The global ageing population necessitates public health strategies to address age-related health decline. While physical activity is widely recognised as beneficial, exercise referral schemes often struggle to sustain participation. Walking football, an adapted version of traditional football designed for middle-aged and older adults, offers a unique alternative by harnessing intrinsic motivators such as enjoyment and social interaction to encourage long-term engagement. This narrative review examines walking football’s potential as a public health intervention, focusing on its safety and physical and mental health effects. The results reveal that walking football’s slower pace and reduced physical contact make it accessible and safe for individuals with various chronic conditions. However, limited evidence on injury rates and the lack of standardised injury surveillance highlight the need for consistent data collection to evaluate long-term safety. Emerging research indicates modest improvements in cardiovascular health and body composition, though findings are constrained by small, predominantly male samples, limiting generalisability. Qualitative studies highlight positive mental health impacts for individuals with mental health conditions, including enhanced social connections, self-confidence and purpose in life. Nonetheless, quantitative evidence on mental health outcomes remains sparse, emphasising the need for robust studies with validated pre-post intervention measures. Overall, walking football shows promise as a safe strategy to promote physical and mental health among diverse populations. Further research is crucial to better understand its benefits, limitations and safety profile, enabling its effective integration into exercise referral schemes and social prescribing initiatives aimed at increasing physical activity and well-being in middle-aged and older adults.

Walking Football is a growing adapted sport offering a viable alternative to traditional exercise for middle-aged and older adults. While rule modifications aim to reduce injury risk, this has yet to be established. This study conducted injury surveillance in community-based Walking Football to determine injury incidence and characteristics in training and matches. A four-month observational cohort study remotely tracked injuries and exposure time across seven Walking Football clubs in England using a sub-elite injury surveillance framework. Injuries were classified as medical attention (requiring on-field attention without subsequent absence) or time-loss (≥1 day of participation absence). Injury incidence was calculated per 1000 h of play. Across 6364.55 h of exposure, 45 injuries were reported: 30 (66.7%) medical attention and 15 (33.3%) time-loss injuries. Injury incidence was 5.3 [1.5–11.5] per 1000 h in training (medical attention: 3.3 [0.8–7.3]; time-loss: 2.0 [0.5–4.5]) and 37.6 [8.7–83.9] per 1000 h in matches (medical attention: 28.9 [5.8–66.6]; time-loss: 8.7 [0–23.2]). Match injury incidence was significantly higher than training (rate ratio: 7.1 [1.3–31.4]). Findings suggest that injury incidence in community-based Walking Football is low, supporting its safety and potential as a sustainable physical activity strategy for middle-aged and older adults.

Aim: Physical activity (PA) is widely acknowledged as a cost-effective strategy to support mental health in students. However, the COVID-19 pandemic’s disruptive influence raises questions about how the relationship between PA and student mental health may have evolved. Therefore, the present study explored this relationship before, during and after the pandemic. Methods: A repeated cross-sectional design was employed with survey data collected annually (2019–2022) in term one (October) at an English university. Mental well-being was evaluated using the Short Warwick-Edinburgh Mental Well-being Scale and weekly moderate to vigorous physical activity (MVPA) measured in 6,250 students. Pearson’s Product Moment Correlation tests were used to assess the correlation between mental well-being and MVPA for each year. Results: There was a weak (r = 0.14–0.19, p < 0.001) positive correlation between mental well-being and MVPA for each year. This relationship was stronger for males compared to females in 2020 (Z = 1.02, p < 0.01) and 2022 (Z = 3.56, p < 0.001). Conclusion: The consistent correlation between mental well-being and MVPA suggests that the pandemic did not alter the discernible link between the two variables, emphasising the importance of PA for student mental health even during unprecedented circumstances.

Walking Football is an adaptation of Association Football, played primarily by middle-aged and older adults, with rule changes to enhance accessibility. Sport participation poses injury risks, yet the risk of injury in Walking Football has not been established. This study quantifies injury incidence, estimates injury burden, and examines injury characteristics. The prospective observational study recorded injuries during The FA Walking Football Cup 2024, featuring 84 teams in three categories: Women's 40 years+, Mixed Gender 50 years+, and Mixed Gender 60 years+. Time-loss injuries (≥1 day estimated absence), and medical attention injuries (on-field attention only) were measured along with match exposure (total playing-hours). Injury incidence and estimated injury burden per 1000 player-hours, and injury characteristics, were analysed. Across all categories, 42 match injuries occurred over 850.6 h of exposure, with 8 time-loss (19%) and 34 medical attention injuries (81%). The overall injury incidence was 49.4 injuries per 1000 h, with time-loss injury incidence at 9.4 and medical attention injury incidence at 40.0 injuries per 1000 h. The total estimated injury burden was 156.4 days absent per 1000 h. Injuries were evenly distributed between non-contact (52%) and contact mechanisms (48%), with tackles representing 45% of cases and running, explicitly prohibited in Walking Football, accounting for 12%. Overall, Walking Football has a low injury risk, with most injuries classified as non-time-loss. However, the prevalence of contact-related injuries suggests stricter enforcement of minimal contact rules could further reduce injury incidence. Safety strategies should prioritise reducing tackle-related injuries and minimising running to ensure player welfare.

Height-adjustable workstations offer a practical strategy to reduce sedentary behaviour in student populations, but the effect of standing intervals on young adults' metabolic health remains uncertain. This study investigated the acute impact of breaking up sitting time with intermittent standing on postprandial metabolic responses in university students. Using a randomised, cross-over design, 23 participants (13 females, 10 males; age, 24 ± 5 years; BMI, 23.2 ± 3.1 kg/m²) completed two trials: 2 hours of uninterrupted sitting (SIT); and 2 hours alternating between sitting and standing every 30 minutes (STAND). During this period, participants underwent an oral glucose tolerance test, with [glucose] and [insulin] measured. Ad libitum food intake post intervention was also measured. No significant effects between trials nor trial × time interaction was found for [glucose] or [insulin] (all p > 0.05). The postprandial iAUC did not differ for [glucose] (p = 0.824; SIT: 222 ± 83 mmol/L; STAND: 225 ± 90 mmol/L) or [insulin] (p = 0.269; SIT: 17507 ± 9738 pmol/L; STAND: 15649 ± 10181 pmol/L). There were no differences in energy or macronutrient intake between trials. These findings indicate that interrupting sitting with 30-minute standing intervals does not improve postprandial metabolic responses in young, normal-weight adults.