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CHRONIC OBSTRUCTIVE PULMONARY DISEASE - PART 2: COPD & EXERCISE

  • Oct 9
  • 5 min read

Disclaimer: The content of this blog post, authored by Dr. Moran Sciamama-Saghiv, is provided for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment. No doctor–patient relationship is created by reading or applying the information. Readers should always consult a licensed healthcare professional before making decisions related to medications or treatment. Neither the author nor any affiliated party assumes any liability for actions taken based on this content.


Chronic Obstructive Pulmonary Disease (COPD) can make even the simplest activities feel exhausting. However, don't let that discourage you. With the right forms of exercise, you can significantly enhance your quality of life. In this post, we will discuss beneficial exercises for COPD, those to avoid, and the FITTVP (Frequency, Intensity, Time, Type, Volume, and Progression) guidelines to help you stay active.



Chronic Obstructive Pulmonary Disease (COPD) - Spirometry
Chronic Obstructive Pulmonary Disease (COPD) - Spirometry


Understanding COPD and Its Impact on Exercise

COPD includes diseases like emphysema and chronic bronchitis, leading to breathing difficulties. Common symptoms are shortness of breath, coughing, and fatigue. These can make exercise seem overwhelming. However, research shows that regular exercise can improve lung function by up to 15% and enhance your energy levels. Even a modest increase in physical activity can lift your mood and overall well-being. The key is selecting the right exercises that work for you without causing unnecessary strain.



Chronic Obstructive Pulmonary Disease (COPD) - Shortness of Breath
Chronic Obstructive Pulmonary Disease (COPD) - Shortness of Breath


Advised Forms of Exercise for COPD

For individuals with COPD, engaging in low-impact activities that foster cardiovascular health, strength, and flexibility is vital. Here are some recommended forms of exercise:


Aerobic Exercise

These exercises are crucial for lung function improvement. Some effective aerobic exercises include:


  • Walking: Start with just 5 minutes and gradually increase your distance. Aim for at least 30 minutes on most days.

  • Cycling: A stationary bike can be particularly effective. Begin with 10-minute sessions, ramping up to longer durations as you gain strength.

  • Swimming: The water’s buoyancy eases joint strain while promoting easier breathing. A study suggested that 30 minutes of swimming, three times a week, can significantly benefit lung capacity.


Strength Training

Building muscle is essential for daily activities. Low-resistance exercises are ideal. Consider these:


  • Bodyweight exercises: Simple movements like squats and lunges help develop strength without added weights.

  • Resistance bands: These bands can effectively strengthen muscles and are easier on the joints compared to heavy weights.


Flexibility and Stretching Exercises

Flexibility is essential for injury prevention and improving your general health. Including these in your routine can be beneficial:


  • Yoga: Gentle yoga not only enhances flexibility but also teaches deep breathing, aiding relaxation.

  • Tai Chi: This practice involves slow movements and deep breathing, making it both calming and beneficial for lung function.


Chronic Obstructive Pulmonary Disease (COPD) - Yoga
Chronic Obstructive Pulmonary Disease (COPD) - Yoga
Chronic Obstructive Pulmonary Disease (COPD) - Tai Chi
Chronic Obstructive Pulmonary Disease (COPD) - Tai Chi


Exercises to Avoid

Certain exercises can put undue stress on individuals with COPD. Avoid the following:


High-Intensity Workouts

Activities like sprinting or heavy weightlifting can strain your lung capacity. Intense workouts may exacerbate breathlessness and fatigue.


Sudden Movements

Exercises with abrupt motions, such as some sports or high-impact aerobics, can lead to discomfort and possible breathlessness.


Exercises in Poor Air Quality

Exercise outdoors only when air conditions are favorable. High pollution or pollen can worsen symptoms and make breathing harder.


Recommended FITTVP Guidelines

Creating a safe exercise program for COPD involves following these FITTVP guidelines:


Frequency

Aim for 3 to 5 days per week of aerobic exercise and 2 to 3 days of strength training.


Intensity

Start with low to moderate intensity. Use the Borg Rating of Perceived Exertion (RPE) scale; aim for a level of 3 to 5, where you can converse but feel slightly breathless.


Time

Begin with 10 to 15 minutes of exercise per session. Gradually aim for 30 minutes as your endurance improves.


Type

Focus on low-impact exercises that you enjoy, combining aerobic work with strength and flexibility training.


Volume

Target 150 minutes of moderate-intensity aerobic exercise weekly, along with strength training sessions.


Progression

As you build endurance, slowly increase the duration and intensity of your workouts. Pay attention to how your body reacts and adjust accordingly.



Chronic Obstructive Pulmonary Disease (COPD) - Resistance Bands
Chronic Obstructive Pulmonary Disease (COPD) - Resistance Bands

Tips for Staying Active with COPD

Staying active can be a challenge, but with the right approach, it is achievable. Here are some practical strategies:


Consult Your Healthcare Provider

Before starting any fitness program, check with your healthcare provider. They can help tailor an exercise plan that suits your needs.


Set Realistic Goals

Establish achievable fitness goals aligned with your current abilities. Acknowledge small milestones to keep your spirits high.


Monitor Your Symptoms

Pay close attention to how your body responds during exercise. If you feel excessive shortness of breath or discomfort, pause and rest.


Stay Hydrated

Drinking enough fluids is crucial. Dehydration can lead to fatigue and make symptoms more severe.


Use Breathing Techniques

Incorporate methods like pursed-lip breathing into your routine. These can help manage breathlessness and improve overall lung function.



Chronic Obstructive Pulmonary Disease (COPD) and Exercise
Chronic Obstructive Pulmonary Disease (COPD) and Exercise

Embracing an Active Lifestyle with COPD

Exercise plays a significant role in managing Chronic Obstructive Pulmonary Disease (COPD). By incorporating gentle aerobic activities, strength training, and flexibility work into your routine, you can boost lung function, enhance your quality of life, and alleviate the daily challenges posed by COPD. Remember to respect the FITTVP guidelines, seek advice from healthcare professionals, and listen to your body. With determination and the right strategies, you can maintain an active and fulfilling lifestyle, despite the challenges posed by COPD. Take those first steps today towards a more active, vibrant you!


Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease (COPD)



An Image of the Pumpy & Pumpina children's book by Dr. Moran Sciamama-Saghiv
Pumpy & Pumpina children's book by Dr. Moran Sciamama Saghiv. Meant for children ages 2-5.


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