Fitness

The Health Benefits of Tennis: What the Research Shows

What tennis actually does for your health: cardiovascular fitness, bone and joint loading, balance, mental wellbeing, and what the longevity research really says.

A group of people playing a game of tennis together

Most people take up tennis because they enjoy it, not because of the health case. But the health case is unusually strong, and it is worth knowing what is well supported and what gets overstated.

General information, not medical advice. If you have a health condition or have not exercised in a long time, speak to a doctor before starting.

01What a match actually demands

Tennis is an intermittent sport. Points are short and intense, the gaps between them are short and restful, and the whole thing repeats for one to three hours. That pattern trains both the aerobic and anaerobic systems in a way that steady-state exercise does not.

Roughly what tennis asks of the body.
DemandIn practice
Aerobic enduranceSustaining effort across one to three hours
Anaerobic burstsRepeated sprints of a few seconds each
Multi-directional movementConstant changes of direction, mostly lateral
Load-bearing impactEvery stop, push-off and landing
CoordinationTracking and striking a moving ball
Cognitive loadDecisions under time pressure, hundreds per match

That last row is often left out of health discussions and is arguably part of what makes tennis unusual. You are making rapid decisions continuously, which is a different kind of demand from running on a treadmill.

A tennis player in action on a clay court

02Calories, honestly

Recreational singles burns somewhere around 300 to 660 calories an hour, depending on your weight and how hard you actually play. Doubles is lower, roughly 200 to 460, because you cover less ground.

That is a decent rate but it is worth being realistic. An hour of doubles does not offset a poor week of eating, and the biggest determinant of weight change remains overall diet. What tennis has going for it is adherence: people keep playing tennis for decades, which is not true of most gym memberships.

03What the longevity research says

This is the finding that gets quoted most often and most loosely. The Copenhagen City Heart Study followed more than 8,000 adults over about 25 years and compared life expectancy across different leisure sports. Tennis players showed the largest association, roughly 9.7 additional years compared with sedentary participants, ahead of badminton, football, cycling, swimming, jogging and gym work.

The important caveat, which the authors state themselves, is that this was an observational study. It shows an association, not causation. People who play tennis may differ from sedentary people in income, general health and social connection, and those things affect life expectancy too.

What the researchers did note is that the sports with the strongest associations were the social ones, which is a reasonable hint about the mechanism. The full paper is indexed on PubMed if you want the detail.

Tennis is associated with living longer. That is not the same as tennis making you live longer, and the study’s authors say so.

04The social element is not a footnote

Tennis is difficult to do alone. You need an opponent, usually a booking, often a club or a group, and that structure creates regular social contact with people who notice when you do not turn up.

For adults, that is one of the strongest predictors of whether an activity is still happening in five years. It is also independently associated with better health outcomes. The sport being enjoyable and sociable is not incidental to the health benefit; it may be a large part of the mechanism.

Two people standing together on a tennis court

05Balance, coordination and falls

Tennis trains balance and reactive coordination continuously, because you are constantly decelerating, changing direction and adjusting to a moving object.

That matters increasingly with age. Balance is a trainable quality that declines without use, and falls are a major cause of serious injury in older adults. A sport that trains it as a side effect of being enjoyable is a rare thing, which is part of the argument in this guide to playing tennis after 50.

Monochrome aerial view of tennis courts with two players

06How much do you need to play?

The general physical activity guidance for adults is around 150 minutes of moderate activity a week, or roughly half that if it is vigorous. Tennis sits somewhere between the two depending on how hard you play and whether it is singles or doubles.

Roughly how tennis maps onto weekly activity guidance.
PatternWeekly minutesNotes
One doubles session60 to 90A useful start; below general guidance alone
Two doubles sessions120 to 180Around the recommended range
Two singles sessions120 to 180Higher intensity; counts for more
Twice weekly plus a clinic180 to 240Comfortably above guidance

Two sessions a week is the point at which most people notice a genuine difference in fitness rather than just enjoying themselves, and it is also roughly the volume at which skills start improving rather than merely being maintained.

07The honest downsides

It would be dishonest to list only the benefits. Tennis has real physical costs and they are worth planning for.

  • Overuse injuries are common, particularly at the elbow and shoulder.
  • Hard courts are demanding on knees, hips and lower backs.
  • The sport is asymmetric; one side of the body does most of the work.
  • Sudden increases in play are the main cause of injury, not the sport itself.
  • Sun exposure over decades is a genuine consideration outdoors.

Most of these are manageable rather than disqualifying. Off-court strength work addresses the asymmetry and protects the joints, as covered in this off-court tennis fitness training, and the two most common complaints have their own guides: tennis elbow prevention and recovery and tennis shoulder pain and prevention.

A female tennis player in action on a clay court

08Mental wellbeing

The mental side is harder to measure but consistently reported. An hour of tennis demands enough attention that it is genuinely difficult to think about anything else, which is a rarer quality than it sounds.

Add outdoor time, physical exertion and social contact, and you have most of the ingredients usually recommended for mood. It is also a sport where you can improve at any age, and having something you are visibly getting better at is worth something in itself.

A woman stretching outdoors on a sunny day

09Getting the benefit without the injury

  1. Build volume gradually. Sudden jumps are the main injury cause.
  2. Warm up properly; ten minutes of movement, not four of gentle rallying.
  3. Do some off-court strength work, particularly single-leg and rotational.
  4. Play doubles as well as singles; it lowers the physical cost considerably.
  5. Address niggles early rather than playing through them for a season.

If you are starting from scratch, these tennis drills for beginners take you from first contact to playing points, and free public courts nearby are listed in this guide to public tennis courts on the Peninsula.

A man and a woman holding tennis racquets

10Frequently asked questions

Recreational singles burns roughly 300 to 660 calories an hour depending on intensity and body weight. Doubles is lower, around 200 to 460 an hour, because you cover less court and rest more between points.

Yes. It combines aerobic work across a long match with repeated anaerobic bursts during points, which is a pattern that suits general cardiovascular fitness well and is harder to replicate with steady-state exercise.

A large Danish observational study found tennis players had a substantially longer average life expectancy than sedentary people, more than for several other sports. But it was observational, so it shows an association rather than proving tennis caused the difference.

The load-bearing, multi-directional nature of tennis is generally positive for bone density. Joints tolerate it well provided volume is built gradually; problems come from sudden increases in play rather than from the sport itself.

It can contribute, because it burns energy at a decent rate and people tend to keep doing it. But weight change is driven mostly by overall diet and activity, and tennis twice a week will not offset a large calorie surplus on its own.

Claire Carter, former WTA Tour professional and tennis coach

About the author

Claire Carter

Former WTA Tour Professional & Teaching Pro

Claire Carter is a former WTA Tour professional and a full-time teaching professional at Bay Club Redwood Shores, where she has coached juniors and adults for more than twelve years.

More about Claire

Image credits: Andrea Piacquadio (Pexels), Chris F (Pexels), Gaspar Zaldo (Pexels), Jon Matthews (Unsplash), Ozan Yavuz (Pexels), Rezli (Unsplash), Tavy (Unsplash). Photographs are illustrative.