Elderly careExercise

The exercise that helps your parent stay independent

A parent who is recovering from a hospital stay, unsteady on their feet, or simply doing less than they used to, still benefits from moving every day, and the right activity lowers the risk of a fall and of a decline in memory as well as helping them manage at home. This guide sets out what the NHS recommends after 65, what it looks like in practice, what still works from a chair, and when to check with a GP first. Eight fuller guides answer specific questions, from how far to walk to whether to swim.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  15 min read · Find the right guide for your parent

An older couple walking arm in arm along a path through the hills in autumn

Part of our guide to elderly care.

Why it matters

Why staying active changes what later life looks like

An illness, a fall or simply getting older can make movement feel like the last thing worth the effort. It helps with more than fitness: it is linked to a lower risk of the two problems families worry about most, a fall and a decline in memory.

Regular activity improves how the heart, lungs, digestion and immune system work, and it helps maintain bone density, which matters for anyone worried about osteoporosis. The UK Chief Medical Officers' physical activity guidelines, refreshed in July 2026, also link regular activity to a lower risk of type 2 diabetes, coronary heart disease and some cancers. None of this needs a gym membership or a fitness level someone used to have. It starts from wherever they are today.

20%

lower risk of developing dementia linked to regular exercise

across a meta-analysis of 58 studies

26%

fewer injurious falls linked to regular strength and balance exercise

9 trials and 4,481 older adults, within a wider review of 46 trials and 22,709 people

Alzheimer's Society, alzheimers.org.uk; NIHR Evidence, evidence.nihr.ac.uk, 2026.

Both figures come from research on adults broadly rather than a promise for any one person, and neither replaces the rest of a care plan. Eating well in later life covers the other half of staying well, since nutrition and activity work together rather than one making up for the other.

What the NHS recommends

The weekly target for anyone over 65, unchanged in the 2026 refresh

The UK's Chief Medical Officers first set this guidance out in 2019 and refreshed it in July 2026. The amount of activity recommended each week has not changed, but the update puts more weight on strength and balance for people of every age.

Something every day

Aim to be active every day, even if it is only light activity such as pottering round the house. Any amount is better than none, and more is better still.

Any amount counts

150 minutes a week

At least 150 minutes of moderate activity a week, such as brisk walking, or 75 minutes of vigorous activity for somebody already active, or a mix of the two.

Or 75 minutes vigorous

Strength and balance, twice a week

Activities that work the muscles and challenge balance on at least two days a week. The 2026 refresh puts the most weight on this, because it is what keeps somebody steady on their feet.

The part most people skip

Less sitting

Cut down time spent sitting or lying down, and break up long stretches of it with a short spell of movement, even just standing up.

Break it up

Speak to a GP first if it has been a long time since your parent exercised, or they have a health condition, a recent fall or a stay in hospital behind them. The guidance for exercising safely further down this page covers what to check and the signs to stop. The full report behind these numbers is the UK Chief Medical Officers' physical activity guidelines, reformatted and updated with newer evidence in July 2026.

What it looks like

What light, moderate and vigorous activity look like in practice

These labels sound clinical, but they describe things most households already do sometimes. The difference is only how much, and how often.

Light activity

How it feels
Moving rather than sitting or lying down
Examples
Making a cup of tea, tidying up, a slow walk round the house

Moderate activity

How it feels
Heart beats faster and you feel warmer; you can talk but not sing
Examples
Brisk walking, water aerobics, cycling, dancing, doubles tennis

Vigorous activity

How it feels
Breathing hard and fast; only a few words at a time between breaths
Examples
Jogging, swimming lengths, singles tennis, walking uphill

Roughly, 75 minutes of vigorous activity a week gives a similar benefit to 150 minutes of moderate activity, and most moderate activities become vigorous simply by picking up the pace.

Walking is usually where families start, because it needs no equipment and fits into a routine that already exists. How far to walk, and at what time of day, are worth answering properly rather than guessing, and two of the guides linked further down this page cover exactly that.

Which question is yours

Find the guide that answers your parent's specific question

Eight guides go further into one question each than this page can. Find the one that matches what you are trying to work out.

If mobility, a disability or a chair is part of the picture

Exercise still counts when it is done from a chair

A wheelchair, a walking frame, arthritis or a long recovery does not rule exercise out. It changes what it looks like, not whether it is worth doing.

Seated cardio

Rapid, repeated movements done sitting down, such as marching the feet or punching the air, raise the heart rate much as a brisk walk does.

Raises the heart rate

Seated strength

A resistance band looped round a chair leg or a doorknob, or tins of food used as light weights, work the same muscles as standing exercises with less strain on the joints.

Bands, tins, light weights

Flexibility and stretching

Stretching while seated or lying down, or a chair-based yoga or tai chi class, eases the stiffness and pressure on muscles that comes with sitting for long periods.

Eases stiffness

Water, if a pool is reachable

A pool holds most of the body's weight, so joints that ache on dry land often move more freely in water, and many pools run sessions with wheelchair access.

Weight off the joints

The NHS's sitting exercises are a gentle place to start from a chair, and a pool session built for an older or unsteady swimmer, covered in one of the guides above, can be gentler still. If a doctor or physiotherapist has mentioned isometric exercises, holding a position still against resistance without moving the joint, that is usually to protect a joint affected by arthritis or a past injury, and it is worth learning from them directly rather than a general guide.

