Wondering about your COVID-19 risk level and seeking precautionary steps?

Check Now
  • Rally
  • For Successful Aging, Pick Up the Pace or Mix It Up

For Successful Aging, Pick Up the Pace or Mix It Up

By Gretchen Reynolds | September 3, 2020 | The New York Times

If we want to walk easily and well as we age, we may need to do more than just stroll now, according to an eye-opening new study of older walkers and cyclists. The study finds that people who often cycle for exercise can walk more efficiently than people whose primary exercise is placid walking, even if everyone works out for the same amount of time.

The results, which build on earlier work involving walkers and runners, raise important questions about whether gentle exercise, by itself, is enough for our well-being or if we might need, at least sometimes, to add oomph to our workouts.

In general, exercise science shows that doing something — anything — physical is much better for our health and longevity than doing nothing. A raft of epidemiological studies indicate that if men and women start moving just enough to lift themselves out of the group of people who are the most sedentary, they get greater reductions in their risks for chronic diseases and premature death than if a marathon runner crams in a few additional, weekly miles.

But most of us are not completely inactive or in constant motion and, for us, many questions remain about the ideal mix of duration, intensity or type of exercise to elevate our fitness and health. Can we get away with an occasional amble around the block? Or should we keep going for a longer period of time? And is it important to intentionally get out of breath on occasion?

Intrigued by those concerns, a group of exercise scientists at Humboldt State University in California and the University of Colorado at Boulder began to wonder recently about walking and whether it might tell us something about workouts and ideal intensities.

In general, most of us can walk from the time we are small and probably expect to continue to be able to walk for most of our lives. But past biomechanics studies show that people tend to become physiologically inefficient walkers with age, using more oxygen to walk at the same pace as younger people. In practical terms, this rising inefficiency would make walking feel harder and more tiring, perhaps prompting older people to walk less, sit more and potentially become frail.

The researchers speculated that exercise might maintain walking efficiency in older people, although what type of exercise was not clear. So, for a study published in 2014 in PLoS One, they invited healthy walkers and runners who were 65 or older to the lab and asked them to walk on a treadmill at various speeds while wearing headgear to measure their oxygen consumption.

They then compared the runners’ and walkers’ efficiency and cross-checked those results against similar data from earlier experiments with sedentary college students and retirees. It turned out that older runners were quite efficient walkers, using about the same amount of oxygen to walk as young people. But the older walkers had lost a step, physiologically, requiring about 7% to 10% more oxygen to walk at the same pace as the runners or the students. Their efficiency matched that of the older men and women who rarely exercised at all.

Now, for the new study, which was published in July in the Journal of Aging and Physical Activity, the researchers set out to see if a different exercise, in this case cycling, might likewise affect the ease of walking. They recruited older riders and walkers and asked them how strenuously they felt they worked out, on a scale of 1 to 3, from easy to tiring. The walkers’ reported intensity hovered at just under 2, while the cyclists’, as a group, neared 3. The researchers also brought in a group of healthy young people as a control.

Everyone then walked on a treadmill at paces ranging up to about 4 miles per hour while the researchers tracked their oxygen consumption. And, as with the runners, the older cyclists walked well, their efficiency matching that of the young people. But the older walkers’ efficiency was as much as 17% lower.

In effect, walking for exercise seemed not to have “supplied sufficient physical stimulus” to maintain people’s ability to walk easily as they aged, says Justus Ortega, a professor at Humboldt State University who co-authored both studies. Running and cycling were associated with more efficient walking than regular walking was.

The studies did not delve into how cycling or running might have affected people’s walking efficiency. But Ortega says he and his colleagues suspect that the more demanding exertions boosted the health and function of mitochondria inside muscle cells in ways that gentler walking did not. Mitochondria affect how cells make and utilize energy. Healthier mitochondria should contribute to more efficient movement.

Of course, these studies were single snapshots of people’s lives, and do not show that running or cycling directly caused people to be efficient walkers, only that the activities were related. They also did not look at middle-aged people and whether different types of exercise then might affect how well people walk later.

But Ortega says he believes the studies’ findings can be both cautionary and encouraging, suggesting that, while any physical activity is worthwhile, pushing yourself a bit now might yield lasting benefits for health and mobility. So, if you currently stroll for exercise, he says, perhaps consider cycling or jogging sometimes, too, if possible. Or add hills to your usual walking route, or, at least for a block or three, pick up the pace.

© 2020 The New York Times Company

Gretchen Reynolds
The New York Times

Articles on Rally Health’s website are provided for informational purposes only, as a free resource for the public. They are not a substitute for medical advice, diagnosis, or treatment. Rally Health does not accept solicitations or compensation from any parties mentioned in the articles, and the articles are not an endorsement of any providers, experts, websites, tools, or financial consultants, services, and organizations.