Our review shows many parallels between on one hand music making or dancing in a group and on the other hand physical training in a group. Epidemio-logical prospective studies have shown that both types of group activities are associated with a prolonged life. But the cultural activities have qualities that the purely physical activities do not have, for instance strong aesthetic expe-riences that may promote change in life direction, which is of importance in the building of a sustainable society. To sing in a group has in a few studies been shown to have stronger effects on togetherness than merely talking in a group. We also highlight the importance of a good life environment ́s diversity to be able to maintain a good and sustainable society.