Falls and confidence

Why strength and balance work matters most for stopping a fall

Of everything in this guide, strength and balance training has the best evidence behind it for one specific outcome: stopping a fall before it happens.

Signs it is worth prioritising strength and balance work

0 of 4 ticked

Balance and confidence

After an illness or a stay in hospital

Regular strength and balance exercise, of the kind covered in how can I build strength at 80?, was linked to fewer injurious falls in a subgroup of 9 trials and 4,481 older adults within the wider review cited earlier on this page. Age UK's guide to reducing your risk of falling is a good place to find a local class built specifically around this.

Exercising safely

When to check with a GP first, and signs to stop

Almost everyone benefits from moving more, but a few situations are worth a conversation with a GP before starting or increasing what your parent does.

Usually fine to start on your own

  • Adding a short walk, some gentle stretching or a few minutes of chair-based movement to most days
  • Building up gradually over weeks rather than jumping straight to the full weekly target
  • Stopping for the day if something feels unusually hard, and trying again tomorrow
  • Starting with the NHS's sitting exercises if standing up for long is difficult

Check with a GP first

  • It has been a long time since your parent did any regular activity
  • They have a diagnosed heart or lung condition, or chest pain during exertion
  • They have fallen recently, feel dizzy on standing, or have poorly controlled diabetes
  • They have come out of hospital or had surgery in the last few weeks

Stop and seek medical advice if your parent feels chest pain, becomes unusually breathless for the activity they are doing, or feels dizzy or faint, rather than pushing on. The NHS's guidance for older adults covers getting started safely in the same terms.

Getting help to keep it going

What a carer can add, and what it costs

Good intentions about exercise are easy on a good day and hard on a tired one. A regular carer can be the difference between a plan that lasts and one that stops after a fortnight.

  1. 1

    Write down what your parent can already do

    Today
    Note what they manage now: a walk to the end of the road, a few minutes standing at the sink, a swim they used to enjoy. A carer works from this rather than guessing.
  2. 2

    Search carers near you

    Free
    Look for a companionship or hourly carer by postcode. Every profile shows the carer's rate, experience and reviews, and every carer has interviewed online, with identity, right to work and an enhanced DBS checked, before they appear.
  3. 3

    Ask about the activity, not just company

    This week
    A carer who is happy to walk briskly, use a resistance band or get into a pool alongside your parent is a different booking from one who mainly offers conversation, and it is worth asking directly.
  4. 4

    Book a regular visit and adjust

    Week 1
    Start with once or twice a week and change the day, the activity or the length once you see what your parent responds to.

Questions

Questions families ask about exercise for an elderly parent

The NHS recommends at least 150 minutes of moderate activity a week, such as brisk walking, or 75 minutes of vigorous activity for somebody already active, plus activities that build strength and balance on at least two days a week. Any amount of activity every day is better than none, and it is worth building up gradually rather than aiming for the full target straight away.

Regular exercise is linked to up to a 20% lower risk of developing dementia, based on a meta-analysis pooling 58 studies. Going from doing no exercise to doing some has the biggest effect, and staying active in later life still helps even for somebody who was not active earlier in life. Alzheimer's Society's guidance on physical activity and dementia risk has the full picture.

Yes. A review of 46 trials involving 22,709 older adults found that a year or more of regular exercise reduced the number who had a fall at all, and within that review, 9 trials covering 4,481 older adults found injurious falls fell from 20.6% to 16.9%, around a quarter fewer. NICE recommends strength and balance training especially for anyone with a history of falls or a change in balance. How can I build strength at 80? sets out where to start.

Usually yes, starting gently and building up gradually, but it is worth checking with a GP first if it has been a long time since your parent exercised, they have a heart or lung condition, or they have recently had a fall, surgery or a hospital stay. The NHS's guidance for older adults covers this in the same terms.

Seated cardio, resistance bands, chair-based stretching and swimming all still count and often suit aching joints better than standing exercise. The NHS's sitting exercises are a gentle place to start, and swimming for seniors covers pools with wheelchair access.

Yes, and the same activities that work for anyone else usually still apply, kept short and built around something familiar rather than new. 37 activities for people with dementia has a fuller list matched to how dementia has progressed.

It depends on the question you have. If your parent already walks, how far should an 80-year-old walk each day? is the natural next read. If they have lost strength or confidence, start with how can I build strength at 80? The guide finder further up this page groups all eight by the question they answer.

Yes. A companionship or hourly carer's visit can be built around a walk, a class or company in the water, matched to what your parent enjoys and can manage. Companion carers on PrimeCarers charge £15 to £20 an hour with our fee included. Activities to try with a companionship carer goes further into what this looks like.

The local council's leisure centre programme and Age UK's local branch between them run most of what is available nearby, often labelled "gentle" or "over 55s". Activities and games for an elderly parent covers how to find day centres, classes and groups in more depth.

If you need help at home

Start with our guide to elderly care

Guides for older people and their families. What it costs, what a carer does day to day, and how to hire one directly.

Carers near you

Looking for someone to keep your parent moving?

Search vetted companionship and hourly carers near you, see their rates and reviews, and message the ones who sound like a good fit. Free to search, free to talk to them, and no obligation to book.

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