16,741 older women · 4 years

Do you really need 10,000 steps a day?

People say: “You need 10,000 steps a day” We read the study.

What they did

Cohort study. 16,741 people. 4.3 years mean follow-up.

People were watched for years. Nobody was told what to do. A clue, not proof.

Who: Older US women from the Women's Health Study (mean age 72.0, range 62-101), mostly white and of higher socioeconomic status, who could walk outside the home without help; accelerometer worn 2011-2015

1

16,741 older women wore a step counter.

2

It counted steps for one week.

3

About 4 years later: who was still alive?

What they found

How many died?

About 2,700 steps a day10
About 4,400 steps a day≈6
The catch

Maybe healthy women just walked more.

More to know, from our read of the paper:

  • Observational: linked, not proven. The authors say reverse causation 'remains a possibility'
  • Older women only (mean age 72), mostly white and higher socioeconomic status: unclear whether it applies to men, younger people, or more or less active populations
  • Steps were measured once (a single ~7-day wear), not repeatedly
  • Only all-cause mortality was studied
  • The top quartile's median was 8442 steps/d and the spline was truncated at 13,500 steps/d. A leveling-off means no extra benefit was seen above ~7,500, not that more steps are harmful
The verdict

A clue. Not proof.

One thing to try
  1. Add 1,000 steps today!
In short

16,741 older US women (average age 72) wore a step counter for one week, and scientists checked who died over about 4 years (a cohort study). Women who took about 4,400 steps a day had a 41% lower death rate than women who took about 2,700. More steps looked better up to about 7,500 a day; above that, no extra help was seen (that doesn't mean more is bad). Nobody was told to walk, so this is linked, not proven: healthier women may simply walk more. And the 10,000 goal likely comes from the name of a 1965 Japanese step counter.

The video
The paper

Lee et al. (2019). Association of Step Volume and Intensity With All-Cause Mortality in Older Women. JAMA Internal Medicine.

Design: Cohort study · prospective cohort study (linked, not proven)

DOI: 10.1001/jamainternmed.2019.0899

Goals:

How we checked

We read the abstract and the full text of this paper and checked every number on this page against it (14 facts, checked on 2026-09-26). The study design is named above. Cohort and other observational studies are described as linked, not proven. Found an error? Email theis@onestudyaday.com.

Join the waitlist: one checked study a day for your goal, by email

Pick up to three goals. We email you once when the daily study starts. The goals for this study are ticked already.