Cardio & VO₂ max

Walking vs Running for Healthy Ageing: Which Is Better?

Written & reviewed by Thurairaj Manoharan · 5 Oct 2026

Medically reviewed by Thurairaj Manoharan · Updated 5 Oct 2026

Walking and running both lower the risk of early death. How they compare on time, joints, injury and sustainability, and how to choose in Malaysia's heat.

Adult brisk-walking in a shaded tropical park

Both walking and running are linked with a lower risk of early death, so the better choice is the one you will do for years. Running is more time-efficient and raises fitness more, while walking is gentler on the joints and easier to keep up. For most people over 40 the best answer is mostly brisk walking, with some running or hills added when the body is ready.

What the research says

A meta-analysis of 14 studies found that runners had about 27 percent lower all-cause mortality than non-runners, with lower cardiovascular and cancer mortality too. The benefit appeared at low doses, such as one run a week, and more running was not clearly better beyond that (Pedisic et al., 2020). A large US cohort found that runners had roughly 30 percent lower all-cause and 45 percent lower cardiovascular mortality, even when running under an hour a week (Lee et al., 2014).

For walking, a pooled analysis of 15 cohorts found that the mortality benefit climbed steeply and flattened at about 6,000 to 8,000 steps a day for adults aged 60 and over (Paluch et al., 2022). The WHO recommends 150 to 300 minutes of moderate activity a week, or 75 to 150 minutes of vigorous activity, or an equivalent mix (Bull et al., 2020). Brisk walking counts as moderate and running as vigorous, which is why 75 minutes of running can equal 150 minutes of walking.

These are observational findings. Active people may differ from inactive people in other ways, but the direction is consistent.

How walking and running compare

FactorWalkingRunning
IntensityLight to moderate (about 3 to 5 METs when brisk)Vigorous (about 8 to 12 METs for most jogging paces)
Time to meet the WHO target150 to 300 minutes a week75 to 150 minutes a week
Impact on jointsLow; ground force about 1 to 1.5 times body weightHigher; about 2 to 3 times body weight
Injury riskLowHigher, especially with fast build-up
Builds VO2 maxModestly, more if brisk or uphillStrongly
Starting barrierVery lowModerate; needs fitness and good footwear
SustainabilityEasy for decadesDepends on joints, weight and tolerance

MET and ground-force figures are typical approximations, not exact values for every person.

Running: strengths and cautions

Running delivers the same cardio dose in about half the time, which suits busy schedules, and it is an efficient way to raise VO2 max. Running also loads bones and may help bone density in the lower limbs.

The cautions are injury and joint load. Most running injuries come from doing too much too soon. If you are new, use a run-walk method such as 1 minute running and 2 minutes walking for 20 to 30 minutes, three days a week, and add no more than about 10 percent to weekly time. Allow a rest day between runs. Get shoes that fit properly.

Walking: strengths and limits

Walking is the most sustainable exercise you can do. It is low impact, free, social and needs no special kit. See walking for longevity for step targets. To make it count:

  • Walk fast enough that you can talk but not sing, which is Zone 2 for many people. See how to find your Zone 2.
  • Add hills, stairs or intervals of 1 to 2 minutes at a faster pace.
  • Use brisk walking technique: tall posture, arms bent to 90 degrees, quick short steps.
  • Carry a light backpack only if your back and knees tolerate it. A progression is rucking for longevity.

The limit is time. A slow stroll will not raise fitness much, and you will need more minutes than with running to get the same effect.

Which should you choose?

Your situationSuggested approach
Beginner, or inactive for yearsStart with walking. Aim for 20 to 30 minutes, 4 to 5 days a week
Overweight or with knee or hip painWalk, cycle or swim first. See knee pain and keeping active
Fit, enjoy it, joints are fineRun 2 to 3 times a week, walk on other days
Time-poorOne run or brisk interval session, plus daily walking
Over 60Walk most days, add short brisk or running intervals if your doctor agrees

Knee osteoarthritis is not an automatic reason to stop all running, but it deserves individual advice. See exercise for knee osteoarthritis.

Malaysian conditions

Heat and humidity make running harder than the same pace in a cooler country, and heat illness is a real risk.

Do not skip strength

Neither activity builds enough muscle to protect against frailty. Add two strength sessions a week. See strength vs cardio for longevity.

When to get checked first

See a doctor before starting running if you are over 50 and inactive, have heart disease, high blood pressure, diabetes, chest pain, unexplained breathlessness or fainting, or joint problems that limit walking. Stop and seek help for chest pain, severe breathlessness, dizziness or a racing heartbeat. See when to get medical clearance before exercise.

Key takeaways

  • Both walking and running are linked with lower mortality, and even small doses help.
  • Running is time-efficient and builds fitness, while walking is gentler and more sustainable.
  • Most people do best with mostly brisk walking, plus some running or hills if the joints allow.
  • Build running gradually, train in the cooler hours, and add two strength sessions a week.
  • Check with your doctor first if you are inactive and over 50 or have heart or joint conditions.

If you would like a plan that matches your joints, fitness and the local climate, we run home-visit assessments across KL and Selangor.

References

  1. Pedisic et al. (2020). Is running associated with a lower risk of all-cause, cardiovascular and cancer mortality, and is the more the better? A systematic review and meta-analysis. British Journal of Sports Medicine. — British Journal of Sports Medicine
  2. Lee et al. (2014). Leisure-Time Running Reduces All-Cause and Cardiovascular Mortality Risk. Journal of the American College of Cardiology. — Journal of the American College of Cardiology
  3. Paluch et al. (2022). Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts. The Lancet Public Health. — The Lancet Public Health
  4. Bull et al. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine. — British Journal of Sports Medicine

For the full picture, read the complete guide to this topic →

Written & reviewed by

Thurairaj Manoharan

Physiotherapist · 13+ years in healthcare

Paralysed by Guillain-Barré Syndrome as a teenager, Thurairaj rebuilt his body through physiotherapy, lived proof that the right movement, applied consistently, restores function.

Frequently asked questions

Is walking as good as running for health?

Both lower the risk of early death. Running is more time-efficient and builds higher fitness, while walking has lower impact and is easier to sustain. Enough brisk walking, such as 150 to 300 minutes a week, delivers much of the same health protection, so the better choice is the one you will keep doing.

Is running bad for your knees?

For most healthy people, sensible running has not been shown to wear out the knees, and gradual build-up matters more than the activity itself. If you already have significant knee pain, are carrying a lot of extra weight or are returning from injury, start with walking or low-impact cardio and ask a physiotherapist.

How much running is needed for a benefit?

A meta-analysis found that runners had about 27 percent lower all-cause mortality than non-runners, and benefits appeared even at low doses such as one run a week or under 50 minutes a week. More was not clearly better beyond that.

Should I switch from running to walking as I get older?

Not necessarily. Many people run well into later life. The right choice depends on your joints, weight, fitness and enjoyment. A common pattern is mostly walking with some running or brisk intervals when your body feels up to it.

Which burns more calories, walking or running?

Running burns more per minute, roughly double that of brisk walking at similar body weight, but covering the same distance burns a closer amount. Walking longer can match the energy cost of a shorter run.

Want a plan built around you?

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