| 1 | Hong Liu | CHN | 1:30:00 | |
| 2 | Anisya Kirdyapkina | RUS | 1:30:13 | |
| 3 | Elisa Rigaudo | ITA | 1:30:44 | |
| 4 | Shenjie Qieyang | CHN | 1:31:14 | |
| 5 | Susana Feitor | POR | 1:31:26 | |
| 6 | Ana Cabecinha | POR | 1:31:36 | |
| 7 | Kristina Saltanovic | LTU | 1:31:40 | |
| 8 | Beatriz Pascual | ESP | 1:31:46 | |
| 9 | Inês Henriques | POR | 1:32:06 | |
| 10 | Vera Sokolova | RUS | 1:32:13 | |
| 11 | Olena Shumkina | UKR | 1:32:17 | |
| 12 | María Vasco | ESP | 1:32:42 | |
| 13 | Ni Gao | CHN | 1:32:49 | |
| 14 | Regan Lamble | AUS | 1:33:38 | |
| 15 | Olive Loughnane | IRL | 1:34:02 | |
| 16 | Tatiana Mineeva | RUS | 1:34:08 | |
| 17 | Nastassia Yatsevich | BLR | 1:34:09 | |
| 18 | Jamy Franco | GUA | 1:34:36 | |
| 19 | Kumi Otoshi | JPN | 1:34:37 | |
| 20 | Claire Tallent | AUS | 1:34:46 | |
| 21 | Mayumi Kawasaki | JPN | 1:35:03 | |
| 22 | Johanna Jackson | GBR | 1:35:32 | |
| 23 | Nadiia Borovska-Prokopuk | UKR | 1:35:38 | |
| 24 | Lucie Pelantová | CZE | 1:35:45 | |
| 25 | Yong-eun Jeon | KOR | 1:35:52 | |
| 26 | Claudia Stef | ROU | 1:36:55 | |
| 27 | Agnese Pastare | LAT | 1:37:48 | |
| 28 | Brigita Virbalyté | LTU | 1:38:39 | |
| 29 | Maria Michta | USA | 1:38:54 | |
| 30 | Maria Czaková | SVK | 1:39:07 | |
| 31 | Arabelly Orjuela | COL | 1:39:28 | |
| 32 | Ingrid Hernández | COL | 1:39:53 | |
| 33 | Zuzana Schindlerová | CZE | 1:39:57 | |
| 34 | Marie Polli | SUI | 1:40:28 | |
| 35 | Milángela Rosales | VEN | 1:40:49 | |
| 36 | Rachel Lavallée Seaman | CAN | 1:43:31 | |
| 37 | Grace Wanjiru Njue | KEN | 1:43:59 | |
| 38 | Yadira Guamán | ECU | 1:45:15 | |
| 39 | Chaima Trabelsi | TUN | 1:46:29 | |
| Claudia Balderrama | BOL | DQ | ||
| María José Poves | ESP | DQ | ||
| Viktória Madarász | HUN | DQ | ||
| Neringa Aidietyte | LTU | DQ | ||
| Maria Guadalupe Sánchez | MEX | DQ | ||
| Olga Iakovenko | UKR | DQ | ||
| Sabine Krantz | GER | DNF | ||
| Melanie Seeger | GER | DNF | ||
| Masumi Fuchise | JPN | DNF | ||
| Semiha Mutlu | TUR | DNF | ||
| Olga Kaniskina (*) | RUS | DQ |
* ... nachträglich wegen Dopings gesperrt