How many steps/day are enough? For older adults and special populations

How many steps/day are enough? For older adults and special populations

2011 | Catrine Tudor-Locke1,2*, Cora L Craig2,3, Yukitoshi Aoyagi4, Rhonda C Bell5, Karen A Croteau6, Ilse De Bourdeaudhuij7, Ben Ewald8, Andrew W Gardner9, Yoshiro Hatano10, Lesley D Lutes11, Sandra M Matsudo12,13, Farah A Ramirez-Marrero14, Laura Q Rogers15, David A Rowe16, Michael D Schmidt17,18, Mark A Tully19 and Steven N Blair20
The article discusses the appropriate number of steps per day for older adults and special populations, such as those with disabilities or chronic illnesses. It highlights the benefits of physical activity for these groups and the role of step-counting devices like pedometers and accelerometers in monitoring daily activity. The study reviews normative data, interventions, and controlled studies to provide insights into translating public health guidelines into step-based recommendations. Healthy older adults typically take 2,000-9,000 steps per day, while special populations average 1,200-8,800 steps per day. Pedometer-based interventions have shown increases of approximately 775 steps per day for older adults and 2,215 steps per day for special populations. The article suggests that 3,000 steps per day, based on a cadence of 100 steps per minute, may serve as a reasonable heuristic for moderate intensity activity, though this may not be attainable for all. To align with public health guidelines, steps should be taken over and above daily activities, of at least moderate intensity, accumulated in 10-minute bouts, and totaling at least 150 minutes per week. Considering a baseline of 5,000 steps per day, the article estimates that 7,100-8,000 steps per day may be appropriate for older adults. For special populations, lower activity levels are common, affecting overall estimates. The article also discusses the relationship between steps per day and health outcomes, noting that higher step counts are associated with better health indicators such as reduced risk of metabolic syndrome, improved immune function, and better bone density. However, there is a lack of specific evidence for special populations, and more research is needed. In conclusion, the article emphasizes the importance of translating public health guidelines into practical step-based recommendations for older adults and special populations, acknowledging the variability in activity levels and the need for individualized approaches.The article discusses the appropriate number of steps per day for older adults and special populations, such as those with disabilities or chronic illnesses. It highlights the benefits of physical activity for these groups and the role of step-counting devices like pedometers and accelerometers in monitoring daily activity. The study reviews normative data, interventions, and controlled studies to provide insights into translating public health guidelines into step-based recommendations. Healthy older adults typically take 2,000-9,000 steps per day, while special populations average 1,200-8,800 steps per day. Pedometer-based interventions have shown increases of approximately 775 steps per day for older adults and 2,215 steps per day for special populations. The article suggests that 3,000 steps per day, based on a cadence of 100 steps per minute, may serve as a reasonable heuristic for moderate intensity activity, though this may not be attainable for all. To align with public health guidelines, steps should be taken over and above daily activities, of at least moderate intensity, accumulated in 10-minute bouts, and totaling at least 150 minutes per week. Considering a baseline of 5,000 steps per day, the article estimates that 7,100-8,000 steps per day may be appropriate for older adults. For special populations, lower activity levels are common, affecting overall estimates. The article also discusses the relationship between steps per day and health outcomes, noting that higher step counts are associated with better health indicators such as reduced risk of metabolic syndrome, improved immune function, and better bone density. However, there is a lack of specific evidence for special populations, and more research is needed. In conclusion, the article emphasizes the importance of translating public health guidelines into practical step-based recommendations for older adults and special populations, acknowledging the variability in activity levels and the need for individualized approaches.
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