Move now then last.

Personal health innovation, evidence first.

A personal record of marathons run, charities supported, and peer-reviewed evidence on lower-body training and longevity. The point of this page is not fundraising. The point is the example.

Read the manifesto

Pioneering health for minds that train,
run, and last.

Discipline × Longevity

The discipline

Marathon running is, like investing, mostly the unglamorous part. Cold morning miles, repeated, with no audience and no immediate reward — the same patience a generational allocation programme demands. Two London marathons in 2011 and 2012, a National Three Peaks Challenge, and a HYROX in 2025: endurance work paced for a forty-year horizon.

The longevity

The evidence on running and lower-body training for healthy lifespan is unambiguous. Adults who run regularly carry roughly 30% lower all-cause mortality and a three-year life-expectancy benefit, even at less than an hour per week. Lower-body strength alone predicts how long you live. The cost of starting is small; the cost of not starting is large.

How I move

Endurance · For cause
Endurance

Marathons & mountains

Two London Marathons (2011, 2012), the National Three Peaks Challenge (Ben Nevis · Scafell Pike · Snowdon), and HYROX 2025. Endurance work as a habit, not an event — paced for a forty-year horizon, evidenced by the peer-reviewed literature on running and longevity.

For cause

Run for great charities

Each race paired with a great charity. Past beneficiaries have included RNIB (Royal National Institute of Blind People) and Cancer Research UK — organisations whose work would deserve the support whether anyone ran or not. Future races will continue the pattern.

Running & lower-body training,
and the extension of healthy life.

Most people have never seen the evidence on running and leg-based exercise laid out together in one place. Below is a short, sourced summary from peer-reviewed cohort studies and meta-analyses spanning roughly two million participants.

−30%
Running, even at low doses, materially reduces mortality.
A 55,137-adult cohort followed for 15 years found that runners had a 30% lower risk of all-cause mortality and a 45% lower risk of cardiovascular mortality versus non-runners — with roughly a 3-year life expectancy benefit. The benefit held even at less than 51 minutes of running per week, slower than 6 mph.[5][4]
−27%
Meta-analysis of six prospective cohorts confirms the effect.
Across 232,149 participants pooled in a 2019 BJSM systematic review, running participation was associated with a 27% reduction in all-cause mortality, 30% in cardiovascular mortality, and 23% in cancer mortality. Any amount of running, even once a week, was better than none.[6]
−14%
Lower-body strength alone predicts how long you live.
A meta-analysis of nearly 2 million adults (García-Hermoso et al., 2018) found that higher knee-extension strength was associated with a 14% lower risk of death from any cause.[1] In community-based older adults, combined low upper- and lower-limb strength more than doubled the mortality hazard (HR 2.06).[2][3]
6.05×
The sitting-rising test is a remarkable mortality predictor.
In a prospective cohort of 4,282 adults followed for a median of 12.3 years, those with the lowest sitting-rising-test scores had a 3.84× hazard for natural death and a 6.05× hazard for cardiovascular death versus the highest scorers (Araújo et al., 2025).[7] Independent work confirms slowness on the five-times sit-to-stand test predicts mortality in older patients with cardiovascular disease.[9][8]
<51 min/wk
The minimum effective dose is small. The cost of not starting is large.
Even very modest running — less than 51 minutes per week, less than 6 miles per week, at slower than 6 mph — was sufficient to materially reduce mortality risk in a 55,000-person cohort. Persistence mattered more than volume: persistent runners showed a 50% lower risk of cardiovascular mortality versus never-runners.[5] If you train your legs, the chance you live longer rises.[1][7]

References

  1. Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women. García-Hermoso et al., 2018, Arch Phys Med Rehabil.
  2. Independent and combined associations of upper and lower limb strength with all-cause mortality... Zhang et al., 2023, Public Health.
  3. Associations of Muscle Mass and Strength with All-Cause Mortality among US Older Adults. Li et al., 2017, MSSE.
  4. Running as a Key Lifestyle Medicine for Longevity. Lee et al., 2017, Prog Cardiovasc Dis.
  5. Leisure-time running reduces all-cause and cardiovascular mortality risk. Lee et al., 2014, JACC.
  6. Is running associated with a lower risk of all-cause, cardiovascular and cancer mortality... Pedišić et al., 2019, BJSM.
  7. Sitting-rising test scores predict natural and cardiovascular causes of deaths... Araújo et al., 2025, Eur J Prev Cardiol.
  8. Prognostic value of the five-repetition sit-to-stand test for mortality in people with COPD. Medina-Mirapeix et al., 2021.
  9. Association of 5-times sit-to-stand test with muscle weakness and prognosis... Tsubaki et al., 2024, Eur Heart J.

Citations sourced via Consensus, indexing Semantic Scholar, PubMed, Scopus, and arXiv. The summary above is general health information and is not personal medical advice. Before starting a new exercise programme, consult a qualified clinician — particularly if you have a known cardiovascular, musculoskeletal, or metabolic condition.

Races run, and the
charities they raised for.

A working record of races run, the cities they were run in, and the great charities they have raised funds for. Past beneficiaries have included RNIB and Cancer Research UK.

YearRaceCityTimeCharity
2011 Virgin London Marathon42.195 km London, UK RNIB — Royal National Institute of Blind People
2012 Virgin London Marathon42.195 km London, UK Cancer Research UK
2012 National Three Peaks ChallengeCompleted Ben Nevis · Scafell Pike · Snowdon Endurance challenge — partner charity TBA
2025 HYROX8×1 km + 8 stations Event city TBA Aligned partner charity to be announced

Charity assignments per race reflect the partner organisations historically supported. Finishing times to be added once verified.

Pairing each race with a
great organisation.

Past · London 2011

RNIB — Royal National Institute of Blind People

The UK's leading charity supporting blind and partially sighted people — offering information, advocacy, accessible products, and lifelong support for people with sight loss. Funds raised at the 2011 London Marathon went toward RNIB's frontline services.

Visit rnib.org.uk →
Past · London 2012

Cancer Research UK

The world's largest independent funder of cancer research. CRUK's work spans early detection, drug discovery, prevention research, and clinical trials — covering more than 200 types of cancer. Funds raised at the 2012 London Marathon went toward this research base.

Visit cancerresearchuk.org →
Future races

Aligned partner charities, race by race

Each future race — including HYROX 2025 — will be paired with a great charity announced in advance. The choice will follow the same standard: long-horizon work, low overhead, organisations whose missions reward patient, multi-year support.

Suggest a partner →

Run alongside, or simply
start running.

The point of this page is not to ask anyone for money. It is to point to the evidence and the example. If you would like to be in dialogue about a future race — as a fellow runner, a partner charity to consider, or simply because you have decided this is the week you take your first slow mile — the channels below are open.

Start running yourself

The single most useful response to this page would be to take a slow first mile this week. The evidence above is unambiguous on the minimum dose: less than an hour a week, slower than 6 mph, is enough to materially extend healthy life. Build the habit. The race that matters is the one you take on at age seventy.

Read the evidence

Contact & dialogue

For charities interested in being considered as a future partner, for fellow runners considering a London or HYROX entry, or for any aligned correspondence on running, longevity, or the work the page is built on.

Personal sitealexanderariana.com
Aligned givingcaspianfoundation.net (in development)