You know exercise builds muscles, strengthens bones, keeps your heart healthy and your mind sharp. But it also does something that you might not think much about: It helps keep your immune system β your internal defenses against infection β in tip-top shape.
If you take time for some physical exertion each day, it helps get your body ready to attack bacteria, viruses and toxins that can sneak in and make you sick.
But how much exercise is effective? Do too little or too much, and it wonβt have the best effect on yourΒ immune system.
Clinical immunologist Β Leonard Calabrese, DO, answers common questions about how exercise can impact your immunity and how to use your workouts to shut out a world of would-be invaders.
Q: How does breaking a sweat boost immunity?
A:Β If you exercise moderately on a regular basis, it tunes up the immune system in many ways. It enhances your broad-based defenses against viral infections, such as those causing upper respiratory infections.
Working out regularly also reduces the risk of many chronic diseases such as cardiovascular, respiratory illnesses and metabolic diseases, such as type 2 diabetes.
Q: How much exercise do you need?
A:Β Fortunately, you donβt have to push yourself to the limit to rev up your immune system. In fact, your immune system needs less of a workout than you get with your average cardio routine.
Focus on getting 20-30 minutes of moderate exercise, five days a week, and yourΒ immune systemΒ will thank you.
Q: What types of exercise are most helpful?
A:Β Moderate exercises, including biking or walking briskly in your neighborhood, are good ways to get your blood flowing. Swimming is also a good option for non-weight-bearing exercise for your joints.
Also try mind-body exercises such as Tai-Chi, Qi Gong and yoga, which are all options that help keep your joints flexible. These exercises also reduce chronic stress, which in itself is a powerful immune booster. These exercises can also help alleviate osteoarthritis andΒ fibromyalgiaΒ symptoms.
Q: Can too much exercise set your immune system back?
A:Β Yes, though, the level to which it can slow your system down is still up for debate.
ResearchΒ shows that exercising for more than 1.5 hours without refueling your body or giving it enough time to recover suppresses your immune responses for up to a few days. During that time, your cortisol levels rise, your white blood cell count drops and youβre more likely to develop a respiratory infection.
This problem usually affects elite athletes, such asΒ marathonΒ runners, most.
On the flip side, staying sedentary also increases your risk of infection, inflammation and chronic disease.
Q: Can exercise make an illness worse?
A:Β Yes, it can. This is a complex issue, but I like to tell my patients to do a βneck check.β If your symptoms are mostly of a mild cold without fever or lower respiratory symptoms, such as a productive cough, wheezing or shortness of breath, mild exercise can actually reduce congestion and may make you feel better.
If your symptoms are primarily in your lungs or you have a significant fever its better to rest until things settle down. Regardless, good hydration is important.
If you run regularly, whether itβs an easy jog around the block to stay fit or an intense training regimen to prepare for a marathon, you need proper nutrition.
Here are some tips to help keep runners well-nourished and ready to win.
Foods for Runners and Joggers
A good diet can boost your physical health and help you meet your fitness goals. Make sure your meals emphasize the following basic components:
Fruit and vegetables for vitamins, minerals and antioxidants
Lean protein such as fish, poultry, beans, lentils and tofu
Healthy fats such as olive oil, avocado and nuts
Healthy carbohydrates such as rice, whole grain breads/pastas and oatmeal
Individuals may have different optimal balances, but in general, people who include running or jogging as part of their fitness regimen should get 60% to 70% of their calories from carbohydrates, with lean protein and healthy fats each accounting for 15% to 20% of their remaining calories.
Donβt skimp on carbohydrates
Although low carbohydrate diets are popular go-toβs for people wanting to lose weight, theyβre not ideal for distance runners, who thrive on carbohydrates for endurance.
That is why very low carbohydrate diets, such as the ketogenic diet, plus running is not a good idea. Experts do not recommend keto to runners unless they have been told by their doctor that this a medically safe option for them and they are being monitored while in ketosis.
Distance runners need more carbs than people who arenβt training. Undereating carbohydrates can be hard on your body and affect your recovery after your run.
Hereβs why: Running uses both glucose in the blood and your stores of glycogen. Glucose is the form of sugar that circulates in the bloodstream, and glycogen is the sugar stored in your liver and muscles that acts as the primary fuel for endurance exercise.
Eating plenty of carbs helps ensure that these energy stores are ready to support your training. When those stores get too low, runners are more likely to run out of energy and βburn outβ or βhit a wallβ while training.
