This is the part the rest of the internet leaves out, and it changes how the numbers read.
The sample was 7,183 community-residing adults aged 60 to 94 — 5,048 women and 2,135 men. They were volunteers, recruited into a study, rather than a random sample drawn to represent the American population. And the published description of them is specific in ways that matter. On average they had 14.5 years of education, 1.7 chronic conditions and 1.6 medications. Sixty-five percent of them performed moderate exercise more than three times a week.
Sit with that last figure for a moment. Two thirds of the people in this table exercised moderately more than three times a week. That is not a cross-section of American 60-somethings; it is a group that skews healthier and more active than the general population, which is a normal feature of volunteer research samples and a completely reasonable thing for the researchers to have reported. It just means the middle of this distribution sits somewhat higher than the middle of the country would.
The study also excluded people on specific grounds, and this list is the single most useful thing on the sheet for anyone deciding whether the table speaks to them. The people described by these numbers had none of the following:
- They had not been advised by a physician not to exercise.
- They did not have congestive heart failure.
- They did not experience joint pain, chest pain, dizziness or angina during exercise.
- Their blood pressure was not above 160/100.
If any of those describe you, the table simply is not a portrait of people in your situation, and a comparison against it is not telling you what it appears to be telling you.
One more piece of housekeeping, because it trips up a lot of otherwise careful pages. Rikli and Jones published again in 2013, and that paper is frequently cited as though it updated the percentiles. It did not. The 2013 paper, which appeared in The Gerontologist, set out to develop criterion-referenced fitness standards — a different kind of object built for a clinical purpose, not a percentile distribution. The table above is from 1999, and 1999 is the correct citation for it.
It is also worth saying where the grading columns come from. The Centers for Disease Control and Prevention publishes this protocol as part of a structured clinical screening program, and on that sheet the 25th percentile appears as a threshold with a label attached. That labeling belongs to the clinical workflow it was designed for. The numbers are the same numbers; the verdict wrapped around them is not part of the original research, and it is not part of this page.