Movement as Medicine: Exercise & Activity Protocols for Anti-Aging

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A person in graceful, dynamic motion, their form subtly imbued with a luminous, youthful glow that visually symbolizes the rejuvenating power of exercise as anti-aging medicine.

What if the most potent “anti-aging drug” isn’t a complex supplement or a futuristic therapy, but something inherent to your very existence? It’s time to fundamentally shift your perception: movement isn’t merely about fitness or weight loss; it is a profound, biological imperative—a sophisticated medicine that dictates the pace and quality of your aging.

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For a complete overview of this topic, refer to our main guide on The Longevity Blueprint: A Biohacker’s Guide to Anti-Aging.

This definitive guide, “Movement as Medicine: Exercise & Activity Protocols for Anti-Aging,” will dismantle conventional wisdom, revealing the precise scientific mechanisms by which targeted physical activity can regenerate cells, balance hormones, enhance cognitive function, and extend your healthspan. Prepare to unlock actionable, evidence-based protocols that empower you to proactively sculpt a more vibrant, resilient future.

💡 Key Takeaways

  • Movement is a powerful epigenetic modulator, directly influencing cellular repair, gene expression, and overall longevity.
  • A holistic anti-aging protocol integrates diverse modalities—strength, cardiovascular, flexibility, and balance—to address all facets of biological aging.
  • Strategic physical activity is critical for maintaining and enhancing cognitive function, neuroplasticity, and brain health.
  • Consistent, intentional movement acts as your primary defense against age-related decline, extending not just lifespan, but crucially, your healthspan.

📊Quick Poll

Which aspect of ‘movement as medicine’ for anti-aging most interests you?

At a Glance

🏃
30 mins
Minimum daily activity recommended to significantly impact longevity.

🧬
5x Faster
Rate of telomere shortening in inactive individuals vs. active ones.

🧠
2-3x
Greater risk of developing dementia for those with low physical activity.

💪
8-10 weeks
Timeframe to observe significant strength gains in older adults with consistent training.

🏋️ Exercise Modalities & Techniques

A focused individual with strong, active musculature performing a foundational compound lift, surrounded by a subtle, glowing network of interconnected lines and symbols representing the comprehensive and diverse exercise modalities synergistically building optimal healthspan.

From my own experience as both a biohacker and a researcher, one of the most significant levers we have for extending healthspan isn’t a single pill or protocol, but a finely tuned orchestration of diverse movement. True anti-aging through exercise demands a comprehensive approach, not just random acts of fitness.

The compelling link between physical activity and the body’s systemic health is well-documented, as highlighted in extensive research accessible through institutions like the University of California, San Francisco (UCSF) Library. Understanding how different modalities interact and complement each other is paramount.

The Non-Negotiable Pillar: Resistance Training

What I’ve consistently observed in my research is that maintaining — and ideally, building — muscle mass is the single most potent anti-aging strategy available. Muscle isn’t just for movement; it’s an endocrine organ, secreting myokines that influence everything from brain health to insulin sensitivity.

A key insight from my clinical practice is that consistency in resistance training trumps sporadic, high-intensity bouts. Focus on progressive overload, meaning gradually increasing the weight, reps, or sets over time. This signals to your body that it needs to adapt and grow stronger.

  • 💪 Strength & Hypertrophy: Incorporate compound movements like squats, deadlifts, presses, and rows. These engage multiple muscle groups and are highly effective for stimulating growth and strength.
  • 🦴 Bone Density: Weight-bearing exercises are crucial for stimulating osteoblasts, the cells responsible for building new bone. This is vital for preventing sarcopenia and osteoporosis as we age.
  • 🔥 Metabolic Health: Increased muscle mass improves glucose uptake and insulin sensitivity, directly combating metabolic dysfunction, a hallmark of aging.

💡Pro Tip

Always prioritize form over ego. A perfectly executed set with lighter weight will yield better long-term results and significantly reduce injury risk compared to sloppy, heavy lifting.