Running Diet β Vitamins and Minerals
Running changes your body and your nutritional needs. Often when people start a running regimen, they are trying to lose weight or get in shape quickly, and they donβt realize they need to adjust their diet.
Especially in women runners, dietitians report seeing a tendency to overdo the running while not eating enough, and this can have an effect on health if they do not adequately replenish lost vitamins and minerals in their diet.
For women in particular, calcium and vitamin D are essential for bone health to avoid loss of bone mineral density and the risk of stress fractures.
For more vitamin D, include these foods in your meals:
Vitamin D-fortified dairy and almond, soy or rice based beverages
Eggs
Cereal fortified with vitamin D
Tuna
Salmon
For more calcium, try:
Yogurt and cheese
Tofu
Edamame
Almonds
Canned fish with bones (such as sardines)
Iron deficiency can affect women and even have an impact on their running performance. Menstruation puts people at higher risk of iron deficiency, and if iron isnβt replenished in the diet, decreases in hemoglobin can occur and bring on anemia. Hemoglobin is what carries oxygen throughout the body, including the muscles, so if there is a deficit, the muscles may feel the effect of insufficient oxygen during exercise.
Iron-rich foods include:
Poultry and other meat
Legumes, such as peas and beans
Dark, leafy green vegetables such as kale
Dried fruits and raisins
Iron-fortified breads and cereals
Dietitians recommend eating eating iron rich foods in combination with foods high in vitamin C, such as citrus, bell peppers or berries, since vitamin C helps increase the bodyβs absorption of iron.
What to Eat Before Running β and When
The best time to eat a full meal is about two to three hours before you hit the road, track or trail. Have a good source of carbs paired with protein, making sure the meal focuses on a healthy carb source.
If itβs been more than three to four hours since youβve eaten, a carbohydrate-rich snack a half-hour before running can ensure you have adequate glucose available before you head out. Directly before a run, itβs best to stick with easy-to-digest carbohydrates to avoid gastrointestinal [GI] distress such as cramping or diarrhea.
Try these:
Bananas
Applesauce
Crackers, pretzels or cereal
White bread
Potatoes
Glucose Boosters for Long Distance Runners
If you are training for a marathon or distance event and are going to be out for over an hour, you will want to bring some fuel with you. Energy drinks, gel tubes and other sources of quick blood-glucose boosters are available, but you can also use something as simple as fruit snacks.
Try practicing with these items as you train so you can pick the formulas that are best for you, and you can work on accessing and ingesting them smoothly without breaking stride.
What foods should runners avoid?
Before a run or the night before a big race, Eidel recommends going easy on:
Spicy foods or foods overly high in fat, which can cause GI upset
Foods that are very high in fiber, which can cause gas and cramping
Caffeine β Although it is tempting to grab a caffeine boost right before a run, runners should remember that for some people, caffeine can stimulate the GI tract, which can result in diarrhea or the need for an emergency bathroom break
Does carb-loading work?
It might. Carb loading is the practice of eating a lot of carbohydrates β particularly those that are easily absorbed, such as white bread, pasta and rice β for 24 to 48 hours before a big race or distance run, to shore up your bodyβs stores of glycogen and lessen the risk of burnout before finishing the event.
Some studies show carb loading is beneficial for people preparing for a race, but itβs important to make sure during that time youβre also allowing your body to rest and giving it time to store what you are ingesting. The number of carbohydrate grams will be differ from person to person, but in general, evidence shows carb loading can be beneficial prior to a distance event.
In contrast, casual runners likely do not need to carb load. Ensuring that their day-to-day diets include extra carbohydrates can be sufficient.
What to Eat After a Run
Itβs common for people not to feel hungry after a run, but a snack or light meal of complex carbohydrates and protein within the first hour after running can help replenish glycogen stores and to support recovery and rebuild stressed muscles. For example:
Peanut butter and banana
Egg on toast
Sandwich with deli meat
Pasta with meat or plant-based protein
Veggie burger on a bun
Protein shake or smoothie
Running to Lose Weight
If youβre interested in running as part of a weight loss plan, getting adequate nutrition is a must. Even casual running or jogging burns calories and can be hard on the body. Runners can become undernourished at first because they donβt understand how much energy theyβre burning when they run and what they need to properly recover.
Eating enough is also essential to building muscles, which can aid in fat burning β a plus for people working on achieving or maintaining a healthy weight.
