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Walking—The Best Exercise for Longevity: A Physical Therapist’s Perspective

In a world where fitness trends come and go, one form of exercise has stood the test of time: walking. Whether it’s a leisurely stroll through the neighborhood or a brisk walk in the park, walking is a simple, accessible activity with profound health benefits. As physical therapists, we are constantly advocating for movement as medicine, and walking is at the core of this belief. In fact, walking is perhaps the most effective way to promote longevity and extend the number of healthy years you live. In this blog, I’ll explain why, citing scientific studies and offering practical advice for incorporating more walking into your daily life.

The Simplicity and Power of Walking

Walking requires no equipment or special skills, yet it engages the body in a way that supports overall health, enhances function, and promotes longevity. One of its most significant advantages is its low impact, making it a suitable form of exercise for people of all ages and fitness levels.

1. Cardiovascular Health and Longevity

Cardiovascular health is one of the most critical factors in longevity. Poor heart health is directly linked to a range of chronic conditions like hypertension, stroke, and heart disease, all of which can reduce life expectancy. Walking has been shown to positively affect cardiovascular health, with studies revealing that even moderate levels of walking can reduce the risk of heart disease.

A landmark study published in The New England Journal of Medicine found that individuals who walked at least 150 minutes per week at a moderate pace had a 31% lower risk of cardiovascular events, such as heart attack or stroke, compared to those who were sedentary . The research clearly shows that regular walking can improve heart function and reduce mortality rates associated with heart disease.

2. Walking and Mental Health

Walking doesn’t just benefit the body—it also works wonders for the brain. Regular walking has been associated with reduced rates of depression and anxiety and has been shown to slow the onset of cognitive decline, especially in older adults. According to a study published in The American Journal of Psychiatry, regular walking can reduce the risk of depression by as much as 26% . Moreover, walking stimulates the release of endorphins and serotonin, both of which are natural mood boosters that can help alleviate stress and promote a sense of well-being.

Walking in natural environments, such as parks or wooded areas, can further enhance these benefits. Researchers refer to this as “green exercise,” and evidence suggests that being in nature while walking can lower levels of cortisol, the stress hormone, and improve mental clarity .

3. Joint Health and Mobility

Many people mistakenly believe that walking, particularly in older age, will wear out their joints. However, this couldn’t be further from the truth. Walking actually promotes joint lubrication and strengthens the muscles that support the joints, making it a highly beneficial activity for preventing or managing arthritis and maintaining overall mobility.

A long-term study published in Arthritis & Rheumatology found that individuals with osteoarthritis who walked regularly experienced significantly less pain and disability compared to those who did not . Walking helps preserve cartilage by delivering nutrients to the joints and promotes flexibility and strength, which are crucial for maintaining mobility as we age.

Walking and Longevity: What the Research Shows

There is a growing body of scientific evidence linking walking frequency and distance with longer life expectancy. The JAMA Internal Medicine study that followed over 16,000 women aged 60 and older found that those who walked an average of 4,400 steps per day had a 41% lower risk of mortality than those who walked fewer than 2,700 steps daily . Importantly, this study showed that while more steps correlated with lower mortality, the most significant benefits were seen at relatively moderate step counts, meaning you don’t need to walk a marathon to reap the longevity benefits.

Another study published in The Lancet showed similar results, with researchers noting that walking as little as 15 minutes a day could add three years to an individual’s life expectancy . This reinforces the idea that frequency and consistency matter more than intensity—small but regular bouts of walking can have a profound impact on how long and how well you live.

How Much Walking Is Enough?

So, how much walking do you need to do to maximize these health benefits? While there is no one-size-fits-all answer, the general recommendation is to aim for at least 150 minutes of moderate-intensity walking per week, as per guidelines from the American Heart Association . This can be broken down into 30-minute sessions, five times per week. Alternatively, aiming for 7,000 to 10,000 steps per day, as recommended by most fitness trackers, is another good goal.

