Training guide

Incline walking and the 12-3-30 workout: calories, joints and how it compares with running

Incline walking means walking uphill, on a treadmill slope or a real hill. The 12-3-30 workout, a 12% incline at 3 mph for 30 minutes, made it popular online with claims of easy fat loss. The one study of it found it burned about 300 calories in 30 minutes in 14 young, active adults: about as hard as a gentle jog, and vigorous for most people.

Going uphill works your hips and calves harder, and in small lab studies, a slow walk up a gentle slope loaded the knee less than brisk flat walking, though descents load it more. No trial has tested 12-3-30 for weight loss. This guide sets out what incline walking costs in energy, what it does to your knees, calves, Achilles and back, how it compares with running and how to build up safely, with uphill moves, strength work for your calves and three follow-along walks.

The short version

12-3-30 is a 12% slope at 3 mph for 30 minutes

A treadmill's incline is a percentage grade, the rise for every 100 units travelled, so 12% is about 6.8 degrees (our arithmetic), not 12. The workout spread on YouTube and TikTok after the influencer who posted it said it helped her lose 30 pounds.

Source 1

It's vigorous for most people

In the one study of it, 14 young, regularly active adults who didn't hold the rails burned about 10 calories a minute, about 300 in 30 minutes: roughly 8 METs (metabolic equivalents, or multiples of the energy you use at rest; our arithmetic), close to the 8.8 the Compendium of Physical Activities gives for walking up an 11 to 20% slope. One of them couldn't finish it. Older, heavier or less fit people may differ.

Sources 1, 2

A slope adds work without adding speed

In a lab study, walking at the same pace took about half as much energy again on a 5% slope and roughly double on a 10% slope. Your hips and calves do most of the extra work.

Sources 3, 4

Knees: gentler going up slowly, harder going down

In small lab studies, walking slowly up a gentle slope loaded the knee less than walking briskly on the flat. But knees bend more uphill, so kneecap pain may not ease, and walking downhill roughly doubled the force through the knee.

Sources 5, 6, 7, 8

Running burns more per minute, with more impact

A self-paced run matched 12-3-30's calories in 24 minutes instead of 30, and running lands with about twice the force of walking. With the same energy used, walkers and runners had similar falls in the risk of high blood pressure, high cholesterol and diabetes.

Sources 1, 9, 10

Build up, and let go of the rails

Start with gentle slopes and add a little at a time, especially if your calves or Achilles complain (our suggestion). Gripping the handrails cut oxygen use by 15 to 21% at the same setting in a small study, so let go: a light touch for balance is fine.

Source 11

What incline walking and 12-3-30 are

A percentage, not degrees

Treadmills set the incline as a percentage grade: how many units you rise for every 100 you travel. So a 12% incline is about 6.8 degrees (our arithmetic), and some pages wrongly call 12-3-30 "a 12-degree incline". 3 mph is 4.8 km/h, about the pace the NHS calls a brisk walk on the flat.

Sources 1, 12

Where 12-3-30 came from

The influencer who created it posted it on YouTube in 2019 and on TikTok in 2020, saying it had helped her lose 30 pounds and keep it off without dieting; she did it about 5 days a week. That's one person's account, not a study.

Source 1

What has and hasn't been studiedMixed evidence

There are lab studies of how a slope changes energy use, muscle activity and joint loads, one small study of 12-3-30 itself, and one study comparing a 20% incline walk with jogging. We found no trial that tested 12-3-30, or a programme of incline treadmill walking, for weight, fitness or health in healthy adults.

Sources 1, 13, 3, 5

How hard it is, and what it burns

A slope adds work at the same speedStrong evidence

In 16 fit adults averaging 33, walking at their preferred pace (about 2.9 mph), the energy cost of walking rose 52% on a 5% slope and 113% on a 10% slope. In 24 adults averaging 75 who walked more slowly (about 1.4 mph), it rose 23% at 10% and 44% at 16%. Across 1,412 lab trials, speed, slope and the load you carry predicted walking's energy cost almost perfectly.

Sources 3, 14, 15

The one study of 12-3-30Emerging evidence

16 regularly active adults (average age 25, weight about 75 kg) did 12-3-30 without holding the rails and, on another day, ran at their own pace until they had used the same energy; 14 completed both. 12-3-30 burned about 308 calories at about 10.2 a minute, and the run matched it in about 24 minutes at 13.1 a minute. One woman couldn't complete 12-3-30.

