Redacción HC
10/09/2025
Physical inactivity is a critical public health issue worldwide. It is estimated to contribute to as much as 8% of all non-communicable diseases and incurs billions in healthcare costs annually. Despite the well-known benefits of physical activity, nearly one in three adults globally is not active enough. Traditionally, public health guidelines have focused on moderate-to-vigorous intensity exercise, an approach that can often feel inaccessible or overwhelming to the general population. While the evidence on the benefits of daily steps has grown rapidly in the past decade, most existing research has focused solely on broad outcomes like all-cause mortality. This new study aims to fill that gap by providing a comprehensive synthesis of the relationship between daily steps and a wider range of health outcomes.
This study is a systematic review and meta-analysis, considered one of the highest-quality forms of evidence in medical research. The research team, led by experts from the Sydney School of Public Health, meticulously analyzed 57 studies from 35 cohorts. Their search spanned major databases like PubMed and EBSCO CINAHL, including literature published between 2014 and early 2025. The inclusion criteria were strict: only prospective studies examining the relationship between daily steps (measured by devices such as accelerometers, pedometers, and smartwatches) and health outcomes in adults aged 18 and older were considered.
The team independently assessed study selection, data extraction, and the risk of bias using the 9-point Newcastle-Ottawa scale. Hazard Ratios (HRs) from individual studies were synthesized using a random-effects dose-response meta-analysis. The certainty of the evidence was graded using the GRADE system. A key methodological choice was to use 2,000 steps per day as the reference value, as this represents the lower end of the normal range for older adults. The authors acknowledge some limitations, including the small number of studies for certain outcomes, the lack of age-specific analysis, and potential biases in the individual studies they reviewed.
The meta-analysis, which included 31 studies from 24 cohorts, revealed a powerful and consistent association between daily steps and improved health. The most groundbreaking finding is that a goal of 7,000 steps per day—significantly less than the commonly cited 10,000—is associated with clinically meaningful reductions in the risk of numerous diseases and mortality.
The study found a non-linear inverse dose-response association for all-cause mortality, cardiovascular disease incidence, dementia, and falls. This means that the health benefits increase rapidly with the first few thousand steps, with a "point of inflection" (where the rate of benefit begins to slow) occurring between 5,000 and 7,000 steps daily.
For other outcomes, such as cardiovascular disease mortality, cancer incidence and mortality, type 2 diabetes incidence, and depressive symptoms, a linear inverse association was found. This suggests that for these conditions, every additional step continues to add benefits, even beyond the initial inflection point.
While the certainty of evidence was moderate for most outcomes, it was lower for cardiovascular disease mortality, cancer incidence, and physical function. Nevertheless, these numbers provide a compelling case for a more realistic and accessible health goal.
The results of this study have direct and significant implications for public health policies and societal recommendations. The long-standing 10,000-step goal, originally a marketing slogan from 1960s Japan, is now being challenged by robust scientific evidence. While 10,000 steps remain a great target for highly active individuals, the finding that 7,000 steps per day yields significant health benefits offers a more realistic and attainable target for a broader population.
This research suggests that future physical activity guidelines could incorporate daily steps as a primary, practical, and easy-to-understand metric. The widespread availability of fitness trackers and smartwatches makes this metric ideal for mass communication and personal health monitoring. The authors of the study recommend that the observed dose-response relationship can be used to inform new step-based goals, and they call for future research to consider variations by age, device type, and measurement methods to further refine these recommendations.
The ultimate takeaway from this research is both clear and empowering: an achievable daily step count is a powerful tool for a longer, healthier life. By providing a new, evidence-based target of 7,000 steps, this study dismantles the myth that you need to be an elite athlete to reap significant health rewards. The call to action is simple: don't wait for the perfect moment to hit the gym. Start walking today. Every step counts, and a commitment to a more manageable goal could be the single most impactful change you make for your well-being.
Topics of interest
HealthReference: Ding D, Nguyen B, Nau T, Luo M, Del Pozo Cruz B, Dempsey PC, et al. Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis. Lancet Public Health [Internet]. 2025;10(3):450-460. Available on: https://doi.org/10.1016/S2468-2667(25)00164-1
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