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Take caution resuming your fitness routine after Covid, RSV or influenza, experts say | CNN

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Take caution resuming your fitness routine after Covid, RSV or influenza, experts say | CNN

Editor’s note: Before beginning any new exercise program, consult your doctor. Stop immediately if you experience pain.



CNN
 — 

You’re finally sticking to your New Year’s resolution to exercise regularly when you become sidelined by Covid-19. Or maybe you’re a seasoned fitness buff training for a marathon, then have to hit pause due to a nasty bout with respiratory syncytial virus or influenza.

No matter the scenario, the big question is how to safely reboot your fitness regimen once you have recovered.

If you had a simple head cold or 24-hour stomach flu bug, there is not too much to be concerned about. But Covid, RSV and influenza are more serious maladies that require a thoughtful approach to resuming exercise. That’s because the three are viral infections, which tend to cause whole-body inflammation, said Dr. R.J. Turner, a primary care and sports medicine physician with UTHealth Houston.

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“What that inflammation can do is irritate your heart and lungs, which ultimately can affect your breathing and the way your heart beats,” Turner said. “It takes time for your body to completely recover from a viral infection.”

It can take even longer than average to be ready to hit the gym if you’re an older adult or have underlying health concerns, such as diabetes or high blood pressure. And if you already had heart or lung issues, that requires even more caution.

Another factor to consider is how long you’ve been ill and inactive. “You start to lose strength in your muscles after five to seven days of inactivity,” said Marisella Villano, a certified personal trainer and owner of Marvil Fit in Hampton Bays, New York.

Indeed, your muscles can begin to atrophy within eight hours of surgery. And being bedridden for less than two weeks can result in a 5% to 10% reduction in muscle mass in your quadriceps, according to a 2013 study published in The International Journal of Biochemistry & Cell Biology.

No matter which virus you had, wait at least five to seven days after recovering before packing your gym bag. You also should be able to do all of your daily activities without excessive fatigue.

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“Your body, heart and lungs need to recover,” Turner said. “You don’t want to push it too early and then have complications.”

If you had Covid accompanied by heart- or lung-related symptoms such as chest pain or difficulty breathing, the American College of Cardiology recommends seeing your physician before resuming exercise. And if Covid caused you to develop myocarditis, an inflammation of the heart, the ACC guidelines say to abstain from exercising for three to six months.

Once you’re cleared to resume your workouts, take it slow and easy. Turner recommended calculating your maximum heart rate and keeping it below 70% to start, which is considered light exercise. To determine your maximum heart rate, first subtract your age from 220, then calculate 70% of that. For example, a 40-year-old would have a maximum heart rate of 180 beats per minute (220 minus 40). Since 70% of 180 is 126, a 40-year-old’s heart rate should initially stay below 126 beats per minute. You can use a heart-rate monitor or fitness watch to track your heart rate.

Villano recommended walking at an easy pace for the first 10 days post-recovery before progressing to more moderate exercise. “But don’t go back to 100% of what you were doing before you became ill,” she said. “Decrease your loads by at least 10% or 15%.”

At her fitness studio, some of Villano’s clients tried to jump right back into their workouts after a bout with Covid, despite her warning against it. The result was always the same: The overly eager go-getters fatigued earlier than previously, as their heart rates accelerated at lower workloads than before their illness. Some got lightheaded.

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“I have to talk them off the ledge and tell them their gains are cumulative,” she said. “Decreasing your workload doesn’t mean you will lose all of your gains.”

As you’re slowly working back to your normal fitness routine, pay attention to how you’re feeling. Yes, you’ll likely feel some fatigue as you get back into shape. But if you feel like your heart is racing or beating irregularly, or if you have any chest pain, stop immediately and see your physician.

“The biggest thing to be concerned about are heart attacks and developing heart arrhythmias,” Turner said.

Being well-hydrated and consuming nutritious foods are also crucial, Turner said, both while you’re ill and when you’re returning to activity. That’s because your body needs energy to fight off the infection while you’re sick and later to fuel your workouts.

