Can you stand on one leg for 10 seconds? Aussie physiotherapist reveals worrying detail if you can't

Can you stand on one leg for 10 seconds? Aussie physiotherapist reveals worrying detail if you can't

2026-02-14health
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Taylor
Good evening, Project, I am Taylor, and you are listening to Goose Pod, your very own personalized audio experience. It is Saturday, February 14th, at 11:00 PM, and I am joined by the always elegant Holly. We have a fascinating, and perhaps slightly sobering, topic for you tonight.
Holly
How absolutely lovely to be spending this Saturday evening with you and our listener, though the topic does sound quite serious. We are asking a very simple question that carries a surprisingly heavy weight, can you stand on one leg for just ten tiny seconds?
Taylor
It sounds like a party trick or something you would do in a yoga class, right? But Australian physiotherapist David Peirce has been highlighting some truly striking research that suggests this ten-second balance test is actually a major window into your long-term health and even your lifespan.
Holly
It is quite startling to think that something so simple could be so revealing, but the data is hard to ignore. A study published in 2022 found that people over fifty who couldn't manage that ten-second hold were eighty-four percent more likely to die.
Taylor
Eighty-four percent! As a strategist, that number jumps off the page at me. It is not that the act of falling over kills you, it is what that inability represents. It is a failure of three major systems working together: your vision, your inner ear, and your proprioception.
Holly
Proprioception is such a beautiful word, isn't it? It is like our body's own internal map, knowing where we are in space without even looking. When that system starts to flicker, it is a sign that our overall health might be facing some significant challenges ahead.
Taylor
Exactly, it’s like an early warning system. David Peirce explained that our balance usually peaks in our late thirties and then it is a slow decline from there. But if you hit fifty and you can’t hold it for ten seconds, the risk factors start compounding fast.
Holly
I wonder if people realize how interconnected these systems are, because it isn't just about strong legs, is it? It is about the brain processing information from the ears and eyes and then sending those quick-fire messages down to the tiniest muscles in the ankles and feet.
Taylor
It is a high-speed data network, and when the network slows down, the whole system is at risk. But here is the clever part, the strategic pivot. Research from Professor Ulf Ekelund suggests that even tiny bursts of movement, what I like to call exercise snacking, can help.
Holly
Exercise snacking, oh, what a charming way to put it! It makes the idea of getting healthy feel so much more attainable, like taking a little nibble of movement throughout the day rather than sitting down for a giant, intimidating meal of a workout at the gym.
Taylor
Right! Adding just five minutes of moderate intensity exercise a day can drop your mortality risk by up to ten percent. And if you can cut thirty minutes of sedentary time, you are looking at another seven percent improvement. It is all about these small, tactical gains.
Holly
And for those who might be worried, the World Health Organization recommends about one hundred and fifty minutes of exercise a week. That is only twenty minutes a day, which seems so manageable when you think about it as a way to protect your independence and your future.
Taylor
It is a small investment for a massive return. David Peirce mentioned that our brains are neuroplastic, which is the ultimate strategic advantage. We can actually retrain our balance systems through specific challenges, like standing on one leg while brushing your teeth or even catching a ball.
Holly
How absolutely lovely to think our brains can learn new tricks at any age! He even suggested things like clock steps, where you imagine standing in the center of a clock and tapping your foot to different hours. It sounds almost like a little dance, doesn't it?
Taylor
It is a dance with longevity! And if you want to level up, try doing it with your eyes closed. That forces your inner ear and your muscles to do all the work without the cheat code of visual input. It’s like stress-testing your internal hardware to ensure it's robust.
Holly
I tried that this morning and I must admit, I wobbled quite a bit! It really makes you realize how much we rely on our eyes. But knowing that we can improve, that we can actually strengthen those connections, gives me such a wonderful sense of hope.
Taylor
That hope is backed by data, Holly. We are talking about reclaiming agency over our biological timeline. This isn't just about a ten-second test, it's about the narrative of how we age. We can choose to be proactive masterminds of our own health rather than passive observers.
Holly
It truly is about the quality of the years we have, and making sure we can stand tall and steady through all of them. It is quite a powerful thought to start our evening with, especially as we look deeper into why this muscle loss happens in the first place.
Taylor
To really understand this, we have to look at the silent culprit under the surface, which is sarcopenia. It is a term that many people haven't heard of, but it is as significant as osteoporosis. It’s the progressive loss of skeletal muscle mass and strength as we get older.
Holly
