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What are the common misunderstandings about taking the stairs?

This answer is a draft. It stays unpublished until legal review and source verification are complete.

The answerThe biggest misunderstanding is "stairs are bad for your knees, so avoid them." For healthy knees, stairs are a short burst of high-intensity physical activity (about 8 METs going up, about 3–4 METs coming down), and the easiest way to follow the Ministry of Health, Labour and Welfare guide's advice to "move even a little more than now". If your knees hurt, avoid going down, use the handrail and talk to a doctor.

"Take the stairs, not the lift" is health advice heard everywhere, but in Japan station stairs are part of daily life, and many people climb several hundred steps a day. Here we look at the value of stairs as exercise, and at the misunderstandings about their effect on the knees.

In numbers

ItemDetailSource
Climbing stairsAbout 8 METs (about twice brisk walking)METs table for physical activities
Descending stairsAbout 3–4 METsSame as above
Guide 202360 minutes or more of physical activity a day (3 METs or more). Using the stairs is named as an everyday measureMHLW
Station stairsDeep Tokyo subway stations have more than 100 steps to street level—
Load on the kneeGoing up puts about 3 times body weight on the knee; going down about 4–5 times, according to general descriptionsGeneral explanations in orthopaedics
[Verify] Check the MET values against the METs table of the National Institute of Health and Nutrition, the knee-load multiples against general orthopaedic explanations, and the accidents against Consumer Affairs Agency material.

Misunderstanding 1|Stairs are bad for the knees

For healthy knees, they are exercise. If a knee is painful or swollen, avoid going down, use the handrail and see a doctor.

Misunderstanding 2|If you walk 10,000 steps a day, you do not need stairs

Stairs are high intensity and earn physical activity in a short time. The guide recommends both step count and intensity.

Misunderstanding 3|Going down is easy, so it is not exercise

Going down is exercise in which the muscles produce force while lengthening (eccentric); it does build strength, but the load on the knee is greater than going up.

Misunderstanding 4|Only people in a hurry use the station stairs

Climb 200 steps a day in total and that alone is about 5–10 minutes of moderate-to-vigorous exercise. Part of the physical activity of Japan's city dwellers is made up of station stairs.

Misunderstanding 5|Older people should avoid stairs

Stairs are effective for keeping strength and balance, but there is a risk of falls. Always use the handrail, on a well-lit staircase, without hurrying. Fit handrails and floor-level lights on the stairs at home.

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Sources

https://www.mhlw.go.jp/content/10904750/001171393.pdf

https://www.nibiohn.go.jp/eiken/programs/2011mets.pdf

https://www.caa.go.jp/policies/policy/consumer_safety/caution/

⚠️ Editorial note: the source URLs above were identified by search. Our working environment cannot reach go.jp domains, so the contents have not been checked against the text. Verify every source before publication and record who checked it and when.

About this article

What we share here are ideas and everyday practices passed down among people living in Japan, together with general information drawn from public sources. They are not official recommendations, and they are not professional instruction. Practices vary between households and regions.

This is general information. Results vary from person to person and depend on your own conditions and surroundings.

Please decide for yourself, using your own judgement, whether any of this suits your situation. We cannot accept responsibility for any damage, loss or injury arising from following this article.

This article is not meant to diagnose or manage any specific medical condition. If you are worried about your health, see a doctor rather than relying on your own judgement.

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