It's one small study of young, active adults: older, heavier or less fit people may differ.

Source 1

Calories by slope, for a 70 kg personStrong evidence

The 2024 Compendium of Physical Activities gives the average energy cost of activities in METs; multiply by your weight in kg and the time in hours to get calories. Our arithmetic for 30 minutes at 70 kg:

  • Brisk walking on the flat, 3.5 to 3.9 mph (4.8 METs): about 170 calories.
  • Walking up a 6 to 10% slope at a moderate to brisk pace (7.0 METs): about 245.
  • Walking up an 11 to 20% slope at a slow to moderate pace (8.8 METs): about 310.
  • Jogging at your own pace (7.5 METs): about 265.
  • Running at 5 mph, 12 minutes a mile (8.5 METs): about 300.

Sources 16, 2, 17

Averages, not your number

The Compendium's authors say its values don't reflect any one person's exact energy use. Heavier people burn more and lighter people less, and fitness and walking style change it too. Our calories burned calculator does the sum for your weight.

Source 16

Steeper and slower can match a jogEmerging evidence

In 22 inactive young adults, 20 minutes of walking up a 20% slope at 1.8 mph used the same oxygen and calories as jogging on the flat at 3.9 mph (about 170 calories each), with the same heart rate and effort ratings. But the joggers enjoyed it more, felt better by the end, and more of them said they'd do it again.

Source 13

Hands off the railsEmerging evidence

In 10 adults aged 38 to 60, gripping the handrails cut oxygen use by 15 to 21% and heart rate by 12 to 21 beats a minute at the same speed and slope. Holding on means a lighter workout than the display suggests.

Source 11

More fat burned is not more fat lostStrong evidence

12-3-30 drew a higher share of its energy from fat than running did (about 41% against 33%), but it burned less energy per minute. The study's own authors note that total energy use, not the fuel mix, drives weight loss, and exercise alone takes weight off slowly: about 2.8 kg at 150 minutes a week across 116 trials.

Sources 1, 18, 19

Knees, calves, Achilles, shins and back

Your hips and calves do the extra workStrong evidence

In 10 young adults walking up a 9 degree slope (about 16%), muscle activity rose most in the hips: the study reports increases of 345 to 635% in the buttock and hamstring muscles, 165 to 366% in the thigh muscles and 136 to 175% in the calves, compared with flat walking. Walking down the same slope, only the thigh muscles worked harder. Uphill, most of the extra support comes from the hips; downhill, from the knees.

Sources 4, 3, 20

The Achilles tendonEmerging evidence

Your calf muscles pull on the Achilles tendon, and they worked much harder uphill, so the tendon takes more load (our reading). In a study of 6 men, the Achilles tendon stretched substantially with each step on the flat and on a 10% incline, and the calf muscle worked at longer lengths as the slope rose.

If you have Achilles or calf pain, build the slope slowly and use the rule our pain guides use: pain up to 5 out of 10 during exercise is acceptable if it has settled by the next morning. In a trial in Achilles tendinopathy, carrying on activity within a rule like this did no harm.

Sources 4, 21, 22

Knees going upEmerging evidence

In 12 adults with obesity, walking slowly (about 1.7 mph) up a 6 degree slope (about 10.5%) gave a similar moderate effort to walking briskly on the flat (about 3.4 mph), with knee loads about 19 to 26% lower. In a second study of 19 adults with and without obesity, the same slow uphill walk cut the early force through the knee joint by 23 to 35%, and walking more slowly on the flat lowers knee loads too. At 3 mph, slopes of 10% or more lowered a measure linked with inner-knee load in 15 young men and 12 older men.

These are small lab studies in healthy or heavier adults, not trials in people with knee pain. And your knee bends more with each step as the slope steepens, while the thigh muscles work harder, so if you have pain around the kneecap you may not find uphill walking easier: keep slopes gentle, let your symptoms guide you, and see our runner's knee guide.

Sources 5, 6, 23, 24, 25, 7, 4

Knees going downStrong evidence

Downhill is the hard part for knees: on a 19% ramp, knee moments and power were much higher than on the flat, and the force through the knee joint reached about 8 times body weight against 3.9 on the flat. Take descents slowly with short steps, and use poles on real hills. On a treadmill you never walk downhill.

Sources 26, 8, 4

The "12% is best for knees" claimMixed evidence

A 1996 study of 6 people suggested that a slope just over 12% might ease kneecap discomfort or strain on the anterior cruciate ligament in knee rehabilitation. That was the authors' suggestion, not a finding, and the same study found the knee bent more as the slope rose.