For optimal weight loss, your plan should not rely on running alone but also include strength training and proper nutrition.
Listen to your body
If you run regularly, you should pay attention to the effects of what you eat and when, especially on running performance. Learning what works best for you can take some time and a little trial and error, but it is worth it, since running, jogging and other regular aerobic exercise offers so many health advantages.
Always feel free to consult a dietitian or doctor, and listen to your body if youβre not keeping up with your training goals.
This recipe switches up chicken marsala by swapping in salmon. Itβs a great way to get delicious and healthy fish on the menu. You should be able to find Marsala wine in the cooking wines or condiments section of your local grocery store.
Ingredients
1 tablespoon olive oil
1 onion, cut into wedges
1 teaspoon minced garlic
10 fresh mushrooms, sliced (or one 7-ounce can of sliced mushrooms, drained)
Add the salmon filets to the skillet, cooking for 10 minutes per inch of thickness (turn them over midway in the cooking time).
Mix together the wine, broth, cornstarch and fresh ground pepper; when the fish is nearly done (you can tell by twisting the center of the thickest part β if it flakes easily, itβs done), add the wine/broth mixture to the salmon.
Stir gently, as the liquid turns into a thick gravy within one minute. Serve over whole-grain pasta or brown rice, with steamed asparagus or vegetable of your choice.
Ingredient health benefits
Olive oil:Β Olive oilΒ is one of those ingredients thatβs actually worth the hoopla. It hasΒ fat-soluble vitaminsΒ like vitamins D and K, whichΒ support your bonesΒ and blood cells. Itβs also home toΒ unsaturated fatsΒ that help decrease yourΒ LDL (βbadβ) cholesterolΒ and increase your HDL (βgoodβ) cholesterol, helping your heart stay happy. And if you need another reason to use olive oil beyond this recipe, it hasΒ polyphenolsΒ and other antioxidants to fight inflammation andΒ free radicals, keeping your cells in peak condition and helping to prevent diseases down the road.
Onions: They may not be the most βa-peel-ingβ ingredient in the produce aisle, butΒ looks can be deceiving. Onions haveΒ prebioticsΒ andΒ fiberΒ to feed your βgoodβ gut bacteria and support healthy digestion. And thatβs not all those layers have to offer! There are alsoΒ vitamin CΒ andΒ flavonoidsΒ that help lower inflammation while boosting your immunity.
Garlic: Like onions, these alliums arenβt the most exciting of foods. But βunremarkableβ doesnβt mean βdevoid of nutrition.β On the contrary,Β garlicΒ is considered aΒ superfood! Aside from keeping vampires away, eating garlic mayΒ strengthen your immunityΒ as part of a well-balanced eating plan. It might also help regulate yourΒ blood pressure, and certain natural compounds in garlic canΒ lower inflammationΒ and protect your cells from damage.
Mushrooms: They may not be plants or animals, but mushrooms are just as nutritious! Theyβre packed withΒ antioxidantsΒ likeΒ seleniumΒ andΒ zincΒ that promote healing and may enhance your immune cellsβ ability to fight diseasesΒ like cancer. Mushrooms are also a surprising source ofΒ B vitaminsΒ β like vitamins B3,B5 andΒ B6Β β which are crucial for creating and fixing DNA, as well as helping your body turn the food you eat into usable energy. Even your heart can benefit from theΒ potassiumΒ found in theseΒ fantastic fungi, which helps regulate your blood pressure and keep the beat.
Salmon: Not just for the bears! This hearty fish is a complete protein thatβsΒ pescatarian-friendly, meaning it has all the amino acids your body needs to keep moving. Salmon is alsoΒ low in mercury contentΒ and high inΒ omega-3s, heart-helpful fats that are essential for your head-to-toe health. And thatβs not all for omega-3s! They also double as an anti-inflammatory thatΒ promotes your immune system.
