How to get 10,000 steps in a day, and whether you need to
Where the 10,000-step target came from, what large cohort studies say about the number that actually matters, and practical ways to add steps to a sedentary day.

The 10,000-step target did not come from medical research. It appears to have come from the trade name of a Japanese pedometer sold in 1965, and the studies that have since looked at it carefully find that the health benefit of walking rises steeply from very low step counts and then flattens somewhere around 7,000 to 8,000 steps a day for most adults, and lower still for people over 60 (Lee et al., 2019). Walking more than that is not harmful, but the evidence that it adds much for longevity is thin.
This matters for anyone who wears a step counter and feels they have failed on a day that ends at 6,500, and for the larger group of adults who take fewer than 5,000 steps a day and assume that anything short of 10,000 is not worth the effort. The data say the opposite: the biggest gains go to people who move from very little to a moderate amount.
Where the number came from
Researchers who have traced the history of the target say it most likely derives from a pedometer sold in Japan in 1965 under the name manpo-kei, which translates roughly as "10,000 steps meter" (Lee et al., 2019). The number was adopted by health campaigns and later by fitness trackers long before anyone had tested it against mortality data. A 2011 review concluded that 10,000 steps a day is a reasonable figure for healthy adults but noted that translating the standard guideline of 150 minutes of moderate activity a week into steps gives a range of roughly 7,000 to 11,000 a day, depending on a person's background activity (Tudor-Locke et al., 2011).
What the studies found
The first large study to test the target directly followed 16,741 women with an average age of 72 who wore accelerometers for a week. Over 4.3 years, women who averaged about 4,400 steps a day had a 41 percent lower death rate than those averaging about 2,700. The risk kept falling with more steps until roughly 7,500 a day, then leveled off (Lee et al., 2019).
A nationally representative U.S. sample of 4,840 adults aged 40 and over, followed for about 10 years, found a similar pattern with a higher ceiling. Compared with 4,000 steps a day, 8,000 steps was associated with a 51 percent lower all-cause death rate, and 12,000 steps with a 65 percent lower rate (Saint-Maurice et al., 2020).
The clearest answer to the age question comes from a 2022 pooled analysis of 15 cohorts covering 47,471 adults. Death rates fell with each additional step quartile, and the group averaging about 10,900 steps a day had a 53 percent lower risk than the group averaging about 3,500. But the dose-response curves flattened at 6,000 to 8,000 steps a day for adults aged 60 and older, and at 8,000 to 10,000 for younger adults (Paluch et al., 2022). A separate 2023 meta-analysis of 17 cohorts with 226,889 participants put the point at which benefit begins at a little under 4,000 steps a day, with each extra 1,000 steps associated with a 15 percent lower risk of death from any cause (Banach et al., 2023).
The broadest review, published in 2025, pooled 57 studies from 35 cohorts and looked beyond mortality. Compared with 2,000 steps a day, 7,000 steps was associated with a 47 percent lower risk of death, a 25 percent lower risk of cardiovascular disease, a 38 percent lower risk of dementia, a 22 percent lower risk of depressive symptoms, and a 28 percent lower risk of falls. For most of these outcomes the curve bent at around 5,000 to 7,000 steps (Ding et al., 2025). The authors suggested that 7,000 steps a day is a more realistic target than 10,000, while noting that for cancer and diabetes the association stayed roughly linear, so more steps continued to help.
All of these are observational cohort studies. They show that people who walk more die later, not that walking causes the difference. Researchers adjust for age, smoking, body weight, and existing illness, and most exclude early deaths to limit the effect of people who walk less because they are already sick, but some of that bias likely remains. The consistency of the pattern across countries and age groups is what makes the finding convincing.
Does walking speed matter
The evidence on walking pace is mixed. In the Women's Health Study, women who walked at a brisker pace had lower death rates, but once total steps were taken into account, the association with pace mostly disappeared (Lee et al., 2019). The U.S. national sample found the same: step intensity was not significantly linked to mortality after adjusting for step count (Saint-Maurice et al., 2020).
