Criticisms

When overall fitness is an occupational requirement, as for athletes, soldiers, and police and fire personnel, aerobic exercise alone may not provide a well balanced exercise program. In particular, muscular strength, especially upper-body muscular strength, may be neglected. Also, the metabolic pathways involved in anaerobic metabolism (glycolysis and lactic acid fermentation) that generate energy during high intensity, low duration tasks, such as sprinting, are not exercised at peak aerobic exercise levels. Aerobic exercise remains however a valuable component of a balanced exercise program and is good for cardiovascular health.

Some persons suffer repetitive stress injuries with some forms of aerobics, and then must choose less injurious, "low-impact" forms of aerobics, or lengthen the gap between bouts of exercise to allow for greater recovery.

Aerobics notably does not increase the basal metabolic rate as much as some forms of weight-training, and may therefore be less effective at reducing obesity. However, aerobic exercise allows for longer, more frequent activity and thus may result in overall increased energy consumption. In addition, the metabolic activity of an individual is heightened for several hours following a bout of aerobic activity.

Aerobic activity is also used by individuals with anorexia as a means of suppressing appetite, since aerobic exercise increases glucose and fatty acids in the blood by stimulating tissues to release their energy stores. While there is some support for exercising while hungry as a means of tapping into fat stores, most evidence is equivocal. In addition, performance can be impaired by lack of nutrients, which will reduce training effects.