Walking well: gait, confidence and getting out
Reviewed by Dr Namrata Bagaria, MBBS, MPH (Harvard)Last reviewed
How you walk predicts a great deal about how you age. Most of it is trainable, and a stick is not a defeat.
Step by step
Step 1: Know that walking speed matters, not just distance
How fast you walk is one of the better predictors of health and independence in later life, which sounds odd until you realise it summarises strength, balance, heart, lungs and confidence in one measure. Slowing down is worth noticing rather than accepting.
Learn more: Muscle strength and ageingStep 2: Build the strength that walking rests on
Walking alone does not build much strength, which is why people who walk daily can still struggle out of a chair. Sit-to-stands, heel raises and stepping practice are what make walking easier, and they are best done seated or supported.
Learn more: Chair dance fitness: what it actually does for youStep 3: Sort the feet and the shoes
A firm non-slip sole, a back that holds the heel, and a fastening you can manage. Indoors as well as out, because slippers cause a great many falls. Painful feet change how you walk and the change travels up to the knees, hips and back, so foot pain is worth treating.
Learn more: Footwear & mobilityStep 4: Use a stick properly if you need one, without shame
A stick that keeps you walking is worth more than pride that keeps you indoors. It must be the right height, wrist crease at the handle when your arm hangs, and held on the opposite side to the sore leg. Wrongly used, it makes things worse, so ask to be shown.
Learn more: Fall preventionStep 5: Keep going out, and go with somebody
Confidence fades fastest when walking becomes something you only do indoors. A regular walk with company happens far more reliably than one you intend to do alone, and it does something for your mood that the same steps on your own do not.
Learn more: Meaning and belonging in healthy ageing
All topics in this guide
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Sources
The guidance on this page draws on the following.
Physical activity guidelines for older adults(opens in a new tab)
NHS · 2024
Supports: The weekly walking and strength targets for older adults.
Four types of exercise can improve your health and physical ability(opens in a new tab)
National Institute on Aging · 2024
Supports: Balance and strength alongside walking, not instead of it.
