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Updated: May 1, 2026

Substantiating Appropriate Motion Capture Techniques for the Assessment of Nordic Walking Gait and Posture in Older Adults
Published on: May 12, 2016
Association of walking and osteoporosis risk among 432,493 UK participants: A prospective cohort study
Zhehan Yang1, Donglin Luo2, Haichao Jiang3
1School of Economics and Management, Wuhan Sport University, Wuhan, China; College of Arts and Physical Education, Nanchang Normal College of Applied Technology, Nanchang, China.
Objective:
This study aimed to investigate the optimal dosage of walking duration for osteoporosis prevention.
Study Design:
This study represents a prospective cohort analysis based on data derived from the UK Biobank.
Methods:
Utilizing prospective data from the UK Biobank (n = 432,493), we analyzed osteoporosis incidence in adults aged 38-73 years. Walking duration was assessed via validated questionnaires. Cox proportional hazards models adjusted for demographics, comorbidities, and lifestyle factors. Restricted cubic splines characterized nonlinear associations.
Results:
Participants in all walking groups exhibited significantly lower osteoporosis risk versus the non-walking group. In fully adjusted models, the hazard ratios (HR) (95% confidence intervals) for osteoporosis were: 0.72 (0.65-0.79; P < 0.001) for the <180 min/week of walking group, 0.73 (0.65-0.81; P < 0.001) for the 180-360 of walking group, and 0.74 (0.67-0.83; P < 0.001) for the >360 min/week of walking group, respectively. A U-shaped dose-response relationship was demonstrated (P for nonlinearity <0.001).
Conclusion:
Regular walking demonstrates significant osteoporosis protection, with optimal benefits at 180-360 min/week. This aligns with global physical activity guidelines while revealing an upper threshold beyond which additional walking yields no further risk reduction. Our findings support tailored exercise prescriptions for osteoporosis prevention.
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