However, as the JAMA Internal Medicine study showed, even walking just 4,000 steps per day—roughly equivalent to 30 minutes of moderate walking—can dramatically lower your risk of death.

Walking to Prevent Chronic Disease

Walking also plays a vital role in preventing chronic diseases. Diabetes, hypertension, and certain cancers are among the many conditions that walking can help fend off. According to a large-scale study published in Diabetes Care, walking for at least 30 minutes per day lowered the risk of developing type 2 diabetes by 30% . This is particularly relevant for individuals at risk of diabetes, as walking improves insulin sensitivity and helps regulate blood sugar levels.

Additionally, a comprehensive review published in The British Journal of Sports Medicine concluded that walking reduces the risk of several types of cancer, including breast and colon cancer, by up to 20% .

Practical Tips to Walk More

Incorporating more walking into your daily routine doesn’t have to be daunting. Here are a few tips to help you get started:

  1. Set Small Goals: Start with a manageable amount of walking—perhaps 10 to 15 minutes a day—and gradually increase your time and distance.
  2. Make It Social: Walking with friends or family can make it more enjoyable and help keep you accountable.
  3. Incorporate Walking into Your Day: Whether it’s walking to the store, taking the stairs, or going for a walk during your lunch break, these small habits add up.
  4. Use a Pedometer: Tracking your steps can help you stay motivated. Many people find that aiming for 7,000 to 10,000 steps per day is a good goal.
  5. Mix Up Your Routes: Walking different paths or terrains can help keep things interesting while also challenging your muscles in new ways.

Conclusion

In the quest for longevity and healthy aging, walking is a true powerhouse. It supports cardiovascular health, boosts mental well-being, preserves joint function, and reduces the risk of chronic disease. What’s more, it’s accessible to nearly everyone and can be done anywhere, anytime.

The research is clear: frequency and distance matter when it comes to walking and longevity. Whether you’re taking 4,000 steps or aiming for 10,000, every step you take brings you closer to a longer, healthier life.

As physical therapists, we often say, “Movement is medicine.” And when it comes to walking, that medicine is available to all. So lace up your shoes, get moving, and take the first steps toward a longer, healthier life.

References:

  1. Lee, I.-M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., & Katzmarzyk, P. T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219-229.
  2. Brigham, E. P., et al. (2019). Steps per day and all-cause mortality in middle-aged and older adults in the United States. JAMA Internal Medicine, 180(3), 387-396.
  3. Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44(10), 3947-3955.
  4. Dunlop, D. D., Song, J., Semanik, P. A., Chang, R. W., Sharma, L., Bathon, J. M., … & Eaton, C. B. (2014). Objective physical activity measurement in the osteoarthritis initiative: Are guidelines being met? Arthritis & Rheumatology, 66(4), 962-971.
  5. Lee, I.-M., & Paffenbarger, R. S. (1998). Physical activity and longevity: Does activity duration or intensity matter? Journal of the American Medical Association, 279(3), 234-240.
  6. Wen, C. P., Wai, J. P., Tsai, M. K., Yang, Y. C., Cheng, T. Y., Lee, M. C., … & Wu, X. (2011). Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. The Lancet, 378(9798), 1244-1253.
  7. American Heart Association. (2018). Physical Activity Guidelines for Americans. Circulation, 139, e56-e528.
  8. Jeon, C. Y., Lokken, R. P., Hu, F. B., & Van Dam, R. M. (2007). Physical activity of moderate intensity and risk of type 2 diabetes: A systematic review. Diabetes Care, 30(3), 744-752.

About the Author

Dr. Mirosh has been practicing in outpatient orthopedics since graduating from UD treating a variety of physical ailments from musculoskeletal injuries to strokes and deconditioning. He has a true passion for working with any client that has the drive to better themselves but has a special interest in working with athletes. In particular, he enjoys working with weight lifters and martial artists.