Should you become frustrated or down about how long it’s taking to get back in shape, remember this: Those who are physically active are less likely to become ill, and if they do catch an infection, it’s typically less severe than for someone who is a couch potato.

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“At the end of the day, the healthier we are, the better outcomes we have if we do get sick,” Turner said.

Melanie Radzicki McManus is a freelance writer who specializes in hiking, travel and fitness.

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Fitness

At 72, Oprah swears by this specific move for full-body strength – here’s why it’s so effective

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At 72, Oprah swears by this specific move for full-body strength – here’s why it’s so effective

Oprah Winfrey, 72, has been vocal about her weight loss journey in recent years, revealing that maintaining fitness, particularly through strength training, has been crucial while using GLP-1s. Such is her love for these newfound fitness habits that she even did a 72-minute workout to celebrate her 72nd birthday earlier this year.

Now, the talk show host has taken to Instagram to share with her followers a specific strength move that has quickly become a staple in her routine: kettlebell swings.

Why are kettlebell swings effective?

‘Kettlebell swings are one of the most efficient movements because they combine strength, power and cardiovascular conditioning in one exercise,’ says Alice Jordan, a women’s strength and hormone health coach. ‘They target the posterior chain – glutes, hamstrings and lower back – which is especially important for women as we age, helping to improve posture, reduce back pain and support metabolism.’

Jordan adds that kettlebell swings ‘also elevate the heart rate quickly, making them ideal for busy women who want maximum results in minimal time,’ and that when incorporated into your routine correctly, they ‘can improve fat loss, core stability and overall functional strength, which carries over into everyday movement and injury prevention.’

Another key benefit that makes kettlebell swings such an effective movement for women as they age? ‘They help build explosive strength and bone density – both crucial for women during and after menopause.’

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How to do kettlebell swings

It’s important to take the time to properly learn the right technique – as Oprah said she did. Alongside the video she posted on Instagram of her performing the exercise, Oprah wrote ‘I first saw other people doing kettlebell swings so skillfully that I didn’t attempt them for at least a year! Now Trainer Peter is always right by my side to course correct me so I’m doing them right – and I think I finally got the swing of them.’

Explaining how to do kettlebell swings, Jordan says that ‘the movement should come from the hips, not the lower back or shoulders. Think about pushing your hips back, keeping your spine neutral, and then powerfully driving the hips forward. This helps target the glutes and reduces the risk of injury.’

When it comes to ensuring that you choose the right weight, Jordan adds that a ‘good starting point for most women is a kettlebell between 6-10kg – but the key is that it should feel challenging enough to drive the hips forward without using the arms.’

‘If you can easily lift it with your shoulders, it’s usually too light. Many beginners actually benefit from going slightly heavier so they learn proper hip hinge mechanics,’ she flags.

How often to do kettlebell swings

So, how often should you do the move per week? ‘For beginners, I’d typically recommend starting with 2-3 sets of 10-15 reps, focusing on good technique and plenty of rest between sets,’ says Jordan. ‘The priority early on is learning the hip hinge and building confidence with the movement, rather than pushing volume too quickly.’

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Doing this 2-3 times per week works well for most beginners, she adds, as it ‘allows enough time to recover while still building strength, power and cardiovascular fitness.’ When your technique and fitness improve, you ‘can gradually increase either the number of sets or include swings as part of full-body workouts.’

‘It’s also helpful for beginners to keep sessions relatively short and stop before fatigue affects form, as this reduces the risk of injury and helps reinforce good movement patterns.’

Common mistakes to avoid

Jordan says common mistakes to avoid include:

  • Turning the swing into a squat rather than a hinge
  • Lifting the kettlebell with the arms instead of letting momentum and hip power do the work
  • Rounding the back and going too heavy too quickly

It really is important to be patient and take some time to get your form exactly right – as it will mean you’ll get the most out of the exercise in the long run.


