiety, both of which can be disrupted by hormonal fluctuation. If you are new to regular exercise, walking is an ideal starting point before adding other activities.

Swimming and Water-Based Exercise

Water provides natural resistance in every direction, making swimming and aqua aerobics excellent full-body exercise options for women over 50. The buoyancy of water reduces stress on joints, which is particularly helpful if you experience perimenopause-related joint pain or stiffness. Swimming laps, water walking, and structured aqua fitness classes all count. The cool water environment can also provide temporary relief during sessions if hot flashes are a concern. Women who log regular swimming sessions often notice improvements in sleep quality, which may be partly due to the combination of physical exertion and the calming effect of water.

Yoga and Pilates for Flexibility and Core Strength

Both yoga and Pilates offer benefits that complement strength and cardiovascular training. Yoga improves flexibility, balance, and has a well-documented effect on stress reduction, which can help moderate cortisol levels that tend to rise during perimenopause. Poses such as warrior sequences, downward dog, and supported bridge are particularly useful for women navigating joint stiffness and fatigue. Pilates focuses on core stability and controlled movement patterns, which supports posture and reduces lower back discomfort. A combination of two to three yoga or Pilates sessions per week alongside strength training covers most of the physical needs of perimenopause without overwhelming the body.

Cardio That Works Without Burning You Out

High-intensity interval training can be effective for improving cardiovascular fitness and metabolic function, but overdoing it during perimenopause can raise cortisol and interfere with sleep and recovery. Zone 2 cardio, which means exercising at a pace where you can still hold a conversation, is generally better tolerated and sustainable. Cycling, light jogging, rowing, and dancing all qualify. Thirty to forty-five minutes three times per week of moderate-intensity cardio supports heart health, blood sugar regulation, and mood without the recovery burden of very high-intensity sessions. If you track workouts over time, patterns in energy and symptom levels often become clearer.

Building a Routine That Actually Sticks

Consistency matters far more than perfection. A routine built around exercises you genuinely enjoy is always more effective than one that feels like punishment. Many women over 50 find that scheduling exercise as a fixed appointment in their week, rather than fitting it in when possible, makes the difference between occasional and regular movement. Tracking symptoms alongside workouts can reveal which types of exercise correlate with better sleep, lower anxiety, or fewer hot flashes in your particular case. PeriPlan allows you to log both workouts and symptoms so you can see patterns over time, helping you make informed decisions about what works best for your body at this stage of life.

Related reading

Symptom & GoalWalking for Perimenopause Brain Fog: A Practical Guide
Symptom & GoalYoga for Hot Flashes: A Perimenopause Guide
Symptom & GoalYoga for Perimenopause Insomnia: A Practical Guide
Medical disclaimerThis content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. PeriPlan is not a substitute for professional medical advice. If you are experiencing severe or concerning symptoms, please contact your doctor or emergency services immediately.

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