Chronic Lung Disease: Starting an Exercise Plan 

When you have chronic lung disease, exercise is an important part of your treatment. You may wonder how you can exercise without becoming short of breath. The answer is, you cannot. However, this is not necessarily bad. Shortness of breath is a sign that you are pushing yourself and pushing yourself now means you will be able to do more in the future. The steps on this sheet will help you get started.

Step 1: Get an evaluation

First, you will need to see your healthcare provider. You need to be evaluated before you can start exercising. Your healthcare provider will assess your lungs, heart, and blood pressure. He or she will gauge your need for supplemental oxygen. You will be checked for other cardiovascular problems. You may also have an exercise test. This is to check the safety of exercise for you. It will help your healthcare provider see what limits you should have on exercise and it will help him or her make exercise recommendations for you. Always follow an exercise program using the guidelines provided and approved by all your healthcare providers.

Step 2: Talk about your exercise plan

You and your healthcare provider will set up a safe exercise plan that meets your needs. Ask about types of exercises you can try. Also ask how often to exercise, and how long each session should last. Your healthcare provider may tell you to use a fast-acting bronchodilator before each exercise session. He or she may also tell you to use oxygen during exercise. Be sure to follow all of your healthcare provider's instructions.

Step 3: Choose your activity

Think about the activities you discussed with your healthcare provider. Choose the ones that appeal to you—you are more likely to keep exercising if you are enjoying it. Your choices may include:

• Chair exercises, such as moving your arms and legs while sitting. These may be good if you are too short of breath to do other types of exercise.
• Lifting light hand weights or water bottles to build upper body strength.
• Walking. This is a good way to get oxygen moving through your body. You can walk outdoors or indoors, such as around the house or at a shopping mall.
• Swimming, water aerobics, or using a stationary bike or treadmill.

Step 4: Get moving

Exercise is most effective when it is done at least 30 minutes a day, most days of the week. Start gradually and work up to this goal. Here are some tips for getting started:

• Make exercise a regular part of your routine. You may enjoy exercising with friends.
• Use a watch to keep track of how long you exercise each day. Record your progress in a notebook.
• Increase your endurance gradually. For instance, add 1 minute to your exercise time each week.
• Once you have reached your goal, maintain it by varying your activities.
• On days you do not feel as well break your exercise into several shorter periods. For instance, instead of walking for 30 minutes, you can take three 10-minute walks. 

Step 5: Do more over time

Work toward a goal of 30 to 60 minutes of exercise, most days of the week. Here are some ways to reach that goal:

• Make exercise part of what you do each day. Be sure to attend the exercise sessions of your pulmonary rehab program.
• Keep exercise interesting by doing things you find enjoyable.
• Wear a watch and keep a diary to track your progress. Set small goals to challenge yourself.
• Increase your workout by a little bit each week, until you have reached your goal.
• Once your workouts have reached their goal length, increase how hard you work out. For example, walk up a gentle slope instead of on flat ground.