What does "exercise" or
"being active" mean? It all depends on what you can do.
It can be
hard to be active when you have many health problems. Exercising enough to
control diabetes can be a challenge when arthritis makes walking painful or
when heart failure slows you down. But there are choices, like doing exercises
in the water or as part of a cardiac rehab program.
doctor?s help, you can decide what works for you. Figure out what is safe, what
to avoid, and what kinds of choices you have. Don't be too active or get too
much exercise at first. Do a little at first, and then gradually do more.
You want to live life to its
fullest, but you don't want to hurt yourself.
1. Know your strengths and your barriers. When you have more than one
chronic disease, there may be some physical limits on what you can do.
If you push your limits, you could hurt yourself. It?s
also normal to have feelings that can get in the way, like fear or depression.
These emotions and physical limits are called barriers.
2. Get expert advice. Talk to your doctor about all of your
symptoms, medicines, and barriers to being active. Talk about your strengths
and what you enjoy doing. If you've been feeling depressed, be sure to talk
about that too. Depression can make even the simplest things seem hard.
planning form(What is a PDF document?) to gather your thoughts. What do you most like to do? What kinds
of things get in your way? What questions do you have for your doctor?
Go over your planning form with your doctor. Write down what you can do
for exercise and what you need to be careful about. Set a long-term goal you
can reach, and start with small steps toward it. When you reach your goal, find
a way to celebrate it. Then set another goal.
Your doctor may work
with you on an exercise prescription. This clearly sets out what is safe for
you, such as your
target heart rate range and any need for medical
supervision while you exercise. If you need medical staff with you when you
exercise, your doctor will suggest that you sign up for an exercise rehab
3. Know when to stop and when to call your doctor. When you exercise, it's normal to have some minor muscle and joint soreness. But other signs may point to something more serious. Stop exercising if:
You have pain in your chest or upper belly that may spread to your neck, jaw, upper back, shoulder, and arms. Call 911 right away if this happens. Chest pain can be a signal of a heart attack.
You have pain, joint discomfort, or muscle cramps that won't go away.
Your doctor may add other symptoms to look out for, based
on your health.
Call your doctor if your symptoms don't go away
quickly or if they come back again.
What are some basic tips for exercising when you have health problems?
Be as active as you can as often as you can, but honor
your body?s limits.
Set goals that you can reach. If you expect too
much, it?s easy to get discouraged and stop exercising.
emergency phone numbers with you at all times.
Don't be too
active when you begin. This could mean starting out with just a few minutes of
exercise. Each day or so, slightly increase how long and how hard you're
Find a group, class, or buddy you can enjoy being active
Stay within your doctor?s guidelines. For example, if you have
angina, walk just a little slower than the pace that gives you chest pain. If
you have arthritis of the knee or hip, walk on level ground and avoid hills.
Even better, exercise in the water. If you are unsure of your safe range, work
with a physical therapist to find it.
Do not exercise if your
condition is worse than usual. For example, if you have heart failure, do not
exercise during a flare-up.
Health experts suggest that older adults and people with
long-term health problems try to:
Stretch for at least 10 minutes a day, 2 days a
Strengthen the major muscle groups with 8 to 10 exercises a
day, at least 2 days a week.
Try to do at least 2� hours of
moderate exercise a week. One way to do this is to be active 30 minutes a day,
at least 5 days a week.
These are guidelines. A slow walk might feel hard, easy, or
somewhere in between for you, depending on your health and fitness levels. You
and your doctor can decide what?s best for you.
Primary Medical Reviewer
Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer
Brian D. O'Brien, MD - Internal Medicine
August 3, 2011
WebMD Medical Reference from Healthwise
August 03, 2011
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this