While we're all cooped up during the pandemic, the World Health Organization wants you to exercise.
The organization released new physical activity guidelines recommending that adults get at least 150 minutes — that's 2.5 hours — of moderate to vigorous physical activity weekly.
The WHO's new physical activity recommendations come at a time when the coronavirus pandemic continues to wreak havoc around the world — and being overweight or obese has been associated with an increased risk of severe illness and hospitalization from Covid-19.
The WHO previously recommended that adults ages 18 to 64 do either at least 150 minutes of moderate exercise or minimum 75 minutes of vigorous exercise each week, and those previous recommendations were made for healthy adults. The new recommendations now include people living with chronic conditions or a disability.
"Being physically active is critical for health and well-being — it can help add years to life and life to years," said WHO Director-General Dr. Tedros Adhanom Ghebreyesus in a news release. "Every move counts, especially now as we manage the constraints of the COVID-19 pandemic. We must all move every day — safely and creatively."
Regardless of who you are, WHO has a few core principles in mind: Everyone can benefit from being more active than sedentary. Doing some physical activity, no matter what it is, is better than doing none. You can start small and slow and increase your frequency, intensity and duration over time. You can strengthen your muscles at home or in the gym (when safe). And physical activity is good for our hearts, bodies and minds.
What children and adolescents need
Children up to 17 need at least 60 minutes of moderate-to-vigorous exercise each day, according to the new recommendations. The activities should be mostly aerobic, such as jogging or biking. Activities that strengthen muscle and bone are necessary, too.
For kids to be more active, they need to perceive their activity options as fun in addition to having the access and opportunity, said Dr. Stephanie Walsh, the medical director of Child Wellness at Children's Healthcare of Atlanta. If you're working with your children on that, try referring to "exercise" by the words going outside or playing.
If your kid finds walking boring, make it more enjoyable by doing scavenger hunts or playing I Spy. Adolescents could listen to music, video chat or use fitness apps.
"Generally children/adolescents always report they like to do physical activity to: 1) be with their friends 2) have fun 3) to learn something new," said Craig A. Williams, a professor of pediatric physiology and health and director of the Children's Health & Exercise Research Centre at the University of Exeter in England, via email.
Stay active together, mix it up, be encouraging and adjust what doesn't work, Williams said. Dance if you hate running and roller skate if you prefer not to walk. Additionally, encourage your children to notice how they feel: If they sweated and breathed hard, they did well.
Young people are more immediately at risk for mental health problems than for chronic heart or metabolic conditions.
If you're trying to get your teenagers to be more active, encouraging them to exercise in consideration of their mental health may be more effective than warning them about physical health impacts, "which may seem far off in a young person's mind," said Joseph Hayes, a principal research fellow in psychiatry at University College London, via email.
Pleasant, noncompetitive activities can help children develop the confidence, ability and enjoyment "to be active for the rest of your life," Walsh said, influencing their self-esteem, mood and academic performance.

