The Systematic Research Library

The Systematic Research Library: what does the research say about how you age physically?

The short answer

The Systematic Research Library explains the science behind physical aging and the eight tests in the Systematic Healthspan Assessment, including strength, balance, power, mobility, grip and physical function. Each citation is labeled according to how its source supports the claim on that page. Every page is reviewed and approved before publication.

Key numbers

eight

Tests in the Systematic Healthspan Assessment

What you will find here

Each of the eight tests has its own page explaining what it measures. Each test also has a standards page showing the applicable red, yellow and green bands and how age and sex are used where relevant. Red, yellow and green are Systematic standards, not published clinical cut-offs. Around those sit pages on the capacities the tests touch, such as balance and muscle loss with age, explainers for the key studies, and quick answers to the questions people actually ask.

How to read the evidence

Every cited source is labeled according to its role in supporting the claim on that page. Direct evidence means the study used the same or a substantially equivalent test or outcome. Much of the research here is different: it shows that a physical capacity, such as grip or leg strength, matters for health, without testing the exact Systematic protocol.

So a study linking a capacity to health outcomes does not, on its own, validate a Systematic test as a predictor of mortality. Each label says how that source supports the claim beside it.

Why measure what your body can do

Clinical risk assessment in older adults often emphasizes health conditions and can overlook what a person can physically do. Studies that measure capacity directly are part of the case for looking at it: a 1995 study in Japan used five strength tests, including grip strength and a vertical jump, and a 2026 study assessed fitness with seven tests across four areas.

What the assessment is, and is not

Systematic translates research into repeatable field standards. Your result is a physical baseline you can measure again. The Systematic Healthspan Assessment is not a medical diagnosis.

The eight tests

The standards for each test

Capacities

How this library works

The evidence

Each cited source is labeled according to how it supports the particular claim on this page. Direct test evidence, underlying-capacity findings and population reference values are distinguished from Systematic-defined protocols and standards. Historical development notes are retained internally rather than presented as public evidence. A study of an underlying capacity is never presented as validation of the Systematic test itself.

  • Underlying-capacity evidence New source

    Wu et al. (2026). Physical Fitness and All-Cause Mortality in Older Adults. JAMA network open.

    What it found. Clinical risk stratification in older adults often overlooks functional capacity and the study assessed fitness across four domains using seven tests covering heart and lung fitness, strength, flexibility, and balance and agility.

    What it does not show. An association between a capacity and outcomes in this study does not automatically validate the exact Systematic test as a mortality predictor.

    PubMed 42574013

  • Underlying-capacity evidence New source

    Fujita et al. (1995). Physical-strength tests and mortality among visitors to health-promotion centers in Japan. Journal of clinical epidemiology.

    What it found. This was a follow-up study designed to clarify the relationship between physical-strength level and risk of death from all causes and from cancer and cardiovascular disease, using five tests at baseline including grip strength, side step, vertical jump, standing trunk flexion, and sit-ups.

    What it does not show. The link it explored does not by itself validate the exact Systematic test as a mortality predictor.

    PubMed 7490598

  • Underlying-capacity evidence New source

    Guralnik et al. (1994). A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of gerontology.

    What it found. Performance and self-report measures may complement each other in providing useful information about functional status in adults age 71 years and older.

    What it does not show. This complementarity does not mean one measure alone validates the exact Systematic test as a mortality predictor.

    PubMed 8126356

The Systematic Healthspan Assessment is a physical baseline. It is not a diagnosis, and it does not estimate a biological age, a disease risk or a lifespan.