Sarcopenia sounds like such a serious, clinical term, but I suppose it describes a very natural process that we all face. It was only really given a name in the late eighties, wasn't it? Before then, I imagine people just thought of it as getting frail.
Taylor
Exactly, Irwin Rosenberg coined the term in 1988 because he realized we needed a way to talk about this specific decline. Think of your muscles as a high-yield savings account. You spend your youth depositing muscle mass, but after age fifty, the bank starts charging a heavy fee.
Holly
A fee of one to two percent of our muscle mass every single year! That is quite a steep price to pay for simply blowing out more candles on a birthday cake. And I understand the decline in actual strength is even faster than the loss of the muscle itself.
Taylor
That is the strategic kicker. Between ages fifty and sixty, strength drops by about one point five percent annually, but after sixty, it accelerates to three percent. It is not just about the size of the muscle, it is the quality and the power it can generate for daily life.
Holly
Is that because of the different types of muscle fibers? I have heard people talk about fast-twitch and slow-twitch fibers before, and how they change as we age, which sounds like such a complex internal restructuring of our very selves, doesn't it? How absolutely fascinating.
Taylor
It is a total reorganization. We lose those fast-twitch type two fibers, which are the ones responsible for power and quick reactions, like catching yourself if you trip. They get replaced by slower type one fibers, and sometimes even by fat deposits within the muscle, which is called myosteatosis.
Holly
So the muscle might look the same size on the outside, but inside, it is becoming less efficient and less capable of those vital, split-second movements. It makes the ten-second balance test seem like a very clever way to see if those fast-twitch fibers are still on duty.
Taylor
It is a perfect diagnostic tool. And the background here is even more complex when you look at the causes. It is not just aging, it is chronic low-grade inflammation, shifts in hormones, and even things like vitamin D deficiency, which can more than double your risk of sarcopenia.
Holly
Vitamin D deficiency doubling the risk! That is a very significant factor that many of us might overlook. It really highlights how much our nutrition and our environment play a role in how our bodies hold up over the decades, doesn't it? Such a gentle reminder to step outside.
Taylor
And don't forget protein. There was a study showing that older women on low protein diets lost lean tissue and muscle function incredibly fast. We are talking about a negative nitrogen balance that just eats away at the very structure that keeps us upright and independent.
Holly
It is so vital to nourish ourselves properly, especially as our bodies become less efficient at processing what we give them. It seems like a bit of a puzzle, doesn't it? Balancing the right nutrients with the right movements to keep the whole system running smoothly and gracefully.
Taylor
It is the ultimate puzzle. I remember looking at my grandmother and seeing her go from this powerhouse of a woman to someone who needed a walker. At the time, I didn't have the words for it, but now I see it was sarcopenia and the loss of those balance systems.
Holly
It can be quite heartbreaking to see someone lose their independence like that. I think many of us have those memories of loved ones becoming more fragile. It makes this research feel so personal and urgent, rather than just numbers on a page or a study in a journal.
Taylor
It is incredibly personal. And the global scale is massive, ten to sixteen percent of the elderly population is dealing with this. That is millions of people. In community settings, that number can jump to twenty-seven percent. We are looking at a hidden epidemic of physical decline.
Holly
And with the world's population aging so rapidly, this is only going to become a bigger part of our collective story. It really does require a shift in how we think about aging, moving away from just accepting frailty and toward actively building up our physical resilience instead.
Taylor
That is the CEO mindset we need. We need to treat our bodies like a long-term infrastructure project. You don't wait for the bridge to collapse to start maintenance. You check the structural integrity constantly, and the ten-second stand is the simplest structural check there is.
Holly
I love that analogy! It makes so much sense. And it isn't just about the legs, it is about the core, the spine, and even the brain’s ability to coordinate everything. It is a full-body symphony that needs to stay in tune to keep us moving through life.
Taylor
And the symphony starts to fall out of tune when we stop challenging it. Sedentary behavior is a primary driver of secondary sarcopenia. If you don't use those neural pathways and muscle fibers, the body strategically reallocates those resources elsewhere. It is a use-it-or-lose-it scenario.
Holly
It is a bit like a garden, isn't it? If you stop tending to the paths, the weeds start to take over and eventually you can't even see where the path was. We have to keep walking those neural paths every day to keep them clear and functional for us.
Taylor
That is a beautiful way to put it, Holly. We have to be the gardeners of our own mobility. And the science shows that even if you have started to lose that ground, you can reclaim it. The neuroplasticity David Peirce mentioned is the key to reopening those garden paths.
Holly
