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Methods Walking over 7 days was objectively measured as steps/day within a cohort of people with or at risk of knee OA from the Multicenter Osteoarthritis Study. Incident functional limitation over 2 years was defined by performance‐based (gait speed 28 of 68) measures. We evaluated the association of steps/day at baseline with developing functional limitation 2 years later by calculating risk ratios adjusted for potential confounders. The number of steps/day that best distinguished risk for developing functional limitation was estimated from the maximum distance from chance on receiver operating characteristic curves. Results Among 1,788 participants (mean age 67 years, mean body mass index 31 kg/m 2, 60% women), each additional 1,000 steps/day was associated with a 16% and 18% reduction in incident functional limitation by performance‐based and self‐report measures, respectively.

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