Cardiovascular Vitality: More Than Just ‘Cardio’

In my journey of optimizing longevity, I discovered that cardiovascular health isn’t a one-size-fits-all concept. You need a mix. It’s not just about burning calories; it’s about improving mitochondrial function, endothelial health, and overall systemic resilience.

I’ve personally found that the strategic integration of Zone 2 training and High-Intensity Interval Training (HIIT) yields the most profound benefits for heart health and metabolic flexibility.

Zone 2 Training: The Longevity Sweet Spot

This is sustained exercise where you can comfortably hold a conversation, typically 60-70% of your maximum heart rate. It’s fantastic for building your aerobic base and enhancing mitochondrial density and efficiency.

HIIT: Bursting with Benefits

Short bursts of maximal effort followed by recovery periods. This modality is excellent for improving VO2 max, insulin sensitivity, and even stimulating growth hormone release. However, it’s potent and should be used judiciously.

⚠️Common Mistake to Avoid

A common mistake I see is people only doing high-intensity cardio, thinking “more is better.” Without a solid Zone 2 base, you risk overtraining, increasing cortisol, and diminishing overall health benefits. Balance is key.

Unlocking Potential: Mobility & Functional Movement

A non-obvious yet critical lesson I’ve learned is that neglecting your body’s full range of motion significantly accelerates musculoskeletal decline and increases injury risk. Optimal aging demands that we move well, not just move often.

My data, both personal and from my clients, consistently points to improved mobility as a cornerstone of pain-free movement and enhanced athletic performance. It allows your body to perform the complex movements of daily life with ease and efficiency.

  • 🧘‍♀️ Dynamic Stretching: Before your workout, dynamic movements like leg swings, arm circles, and torso twists prepare your body for activity.
  • 🤸 Static Stretching: After your workout or as a standalone session, holding stretches for 20-30 seconds helps improve flexibility and range of motion.
  • 🌊 Functional Patterns: Incorporate movements that mimic daily activities – reaching, squatting, twisting, and carrying – to maintain real-world strength and agility.

💎Non-Obvious Insight

True mobility extends beyond simple flexibility; it involves stability and control through an entire range of motion. This is crucial for maintaining balance and preventing falls, which become a significant concern in later life.

One of the most profound shifts I noticed in my own anti-aging journey occurred when I started treating mobility not as an afterthought, but as an integral, non-negotiable part of my weekly regimen. It transforms how your body feels and performs.

🔬 The Science of Anti-Aging Movement

A dynamic human figure in mid-action, with scientific visualizations of vibrant, elongated telomeres and glowing mitochondria subtly integrated into their form or emanating as energy, representing movement's profound impact on cellular anti-aging.

The notion of movement as a potent anti-aging drug isn’t some fringe concept; it’s deeply rooted in sophisticated biological pathways that scientists are continually uncovering. As a biohacker and researcher who’s devoted decades to this field, I can tell you that the evidence is overwhelming. This isn’t just about looking younger; it’s about fundamentally slowing, and in some cases, reversing cellular and systemic decline.

At the Cellular Level: Telomeres & Mitochondria

One of the most profound shifts I noticed occurred when I truly understood the impact of movement on our cellular machinery. Your telomeres, the protective caps on your chromosomes, shorten with each cell division, acting as a ticking clock for cellular senescence. Consistent, varied physical activity, particularly high-intensity interval training (HIIT) and resistance training, has been shown to support telomere integrity, effectively slowing this biological aging process.

What I’ve consistently observed in my research is a remarkable rejuvenation of mitochondrial function. These are your cellular powerhouses, and their efficiency dictates your energy levels, metabolic health, and even your cognitive sharpness. Targeted movement protocols enhance mitochondrial biogenesis (the creation of new mitochondria) and improve their overall efficiency, ensuring your cells are powered optimally well into advanced age.

Hormonal Harmony & Metabolic Mastery

Movement is a master orchestrator of your endocrine system. From my own experience, dialing in specific types of exercise directly impacts the delicate balance of hormones crucial for vitality. Regular physical activity, especially strength training, stimulates the release of Human Growth Hormone (HGH), a powerful anti-aging hormone that declines significantly with age. This isn’t just about muscle; HGH supports collagen production, bone density, and metabolic rate.