How absolutely lovely that we have that power within us! It really does change the narrative from one of inevitable loss to one of potential growth and maintenance. I find that so incredibly empowering, and I hope our listener feels that same sense of agency tonight as well.
Taylor
Empowerment is exactly what we are aiming for. But to get there, we have to navigate some of the debates in the medical community about how we measure this and what these tests actually tell us. It’s not always as straightforward as a simple pass or fail.
Holly
Yes, I imagine there is quite a bit of discussion about whether a ten-second test is enough to truly understand someone's health. It seems like such a small window into a very complex human being, though it is certainly a very striking and memorable one for all of us.
Taylor
This is where the serious business strategist in me gets interested. There is a major debate about correlation versus causation. Does being unable to balance cause early death, or is it just a marker of other underlying issues like heart disease or neurological decline that are the real culprits?
Holly
It is a bit of a chicken and egg situation, isn't it? If someone has a heart condition, they might be less active, which leads to poor balance. So the balance is the symptom, not the cause. But then, poor balance leads to falls, which can be very dangerous.
Taylor
Exactly. And in the world of randomized controlled trials, there is this boogeyman called infinite confounders. Critics say you can never truly balance every variable between groups. Is it the balance, the diet, the genetics, or just the fact that people who can balance are more likely to exercise?
Holly
Infinite confounders, what a spooky name for a scientific concept! It makes it sound like we are trying to catch ghosts in the data. But I suppose that is why these studies are so difficult to get perfect, there are just so many layers to a human life.
Taylor
It’s a data nightmare, honestly. But the goal of randomization isn't just to balance those confounders, it's to make probabilistic statements about future outcomes. We want to know if, on average, this test predicts what's coming. And for the ten-second stand, the predictive power is actually quite high.
Holly
But some experts argue that just timing someone with a stopwatch is a bit old-fashioned, don't they? I read about something called balance strategy, which sounds much more sophisticated than just counting to ten while watching someone wobble on one leg in a clinic.
Taylor
You are spot on. Modern tech like ForceDecks can measure the center of pressure and how much your body is micro-adjusting. Two people might both last ten seconds, but one is rock solid while the other is using a high-energy, frantic strategy to stay upright. They aren't the same.
Holly
So the stopwatch doesn't tell the whole story. It is like two people finishing a race at the same time, but one is breathing easily while the other is completely exhausted. The internal cost of the effort is what really matters for their long-term health and resilience.
Taylor
Precisely. This is the conflict in modern physical therapy. Should we stick to these simple, accessible tests that anyone can do at home, or do we need high-tech equipment to get the real story? There is a tension between clinical ease and scientific precision that we are still navigating.
Holly
I suppose there is value in both, isn't there? A simple test can reach so many more people and act as a wonderful wake-up call, even if it doesn't have the fine-grained detail of a laboratory assessment. It gets people thinking about their health in a very tangible way.
Taylor
It does, but the danger is people getting overly anxious about a single test. David Peirce was very clear that this is a general health indicator, not a singular measure. You shouldn't panic if you wobble once, but you should look at the broader pattern of your physical activity.
Holly
That is a very sensible approach. It is about the trend over time, not just one moment on a Saturday night. Though I do worry that people might see these headlines and feel a sense of dread rather than a motivation to improve their lovely, unique bodies.
Taylor
Dread is a poor motivator, but awareness is a strategic asset. The conflict also extends to how we treat it. Is it enough to just practice standing on one leg, or do we need a full-scale weightlifting program to combat the underlying sarcopenia? The consensus is shifting toward the latter.
Holly
Oh, I can see why that would be a debate! Just practicing the balance test feels so much easier than joining a gym and lifting heavy weights. But if the problem is the loss of muscle tissue, then surely we have to address the root cause, don't we?
Taylor
You have to build the engine. You can’t just calibrate the sensors if the pistons are worn out. This is where the strategy comes in, combining balance-specific moves with actual strength training. It’s a multi-pronged attack on aging that requires more than just a ten-second commitment.
Holly
It is a more holistic view of the body, isn't it? Not just looking at one system in isolation, but seeing how the strength of our muscles supports the precision of our balance. It is all so beautifully interconnected when you really stop to think about it.
Taylor
It is, and the stakes are high. If we don't get this right, we are looking at a massive impact on our healthcare systems and our personal freedom. The conflict in the science is really a struggle to find the most efficient way to keep a whole generation mobile.
Holly
