Xia Wanyuan, Zheng Daikun, Chen Xiaomin, Yu Liliang, Jiang Xiujuan, Fan Mingyue, Zou Haifang, Li ChangFeng, Liu Min, Zhao Yan, Kang Jiming
School of Public Health and Management, Chongqing Three Gorges Medical College, Chongqing, 404120, P. R. China.
Chaling Center for Disease Prevention and Control, Zhuzhou City, 412400, Hunan Province, China.
BMC Public Health. 2025 Apr 23;25(1):1497. doi: 10.1186/s12889-025-22748-7.
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.
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.
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.
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.
健康步行是一种中等强度的有氧运动，步频每分钟超过100步。本研究旨在评估一种新型体育活动——健康步行，对18至65岁新冠肺炎患者病情严重程度和病程的影响。
这项横断面研究纳入了1128名成年参与者，他们在中国调整预防政策后，从第一波新冠病毒感染中康复后完成了问卷调查。调查问题包括他们感染新冠病毒时的健康状况、基本社会人口统计学数据以及有关慢性病和生活方式的病史。采用多元逻辑回归模型和线性回归模型来评估反映新冠病毒感染严重程度的因变量。
在1128名成年参与者中，平均年龄为39.93±10.18（四分位间距：31.75 - 48），男性有407人（36.08%）。每周步行达300分钟的参与者与新冠病毒感染呈负相关（比值比：0.562，95%置信区间：0.41 - 0.863）。与仅接种一剂疫苗相比，接种三剂疫苗与重症新冠病毒感染呈负相关（比值比：0.289，95%置信区间：0.092 - 0.742）。女性（比值比：1.935，95%置信区间：1.475 - 2.540）与重症新冠病毒感染呈正相关，同居者比例高也呈正相关（比值比：2.741，95%置信区间：1.284 - 5,881）。在评估影响新冠病毒感染病程的危险因素的线性模型中，习惯性健康步行（[公式：见正文] = -0.433，[公式：见正文] = 0.004）在调整所有显著危险因素后与疾病持续时间缩短有关。
规律的健康步行可能有助于缓解症状并加快康复。因此，将步行纳入其他体育锻炼中可能会降低新冠病毒感染症状的严重程度并加快新冠病毒感染的康复。
