We determined the association between daily ambulatory activity and markers of inflammation and oxidative stress in patients with peripheral artery disease (PAD) and claudication. Patients with PAD (n=134) limited by claudication were studied. Patients took 3275±1743 daily strides during 273±112 min each day, and their average daily cadence was 11.7±2.7 strides/min. High-sensitivity C-reactive protein was significantly and negatively associated with the total number of daily strides (p<0.001), total daily ambulatory time (p<0.01), peak activity index (p<0.01), daily average cadence (p<0.05), and the maximum cadences for 60 min (p<0.05), 30 min (p<0.05), 20 min (p<0.05) and 5 min (p<0.01). Oxidized low density lipoprotein and soluble vascular cell adhesion molecule-1 were not significantly associated with any of the ambulatory measures (p>0.05). We conclude that higher levels of community-based, daily ambulatory activity are associated with lower levels of inflammation, but are not associated with markers of oxidative stress.