Under the initiative of “co-construction and sharing, health for all”, the natural condition of coastal area in Qingdao becomes the key area of the national fitness. Based on the health-oriented theory, authors analyze the health-oriented connotation of the coastal fitness environment, and suggest that the realization of health-oriented coastal fitness environment needs to meet the spatial demand of health-oriented behaviors and health behaviors. These behaviors should maintain accessibility and friendliness. Based on the present status survey and IPA analysis, it is concluded that the continuity and gradual changes are in urgent need of improvement, followed by smoothness, then convenience and recognizability need to update. Therefore, in combination with the acceptable time and distance, authors put forward specific optimization strategies from four aspects. That is, coastal fitness environment in Qingdao can be improved by network of coastal footpaths, intelligent management of color lightings, reasonable connecting of road materials and humanized and recognizable fitness site, in order to promote residents’ health activities and national fitness.