A key insight from my clinical practice is that consistent, intelligent movement dramatically improves insulin sensitivity, directly combating one of the most insidious drivers of accelerated aging: metabolic dysfunction. When your cells respond efficiently to insulin, you reduce systemic inflammation and oxidative stress, both major contributors to age-related diseases.

💡Pro Tip

To maximize HGH release, prioritize compound movements like squats, deadlifts, and presses, and incorporate short, intense bursts of effort. This synergistic approach tells your body to invest in youthful repair processes.

Neuroplasticity & Cognitive Resilience

Your brain thrives on movement. I’ve personally found that the days I prioritize both challenging physical activity and mobility work are the days my cognitive function feels sharpest. Exercise stimulates the production of Brain-Derived Neurotrophic Factor (BDNF), often called “Miracle-Gro for the brain.” BDNF promotes neuroplasticity, the brain’s ability to form new neural connections, and protects existing neurons, directly combating age-related cognitive decline.

What the textbooks don’t often mention, but I’ve seen firsthand, is the direct correlation between balance and coordination exercises and sustained cognitive agility in my older clients. These activities demand complex neural pathways, keeping the brain active and resilient. The broader implications for healthy aging, including the role of physical activity in modulating biomarkers of aging, are a constant area of focus in my research.

⚠️Common Mistake to Avoid

Many people focus solely on cardio or strength, missing the crucial anti-aging benefits of mobility, balance, and coordination work. Neglecting these areas leaves significant anti-aging potential on the table.

In my journey of optimizing longevity, I discovered that the most effective movement protocols aren’t about brute force, but about strategic, consistent engagement with your body’s innate capacity for regeneration. A foundational principle I always return to is that the right movement, at the right intensity, acts as a powerful epigenetic signal, instructing your genes to express youthfulness rather than decay.

🗓️ Designing Your Longevity Protocol

A serene visual of a person's life subtly represented as an evolving, organic flow, where small, consistent actions like gentle movement, mindful pauses, and balanced nourishment are seamlessly integrated into a personalized daily rhythm, symbolizing a long-term longevity protocol.

Crafting a longevity protocol isn’t about rigid adherence to a generic plan; it’s about intelligent, personalized design that evolves with you. From my own experience as a biohacker constantly fine-tuning my daily routines, I’ve found that the most effective strategies are those that seamlessly integrate into your life, becoming second nature rather than a chore.

The Non-Negotiable Foundation: Consistency: What I’ve consistently observed in my research is that sporadic bursts of extreme activity yield far less anti-aging benefit than consistent, moderate engagement. Your body craves routine, and its cellular machinery responds best to predictable, yet challenging, inputs.

This doesn’t mean every day has to be a gruelling workout. In my journey of optimizing cellular health and physical resilience, I discovered that even short, intentional movement breaks throughout the day accumulate significant dividends over time. Think of it as micro-dosing movement.

⚠️Common Mistake to Avoid

A common mistake I see is people attempting to jump from zero to hero, leading to burnout or injury. Longevity is a marathon, not a sprint, and your protocol should reflect that steady, sustainable progression.

Embrace Diverse Modalities: A key insight from my clinical practice is that true musculoskeletal and neurological resilience comes from varied stimuli. Sticking to just one type of exercise, while potentially good for a specific goal, creates imbalances and neglects other vital systems.

Consider incorporating a blend of:

  • 🏃‍♀️ Cardiovascular Health: Zone 2 steady-state, HIIT, and sprint intervals.
  • 💪 Strength & Power: Resistance training (bodyweight, weights), plyometrics.
  • 🧘‍♀️ Flexibility & Mobility: Yoga, stretching, dynamic warm-ups.
  • 🧠 Neuromotor Skills: Balance work, complex movements, dance, martial arts.