Headshot of Hannah Bradfield

Hannah Bradfield is a Senior Health and Fitness Writer for Women’s Health UK. An NCTJ-accredited journalist, Hannah graduated from Loughborough University with a BA in English and Sport Science and an MA in Media and Cultural Analysis.  She has been covering sports, health and fitness for the last five years and has created content for outlets including BBC Sport, BBC Sounds, Runner’s World and Stylist. She especially enjoys interviewing those working within the community to improve access to sport, exercise and wellness. Hannah is a 2024 John Schofield Trust Fellow and was also named a 2022 Rising Star in Journalism by The Printing Charity.  A keen runner, Hannah was firmly a sprinter growing up (also dabbling in long jump) but has since transitioned to longer-distance running. While 10K is her favoured race distance, she loves running or volunteering at parkrun every Saturday, followed, of course, by pastries. She’s always looking for fun new runs and races to do and brunch spots to try.

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The Workout Habit That Can Become Harm

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The Workout Habit That Can Become Harm

If your day begins with a HIIT class and ends with the saintly glow of “I’ve been good,” you’re not alone. Regular movement can lighten stress, settle anxiety, and generally make the world feel a little less like a group chat on deadline. But for a small group of gym-goers, exercise addiction isn’t a punchline or a humblebrag — it’s a real behavioural pattern that can quietly bulldoze daily life.

Researchers in Budapest have suggested that for around 0.3 to 0.5% of gym-goers, working out and the quest for ultimate wellness can tip into unhealthy obsession. And a separate study from Anglia Ruskin University found the risk rises sharply for people with a history of eating disorders — with researchers reporting you’re nearly four times more likely to experience exercise addiction if you’ve previously had anorexia or bulimia.

It’s an uncomfortable twist, because exercise is supposed to be the good bit. The socially approved coping mechanism. The one that gets likes, not concerned phone calls.

Why “Healthy” Can Be a Convenient Disguise

Wellness culture has a curious magic trick: it can make rigid rules look like discipline. Eight hours’ sleep becomes a badge of honour. “Clean eating” becomes a personality. And a workout missed can feel, for some, less like a rest day and more like a moral failure.

That’s what makes compulsive exercise hard to spot — especially during or after recovery from disordered eating. To friends and family, it can look like someone has “sorted themselves out.” Under the surface, the engine can be the same: fear, control, anxiety — just with different gym kit.

As Eating Disorders Awareness Week begins (March 2–8), we spoke to experts about wellness, disordered exercise, and the additional risks for those with a history of eating disorders.

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Can Eating Disorders Be Replaced by Exercise Addiction?

Kerrie Jones, a psychotherapist specialising in eating disorders and clinical director of treatment centre Orri, says eating disorders and exercise addiction often share the same roots — and the same function.

“Eating disorders, like exercise addiction, arise when we have lived through an experience – or lots of different experiences – that have taught us that we’re not safe in our day-to-day lives,” she says.

“Obsessing about food, weight or exercise is a behavioural mechanism that has developed as a means of keeping us feeling safe and in control when otherwise we’d feel overwhelmed with fear and anxiety.”

Jones explains that these behaviours can narrow a person’s focus to what feels measurable and manageable — calories, reps, weight, shape — while masking the deeper fear underneath.

“We call these ‘maladaptive’ coping mechanisms, as they develop through seemingly good intentions, but to the detriment of our longer-term physical and mental health.

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“Sometimes, when people reach a point in their recovery where they are stable and functioning, they may move from an obsessive relationship to food, to an obsessive relationship to exercise.”

And because exercise is widely applauded — and often actively encouraged — the behaviour can stick around far longer than people realise.

“It’s a much more socially accepted and idolised means of maintaining obsessive behavioural patterns,” says Jones, which means it can linger for years before someone seeks help.

What Drives Exercise Addiction Psychologically?

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There’s rarely one neat cause. It’s more often an overlap of biology, social pressure, past experiences, and psychology — with a particular role for trauma and learned patterns of control.

