Karl Marx was in poor health for much of the later decades of his life. Advice was sought from Engels Manchester physician Dr Gumpert. Engels however offered his own views which essentially involved exercise.
While Marx did walk, Engels thought he should do more, and sent him the following guidelines at Easter 1870. After he retired and moved to North London Engels frequently walked on nearby Hampstead Heath and encouraged Marx to join him
In the meantime , I suggest you try taking strenuous walk s — 3 – 4 h o u r s
together — for several consecutive days and , WEATHER PERMITTING, walk
at least 1-2 hours daily, a d then every week such a long walk at
least 1-2 times
Engels to Marx 15th April 1870
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