What Counts as Aerobic Exercise (aka Cardio)

What Counts as Aerobic Exercise? Here’s Everything You Need to Know About How to Get the Cardio You Need

What Counts as Aerobic Exercise? Here’s Everything You Need to Know About How to Get the Cardio You Need
Adobe Stock

Whether you call it aerobic, cardiovascular, or endurance exercise, you’re probably talking about the same thing: getting your heart pumping faster and oxygenated blood flowing, with the goal of improving your cardiorespiratory fitness. But it benefits more than just your heart.

The technical definition of aerobic exercise is “any form of exercise or activity that uses the aerobic metabolism — meaning oxygen is heavily involved in the cellular reactions that provide the body with the energy necessary to perform activity,” explains Michael Jonesco, DO, an associate professor of internal and sports medicine at The Ohio State University Wexner Medical Center in Columbus. “You’re making yourself more efficient at delivering oxygen to the rest of the body.”

Another way to think about aerobic exercise, or cardio, is as a type of workout that increases your heart rate and breathing, but not so much that you feel like you need to stop and rest after a short period of time. Think of activities like running, speed walking, stair-climbing, cycling, and swimming.

Aerobic Exercise Boosts Your Entire Cardiovascular System

Cardiovascular fitness is defined by how well your heart and lungs supply oxygen to your body during exercise. Moderate- to high-intensity activity challenges your cardiovascular system, resulting in more efficient blood flow, delivering oxygen to the cells that need it.

When you’re doing aerobic exercise, cells throughout the body increase the number and size of mitochondria, the microscopic powerhouses of a cell. Mitochondria use oxygen to create energy that can fuel important reactions throughout the body, Dr. Jonesco explains. They make up the part of the body’s cells that turn oxygen into the energy each cell uses to function.

These changes yield major heart health benefits. Some research suggests that aerobic training is the most effective mode of exercise for improving cardiovascular health.

Regular aerobic exercise helps lower your cholesterol, control blood sugar to reduce your risk of type 2 diabetes, improve immune function, and lower high blood pressure (hypertension), Jonesco says. And those heart benefits are important considering that cardiovascular disease is the leading cause of death for adults in the United States.

Other Aerobic Exercise Health Benefits

The many health benefits of aerobic exercise, however, don’t stop with your heart. Here’s what the evidence shows:

  • Mental Health Benefits Aerobic exercise has been shown to reduce the risk of anxiety and depression in adults. It also helps people manage stress via sleep and mood-regulating benefits.

  • Weight Loss Benefits Aerobic exercise burns calories, which in combination with a healthy diet, can help you burn fat and shed excess weight, Jonesco says. Cardiovascular exercise can be part of an effective weight management strategy for those who have obesity. Aerobic exercise also tones your muscles and improves posture.

  • Fitness Benefits Over time aerobic exercise can give you more energy to work out, which can set the stage for an overall healthier lifestyle. By improving your body’s ability to take in and use oxygen for fuel, aerobic exercise can increase your stamina, giving you more energy for both work and play, Jonesco adds.
  • Bone and Joint Benefits Moderate or vigorous-intensity aerobic exercise like running or jumping rope can help increase bone density in older individuals and for those with osteoarthritis or other rheumatic conditions.

  • Brain Health Benefits Physical activity has been linked to a lower risk of dementia and may improve cognition as you age.

How Often to Get Aerobic Exercise

According to the most recent Physical Activity Guidelines for Americans, published by the U.S. Department of Health and Human Services (HHS) in 2018, aerobic exercise varies by three components:

  • Intensity How hard a person works to do the activity, such as moderate (the equivalent of brisk walking) and vigorous (the equivalent of running or jogging) pace
  • Frequency How often a person does aerobic activity
  • Duration How long a person does an activity in any one session

According to the HHS, to maintain fitness, adults should aim to get 150 minutes to 300 minutes of moderate-level physical activity or 75 minutes to 150 minutes of vigorous-intensity aerobic physical activity per week. The HHS notes that it’s preferable to spread this activity throughout several days of the week.