A larger UK Biobank study of 78,500 adults reached a somewhat different conclusion. Total steps were associated with lower mortality up to about 10,000 a day, and a person's peak 30-minute cadence was linked to additional risk reduction, especially for new cases of heart disease and cancer (Del Pozo Cruz et al., 2022). A fair reading is that total volume is the main driver and that walking some steps at a purposeful pace, around 100 steps per minute, probably adds a modest benefit (Tudor-Locke et al., 2011).
How many steps are enough
The studies support a few practical conclusions:
- Below about 4,000 steps a day, every additional 1,000 steps is associated with a large drop in risk. Moving from 2,500 to 5,000 is the single most valuable change a sedentary adult can make.
- For adults over 60, most of the measurable benefit for longevity is reached by 6,000 to 8,000 steps a day.
- For adults under 60, the curve continues to about 8,000 to 10,000 before flattening.
- Beyond those points, more steps are unlikely to hurt and may still help with blood sugar and cancer risk, but the evidence for extra years of life is weak.
Roughly 30 minutes of purposeful walking adds about 3,000 steps to ordinary daily movement, which for most adults brings the total into the 7,000 to 8,000 range (Tudor-Locke et al., 2011).
How to add steps to an ordinary day
The simplest evidence-backed tool is a step counter with a goal. A systematic review of 26 studies with 2,767 participants found that people given a pedometer increased their activity by about 2,500 steps a day compared with controls in the randomized trials. Having a specific daily target was the strongest predictor of success, and pedometer users also saw small reductions in body mass index and blood pressure (Bravata et al., 2007). The goal does not have to be 10,000; it has to be a number the person has chosen and checks.
Beyond that, the useful strategies are ordinary ones:
- A 10 to 15 minute walk after each meal. Three short walks add roughly 3,000 to 4,000 steps and are easier to keep up than one long one.
- Walking during phone calls.
- Getting off public transport one stop early, or parking farther away.
- Pairing a walk with something already fixed in the day, such as a dog, a school run, or a coffee.
For someone starting from 2,000 or 3,000 steps a day, adding 1,000 steps a week until reaching 6,000 to 7,000 is a reasonable pace. Interventions in the research literature typically produce increases of 2,000 to 2,500 steps a day, so a much larger jump is not what most people manage and is not necessary to see benefit (Tudor-Locke et al., 2011).
Who should be careful
Walking is among the safest forms of exercise, but people with heart disease, severe arthritis, balance problems, or diabetic foot ulcers should talk to their doctor before raising their daily total substantially. Step counts also miss cycling, swimming, and strength training, which bring their own benefits and should not be dropped in favor of chasing a number. Finally, the mortality studies measured usual activity over a week; a single big day does not stand in for a consistent pattern.
Sources
- Association of step volume and intensity with all-cause mortality in older women (Lee et al., JAMA Internal Medicine, 2019) — prospective cohort, 16,741 women, mean age 72, 4.3-year follow-up
- Association of daily step count and step intensity with mortality among US adults (Saint-Maurice et al., JAMA, 2020) — prospective cohort, 4,840 adults aged 40 and over, 10-year follow-up
- Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts (Paluch et al., Lancet Public Health, 2022) — pooled analysis of 47,471 adults, median follow-up 7.1 years
- The association between daily step count and all-cause and cardiovascular mortality: a meta-analysis (Banach et al., European Journal of Preventive Cardiology, 2023) — meta-analysis of 17 cohorts, 226,889 participants
- Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis (Ding et al., Lancet Public Health, 2025) — systematic review of 57 studies from 35 cohorts, multiple health outcomes
- Prospective associations of daily step counts and intensity with cancer and cardiovascular disease incidence and mortality and all-cause mortality (Del Pozo Cruz et al., JAMA Internal Medicine, 2022) — UK Biobank cohort, 78,500 adults, median follow-up 7 years
- How many steps/day are enough? For adults (Tudor-Locke et al., International Journal of Behavioral Nutrition and Physical Activity, 2011) — review translating activity guidelines into step counts and cadence
- Using pedometers to increase physical activity and improve health: a systematic review (Bravata et al., JAMA, 2007) — systematic review of 26 studies, 2,767 participants, 8 randomized trials
This article is for general information and is not medical advice. Talk to your doctor before changing a medication, treatment or exercise program.

By Dr. Daniel Ashford, DO




