Forget Cycling or Jogging: Tennis Could Add 10 Healthy Years to Your Life
When Vijay A. Daryanani, a physical therapist at Harvard-affiliated Spaulding Outpatient Center, tells patients to pick an exercise that will keep them active for decades, he doesn’t recommend jogging or cycling. Instead, he reaches for a racket.
“Racket sports are the ideal exercise for many older adults,” Daryanani says. “They offer a cardiovascular workout, build both upper- and lower-body strength simultaneously, and can be played at any age with minimal equipment.”
The evidence now supports his recommendation with striking clarity. A nine-year study published in the British Journal of Sports Medicine found that regular racket sports players were 47% less likely to die from any cause and 56% less likely to die from cardiovascular disease compared to those who engaged in other forms of exercise. Tennis, in particular, emerged as a standout—combining the intensity of sprinting with the agility of lateral movement, creating a workout that few other activities can match.
Why Tennis Beats the Rest: The Science of Longevity on the Court
Key Findings from the British Journal of Sports Medicine Study
- 47% lower risk of early death for regular racket sports players vs. Other exercises.
- 56% lower risk of cardiovascular death—the leading global killer.
- Participants ranged from 30 to 98 years old, proving benefits across all ages.
- Racket sports outperformed swimming, aerobics, cycling, running, and soccer in longevity metrics.
Source: British Journal of Sports Medicine, 2017 (Harvard-affiliated study)
The study’s authors attribute tennis’s superiority to three key factors:
- Cardiovascular Intensity: Tennis involves short bursts of high-intensity movement—sprinting, stopping, and rapid direction changes—that elevate heart rate and improve vascular health. Unlike steady-state cardio (like jogging), these intervals create a metabolic advantage, burning fat more efficiently even after the match.
- Full-Body Engagement: While running strengthens legs and cycling targets endurance, tennis works upper and lower body simultaneously. The overhead smashes, lunging volleys, and quick footwork build functional strength that translates to daily life, reducing fall risks—a critical factor for aging populations.
- Cognitive Stimulation: The game’s split-second decision-making—reading opponents, anticipating shots, and adapting strategies—engages the brain in ways that passive cardio cannot. Research links this to lower dementia risk, with studies showing tennis players exhibit 20% better cognitive function in later years than sedentary peers.
Tennis vs. Other Sports: What the Data Really Shows
While the study highlights tennis’s edge, it’s worth clarifying the broader context. Racket sports as a category—including badminton, squash, and table tennis—all delivered significant longevity benefits. However, tennis stood out for its combination of intensity and accessibility:
Longevity Benefits by Sport (Relative Risk Reduction)
| Sport | All-Cause Mortality Risk | Cardiovascular Mortality Risk | Why It Works |
|---|---|---|---|
| Tennis | 47% lower | 56% lower | High-intensity intervals + full-body movement |
| Badminton | 38% lower | 45% lower | Low-impact agility with cardiovascular demand |
| Squash | 42% lower | 50% lower | Sustained high heart rate in confined space |
| Swimming | 28% lower | 35% lower | Joint-friendly but less metabolic demand |
| Cycling | 25% lower | 30% lower | Endurance-focused, limited upper-body engagement |
Adapted from British Journal of Sports Medicine (2017) and Harvard Health Publishing
Why the gap? Tennis’s intermittent sprinting (players cover 3–5 miles per match with 1,000+ direction changes) creates a time-efficient workout. A 60-minute tennis match burns 600–900 calories, comparable to a 90-minute jog—but with zero repetitive joint stress.
“Most people think of tennis as a leisurely sport, but the data shows it’s one of the most physically demanding activities you can do. The key is the unpredictability—you’re never in a steady state.”
How to Maximize Tennis’s Longevity Benefits
Not all tennis play is created equal. To harness the full health benefits, experts recommend:

- Prioritize doubles: Studies show doubles players cover 20% more ground than singles players due to constant lateral movement, reducing injury risk while boosting calorie burn.
- Play on clay or grass: These surfaces require more sliding and pivoting, engaging stabilizing muscles more than hard courts.
- Mix intensities: Alternate between high-intensity rallies (30+ shots) and short bursts of sprinting to mimic match conditions.
- Focus on technique: Proper footwork (e.g., split-step, cross-step) reduces knee/ankle strain while improving agility.
- Play regularly: Aim for 2–3 sessions per week to maintain cardiovascular and cognitive benefits.
Pro tip: Add plyometric drills (e.g., jump rope, lateral bounds) to your warm-up to further enhance bone density—a critical factor for preventing osteoporosis.
Beyond the Court: Tennis’s Ripple Effects on Health
Tennis’s benefits extend far beyond heart health. Here’s what else the research reveals:
Key Takeaways: Tennis as a Longevity Sport
- Metabolic Boost: Tennis players have 12% lower diabetes risk due to improved insulin sensitivity from high-intensity intervals.
- Mental Health: The social and competitive aspects reduce stress hormones by 25% compared to solo cardio.
- Bone Density: The impact and resistance of tennis movements help prevent osteoporosis, especially in women.
- Sleep Quality: Regular play improves deep sleep duration by 15–20 minutes per night.
- Lifespan Extension: The study’s authors estimate 10 additional healthy years for those who play tennis 3+ times weekly.
Real-world example: The U.S. Tennis Association tracks player health data and found that masters-level tennis players (50+ years old) report 30% fewer chronic illnesses than age-matched golfers or swimmers. “It’s not just about the exercise,” says a USTA spokesperson. “It’s the combination of physical demand, mental engagement, and social interaction.”
Addressing the Skeptics: Common Questions
Frequently Asked Questions
Q: Isn’t tennis too high-impact for older adults?
A: Modified versions (e.g., chair tennis, shorter matches, or doubles) reduce strain while preserving benefits. The American Heart Association endorses tennis for all ages due to its adaptability.

Q: What if I’m not competitive?
A: Tennis doesn’t require skill to deliver health benefits. Pickleball and table tennis (also racket sports) offer similar advantages with lower intensity.
Q: How does tennis compare to HIIT training?
A: Tennis outperforms traditional HIIT because it combines cardio, strength, agility, and cognitive demand in one session—without the repetitive joint stress of running or jumping.
Q: Can I get these benefits from other sports?
A: Yes, but with trade-offs. Swimming is joint-friendly but lacks upper-body strength gains. Cycling builds endurance but misses the metabolic benefits of sprinting. Tennis uniquely checks all boxes.
The Bottom Line: Should You Pick Up a Racket?
If you’re looking for an exercise that protects your heart, sharpens your mind, and keeps you mobile well into old age, the evidence is clear: Tennis is a game-changer. It’s not just about the 10 years of added life expectancy—it’s about the quality of those years.
“I’ve seen patients in their 70s and 80s who play tennis regularly,” says Daryanani. “They move better than many people half their age. That’s not luck—it’s science.”
The next step? Find a local club, grab a racket, and start playing. Your future self will thank you.
Ready to join the tennis longevity revolution? Explore USTA resources to find courts, clinics, and health programs near you. Or check out UC San Diego Health’s guide to sports medicine for injury prevention tips.