High Performance Health

You’re Probably Training Wrong | Dr. Stacy Sims on How Women 40+ Should Measure Intensity

Nov 7, 2025
In this engaging discussion, Dr. Stacy Sims, an exercise physiologist specializing in female physiology, reveals how women over 40 can optimize their training. She advocates for using the Rate of Perceived Exertion (RPE) scale to gauge workout intensity, emphasizing that a '10' means complete exertion. Dr. Sims also critiques the vague notion of 'moderate intensity' and stresses the importance of building a solid fitness foundation before diving into high-intensity training. She highlights that movement is medicine, and varying stress is crucial for fitness adaptations.
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INSIGHT

RPE Is The Best Intensity Measure

  • Use RPE (0-10) as the most reliable intensity metric; 10 means you literally can't do more.
  • Stacy Sims calls it the "vomit scale" to highlight true maximal effort.
ADVICE

Pace Four-Minute Intervals

  • Pace interval efforts: start a 4-minute interval around a 7 and finish at 8–9 to avoid blowing up.
  • Maintain intention so pace feels steady and you can complete all reps.
INSIGHT

Intensity Should Reflect Daily Readiness

  • RPE varies day-to-day because stress resilience changes how hard a given workload feels.
  • Adjust intensity based on how your body feels rather than fixed numbers.
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