“There’s no one reason or cause why someone might develop an eating disorder or exercise addiction, however, it’s often a combination of social, genetic and psychological factors,” says Jones. “Commonly, we find a negative life experience or traumatic experience at the root.”

Chartered psychologist and Healthspan ambassador Dr Meg Aroll says more research is needed specifically on exercise addiction, but we already know a lot about how behavioural addictions operate — particularly the loop of compulsive thoughts and repeated behaviours.

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“We know that it’s important to change patterns of ruminative and compulsive thoughts in people with behavioural addictions, which is why treatments such as cognitive behavioural therapy are likely to be of help.”

In plain terms: it’s not about willpower. It’s about patterns — and treating what’s driving them.

Signs to Watch For: When Training Turns Compulsive

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There’s no single template for exercise addiction. People don’t present in one uniform way, and “looking fit” tells you precisely nothing about what’s happening mentally.

But there are common warning signs, especially when exercise becomes less about wellbeing and more about relief, guilt, or control.

Jones says a person might:

  • Feel guilt and shame about missing exercise routines
  • Keep secrecy around how much they’re exercising
  • Continue to workout when ill, exhausted or injured
  • Prioritise exercise repeatedly over family, friends, work, and recovery

That last point matters. Training that regularly trumps relationships, rest, or basic health isn’t “dedication.” It’s a red flag waving in fluorescent gym lighting.

Does Social Media Make It Worse?

Social media can be supportive — community can be a lifeline — but it can also validate compulsive habits. A life organised entirely around workouts can look, online, like “motivation,” when the reality might be anxiety management dressed up as routine.

“For people who are predisposed to eating disorders or behavioural addictions, wellness culture can appear to support and condone this type of maladaptive behaviour,” says Aroll.

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“However, on its own, wellness and social media culture is not to blame – someone with such conditions will have a complex combination of factors in their life leading to their symptoms, which should be investigated fully and treated professionally.”

Jones adds that if you know you have an addictive personality, it’s worth curating your feed with intent — and unfollowing content that escalates guilt, restriction, body obsession, or punishment narratives.

What To Do If You’re Worried About Someone

The hardest part is saying something — and the most important part is saying it well. Jones recommends addressing it directly, but with care around timing, tone, and what you focus on.

“It’s important to broach the topic with them directly as their physical and mental health may be severely at risk,” says Jones. “Pick a time to talk when emotions aren’t running high, and where possible, try and avoid talking about exercise specifically or the more symptomatic aspects of exercise addiction or their eating disorder.

“Instead, focus your questions and concerns on how they’re feeling, underneath their day-to-day activities.

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“Keep in mind that there are specialists out there who can help and the charity Beat has numerous resources on how to have a difficult conversation with someone.”

In other words: aim beneath the behaviour, toward the emotion.

Do We Need a Broader Conversation About “Healthy”?

Here’s the tricky bit. Health professionals rightly champion exercise for physical and mental health. But for people recovering from eating disorders — or with a vulnerability to compulsive behaviours — messaging can land differently. “More is better” can become a permission slip for harm.

“I think there needs to be a broader conversation about what it means to be ‘healthy’ and to live a ‘healthy lifestyle’,” says Jones. “What works for some, may not work for others, particularly if they’ve suffered with an eating disorder in the past and would have trouble maintaining a normal relationship to exercise and food.”

Jones says clinicians assessing physical health need to consider personal history and the intention behind the behaviour.

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“If possible, we need to investigate the intention associated with exercise and unpick the feelings that arise before, during and after exercising.”

That’s the real measuring stick. Not calories burned, not streaks kept alive, not the smug serenity of a kale smoothie. If movement helps you live more freely, it’s doing its job. If it’s tightening the cage — especially in recovery — it’s time to call it what it may be: exercise addiction, and something that deserves proper support, not applause.