In addition to this recommendation for aerobic exercise, the HHS recommends performing balance and stretching activities to enhance flexibility, as well as muscle-strengthening workouts that target large muscle groups (such as body weight or weight lifting) two or more times a week. All of these components are part of a well-rounded fitness routine.

The World Health Organization also recommends the same duration of weekly aerobic activities, as well as strength exercises for the major muscle groups twice weekly.

Yet data published in the HHS guidelines report shows that nearly 80 percent of adults are not meeting the key standards for both aerobic and muscle-strengthening activity, which contributes to 10 percent of premature mortality.

Types of Aerobic Exercise and How to Get Started

Before beginning any exercise program, especially if you have heart or other health issues, talk to your doctor.

If you’re not currently doing much aerobic exercise, start small. This can include walking around the block or incorporating a few jumping jacks into your routine throughout the day. As you gain aerobic fitness, you can increase your exercise intensity.

As the names would imply, the difference between moderate-intensity exercise and high-intensity exercise is the intensity of the workout, or the degree to which you’re pushing yourself.

How to Do Moderate-Intensity Aerobic Exercise

You’re exercising at a moderate intensity if you can keep up a conversation during the activity. To determine if you’re there, you should be able to get out three or four sentences in a row without gasping for air. It’s a sign that you’re maintaining an intensity that is truly aerobic, meaning aerobic metabolism is supplying the vast majority of your body’s energy, Jonesco says.

Your heart rate should be roughly 60 percent of your maximum heart rate. To find your max heart rate, subtract your age from 220. Multiply that number by 0.6 to get your target heart rate for moderate-intensity aerobic exercise, Jonesco says.

How to Do High-Intensity Aerobic Exercise

If you’re active and healthy, and have already built up a base level of aerobic fitness, you can shoot for a higher target heart rate, up to 80 or even 90 percent of your maximum heart rate, Jonesco says.

At this intensity, you will likely be able to say a couple of words before becoming out of breath and needing to gasp for air. You may not be able to talk at all. Keep in mind, however, that intensity predicts duration, so you won’t be able to keep up this intensity for as long as when you’re exercising at lower intensities.

High-intensity interval training — alternating between bouts of all-out effort and low-intensity recovery — is a great way to improve cardiovascular fitness when you’re short on time, Jonesco adds.

Examples of Aerobic Exercises

You have lots of options when it comes to getting your aerobic exercise in, so set a goal to try activities that you enjoy. Depending on your preferences and abilities, aerobics, walking (outside or on a treadmill), bicycling, hiking, aerobic dancing, rowing, and gardening are all quality forms of aerobic exercise that you can easily integrate into your day and can yield big benefits even if you’re doing them in small spurts.

 Even five minutes counts.

Additional reporting by K. Aleisha Fetters, Nicol Natale, and Jessica Migala.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Cardiovascular Endurance. Cleveland Clinic. February 21, 2023.
  2. Reynolds S. Mitochondria and health. National Institutes of Health. July 22, 2025.
  3. Heart Disease Facts. Centers for Disease Control and Prevention. October 24, 2024.
  4. Exercise for Stress and Anxiety. Anxiety & Depression Association of America.
  5. Niemiro GM et al. Exercise and Fitness Effect on Obesity. StatPearls. November 17, 2023.
  6. Physical Activity Guidelines for Americans. U.S. Department of Health and Human Services. 2018.
  7. Marino FR et al. Physical Activity Over the Adult Life Course and Risk of Dementia in the Framingham Heart Study. JAMA Open. November 19, 2025.
  8. Physical Activity. World Health Organization. June 26, 2024.
  9. Solan M. Short bursts of exercise may offer big health benefits. Harvard Health Publishing. February 1, 2023.

Tara Collingwood, RDN

Medical Reviewer

Tara Collingwood, RDN, is a board-certified specialist in sports dietetics, an American College of Sports Medicine–certified personal trainer, and a media spokesperson. As a sports...

Chris Iliades

Chris Iliades, MD

Author

Chris Iliades, MD, is a full-time medical writer and journalist based in Boothbay Harbor, Maine. He practiced clinical medicine for 15 years before transitioning to medical writing...