| Final Ranking | time | | gap pen. | | 1. Kimberly García |  Peru | 1:26:58 | NR | | | 2. Katarzyna Zdziebło |  Poland | 1:27:31 | NR | +0:33 | | 3. Qieyang Shijie |  China | 1:27:56 | | +0:58 | | 4. Jemima Montag |  Australia | 1:28:17 | | +1:19 ~ | | 5. Liu Hong | China | 1:29:00 | SB | +2:02 ~ | | 6. Nanako Fujii |  Japan | 1:29:01 | SB | +2:03 | | 7. Alegna González |  Mexico | 1:29:40 | SB | +2:42 | | 8. Valentina Trapletti |  Italy | 1:29:54 | | +2:56 ~ | | 9. Ana Cabecinha |  Portugal | 1:30:29 | SB | +3:31 > | | 10.Ma Zhenxia | China | 1:30:39 | | +3:41 ~ | | 11.Olena Sobchuk |  Ukraine | 1:31:19 | | +4:21 | | 12.Lyudmila Olyanovska | Ukraine | 1:31:42 | SB | +4:44 | | 13.Wu Quanming | China | 1:31:44 | | +4:46 ~ | | 14.Kumiko Okada | Japan | 1:31:53 | | +4:55 | | 15.Saskia Feige |  Germany | 1:32:12 | | +5:14 ~~ | | 16.Noelia Vargas |  Costa Rica | 1:32:36 | SB | +5:38 > | | 17.Viviane Lyra |  Brazil | 1:33:11 | | +6:13 ~~ | | 18.Meryem Bekmez |  Turkey | 1:33:27 | SB | +6:29_> | | 19.Glenda Morejón |  Ecuador | 1:34:27 | | +7:29 | | 20.Rebecca Henderson | Australia | 1:34:38 | | +7:40 | | 21.Eliška Martínková |  Czech Republic | 1:34:45 | | +7:47 ~ | | 22.Kiriaki Filtisakou |  Greece | 1:34:55 | SB | +7:57 | | 23.Brigita Virbalytė |  Lithuania | 1:35:36 | SB | +8:38 | | 24.Robyn Stevens |  United States | 1:36:16 | | +9:18 ~ | | 25.Carolina Costa | Portugal | 1:36:31 | | +9:33 | | 26.Karla Jaramillo | Ecuador | 1:36:36 | | +9:38 | | 27.Ángela Castro |  Bolivia | 1:36:52 | SB | +9:54 | | 28.Christina Papadopoulou | Greece | 1:37:20 | SB | +10:22 >>> | | 29.Enni Nurmi |  Finland | 1:37:29 | | +10:31 | | 30.Emily Wamusyi Ngii |  Kenya | 1:37:43 | | +10:45 ~ | | 31.Evelyn Inga | Peru | 1:38:23 | SB | +11:25 >> | | 32.Inês Henriques | Portugal | 1:38:32 | | +11:34 | | 33.Galina Yakusheva |  Kazakhstan | 1:38:47 | | +11:49 | | 34.Priyanka Goswami |  India | 1:39:42 | | +12:44 ~~~ | | 35.Miranda Melville | United States | 1:39:58 | | +13:00 >> | | 36.Rachelle de Orbeta |  Puerto Rico | 1:41:55 | | +14:57 ~ | | -. Valeria Ortuño | Mexico | DNF | | | | -. Hanna Shevchuk | Ukraine | DNF | | | | -. Nicole Colombi | Italy | DSQ | TR54.7.5 | _>>>> | | -. Maidy Monge |  Guatemala | DSQ | TR54.7.5 | _~~~~ | | -. María Pérez |  Spain | DSQ | TR54.7.5 | _~~~> |
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| | | Venue; 1 kilometer loop on Martin Luther King Jr. Boulevard. | | Start: 13:09 Temperature: 25° C Humidity: 43% | | End: 14:55 Temperature: 27° C Humidity: 39% | | 41 Competitors from 26 Nations. Quota ---. | | Entry Standard: 1:31.00. |
| Intermediate Times: | | 5km: Kimberly García (PER) 21:42 | | 10km: Qieyang Shijie (CHN) 43:31 | | 15km: Kimberly García (PER) 1:05.19 |
| World Record: Yang Jiayu, China 1:23:49 Huangshan, China 20 March 2021 | | Championship Record: Olimpiada Ivanova, Russia 1:25:41 Helsinki, Finland 7 August 2005 | | World Leading: Elvira Chepareva, Russia 1:26:42 Sochi, Russia 31 January 2022 | | African Record: Grace Wanjiru Njue, Kenya 1:30:40 Nairobi, Kenya 6 June 2018 | | Asian Record: Yang Jiayu, China 1:23:49 Huangshan, China 20 March 2021 | | North, Central American and Caribbean Record: Lupita González, Mexico 1:26:17 Rome, Italy 7 May 2016 | | South American Record: Glenda Morejón, Ecuador 1:25:29 La Coruña, Spain 8 June 2019 | | European Record: Vera Sokolova, Russia 1:25:08 Sochi, Russia 26 February 2011 | | Oceanian Record: Jemima Montag, Australia 1:27:27 Adelaide, Australia 13 February 2022 |
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