Source 7

ShinsMixed evidence

In older adults, the muscle at the front of the shin worked harder as the slope rose, while in a study of younger adults it was the only leg muscle measured that didn't. If your shins ache, see our shin splints guide.

Sources 14, 3

Back and spinal stenosisMixed evidence

In 22 adults, walking on a 10% incline changed how much the upper body turned but not how the pelvis moved. People with lumbar spinal stenosis, a narrowing in the lower spine that causes leg symptoms on walking, walked longer on an inclined treadmill than on the flat, which is the basis of a diagnostic treadmill test. A walking programme that built up to hills and stairs helped stop low back pain coming back in the WalkBack trial, but no trial has tested incline walking for back pain.

Sources 27, 28, 29, 30

Incline walking or running?

Energy per minute and per kilometreStrong evidence

Per minute, 12-3-30 is about as hard as a gentle jog and easier than a self-paced run. On the flat, running 1,600 metres cost about 1.3 to 1.4 times as much energy as walking it. On very steep slopes, the energy cost per metre of walking and running comes together, which is why walking is as efficient as running on steep climbs.

Sources 1, 31, 32, 33

ImpactEmerging evidence

The force of each step rises from about 1.2 times body weight when walking to about 2.5 at fast running speeds, and even slow jogging landed with over 50% more force than walking. In a modelling study of 14 adults, the peak force through the knee was 2.7 body weights walking against 8 running, though because runners take fewer steps per kilometre, the load per metre travelled was similar.

Sources 9, 34

Health, with the same energy usedEmerging evidence

In about 49,000 runners and walkers followed for 6 years, the same energy spent walking or running went with similar falls in the risk of high blood pressure, high cholesterol and diabetes. No trial has compared incline walking with running for fitness, weight or injuries.

Source 10

EnjoymentEmerging evidence

When steep walking and jogging cost the same energy, inactive young adults enjoyed the jog more and were more likely to say they'd do it again. Pick the one you'll keep doing.

Source 13

Who it suits, and who should take care

Who it suits

Our suggestions, from the studies above:

  • People who can already walk briskly for 30 minutes on the flat and want harder cardio without running.
  • Fitter walkers for whom flat walking no longer reaches a talk-but-not-sing effort.
  • People whose knees complain with fast walking or running on the flat, who may find a slower walk up a gentle slope easier (emerging evidence from lab studies).
  • Hikers getting ready for hills, alongside our hiking guide.

Sources 5, 6

Take care if

  • You have Achilles or calf problems: your calves work harder uphill, so build the slope slowly and keep to the pain rule (up to 5 out of 10, settled by the next morning).
  • You have heel pain: we found no studies of incline walking for heel pain, so use the same pain rule.
  • Your back pain is worse when you lean back: walk upright rather than hanging on the rails (our suggestion). With spinal stenosis, a gentle incline may let you walk further.
  • You have a heart condition, or get chest pain, dizziness or breathlessness when active: steep incline walking is vigorous, and screening advice depends on your symptoms, any heart, kidney or metabolic disease and how hard you plan to exercise, so check with your GP first.
  • You're pregnant: walking is recommended, but don't start new vigorous exercise such as steep incline walking.
  • You have balance problems or have fallen: hold the rails lightly for balance, and remember it makes the walk easier, or walk real hills with poles; our seniors plan builds balance first.

Sources 4, 22, 28, 35, 36, 11

How to start incline walking

Editorial, built from the energy, joint and handrail studies above. Our incline treadmill workout turns it into four levels up to the 12-3-30 settings.

  1. Be able to walk briskly for 30 minutes on the flat first.
  2. Warm up for 5 minutes on the flat, easy, then brisk.
  3. Start at 3 to 5% for 10 to 15 minutes, at a speed where you can talk in full sentences. Hands off the rails: a light touch for balance is fine.
  4. Every session or two, change one thing: add 1 or 2% of slope, or 5 minutes. Slow the belt as the slope rises, so you can still talk.
  5. Cool down on the flat for 3 to 5 minutes, then stretch your calves.
  6. Check the next morning: if your calves, Achilles or shins are still sore, go back a step.
  7. Do 2 or 3 incline sessions a week, with easier days between, alongside your other walking.
  8. To finish, slow the belt and lower the slope gradually, and hold the rails to step off. Use the safety clip throughout.

