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Walk Test App and 14 Extra Steps per Minute Boost Mobility in Prefrail and Frail Older Adults

This study establishes measurable cadence targets for boosting endurance with a smartphone app soon to guide users’ walking routines.

Maintaining good form by standing tall and swinging your arms is key when walking.
(Photo by Monkey Business Images on Shutterstock)
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Overview

  • A four-month randomized trial in 14 retirement communities found that a 14-step-per-minute increase—raising cadence to about 100 steps per minute—delivered a 10% gain in functional capacity for prefrail and frail participants.
  • By the end of the intervention, those who walked at the accelerated pace covered significantly longer distances on standardized six-minute tests than peers who maintained their usual speed.
  • The July 2025 PLOS ONE publication formalizes walking cadence as an objective metric of activity intensity, offering a scalable alternative to subjective methods like the talk test.
  • Researchers developed and validated the Walk Test smartphone app using a novel open-source algorithm, demonstrating step-count accuracy comparable to research-grade accelerometers.
  • Investigators plan a public rollout of the Walk Test app and recommend simple tools such as metronomes to help older adults safely adopt and monitor target cadences.