It is a noble struggle, then. And while the experts debate the finer points of the data, I think it is quite lovely that we can take these simple steps ourselves. It brings the power back to the individual, which is always a wonderful thing to see.
Taylor
The impact of this is staggering when you look at the numbers. In the United States alone, sarcopenia and its related issues cost the healthcare system over forty billion dollars every year. That is a massive economic burden that is only projected to double by the year 2040.
Holly
Forty billion dollars! That is an almost unfathomable amount of money, isn't it? And it represents so much more than just dollars and cents. It represents hospital stays, surgeries for fractures, and the long-term care that people need when they can no longer live independently.
Taylor
It’s a societal shift. By 2050, there will be two billion people over the age of sixty. If a quarter of them are struggling with balance and muscle loss, our entire social structure will have to change to support them. It’s a strategic challenge for every government on earth.
Holly
And on a personal level, the impact is even more profound. A survey found that seventy percent of adults over seventy fear losing their autonomy even more than they fear death itself. Being able to stand on your own two feet, quite literally, is the foundation of our dignity.
Taylor
That fear is a powerful narrative. We are seeing a real cultural shift in response to it, though. Look at how women's fitness has changed. It used to be all about being small and aesthetic, but now it’s about strength and empowerment. Sculpted arms are the new status symbol.
Holly
How absolutely lovely that we are embracing our strength! It is such a move away from those old societal pressures. Seeing women of all ages in the weight room, building up their muscle bank for the future, is truly inspiring and such a positive change for our culture.
Taylor
It is about reclaiming agency. When you lift weights, you are essentially telling your body that you intend to stay capable. The impact of that mindset ripples out. You are less likely to fall, and if you do, your body is much more resilient and able to recover.
Holly
And it isn't just the physical recovery, is it? It is the psychological impact of knowing you can handle what life throws at you. The fear of falling can be so limiting, leading people to stay home and miss out on the lovely social connections that keep us young.
Taylor
That’s the "fear-avoidance" cycle. You're afraid of falling, so you move less, which makes your balance worse, which makes you even more likely to fall. Breaking that cycle with simple tests and small exercises has a massive impact on mental health and social engagement for the elderly.
Holly
It really is a holistic impact, touching every part of a person's life. From the economic scale of nations to the quiet confidence of an individual walking to the park to see their friends. It makes every ten-second balance practice feel like a very important act of self-love.
Taylor
It is a radical act of self-care. And as we look toward the future, the strategies we use to maintain this balance are becoming even more sophisticated, blending the physical with the cognitive in some really exciting ways that I think you are going to find quite fascinating.
Holly
I am already leaning in! The idea that we can train our brains and our bodies together sounds like the next beautiful step in this journey. I have heard whispers about speed-focused training, is that where the future of balance and longevity is headed?
Taylor
It absolutely is. There was a study involving over twenty-eight hundred participants that showed speed-focused brain training could reduce the risk of dementia by twenty-five percent. It’s about the brain’s ability to process information quickly, which is exactly what you need for balance.
Holly
So, by training our brains to be faster, we are also making our bodies safer! How absolutely lovely and clever. It is that neuroplasticity we keep talking about, but targeted in a way that helps us stay sharp and steady at the same time. I love that.
Taylor
We are also going to see much more home-based physiotherapy. Instead of going to a scary clinic, you’ll have apps and sensors in your own living room that guide you through balance challenges. It removes the barrier of travel and makes consistency much easier to maintain strategically.
Holly
That sounds so much more comfortable and inviting. Being able to work on your health in your own lovely space, perhaps while listening to a podcast like this one, makes the whole process feel like a natural part of a well-lived life, doesn't it?
Taylor
The future of aging is all about resilience and maintenance. We are moving away from just managing diseases and toward building a body that can withstand the test of time. It’s a shift from reactive care to being the proactive mastermind of your own longevity.
Holly
It is a future where we don't just add years to our life, but true, vibrant life to our years. And it all starts with that simple, ten-second challenge. It is a small step that leads to a very big and very bright future for all of us.
Taylor
That is the perfect place to wrap up our discussion for tonight. Project, I hope you feel inspired to try the ten-second stand and maybe even start your own "exercise snacking" routine tomorrow. Thank you so much for joining us on this journey through the science of balance.
Holly
It has been such a lovely evening. Remember, your body is capable of such wonderful things if you just give it a little challenge and a lot of care. Thank you for listening to Goose Pod. We look forward to being with you again very soon.