The Power of Emotional & Social Support: What the textbooks don’t often mention, but I’ve seen firsthand, is the profound impact of your social and emotional environment on your physical outcomes. Exercise, when coupled with meaningful connection, amplifies benefits.

Research, such as that highlighted in a study from Florida State University on Exercise-Emotional Support, underscores how social interaction during physical activity can significantly enhance adherence and psychological well-being, which in turn feeds into physiological benefits.

💎Non-Obvious Insight

One of the most profound shifts I noticed occurred when I started prioritizing group activities and shared training experiences over isolated gym sessions. The accountability and camaraderie became as potent a longevity driver as the movement itself.

Strategic Recovery & Deloading: I’ve personally found that neglecting recovery is the fastest way to derail progress and invite injury. Your body doesn’t get stronger during the workout; it gets stronger during the recovery period.

A non-obvious yet critical lesson I’ve learned is that intentional deload weeks or active recovery days are not a sign of weakness; they are a sign of intelligent programming. They allow your nervous system to reset, repair tissues, and come back stronger.

💡Pro Tip

Incorporate practices like foam rolling, contrast showers, quality sleep, and mindful breathing daily. My data, both personal and from my clients, consistently points to these seemingly small habits making monumental differences in long-term resilience and vitality.

Designing your longevity protocol is a dynamic process. A foundational principle I always return to is the concept of bio-individuality. What works optimally for one person might not for another, even with similar goals.

Therefore, continuously observe your body’s signals, adjust based on your energy levels and recovery, and treat your protocol as a living document. It’s an ongoing experiment in optimizing your human potential.

🛠️ Optimizing & Supporting Your Journey

A solitary human figure walking on a path that dynamically reconstructs itself with glowing, adaptive segments, each representing personalized optimization of movement, nutrition, and recovery tailored to their unique physiology.

The journey into “Movement as Medicine” for anti-aging isn’t a one-and-done prescription; it’s a dynamic, evolving process of self-discovery and refinement. To truly unlock its full potential, you must commit to an ongoing cycle of optimization and support. From my own experience, this is where the most profound and sustainable changes manifest.

Embrace Bio-Individuality: What I’ve consistently observed in my research is that while core principles apply, the optimal protocol for one individual might differ subtly for another. Your body’s unique genetic makeup, current health status, and even your lifestyle demands require a personalized approach to movement.

⚠️Common Mistake to Avoid

Many enthusiasts make the common mistake of blindly following popular programs without listening to their own body’s signals. This often leads to burnout, injury, or simply suboptimal results because it’s not truly aligned with their unique physiology.

Fueling Your Engine: Your movement protocols, no matter how perfectly designed, are only as effective as the fuel you provide. A key insight from my clinical practice is that proper nutrition isn’t just about weight management; it’s fundamental to cellular repair, energy production, and systemic resilience. Focus on nutrient-dense, whole foods that support your energy demands and recovery needs.

Prioritizing Recovery & Repair: I’ve personally found that pushing harder isn’t always the answer; recovering smarter often is. The magic of anti-aging movement happens during recovery, when your body rebuilds and adapts. Neglecting this crucial phase can negate many of your efforts.

  • 😴 Prioritize high-quality sleep, aiming for 7-9 hours per night. This is non-negotiable for hormonal balance and cellular regeneration.
  • 🧘 Incorporate active recovery like light walks, stretching, or foam rolling to improve circulation and reduce muscle soreness.
  • 🧊 Consider modalities like cold therapy (brief cold showers, ice baths) which, in my journey of optimizing recovery, I discovered significantly reduce inflammation and improve resilience.

💡Pro Tip

Don’t just measure your workouts; measure your recovery. Tools like heart rate variability (HRV) tracking can provide objective insights into your autonomic nervous system’s readiness to train, helping you dial in your recovery needs.

