I like stories, especially my own
so I'll offer a few personal anecdotes. Take 'em for what they're worth to you.
1. I'll start with an opinion - I dislike the word "fitness" because one can be "fit" for some things and not others, see Pavel's comment about who is stronger, a lion or a whale? "Health," "heart health" - those are more specific and therefore more to my liking.
2. I've had what's been called a "very slight heart murmur" for my entire life. It's one of those things that has never caused me any problems, and has never been deemed worthy of further investigation - until now. Why now? No actual reason, just my general practitioner's observation of, "Hey, you're 65 years old, and you've never had an echo cardiogram - let's get you one and see if this murmur is actually anything we should be concerned about, or if we can stop talking about it completely." And I agreed.
I've had my initial appointment with the cardiologist - he looked at my cholesterol numbers and said, "Your numbers are higher than where we like to see them in someone your age, but you had that test for coronary calcium and scored a zero, so I'm not going to tell you to do anything different." I think this (the test for coronary calcium) is a great test for anyone with any heart-related concerns to have. It's a _way_ better predictor of you having blocked coronary arteries than your cholesterol numbers are, and even if you have to pay for it yourself, it's about $150 here, and that's a worthwhile expenditure, IMO.
My father had a heart attack at age 46, so when I turned 46, I had this test - which was then new - done for the first time, and had it done a second time about a year ago at age 64. (Zero was the result both times.) When I have the echo cardiogram in a few weeks, I'll post about what the results are.
3. Training for strength plus relaxed walking has been my 'program' for the last 20 years. For me, it makes me "fit" for my own life. A few days ago, I helped a friend across the street move from a third floor apartment to a house down the block. My phone told me I'd climbed 30 flights of stairs and walked 4 miles that day. (I also took a walk afterwards, which accounts for most of the 4 miles.)
I don't know how much more "fit" a person needs to be than that. To achieve a specific athletic result, sure, you might want to be able to do more. But for purposes of general health, I don't find more to be necessary.
4. When I have ballistics in my training, e.g., kettlebells swings, kettlebell snatches, or running sprints, I am _more_ fit. Everything in life is even easier. It's a good thing in my life and I intend to keep doing it, but I hesitate to call it "necessary" because strength training and walking together are all I've found to be necessary.
If I couldn't walk regularly, my guess is that doing kettlebell ballistics or sprints would make a fine substitute for keeping my heart healthy - but my spirit would suffer because I really enjoy being outside walking, and I do it all year long in our 4-season climate here in the Northeastern US. Ballistic exercise is very time efficient, and when I add it to my training, I do it in small doses, often being happy with 40 or 60 swings done inside of 5 minutes. When considering ballistic exercise, however, one shouldn't forget that strength makes a difference - my most recent ballistics session was 2 sets of 10 reps of 2-handed swings with a 44 kg bell, and 2 sets of 10 reps of 1-handed swings with a 32 kg bell. Not being strong enough to use those weights would mean, I hypothesize, that I'd need to spend more time with lighter weights.
And that's what I've got today.
-S-