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Daily Walking Tied to Slower Alzheimer’s Decline, With Benefits Plateauing Near 7,500 Steps

The observational Nature Medicine study links modest activity to slower tau changes that may signal greater resilience.

Overview

  • Harvard Aging Brain Study researchers in the United States, Canada and Australia tracked 296 cognitively normal adults aged 50–90 with waist‑worn pedometers, annual cognitive tests over a mean 9.3 years and PET imaging.
  • Walking 3,000–5,000 steps per day was associated with about a three‑year delay in functional and cognitive decline, rising to roughly seven years at 5,000–7,500 steps.
  • No additional cognitive benefit was observed beyond about 7,500 daily steps, and those logging fewer than 3,000 steps with elevated beta‑amyloid declined faster.
  • Higher step counts correlated with slower accumulation of tau in Alzheimer’s‑affected brain regions, while no link was found with beta‑amyloid levels.
  • The findings, published in Nature Medicine, position habitual moderate activity as a potential resilience factor and motivate randomized trials to test causality and refine exercise targets.