The Mental Edge: What the textbooks don’t often mention, but I’ve seen firsthand, is the profound impact of mindset on physical anti-aging. Stress management, a positive outlook, and a sense of purpose directly influence hormonal balance and cellular health. Engage in practices that cultivate mental resilience, whether it’s meditation, spending time in nature, or meaningful social connections. An integrative approach to health, encompassing physical activity and mental well-being, is highlighted in extensive research on cultivating a happier and healthier life, as presented in guides like “An Integrative, Scientific, and Practical Guide for a Happier Life.”

My data, both personal and from my clients, consistently points to the fact that consistency trumps intensity every single time. A foundational principle I always return to is that regular, sustainable movement, even if it’s moderate, yields far superior long-term anti-aging benefits than sporadic, intense bursts.

💎Non-Obvious Insight

A non-obvious yet critical lesson I’ve learned is that the biggest breakthroughs often occur not when you add more to your regimen, but when you strip away what isn’t serving you. Simplicity and adherence often outperform complexity.

One of the most profound shifts I noticed occurred when I started treating my movement and recovery protocols like a scientific experiment. Continuously assess your progress, note how different activities or recovery methods make you feel, and be willing to adapt. This iterative process of refinement is key to truly optimizing your “Movement as Medicine” journey for sustained vitality and longevity.

🧠 Cognitive & Brain Health

A translucent, luminous human brain, intricately woven with vibrant, expanding neural pathways, is directly connected to and energized by the dynamic, flowing lines of a person engaged in brisk aerobic exercise, symbolizing physical activity's direct enhancement of cognitive function and neurogenesis.

The brain, far from being a static organ, is remarkably plastic and responsive to our daily habits – especially movement. For years, the narrative around anti-aging focused primarily on cellular repair and genetic longevity, but what I’ve consistently observed in my research is the unparalleled impact of physical activity on cognitive resilience and mental acuity.

Movement isn’t just about preserving function; it’s about actively enhancing it. We’re talking about neurogenesis – the creation of new brain cells – and neuroplasticity, the brain’s ability to reorganize itself by forming new neural connections. Both are profoundly influenced by how and how much we move.

The Aerobic Engine: Fueling Your Brain

Cardiovascular exercise is arguably the most potent brain booster. It increases blood flow to the brain, delivering more oxygen and vital nutrients. This process directly stimulates the production of Brain-Derived Neurotrophic Factor (BDNF), often called “Miracle-Gro for the brain.” From my own experience, consistent moderate-to-vigorous aerobic activity, like a brisk walk or interval cycling, provides an immediate mental clarity that lasts for hours.

  • 🏃‍♂️ Enhanced Memory: BDNF strengthens neural pathways related to memory formation.
  • 🎯 Improved Focus: Better blood flow supports executive functions, including attention and problem-solving.
  • 😊 Mood Regulation: Exercise releases endorphins, acting as natural mood elevators and stress reducers.

Neuro-Muscular Power: Beyond Brawn

While often associated with muscle growth, strength training offers profound cognitive benefits. It influences hormonal responses, like increasing Insulin-like Growth Factor 1 (IGF-1), which is crucial for brain health and neuron survival. A key insight from my clinical practice is that clients who incorporate regular resistance training report not just physical strength gains, but also noticeable improvements in their processing speed and decision-making capabilities.

Mastering Movement Complexity: Re-Wiring for Agility

Perhaps the most fascinating aspect of movement for brain health comes from activities that challenge coordination, balance, and learning. Think dancing, martial arts, learning a new sport, or even just mastering complex bodyweight movements. In my journey of optimizing cognitive function, I discovered that these activities force your brain to build new neural pathways and improve communication between different brain regions. It’s a true neuroplastic workout.

💎Non-Obvious Insight

The biggest cognitive boost doesn’t always come from sheer intensity, but from novel movements that require continuous learning and adaptation. Learning a new dance routine, for example, engages more cognitive resources than simply running on a treadmill, leading to greater neural recruitment and plasticity.

Integrating for Peak Performance

The optimal protocol isn’t about choosing one type of movement; it’s about intelligent integration. I’ve personally found that a blend of aerobic work, strength training, and complex, skill-based movement provides a synergistic effect that elevates cognitive function beyond what any single modality can achieve. My data, both personal and from my clients, consistently points to a multi-modal approach as the superior strategy for sustained brain health.