The World Health Organization wants you to exercise while we're all cooped up during the pandemic.
Guidance for adults
For adults up to age 64, getting at least 150 to 300 minutes of moderate aerobic activity, or minimum 75 to 150 minutes of vigorous aerobic exercise, per week can reduce the risk for early death, heart disease, hypertension, cancer and Type 2 diabetes, the report said.
The guidelines also recommend that older adults, ages 65 and older, do at least 150 to 300 minutes of moderate intensity exercise or 75 or 150 minutes of vigorous aerobic exercise throughout the week.
Exercises that strengthen all muscles should be done at least twice weekly. The same guidance goes for older adults, as much as they can — but they should prioritize balance and strength training a few days per week. Those can help prevent falls and related injuries, as well as declines in bone health and ability.
Work and home commitments, medical conditions and isolation can hinder hitting activity goals, said Dr. Adnan Qureshi, a professor of neurology at the Zeenat Qureshi Stroke Institute and the University of Missouri-Columbia.
"While large size indoor gathering is discouraged at this moment, outdoor activities ... can still be good options," said Yian Gu, an assistant professor of neurological sciences in the departments of neurology at epidemiology at Columbia University in New York City, via email. "There are also many options for family indoor activities, such as aerobic exercises (and) ping-pong."
A few steps can enhance participation, Qureshi said:
- Understand how physical activity can improve your quality of life.
- Link the activity to another passion such as interaction with people, nature or technology.
- Quantify the time spent and distance covered.
- Incorporate activity into a regular scheduled routine.
- Consider the barriers in achieving goals and find strategies to overcome barriers with health professionals.
- Note the benefits you have achieved.
The possible benefits "must be balanced against potential safety risks and people should be cautious depending on underlying health conditions they may have," said Dr. Richard Marottoli, a physician and professor of medicine at Yale School of Medicine in Connecticut. "Check with your clinician before undertaking an exercise regimen."
Advice for pregnant and postpartum women
Staying active during and after pregnancy has benefits for both mother and baby, including decreased risk of gestational diabetes, delivery complications and postpartum depression.
If pregnant and postpartum women have no underlying conditions or complications, the report said, they should get at least 150 minutes of moderate aerobic and strengthening activities each week. Stretching could be beneficial and soothing.
However, pregnant women should ensure that they're hydrated, avoiding physically risky activities and be aware of any warning signs that would alert them to stop. Those include feeling dizzy, painful contractions or vaginal bleeding.
Guidelines for people with chronic conditions
A healthy lifestyle is still possible even if you have chronic conditions, the WHO report stressed.
"Some people with chronic conditions have challenges performing some of the recommended types and amounts of physical activity and may avoid physical activity all together because of concerns about riskos," said Regina Davis, the associate executive director of public health policy and practice for the American Public Health Association.
"The type of physical activity one may be able to do may be different, but there are still benefits."
Among people with diseases like cancer and heart disease, physical activity can reduce the risk for early death, disease progression and poor quality of life.
As much as they are able, people with chronic conditions should do at least 150 to 300 minutes of moderate aerobics per week or at least 75 to 150 minutes of vigorous aerobics weekly. A few times per week, they should do strengthening and balance exercises to enhance their abilities to function well and prevent falls.
Tips for those with disabilities
For children with physical or intellectual disabilities, the main guidelines for children without disabilities apply — if the benefits outweigh any possible risks, according to their pediatrician or disability specialist. Activity can especially benefit those with conditions that impair cognitive function, such as attention-deficit/hyperactive disorder.
For adults with disabilities, activity can improve physical and cognitive function, strength and quality of life. The guidelines for adults apply to adults with disabilities as well.
Despite the amount of evidence for the effects of sedentary and active behaviors, the report said, we don't know as much about the outcomes among people from underserved neighborhoods and with disabilities.
It is "good to see WHO advocating for this, but recognizing that physical activity is such an important marker of health and well-being might help to embed its importance to society, not just medically but economically and culturally," Williams at the University of Exeter said.
Moving is, after all, he added, "what our skeletons were designed to do."
How to prepare for a COVID-19 winter

COVID-19 isn’t going away. The United States surpassed 8.3 million cases as of Oct. 21 and the country is averaging more than 40,000 new cases daily. Ten states recently saw record increases in new infections, and more than half are experiencing growing rates. Only three are seeing downturns. Beyond new infections, as of Oct. 12 there were two documented cases of reinfection in the United States, on top of more than 20 global cases of reinfection. Those in the U.S. were more severe than the original infections.
Spikes in communicable diseases occur in winter due to people interacting in closer quarters, and Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently warned us to prepare for a worsening of the pandemic in coming months with no real respite until late 2021. Even though a vaccine could be rolled out to frontline workers and those with high-risk conditions by the end of 2020, others should expect to wait until well into next year. Beyond the wait, the fast-tracking of vaccine development contributes to the chance that the initial offering may not be fully effective.
Furthermore, studies show the virus can survive on surfaces far longer than originally thought; so beyond mask-wearing, we aren’t done with hand-washing and other ways to optimize hygiene. Educating yourself and continuing to adapt everyday habits will be crucial as we move into a season that’s challenging for some even in the best of times.
Stacker compiled 30 ways to prepare for a COVID-19 winter, using data and reports from trusted media and health officials. Options range from the expected—masking up—to more-innovative—avoiding a sense of isolation via online language meetups, or creating a Zoom-friendly work-from-home space.
Read on to learn ways to survive and thrive throughout an unusual upcoming winter in terms of optimizing health, home, work, mental health, and social interactions.
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Get tested now

Testing is becoming more and more readily available, often for free. Those who have any of the common symptoms shouldn’t wait.
Assume you have the virus

Even those who were tested recently might have subsequently been in contact with someone who was asymptomatic but still shedding the virus.
Stock up on masks

Masks are ever-present these days: Even restaurants and mini marts are stocking them, to encourage customers to mask up. But not all masks are equal when it comes to preventing COVID-19, so pay attention to current research.
Get a flu shot

Because the flu and COVID-19 share some symptoms, getting a flu shot is an important part of surviving the winter without unnecessary aches, pains, fevers, and sniffles, and being confident that any that do arise are not from garden-variety influenza. NPR has some recommendations on when and where to get one to simplify the process and maximize the impact.
Educate yourself about the pandemic

Insights from scientific sources change almost daily, but there are ways to stay on top of the latest data. The COVID Data Tracker has breakdowns by state, county, demographics, and more, and your county health department site typically offers information specific to your region.
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Stock up on ways to survive colds and flus