Loading the 3D figure…

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The movement on the figure: Treadmill walking

Ways to walk uphill

Set a treadmill slope or find real hills at a talk-but-not-sing pace, use stairs or a stair machine for shorter, harder climbs, and save rucking (walking with a loaded pack) for hike training, starting at about 10% of your body weight as its guide suggests.

Strength for hills: calves, shins and hips

On 2 days a week, do 2 or 3 sets of 10 to 15 calf raises (the bent-knee raise works the soleus, the deep calf muscle), 2 sets of 10 to 15 tibialis raises and 3 sets of 8 step-ups on each leg, and stretch your calves for 30 seconds each side after walking, for comfort (our editorial starting point).

Workouts

The incline treadmill workout builds to the 12-3-30 settings in four levels; the incline walking workout is a gentler hill walk; the interval walk adds fast minutes on the flat; hikers can add the hill and stair session, and the foot and ankle routine strengthens your calves and feet.

Plans

The walking plan adds hills from week 5 and offers the incline treadmill workout after week 8.

When to stop and get help

Check first

Most people can start walking without a check: WHO says medical clearance is generally unnecessary before activity no harder than brisk walking. Steep incline walking is vigorous, though, so check with your GP first if you have a heart, kidney or metabolic condition, or get chest pain, dizziness or breathlessness when active; the NHS also suggests a word with your GP if you haven't been active for a while. On a beta blocker, go by the talk test rather than your heart rate, as our zone 2 guide explains.

Sources 37, 35, 38

Call 999 now (911 in the US)

Stop and call 999 (don't drive yourself to A&E) for:

  • Chest pain that feels tight or like squeezing, or spreads to your arms, neck, jaw or back.
  • Chest pain with sweating, feeling sick, light-headedness or breathlessness.
  • Severe difficulty breathing: gasping, choking or not able to get words out.
  • Someone who has collapsed and isn't responding normally.
  • Pain and swelling in one leg with breathlessness or chest pain: it can be a blood clot that has reached the lungs.

Sources 39, 40, 41, 42

Get urgent advice the same day (NHS 111, or your doctor or urgent care in the US)

  • Being suddenly more short of breath than usual.
  • Chest pain with feeling sick, or with a heartbeat that races, skips or flutters.
  • Throbbing pain and swelling in one calf or thigh, with warm, red or darker skin around it: it can be a blood clot in a leg vein (DVT).
  • A snap or pop at the back of the heel, then trouble walking or standing on tiptoe: it can be a torn Achilles tendon or a broken heel bone.

Sources 39, 42, 43

See a GP

  • Leg pain that comes on when you walk and goes after a few minutes' rest: it can be narrowed leg arteries.
  • Chest pain that comes and goes.
  • Heel pain that is severe, getting worse or keeps coming back, or hasn't improved after 2 weeks of looking after it at home.
  • Feeling light-headed again and again when you step off the treadmill, even after slowing down gradually (our suggestion).
  • Calf, Achilles, shin or knee pain that is worse the next morning or builds week on week despite easing off: see the guide for that area, or a GP or physiotherapist (our suggestion). Pain in one spot on a bone that you can point to with a fingertip needs checking, as our stress fracture guide explains.

Sources 44, 40, 43

Myths

"12-3-30 means a 12-degree incline"Strong evidence

Treadmills show a percentage grade, so 12% is about 6.8 degrees (our arithmetic).

Source 1

"12-3-30 burns more fat than running"Emerging evidence

It burned a higher share of fat (about 41% against 33%) but less energy per minute, and a run matched its calories in 24 minutes. Fat lost depends on your total energy balance, not the fuel mix during exercise.

Sources 1, 18

"12-3-30 is an easy beginner workout"Emerging evidence

At roughly 8 METs it's vigorous for most people, and one young, active adult in the study couldn't finish it. Build up to it.

Sources 1, 2

"Incline walking is easy on every joint"Emerging evidence

Walking slowly uphill loaded the knee less than brisk flat walking in small lab studies, but your knee bends more uphill, your calves work much harder, and descents load the knee most.

Sources 5, 6, 7, 4, 8

"Holding the handrails doesn't change anything"Emerging evidence

Gripping them cut oxygen use by 15 to 21% at the same setting in a small study.

Source 11

"Incline walking builds your glutes like squats"Mixed evidence

Uphill walking raises buttock and hamstring muscle activity, but no trial has shown that it builds glute muscle. For that, our glute workout plan uses strength training.