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I’ve seen some bizarre exercises online. If I were an influencer, this is the one workout I’d recommend | Devi Sridhar

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I’ve seen some bizarre exercises online. If I were an influencer, this is the one workout I’d recommend | Devi Sridhar

Are you still keeping up with your 2026 resolution to exercise more? Or perhaps you’re just trying to survive the winter doldrums, with exercise the last thing on your mind. Whatever it is, social media is alight with fitness influencers showing off all kinds of bizarre and viral exercise trends.

Take squats, a core exercise move. Those don’t seem good enough any more, so now we have Zercher squats (holding a barbell in your elbow crease like a metal baby), squats on vibration plates, squats while throwing a heavy ball and on and on. Some of these exercises may in fact be good, some useless, but because influencers can’t be seen to be doing the same thing every day, the key thing is that they’re novel and can be sold as “the little-known secret exercise that everyone should be doing”.

Then there’s adding a gimmick to an existing exercise. There’s goat yoga, puppy yoga and – my favourite new trend from the US – snake yoga, in which snakes such as pythons slither around the room and on to mats and yogis while they’re in downward dog thinking about spiritual intentions or, more likely, what’s for dinner. The marketing is that being around snakes in yoga can help overcome a fear of snakes while also building flexibility. Cross two things off your to-do list at once!

Here’s my public health take: fear of snakes is rational. About 5.4 million people are bitten by snakes each year. Evolution spent thousands of years instilling that fear in us – for good reason.

Why do bizarre fitness trends go viral, and why do they appeal to something within us? I think it has to do with boredom, the need for novelty and Fomo. Exercise can feel boring: going out running for the same 5k or heading to the gym to the same equipment and space. This is true also for yoga, which can feel slow and lack excitement.

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The idea of trying something new is appealing, plus there is a constant push by certain fitness influencers implying that they know something we don’t. Some of them play on health anxiety and a desire to optimise with the “best” exercise to maximise your time and results: how to get a six-pack in two weeks or how to lose 10kg in five days (both pretty much impossible, by the way). Plus they’re telling us to buy a supplement or try a new juice cleanse that will be the missing piece to make us feel better by March.

Fitness trends sell that hope of feeling better. Take Hyrox, a hybrid endurance event where super-fit people pay good money to push sleds, throw wall balls, burpee-jump across the room and run between various stations. It’s impressive to watch and looks great on social media – which feels essential these days – and it’s a clear way to show your friends how fit you are. But it also reflects the push towards extreme, complicated and injury-prone exercise.

I’m going to say something you don’t want to hear, especially if you love Hyrox or snake yoga: none of this is necessary. If your goal is to feel strong, move better, stay pain free and live longer, you need three things: cardio exercises, resistance training and mobility training.

You don’t need weights, reptiles or cameras. It sounds simple, but what makes exercise hard isn’t the actual movement. It’s finding the time and routine to make it sustainable and part of your daily life. Which brings me to the most untrendy thing I can offer you: a 13-minute workout you can do anywhere, with or without weights. This is my default on busy days, and when I’m at home I have an 8kg sandbag on hand to add in.

All you need is a timer on your watch or phone. Start with three minutes of cardio to get warm and your heart rate up, whether it’s jogging on the spot, jumping jacks or just marching. Then it’s three minutes of legs, rotating between five each of narrow squats, broad squats, backward lunges, forward lunges and calf raises. Then on to three minutes of upper body, moving between five each of narrow push-ups, wide push-ups and tricep dips. Time to move on to core with a one-minute plank (either on your hands or forearms) and one minute of glute bridges (lifting your hips off the floor while lying on your back). For the final two minutes, just stretch out, whether that’s standing and reaching for your toes, lying on your back and moving your legs right and left like windshield wipers or sitting cross-legged and folding forward.

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That’s it. Do this a couple of times a week if you can. Will you see it go viral on socials? No. Will it get sponsored by a supplement company? No. Will it increase your healthy life expectancy and make you feel happier? Public health evidence suggests yes. The real challenge, it turns out, isn’t finding the latest hack or trend. It’s sticking with a (snake-free) routine, even when the novelty wears off and 2026 resolutions fade from memory.

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