Nutrition information (per serving)
Makes 4 servings
Calories: 450 Fat: 12 g Fiber: 9 g Sodium: 147 mg (doesnβt include the optional salt) Carbohydrates: 44 g Protein: 37 g
Yoga is a gentle practice that is ideal for maintaining back strength and flexibility. It’s also one of the more effective tools for helping reduce low back pain, the most common source of pain and disability among older adults. https://bit.ly/3nRzFEP#HarvardHealth#Yoga
A modest uptick in the amount of fruit and vegetables you eat can help ward off type 2 diabetes, according to a study published online July 8, 2020, by The BMJ. From a much larger study involving some 340,000 people from eight European countries, scientists selected 9,754 participants who were newly diagnosed with diabetes over a decade. Researchers compared the fruit and vegetable intakes of these people to those of about 13,000 participants who remained diabetes-free during the study period. Researchers also measured blood levels of seven key plant-derived nutrients, including vitamin C and brightly colored antioxidant pigments called carotenoids. People with the highest intakes of fruit and vegetables and the highest blood levels of the plant-derived nutrients were 25% to 50% less likely to get diabetes during the study period, compared with those who ate the least of these food groups or had the lowest nutrient levels. Even better, it didn’t take a whole lot of extra green, red, yellow, and orange on the plate to make a dent in diabetes risk. The equivalent of only two-thirds of a medium apple or just over one-third of a cup of mixed fruit each day offered protection.
The health of mothers and babies is the foundation of healthy families and communities, helping ensure hopeful futures for us all.
World Health Day, celebrated on 7 April 2025, will kick off a year-long campaign on maternal and newborn health. The campaign, titled Healthy beginnings, hopeful futures, will urge governments and the health community to ramp up efforts to end preventable maternal and newborn deaths, and to prioritize womenβs longer-term health and well-being.
WHO and partners will also share useful information to support healthy pregnancies and births, and better postnatal health.
This task is critical. Tragically, based on currently published estimates, close to 300 000 women lose their life due to pregnancy or childbirth each year, while over 2 million babies die in their first month of life and around 2 million more are stillborn. Thatβs roughly 1 preventable death every 7 seconds.
Based on current trends, a staggering 4 out of 5 countries are off track to meet targets for improving maternal survival by 2030. 1 in 3 will fail to meet targets for reducing newborn deaths.
Listening to women and supporting families
Women and families everywhere need high quality care that supports them physically and emotionally, before, during and after birth.
Health systems must evolve to manage the many health issues that impact maternal and newborn health. These not only include direct obstetric complications but also mental health conditions, noncommunicable diseases and family planning.
Additionally, women and families should be supported by laws and policies that safeguard their health and rights.
Campaign goals
Toβ―raise awarenessβ―about gaps in maternal and newborn survival and the need to prioritize womenβs longer-term well-being.
Toβ―advocate for effective investments that improve the health of women and babies.β―
Toβ―encourage collective actionβ―to support parents as well as health professionals who provide critical care.
Toβ―provide useful health information relating to pregnancy, childbirth, and the postnatal period. Β
Get involved
Hereβs what you can do to support the campaign:
Spread awareness:β―share informationΒ about the campaign usingβ―#HopefulFutures and #HealthForAll.
Participate:β―attend ourΒ global eventsΒ to learn more about what it will take to end maternal and newborn mortality.
Donate:β―contribute to theΒ WHO FoundationΒ which supports WHOβs work to protect mothers and babies in countries around the world.
Motherhood is a journey filled with love, but at times can be isolating. Join our campaign to combat loneliness in motherhood and help create a supportive community where every mum feels connected. Visit http://themotherhoodprogramme.ie
A salad combination you may not have thought of, but will now be hooked on
This salad is a perfect addition to a large dinner menu when you have guests over for dinner and have a lot of other dishes to prepare. Itβs bright and flavorful, and you can make the dressing a day or two ahead to prep!
Ingredients
Dressing
1 1/2 cups frozen raspberries, thawed 2 to 4 tablespoons orange juice (depending on thickness desired) 1 tablespoon white wine vinegar 1 teaspoon sugar 1 tablespoon orange zest 4 tablespoons chopped fresh chives
Salad
1 pound romaine lettuce, washed, dried and torn into bite-sized pieces 1 pound radicchio, washed, dried, shredded 3 carrots, peeled and grated 1 cup mandarin oranges, drained, patted dry 20 cherry tomatoes, quartered
Directions
Assemble salad ingredients in salad bowl and toss.
Put all ingredients for the dressing in food processor or blender (except for 2 tablespoons chives), and process.
After all is processed, stir in the remaining 2 tablespoons chives.
Pour over salad just before serving and toss.
Nutrition information (per serving)
Calories: 107 Total fat: 0.5 g Saturated fat: 0.1 g Protein: 3 g Carbohydrate: 25 g Fiber: 5.4 g Sodium: 37 mg
βRecipe developed and copyrighted by Kristine Napier, MPH, RD, LD.