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BMC Public Health . The association between healthy walking and COVID-19 symptom severity: A cross-sectional study on the first peak following China

tetano

Editor, Senior Moderator
BMC Public Health


. 2025 Apr 23;25(1):1497.
doi: 10.1186/s12889-025-22748-7. The association between healthy walking and COVID-19 symptom severity: A cross-sectional study on the first peak following China's prevention policy change

Wanyuan Xia[SUP] 1 [/SUP], Daikun Zheng[SUP] 1 [/SUP], Xiaomin Chen[SUP] 2 [/SUP], Liliang Yu[SUP] 1 [/SUP], Xiujuan Jiang[SUP] 1 [/SUP], Mingyue Fan[SUP] 1 [/SUP], Haifang Zou[SUP] 3 [/SUP], ChangFeng Li[SUP] 1 [/SUP], Min Liu[SUP] 1 [/SUP], Yan Zhao[SUP] 4 [/SUP], Jiming Kang[SUP] 5 [/SUP]



Affiliations
Abstract

Background: Healthy walking is a moderate aerobic exercise with a step frequency of more than 100 steps per minute. This study aims to assess the impact of Healthy Walking, a novel form of physical activity, on the severity and course of COVID-19 among patients aged from 18 to 65 years old.
Methods: This cross-sectional study included 1,128 adult participants who completed the questionnaire after recovering from the first wave of COVID-19 infections following China`s modification of its prevention policy. The survey questions included their health status when suffering from COVID-19, basic sociodemographic data, and medical history concerning chronic conditions and lifestyle. A multiple logistic regression model and linear regression model were used to evaluate the dependent variable that reflects the severity of COVID-19 infection.
Results: Among the 1,128 adult participants, the mean age was 39.93 ± 10.18 (IQR: 31.75-48), and 407 (36.08%) were male. Participants who walked up to 300 min per week had a negative association with COVID-19 (OR: 0.562, 95% CI: 0.41-0.863). Receiving three vaccine doses was negatively associated with severe COVID-19 (OR: 0.289, 95% CI:0.092-0.742) compared with receiving only one dose. Females (OR: 1.935, 95% CI:1.475-2.540) had a positive association with severe COVID-19, also a high incidence of co-habitatants was also positively associated (OR: 2.741, 95% CI:1.284-5.881) In the linear model assessing risk factor affecting the course of COVID-19, habitual Healthy Walking ([Formula: see text] =-0.433, [Formula: see text]=0.004) was linked to a reduced disease duration after adjusting all significant risk factors.
Conclusions: Regular Healthy Walking may help alleviate symptoms and speed up recovery. Therefore, incorporating walking into other physical exercise may reduce COVID-19 symptom severity and speed up COVID-19 recovery.

Keywords: Exercise; Healthy walking; Physical activity; SARS-COV-2.

 
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