Source 4

"Its creator lost 30 pounds, so 12-3-30 works for weight loss"Strong evidence

That's one person's account: she said she did it about 5 days a week, without dieting. No trial has tested 12-3-30 for weight loss, and European obesity guidance says to expect no more than 2 to 3 kg on average from exercise alone.

Sources 1, 45

Questions people ask

What is the 12-3-30 workout?

Walking on a treadmill at a 12% incline and 3 mph (4.8 km/h) for 30 minutes. It went viral after the influencer who posted it said it helped her lose 30 pounds. A 12% incline is about 6.8 degrees, and the workout is harder than it sounds.

Does 12-3-30 work for weight loss?

It's a vigorous workout that burned about 300 calories in 30 minutes in young adults weighing about 75 kg, so it can help, but no trial has tested it for weight loss. Exercise alone takes off about 2 to 3 kg on average; eating less does more.

Is incline walking better than running?

Not better, different. Per minute, 12-3-30 burned about as much as a gentle jog but less than a self-paced run, with much less impact through your body. Choose the one you'll keep doing: in one study, people enjoyed jogging more.

How many calories does incline walking burn?

For a 70 kg person, about 245 calories in 30 minutes up a 6 to 10% slope and about 310 up an 11 to 20% slope, against about 170 for brisk walking on the flat (our arithmetic from Compendium values). Heavier people burn more and lighter people less; our calories burned calculator does the sum for your weight.

Is incline walking good for your knees?

Going up slowly, often: in small lab studies, a slow walk up a 10% slope loaded the knee less than a brisk walk on the flat, and slopes of 10% or more lowered a measure of inner-knee load. But your knee bends more uphill, so kneecap pain may not ease, and walking downhill loads the knee much more. These were lab studies in healthy or heavier adults, not trials in people with knee pain.

Can incline walking cause calf, Achilles or shin pain?

It can, because your calves work much harder uphill and pull on the Achilles. Build the slope gradually, add calf raises, and if pain is still there the next morning, drop back a level. Our Achilles and shin splints guides have more.

Is incline walking good for your back?

No trial has tested it for back pain, but a walking programme that built up to hills and stairs helped stop back pain coming back in a large trial. Walk upright rather than hanging on the rails. People with spinal stenosis often walk further on an incline than on the flat.

Does incline walking build your glutes?

It makes your glutes and hamstrings work much harder than flat walking, but no trial has shown that it builds glute muscle. For that, our glute workout plan uses strength training such as hip thrusts and squats.

Should I hold the handrails?

Only lightly, for balance. Gripping them cut oxygen use by 15 to 21% at the same setting in a small study, so you'd be doing an easier workout than the display suggests. If you need to hold on, lower the slope or the speed.

How often can I do 12-3-30?

Its creator did it about 5 days a week, but no study has tested how often is best. Our suggestion is 2 or 3 steep sessions a week with easier walks between, because steep slopes work your calves and Achilles hard.

12-3-30 is too hard. Is there a beginner version?

Yes: start at 3 to 5% at a comfortable speed for 10 to 15 minutes and change one thing at a time, or follow the four levels of our incline treadmill workout. If you're short and 3 mph feels like a jog, slow the belt rather than holding on (our suggestions).

Is incline walking or the stair machine better?

Both are climbing, and both are vigorous for most people: the Compendium puts walking up an 11 to 20% slope at 8.8 METs, and climbing stairs at 6.8 at a general pace and 9.3 at a fast one. Whichever you choose, don't lean on the rails. Pick the one you enjoy and can keep up.

