Daily steps and health outcomes in adults

Ding D. et al examine the number of steps necessary to help us achieve and maintain better cognitive, mental, and physical health.

Written by

Willem Kramer

Published on

July 25, 2025

Why I have it in my library

This recent article examines the number of steps necessary to help us achieve and maintain better cognitive, mental, and physical health (ie, a lower risk of death from all causes, heart disease, cancer, type 2 diabetes, dementia, depression symptoms, and risk of falls). I often share articles like these with clients, encouraging them to move more and better. Simple and effective, walking is an important part of living a healthier, pain-free life.

This paper presents a systematic review of 57 studies and a meta-analysis of 31 studies published between 2014 and 2025. It gives an overview of our current understanding of how steps (walking) correlate to health.

Combining and comparing the studies, Ding et al found that the highest (health) return on (steps) investment is achieved between 5,000 and 7,000 steps daily. 

Fewer than 5000 steps result in a negligible return. More than 7,000 steps, or 3.5 miles, result in a diminishing return - your steps become less valuable in terms of health when you exceed the 7,000-step threshold.

Please note that your steps never become worthless! The return per step merely lessens or plateaus. Past 7,000, your steps still have value.

The authors do point out that their review compares studies with similar but often not equal variables. In other words, keep in mind that they did not compare apples to apples exactly.

Regardless, movement, being in motion, is vital to our well-being. We are too sedentary for too long and too often. A daily walk of 7,000 steps or more is a great start.

-Willem

Specifics

AuthorsDing D, Nguyen B,Nau T, Luo M, del Pozo Cruz B, Dempsey PC, et al
Full titleDaily steps and health outcomes in adults: a systematic review and dose-response meta-analysis
MagazineThe Lancet Public Health (online)
Year2025
Volumen/a
Issuen/a
Pagesn/a
NotesThis article from The Lancet Public Health appeared online before it was printed.

Where to purchase

The article is currently available as a downloadable PDF through two different, affiliated websites. 

WebsitePrice
The LancetFree
ScienceDirectFree

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Author

Willem Kramer is a Netherlands-trained physiotherapist and US-licensed massage therapist with over thirty years of experience working with professional athletes, entertainers, and executives worldwide. He reorganizes anatomy around how the body moves, working from the premise that motion is a whole-body event involving all twelve organ systems within the anatomical planes of motion. He is the author of Anatomy by Planes — a three-atlas set with a foreword by Andrew Luck — and its companion Clinical & Training Guide, and the creator of Motion Anatomy (motionanatomy.com), a free introduction to the framework.

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