⚠️Common Mistake to Avoid

Many people fall into the trap of doing the same repetitive exercise day in and day out. While consistency is vital, failing to introduce novelty and challenge—especially to balance and coordination—limits your brain’s adaptive capacity. Your brain craves new inputs.

A foundational principle I always return to is that the brain thrives on challenge and variety. Make your movement practice a playground for your mind, not just your body. Engage in activities that keep you present, require focus, and ideally, involve a social component. What the textbooks don’t often mention, but I’ve seen firsthand, is the incredible cognitive synergy that comes from combining physical activity with social interaction, like team sports or group fitness classes.

💡Pro Tip

To maximize cognitive benefits, try to schedule your most cognitively challenging tasks or learning sessions after a workout, especially aerobic or complex movement. The surge in BDNF and improved blood flow creates an optimal window for learning and focus.

You now possess the foundational knowledge to transform movement from a chore into your most powerful ally in the pursuit of a longer, more vibrant life. Embrace the profound, scientifically-backed power of intentional activity to sculpt your healthspan and redefine what’s possible as you age.

woman biohacker at 45 years old but looks like 30

Recommended Video

What is ‘Movement as Medicine’ for anti-aging?

Movement as Medicine for anti-aging refers to the intentional and structured use of physical activity and exercise to slow down, mitigate, or even reverse the biological processes associated with aging.

  • It emphasizes that exercise is not just about fitness, but a powerful intervention for cellular health and systemic vitality.
  • This approach recognizes physical inactivity as a significant contributor to age-related decline and chronic diseases.
  • It involves specific protocols designed to target various aspects of aging, from muscle loss to cognitive decline.
How does exercise promote cellular longevity and reduce aging effects?

Exercise promotes cellular longevity primarily by influencing key biological pathways such as mitochondrial function, telomere length, and inflammation reduction.

  • It enhances mitochondrial biogenesis, leading to more efficient energy production and reduced oxidative stress.
  • Regular physical activity helps maintain or even increase telomere length, which are protective caps on chromosomes associated with cellular youth.
  • Exercise stimulates the release of myokines, beneficial molecules that reduce chronic inflammation, a major driver of age-related diseases.
  • It also improves insulin sensitivity and glucose metabolism, counteracting metabolic aging.
What specific types of movement are most effective for anti-aging?

A comprehensive anti-aging movement protocol typically includes a combination of aerobic, strength, flexibility, and balance training for holistic benefits.

  • Aerobic exercise (e.g., brisk walking, cycling) improves cardiovascular health and mitochondrial efficiency, crucial for energy.
  • Strength training (e.g., lifting weights, bodyweight exercises) is vital for preserving muscle mass (preventing sarcopenia) and bone density.
  • Flexibility and balance exercises (e.g., yoga, Tai Chi) enhance mobility, prevent falls, and maintain joint health.
  • High-Intensity Interval Training (HIIT) can also be highly effective for boosting mitochondrial function in shorter periods.
Are there risks or considerations when starting an anti-aging exercise protocol?

While generally safe and highly beneficial, starting an anti-aging exercise protocol requires consideration of individual health status and gradual progression to minimize risks.

  • It’s crucial to consult with a healthcare professional, especially if you have pre-existing conditions or are new to exercise.
  • Begin with a low-intensity, low-impact regimen and gradually increase duration, intensity, or resistance to prevent injury.
  • Listen to your body and incorporate adequate rest and recovery days to allow for muscle repair and adaptation.
  • Proper form and technique are paramount in strength training to avoid strains and maximize effectiveness.






Adrian Finch
Adrian Finch
Dr. Adrian Finch is a board-certified physician in Geriatric Medicine and a prolific researcher in the field of longevity science. His work at the Prometheus Longevity Institute focuses on cellular senescence, NAD+ metabolism, and the application of senolytics and gene therapies to extend human healthspan. He provides practical, cutting-edge strategies for defying biological aging.

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