50New Editorial Desk
Returning to walking after a long break can bring uncertainty about pace, distance and recovery. Treat the first outings as a starting point. Choose an amount that fits your current abilities, and adjust it as you learn how you feel during and after a walk.
Start lower than feels necessary
The CDC's guidance for older adults who are returning to activity is to start at a lower level and work back up slowly. That could mean five or ten minutes on flat ground, at a pace that leaves you feeling you could have gone a little farther. Ending a walk with something in reserve makes the next one easier to start. If you live with arthritis, diabetes, heart disease or another chronic condition, the CDC notes that activity is often still possible and helpful, and suggests working out a plan with your health care provider. It also recommends a conversation with your doctor before vigorous exercise if you have been inactive or have health concerns.
Use the talk test to judge effort
You do not need a heart-rate monitor to know how hard you are working. The CDC describes a simple talk test: during moderate-intensity activity you can talk but not sing, while during vigorous activity you cannot say more than a few words without stopping for breath. On a 0 to 10 scale where sitting is 0 and all-out effort is 10, moderate effort sits around 5 or 6. Because the scale is relative, a brisk pace for one person may be easy for another. The talk test is a rough guide to effort, rather than a medical clearance or a requirement to reach moderate intensity on your first walks.
Know the long-range goal without being ruled by it
For adults 65 and older, CDC guidance describes at least 150 minutes a week of moderate activity, such as 30 minutes on five days, plus muscle-strengthening on at least two days and activities that improve balance. That is a destination, not a starting requirement. The same guidance says that anyone who cannot meet it should be as active as their abilities and conditions allow, because some activity is better than none. The second edition of the Physical Activity Guidelines for Americans, summarized by the Office of Disease Prevention and Health Promotion, removed the old idea that only bouts of ten minutes or more count. Short walks add up.
A simple progression
As a hypothetical planning example, someone might begin with ten minutes on three days a week and keep that schedule while assessing how it feels. These numbers are not a prescribed progression. Then add a few minutes to one walk, or add a fourth day, but not both at once. If you feel unusually tired or sore the next day, return to the previous level for a while. Progress measured in weeks is still progress.
A hypothetical example
Imagine Lee, 67, who has not exercised regularly in years. Lee starts with an eight-minute loop around the block after breakfast on Monday, Wednesday and Friday, walking with a sibling who can chat while both stay alert to their surroundings. After three weeks the loop stretches to twelve minutes. A month later Lee adds a Saturday walk at an indoor mall when the weather is bad. Nothing about the plan is dramatic, which is the point.
Make the route work for you
A good starting route is level, well lit, and has places to rest or turn back. CDC fall-prevention guidance points out that bifocal or progressive lenses can make depth harder to judge outdoors, so take extra care on curbs and steps, and keep your eye prescription current. Comfortable, well-fitting shoes matter too. On days with bad weather or poor footing, the CDC suggests alternatives such as mall walking or chair exercises.
Add strength and balance alongside
Walking covers the aerobic part of the guidelines, but not all of it. CDC guidance pairs aerobic activity with strengthening and balance work, and lists simple balance activities such as walking heel to toe or standing up from a seated position. ODPHP's summary notes that, for older adults, physical activity lowers the risk of falls and fall-related injuries. Choose balance and strengthening activities appropriate to your abilities. If you feel unsteady or have fallen, ask a clinician or qualified physical-activity professional about suitable exercises and support before trying them.
Know when to stop
Stop activity for concerning symptoms. Chest pain or pressure, loss of consciousness or sudden severe breathing difficulty may signal a medical emergency: call 911 or the local emergency number. MedlinePlus lists these among emergency warning signs. For nonemergency pain or discomfort that changes your walking, stop and contact your clinician about when and how to resume.
The tradeoff with a gradual return is patience. The first month may feel too easy to matter. A manageable routine gives you a chance to notice what helps you keep going. Longer walks may become possible, but distance is only one measure; comfort, safe footing and a routine you can sustain also matter.
Sources
Centers for Disease Control and Prevention, 'Older Adult Activity: An Overview': https://www.cdc.gov/physical-activity-basics/guidelines/older-adults.html
Centers for Disease Control and Prevention, 'Older Adults: Adding Activity': https://www.cdc.gov/physical-activity-basics/adding-older-adults/index.html
Centers for Disease Control and Prevention, 'How to Measure Physical Activity Intensity': https://www.cdc.gov/physical-activity-basics/measuring/index.html
Office of Disease Prevention and Health Promotion, 'Top 10 Things to Know About the Second Edition of the Physical Activity Guidelines for Americans': https://odphp.health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines/top-10-things-know
Centers for Disease Control and Prevention, 'Preventing Falls and Hip Fractures': https://www.cdc.gov/falls/prevention/index.html
MedlinePlus, Recognizing medical emergencies: https://www.medlineplus.gov/ency/article/001927.htm
This article is general information, not personal medical or financial advice. Talk to a qualified professional about your own situation.
Section: Health & Vitality