An Australian physiotherapist highlights that the inability to stand on one leg for 10 seconds, particularly after age 50, is a significant indicator of health and lifespan. This test reveals the interconnectedness of vision, inner ear, and proprioception. Regular "exercise snacking" and strength training can improve balance and combat sarcopenia, promoting longevity and independence.

Can you stand on one leg for 10 seconds? Aussie physiotherapist reveals worrying detail if you can't

Read original at Mail Online

Do you struggle to balance on one leg? It could potentially mean your lifespan will be cut short.Standing on one leg is something that comes naturally when we're younger, with our ability to balance peaking in our late 30s and then gradually declining.But once you're over 50, this ability - or inability - to balance on a single leg for even a few seconds can be a crucial indicator of your overall health.

And a recent study strikingly observed that older people who can't balance on one leg for 10 seconds are even much more likely to die within seven years.Queensland physiotherapist David Peirce explained the finding to ABC's Brisbane Drive, saying: 'People were 84 percent more likely to die from any cause in the following seven years, if they couldn't stand on one leg.'

And although the 2022 study alarmingly found people who were unable to hold a single-legged pose appeared to have a greater chance of imminent death, David clarified that it's not the balancing act itself that spells an issue, but rather that it's used as a broader test of overall health.'Your balance is a product of your visual system, the vestibular system in your ear and your proprioceptive system, which is the system that sends messages back to your brain,' he explained.'

If your balance is good or sound, it means those systems are probably working well.'The ability to stand on one leg is often used by doctors as a general health marker Australian physiotherapist David Peirce recently appeared on ABC's Brisbane Drive to explain the findings of a study, which found: 'People were 84 percent more likely to die from any cause in the following seven years, if they couldn't stand on one leg'Speaking to Daily Mail, the physiotherapist from Kinetic Edge Physiotherapy explained further insight into this worrying research observation.'

The research found a strong enough correlation between one-leg standing and risk of dying - so more people in the long-term study who couldn't meet the one-leg stand measure died in the following seven years,' he said. However, David stressed that 'these are studies showing correlation, not causation' - meaning the inability to balance on one leg doesn't speed up an untimely death, but rather is simply a general health indicator as we age.'

So, the research is saying balancing on one leg is a good thing to look at to see how you are doing health-wise - but it's certainly not a singular measure.'If you've started to notice an age-related decline in your single-leg balance, David reassures that steps can be taken to improve it.'Our brains are neuroplastic, meaning they are responsive to challenge and new learning,' he confirms.

To improve balance, the physio suggests adopting a wide range of strengthening exercises, from cardio fitness to weightlifting and body-weight exercises. Crucially, he adds that any exercise plan should incorporate a series of balance-challenging moves. Some specific exercises he recommends include clock steps, tandem stance, single-leg balance with eyes open and closed, and even something as simple as catching a ball while on one leg.

One leg standing ability can be improved and strengthened through exercise and specific balance challenges - like standing on one leg with your eyes closedBalance improvement challenges1. Single-leg balanceAim to balance on each leg for 10 seconds, gradually working your way up to 30 seconds each side.

2. Eyes closed single-leg balanceTry to balance on one leg for at least 10 seconds with your eyes closed - but ensure to have a nearby support for safety3. Clock stepsImagine standing at the centre of an imaginary clock. While balancing on one leg, tap or step the other foot to different 'hours' (e.

g. 3, 7, 11 etc.)4. Tandem stepsPlace one foot directly in front of the other (heel to toe) and hold this position for 20-60 seconds. Repeat with the opposite foot in front.5. Single-leg ball tossStand on one leg with a slight knee bend, tossing a ball against a wall or to a partner for 30-60 seconds per side.

David listed a myriad of ways that strengthening one-leg balance ability could improve the body and brainDoctors often often use the 'standing on one leg' test as a measure of health in older adults due to its connection to the progressive age-related loss of muscle tissue, known as sarcopenia.'We can dramatically reduce muscle loss and its effects on our health by engaging in two sessions a week of simple weightlifting or similar physical activity that challenges our system to stay strong,' David advises.

He adds that improving balance is also 'helpful for falls prevention'.'Practise doing sideways and backwards movement challenges to help promote a better reaction if we ever start to fall.'The other surprising health benefit of improving your balance is its strong connection to the brain.Simply standing on one leg fires up your brain's ability to integrate information, trains the balance centre in the inner ear, and stimulates the network of nerves as the body attempts to stabilise itself.

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