Sources

  1. Wong 2025 · The 12-3-30 treadmill workout against self-paced running: energy use and fuel (exploratory crossover study, International Journal of Exercise Science)
  2. Compendium of Physical Activities 2024 · Walking: energy costs by speed and slope (reference table)
  3. Silder 2012 · Predicting the energy cost of incline walking from muscle activity and walking mechanics (lab study, Journal of Biomechanics)
  4. Franz 2012 · How slope and speed change leg muscle activity in walking (lab study, Gait and Posture)
  5. Ehlen 2011 · Energy cost and joint loads of incline treadmill walking in adults with obesity (lab study, MSSE)
  6. Haight 2014 · Slow uphill against brisk level walking: knee joint loads in adults with and without obesity (lab study, Journal of Orthopaedic Research)
  7. Lange 1996 · Muscle activity and knee bend in graded treadmill walking, for knee rehabilitation (lab study, JOSPT)
  8. Kuster 1997 · Knee joint forces in downhill and level walking, for knee replacement design (lab study, Journal of Bone and Joint Surgery)
  9. Keller 1996 · Ground reaction force and speed in walking, slow jogging and running (lab study, Clinical Biomechanics)
  10. Williams 2013 · Walking against running for high blood pressure, cholesterol and diabetes (cohort, Arteriosclerosis, Thrombosis, and Vascular Biology)
  11. Berling 2006 · Holding the handrails and oxygen use on a treadmill (lab study, Journal of Cardiopulmonary Rehabilitation)
  12. NHS · Walking for health
  13. Sato 2024 · Walking up a 20% slope against level jogging at the same energy cost (crossover study, International Journal of Exercise Science)
  14. Kim 2021 · Energy cost and leg muscle activity in incline treadmill walking in older adults (lab study, BMC Geriatrics)
  15. Ludlow 2017 · Walking economy is predicted by speed, slope and load (lab study, Journal of Applied Physiology)
  16. Herrmann 2024 · 2024 Adult Compendium of Physical Activities: a third update of the energy costs of activities (Journal of Sport and Health Science)
  17. Compendium of Physical Activities 2024 · Running: energy costs by speed (reference table)
  18. Thomas 2012 · Why people do not lose more weight from a set dose of exercise (energy balance analysis, Obesity Reviews)
  19. Jayedi 2024 · Aerobic exercise and weight loss in adults (dose-response meta-analysis of 116 trials, JAMA Network Open)
  20. Lay 2006 · Joint movements and moments when walking up and down slopes (lab study, Journal of Biomechanics)
  21. Lichtwark 2006 · The calf muscle and Achilles tendon in uphill, level and downhill walking and running (lab study, Journal of Experimental Biology)
  22. Silbernagel 2007 · Carrying on activity with a pain-monitoring model in Achilles tendinopathy (RCT, American Journal of Sports Medicine)
  23. Browning 2007 · Obesity, walking speed and leg joint loads (lab study, MSSE)
  24. Haggerty 2014 · Incline walking and knee joint mechanics in 15 young men (lab study, Gait and Posture)
  25. Higgins 2025 · Incline walking and knee mechanics in 12 older men (lab study, Sports Medicine and Health Science)
  26. Kuster 1995 · Knee motion and moments in downhill against level walking (lab study, Clinical Biomechanics)
  27. Vogt 1999 · Lower back and pelvis movement in incline treadmill walking (lab study, Gait and Posture)
  28. Fritz 1997 · A two-stage treadmill test for lumbar spinal stenosis (diagnostic study, Journal of Spinal Disorders)
  29. Pocovi 2024 · A progressive walking and education programme to stop low back pain coming back: the WalkBack trial (RCT, Lancet)
  30. Pocovi 2020 · The WalkBack trial protocol: how the walking programme builds up (BMJ Open)
  31. Hall 2004 · Energy cost of walking and running, on a track and a treadmill (lab study, MSSE)
  32. Wilkin 2012 · Energy cost of walking and running in people of average fitness (lab study, JSCR)
  33. Minetti 2002 · Energy cost of walking and running on very steep slopes (lab study, Journal of Applied Physiology)
  34. Miller 2014 · Why don't most runners get knee osteoarthritis? Knee loads per step and per metre (modelling study, MSSE)
  35. Riebe 2015 · Updating ACSM's recommendations for exercise preparticipation health screening (MSSE)
  36. NHS · Exercise in pregnancy
  37. Bull 2020 · World Health Organization 2020 guidelines on physical activity and sedentary behaviour (BJSM)
  38. NHS · Physical activity guidelines for adults aged 19 to 64
  39. NHS · Heart attack
  40. NHS · Chest pain
  41. MedlinePlus (US National Library of Medicine) · Heart attack
  42. NHS · DVT (deep vein thrombosis)
  43. NHS · Heel pain
  44. NHS · Peripheral arterial disease (PAD)
  45. Oppert 2021 · Exercise training for adults with overweight or obesity: European Association for the Study of Obesity recommendations (evidence synthesis, Obesity Reviews)

Exercise education, not a personal prescription, and clinical review of these guides is pending. Check with a GP before starting hard training if you have a heart condition, chest pain, dizziness or breathlessness when active, and stop for sharp or increasing pain. Health disclaimer.