The last thing anyone wants in a COVID-19 winter is another bug. Look for traditional and holistic ways to manage colds and flus: Some of them will also keep you healthier in the worst-case scenario where you contract COVID-19, too.
Simplify your meals

Life during a pandemic is tough enough: Fussing over how to eat healthy can compound the stress. Simplify eating well by subscribing to one of many meal box services, or collect a handful of simple recipes.
Get moving to stay healthy

Movement is one way to optimize health, and if done outside at a distance, one of the safest and most-affordable ways to keep healthy when we’re still facing COVID-19. Invest in a few layers to protect from cold and wet weather, and pay attention to these tips from the National Weather Service to avoid hypothermia.
Exercise online...affordably

Getting swole—or just more energetic and strong—doesn’t require daily trips to the gym. Check out affordable or even free online programs that require no or little gear: Some even have online communities to help boost your motivation and build your tribe.
Move your feet

Getting in any steps is an improvement over staying stuck at the keyboard or slumped on the couch. When days get shorter, it’s important to gear up for safety when walking outdoors, with a headlamp, reflective clothing, and other ways to stay visible.
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Keep on pedaling

Anyone who got obsessed with cycling this year has two options in the winter: Invest in cold-weather gear, or buy an indoor trainer so you can stay warm and dry.
Play in the snow

Mountain resorts all over the world have adopted new ways of doing business. Check out your favorite resort’s website to learn what they’re doing to keep snowboarders and skiers safe.
Boost your mental health

Depression spikes in the winter, and a sense of isolation can lead people to engage in risky behavior. Avoid both by planning ahead with ways to boost your mental health.
Shop for things that bring you joy

Yes, retail therapy is a thing. But don’t just consume indiscriminately. Think of the best way to be happy at minimal cost, whether it’s a comfort meal or 60 minutes of movement and escape at the yoga studio.
Don’t be S.A.D.

Sad is not just an emotion, but a scientifically recognized syndrome that affects some people when sunlight is in short supply. Sun lamps and vitamin D are two low-cost ways to beat seasonal affective disorder.
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Say no to isolation

Feeling lonely is increasingly commonplace in 2020, especially for those who live alone. Fortunately, there are ways to connect online, from Slack groups to language meetups.
Say yes to counseling

Even the best-adjusted are struggling already, and from what the experts say, we have many more months ahead. Online counseling and support groups can both help, and sometimes they’re free.
Optimize your work-from-home space

Anyone who’s new to working remotely because of the pandemic is more than aware of the need to adapt. Fortunately, there are tips for everything from decorating your space to using white noise to drown out distractions.
Zoom better

Thriving in an environment where meetings have gone almost entirely online requires learning new etiquette and new tools: One online professional offered some suggestions.
Explore safe, socially distanced commuting

Anyone who’s used to using mass transit but isn’t comfortable with crowded buses and trains will have to find new commuting options during the pandemic. Winter boots and/or traction cleats are one possibility for walkable but wintry commutes.
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Don’t get caught in the cold

Make sure your heating systems have been serviced and are in good working order ahead of cold snaps. Rebates and other incentives are available to help prepare energy systems for winter.
Create an emergency kit

Having supplies accessible in an emergency kit is always important. The CDC has some suggestions for pandemic-specific additions.
Get set for outside socializing

Winter doesn’t need to be a barrier to safe socializing. With cozy additions like a fire pit or patio heater, plus lighting and perhaps a cover for those soggy days, entertaining outside throughout the chilly season is a real option.
Garden year-round

With a winter greenhouse, continuing a pandemic-inspired obsession with gardening is possible. It’s also one way to create community, as long as you have a few social-distancing guidelines in place.
Gear up for snowy days

Get a snow shovel, blower, and/or rock salt to clear sidewalks: That way, you and others can safely navigate the neighborhood while meeting at a distance.
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Shop safely outside

By patronizing outdoor markets, not only do you stay safer, but also support farmers, artisans, and other small businesses that have been hit hard by the pandemic.
Stay safe when voting

Voters have more options in many states this year because of COVID-19, but that also contributes to confusion. Fortunately, there are resources with state-by-state breakdowns on how and where to vote safely.
Travel the world remotely

Exploring the world without leaving your computer is an option these days. Venues ranging from museums to zoos are inviting patrons into their spaces this way.
Be smart when you socialize

New research from the CDC talks about ways that COVID-19 spreads indoors. One doctor reminds us that we might not want to remove our masks quite so quickly.
Build your bubble

Create a “coronavirus bubble” of friends to better stay under the currently recommended number of people outside your household. But beware: Everyone needs to commit to interacting only with that group, or the game plan won’t work.
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